Restraint and Seclusion Use in U.S. School Settings: Recommendations From Allied Treatment Disciplines

Restraint and seclusion (R&S) are high risk, emergency procedures that are used in response to perceived violent, dangerous situations. They have been employed for years in a variety of settings that serve children, such as psychiatric hospitals and residential treatment facilities, but are now...

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Veröffentlicht in:American journal of orthopsychiatry 2012-01, Vol.82 (1), p.75-86
Hauptverfasser: LeBel, Janice, Nunno, Michael A., Mohr, Wanda K., O'Halloran, Ronald
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container_title American journal of orthopsychiatry
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creator LeBel, Janice
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Mohr, Wanda K.
O'Halloran, Ronald
description Restraint and seclusion (R&S) are high risk, emergency procedures that are used in response to perceived violent, dangerous situations. They have been employed for years in a variety of settings that serve children, such as psychiatric hospitals and residential treatment facilities, but are now being recognized as used in the public schools. The field of education has begun to examine these practices in response to national scrutiny and a Congressional investigation. The fields of mental health and child welfare were similarly scrutinized 10 years ago following national media attention and have advanced R&S practice through the adoption of a prevention framework and core strategies to prevent and reduce use. A review of the evolution of the national R&S movement, the adverse effects of these procedures, and a comprehensive approach to prevent their use with specific core strategies such as leadership, workforce development, and youth and family involvement in order to facilitate organizational culture and practice change are discussed. Proposed guidelines for R&S use in schools and systemic recommendations to promote R&S practice alignment between the child-serving service sectors are also offered.
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subjects Adoption
Allied Health Personnel - standards
Biological and medical sciences
Child welfare
children with special needs
corporal punishment
Dangerousness
Family
Guidelines as Topic
Hospitals
Human
Humans
Keeping All Students Safe Act
Leadership
Legislation as Topic
Medical sciences
Mental Health
Organizational Culture
Patient Seclusion
Physical Restraint
Prevention
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Public Schools
Punishment
R&S‐related deaths
Residential care
Residential Care Institutions
Residential Institutions
residential treatment facilities
restraint and seclusion
Restraint, Physical - adverse effects
Restraint, Physical - psychology
Restraint, Physical - standards
Risk
Risk Factors
School discipline
Schools
Schools - legislation & jurisprudence
Schools - standards
Schools - statistics & numerical data
Six Core Strategies
Social Isolation - psychology
Social psychiatry. Ethnopsychiatry
Social services
Treatment
U.S.A
United States
Youth
Youth Organizations
title Restraint and Seclusion Use in U.S. School Settings: Recommendations From Allied Treatment Disciplines
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