Full record(s)

Record no:

1 of 1

Author:

JENSEN Craig C.; et al.;

Title:

Choosing staff members reduces time in mechanical restraint due to self-injurious behaviour and requesting restraint.

Reference:

Journal of Applied Research in Intellectual Disabilities, 25(3), May 2012, pp.282-287.

ISSN paper:

1360-2322

ISSN online:

1468-3148

Abstract:

This brief report describes an attempt to reduce self-injurious behaviour and associated mechanical restraint of a women who had a history of biting herself to the point of causing nerve damage. The use mechanical restraints to protect her from dangerous self-injury was decreased by the client choosing the staff person who would work with her. The client was a 28-year-old woman diagnosed with autism, bipolar disorder, static cerebral encephalopathy, moderate intellectual disabilities, hypotonia and musculoskeletal deformities. Mechanical restraints were applied when she bit, tried to bite herself or asked for them. When she was allowed to choose staff members, the use of mechanical restraint decreased. The authors conclude that reducing the time spent in mechanical restraint by giving the client a choice of staff members who would work with her demonstrates that such a choice may be an establishing operation. The value of cumulative records and scatterplots to evaluate changes in the occurrence of self-injurious behaviour and associated mechanical restraint is demonstrated as are the advantages of using alternating treatment designs to assess the effectiveness of treatment conditions for someone who exhibits long-term cyclic behaviour.

Journal home:

Click here to visit the journal home page

Format:

article;

Topics:

autism; case studies; choice; learning disabilities; physical restraint; research methods; restraint; self-harm; staff-user relationships;

Content Type:

practice;

Country/Region:

United States;

Record ID:

www.scie-socialcareonline.org.uk/profile.asp?guid=9627625b-5a6b-489a-a748-603c8938f84d