Early identification of seclusion and restraint patterns during adolescents' course of residential treatment

Susan Dosreis, Jill R. McCulloch, Elizabeth Colantuoni, Shannon R. Barnett, David Pruitt, Albert Zachik, Mark A. Riddle

Research output: Contribution to journalArticlepeer-review

Abstract

Early identification of youth who will exhibit the most challenging behavior during the course of a residential stay would allow clinicians to allocate limited resources to best manage these youth. Seclusion/restraint procedures were examined for 156 youth in two public residential facilities from July 2000-September 2005. Few seclusion/restraints occurred in the first month, but this peaked in months two and three. Youth subgroups with different trajectories for the frequency of seclusion/restraint use were distinguishable by the first 60 days. By the second month in residence clinicians can identify youth who will continue to exhibit challenging behavior.

Original languageEnglish (US)
Pages (from-to)160-174
Number of pages15
JournalResidential Treatment for Children and Youth
Volume27
Issue number3
DOIs
StatePublished - Jul 1 2010

Keywords

  • aggressive behavior
  • early identification
  • residential care
  • seclusion and restraint

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Law

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