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Restriction on restraints in the care for people with intellectual disabilities in the Netherlands: lessons learned from Australia, UK, and United States
- Authors:
- ROMIJN Anita, FREDERIKS Brenda J.M.
- Journal article citation:
- Journal of Policy and Practice in Intellectual Disabilities, 9(2), June 2012, pp.127-133.
- Publisher:
- Wiley
The use of restraints in the care of people with intellectual disabilities in the Netherlands is regulated by the Psychiatric Hospitals Act. Physical or mechanical interventions may be used to avert aggression and danger to a client or his surroundings. The issue of restrictive practices has attracted considerable attention following a television documentary which revealed excessive use of mechanical restraints on an 18-year old youth. The aim of this article was to provide insight into legislation, protocols, and practices in other countries so as to make recommendations for policy on reducing the use of restraints in the Netherlands. Journal articles and policy reports on national policies and practices for the years 2000-11 were analysed for 3 countries: the United Kingdom, United States, and Australia. The findings showed that, although the use of restraints in the care for people with intellectual disabilities is internationally regulated by the criterion of ultimum remedium, policy is clearly not always in line with practice. Common elements in best practices designed to reduce the use of restraints include: strong leadership in care facilities based on national policy; trained staff; a strict monitoring system; and changes in attitudes on the use of restraints, with restraints being identified as treatment failure.
Framework for reducing restrictive practices
- Author:
- PALEY-WAKEFIELD Sharon
- Publisher:
- British Institute of Learning Disabilities
- Publication year:
- 2013
- Place of publication:
- Birmingham
This practical book provides a framework for organisations to identify and review what is happening in their services and then to actively reduce their reliance on restrictive practices at an individual and systemic level. Its purpose is to promote the development of ‘restraint free’ environments for vulnerable people, as advocated by BILD. The approaches suggested will lead to improvement within services, a reduction in the use of restrictive practices, as well as a better quality of life for people with intellectual disabilities with additional complex behaviour and/or mental health needs. The book includes an introduction to the framework and a toolkit element that puts the ideas and principles presented into practice. (Edited publisher abstract)
A human rights perspective on reducing restrictive practices in intellectual disability and autism
- Editor:
- KARIM Sam
- Publisher:
- BILD
- Publication year:
- 2014
- Place of publication:
- Birmingham
This book explores the importance of human rights legislation and ethical decision making on reducing the use of restrictive practices when supporting people with an intellectual disability and people with autism. It provides examples of how legislation, case law and guidance have been used in the countries of England, Wales, Australia and North America to uphold people’s rights and challenge abusive practices. Chapters include: legal reflections on the human rights of restraint reduction; the importance of safeguarding rights and the role of legislation: the Australian perspective; ethical principles and good practice in reducing restrictive practices; replacing restraint: good practices in North American human service programmes for persons with intellectual disabilities and autism; and good practices in Australia in the use of restraint reduction practices for people with intellectual disabilities and autism. (Edited publisher abstract)
Don't shut me in
- Author:
- GILLEN Sally
- Journal article citation:
- Learning Disability Today, August 2011, pp.12-15.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Despite being in force for two years, recent cases have highlighted a lack of training and awareness in the Deprivation of Liberty Safeguards. This article discusses the difficulties in defining a deprivation of liberty, explores the implications of recent court rulings and identifies gaps in training provision for social work managers and staff.
Physical interventions: from policy to practice
- Author:
- HARRIS John
- Journal article citation:
- Journal of Adult Protection, 3(2), May 2001, pp.18-22.
- Publisher:
- Emerald
This article considers good practice in the use of physical interventions. It describes work undertaken to establish a consensus around policy principles in relation to the use of personal restraints in response to violent behaviour by adults and children with a learning disability or autism. It highlights the benefits of clear local and national policies and identifies work required to promote good practice.
Ethical approaches to physical interventions: responding to challenging behaviour in people with intellectual disabilities
- Editor:
- ALLEN David
- Publisher:
- British Institute of Learning Disabilities
- Publication year:
- 2002
- Pagination:
- 239p.,bibliogs.
- Place of publication:
- Kidderminster
This book, based on contributions from academics and practitioners in the UK and USA, is an overview of key developments and current best practice in the field. It includes and overview of current policies and practices, an examination of physical interventions and abusive practice, and a discussion of objectives for the immediate future. It is intended as a reference for commissioners, service providers and physical interventions trainers, as well as anyone concerned with improving our response to challenging behaviour.