Reducing Restraint and Restrictive Behavior Management Practices

This book presents an evidence-based framework for replacing harmful, restrictive behavior management practices with safe and effective alternatives. The first half summarizes the concept and history of restraint and seclusion in mental health application

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Series Editor Johnny L. Matson Baton Rouge, Louisiana, USA

More information about this series at http://www.springer.com/series/8665

Peter Sturmey

Reducing Restraint and Restrictive Behavior Management Practices

Peter Sturmey Department of Psychology Queens College City University of New York Flushing New York USA

ISSN 2192-922X         ISSN 2192-9238 (electronic) Autism and Child Psychopathology Series ISBN 978-3-319-17568-3    ISBN 978-3-319-17569-0 (eBook) DOI 10.1007/978-3-319-17569-0 Library of Congress Control Number: 2015937493 Springer Cham Heidelberg New York Dordrecht London © Springer International Publishing Switzerland 2015 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper Springer International Publishing AG Switzerland is part of Springer Science+Business Media (www.springer.com)

To Raul Antonio Gordillo

Preface

Restrictive behavioral practices include physical and personal restraints, seclusion and time-out rooms, emergency “prn” medication, movement restrictions through environmental modification, such as barriers and loss of property. This issue has garnered attention due to restraint-related deaths and repeated calls for elimination of restrictive behavioral practices. Such calls for action tend to be emotional and ideological appeals to solve the problem, often in response to restraint-related deaths or media exposes of abusive practices. Unfortunately, exactly how to reduce restrictive behavioral practices is often unclear. This volume will address this issue in two parts. The first part of this book will define clearly what constitutes restrictive behavioral practices, survey the extent of the problem and highlight both historical and contemporary descriptions of restrictive behavioral practices. It will demonstrate that restrictive behavioral practices continue to be used, commonly in contemporary services, including community services, and perhaps are commonly also used in families. The second part of the volume w