Behavioral management leads to reduction in aggression in a child and adolescent psychiatric inpatient unit

Journal of the American Academy of Child and Adolescent Psychiatry

Volumn 46, Issue 6, 2007, Pages 711-720

  Dean, Angela J ^a,c   Duke, Suzanne G ^b   George, Michelle ^b   Scott, James ^b,c  

^a Kids in Mind Research   (Australia)

^b Mater Child and Youth Mental Health Services   (Australia)

^c UNIVERSITY OF QUEENSLAND   (Australia)

Author keywords

Aggression; Behavioral management; Inpatients; Mental health services; Restraint; Seclusion

Indexed keywords

ADOLESCENT; AGGRESSION; ARTICLE; BEHAVIOR CONTROL; BEHAVIOR THERAPY; CHILD; CHILD BEHAVIOR; CHILD PSYCHIATRY; CONTROLLED STUDY; EARLY DIAGNOSIS; FEMALE; HOSPITAL PATIENT; HUMAN; IMMOBILIZATION; MAJOR CLINICAL STUDY; MALE; MENTAL HEALTH CARE; MENTAL PATIENT; OUTCOME ASSESSMENT; PATIENT CARE; PRIORITY JOURNAL; REINFORCEMENT; RISK MANAGEMENT; TREATMENT PLANNING;

ADOLESCENT; AGGRESSION; BEHAVIOR CONTROL; CHILD; CHILD, PRESCHOOL; FEMALE; HUMANS; MALE; MENTAL DISORDERS; SOCIOENVIRONMENTAL THERAPY; VIOLENCE;

EID: 34249276393     PISSN: 08908567     EISSN: None     Source Type: Journal    
DOI: 10.1097/chi.0b013e3180465a1a     Document Type: Article

References (44)

1. Angold A (1989), Seclusion. Br J Psychiatry 154:437-444
2. Antoinette T, Iyengar S, Puig-Antich J (1990), Is locked seclusion necessary for children under the age of 14? Am J Psychiatry 147:1283-1289
3. Ball GG (1993), Modifying the behavior of the violent patient. Psychiatry Q 64:359-369
4. Barnett SR, dosReis S, Riddle MA (2002), Improving the management of acute aggression in state residential and inpatient psychiatric facilities for youths. J Am Acad Child Adolesc Psychiatry 41:897-905
5. Barton G, Rey JM, Simpson P, Denshire E (2001), Patterns of critical incidents and their effect on outcome in an adolescent inpatient service. Aust N Z J Psychiatry 35:155-159
6. Berrios CD, Jacobowitz WH (1998), Therapeutic holding: outcomes of a pilot study. J Psychosoc Nurs Ment Health Serv 36:14-18
7. Brann P, Coleman G, Luk E (2001), Routine outcome measurement in a child and adolescent mental health service: an evaluation of HoNOSCA. The Health of the Nation Outcome Scales for Children and Adolescents. Aust N Z J Psychiatry 35:370-376
8. Brantner JP, Doherty MA (1983), A review of timeout: a conceptual and methodological analysis. In: The Effects of Punishment on Human Behavior, Axelrod S, Apsche J, eds. New York: Academic, pp 87-132
9. Connor DF, RH Melloni Jr, Harrison RJ (1998), Overt categorical aggression in referred children and adolescents. J Am Acad Child Adolesc Psychiatry 37:66-73
10. Cotton NS (1989), The developmental-clinical rationale for the use of seclusion in the psychiatric treatment of children. Am J Orthopsychiatry 59:442-450
11. Dean AJ, McDermott BM, Marshall RT (2006a), PRN sedation - patterns of prescribing and administration in a child and adolescent mental health inpatient service. Eur Child Adolesc Psychiatry 15:277-281
12. Dean AJ, McDermott BM, Marshall RT (2006b), Psychotropic medication utilization in a child and adolescent mental health service. J Child Adolesc Psychopharmacol 16:273-285
13. Delaney KR (2001), Developing a restraint-reduction program for child/adolescent inpatient treatment. J Child Adolesc Psychiatr Nurs 14:128-140
14. Donovan A, Plant R, Peller A, Siegel L, Martin A (2003a), Two-year trends in the use of seclusion and restraint among psychiatrically hospitalized youths. Psychiatr Serv 54:987-993
15. Donovan A, Siegel L, Zera G, Plant R, Martin A (2003b), Child & adolescent psychiatry: seclusion and restraint reform: an initiative by a child and adolescent psychiatric hospital. Psychiatr Serv 54:958-959
16. dosReis S, Barnett S, Love RC, Riddle MA (2003), A guide for managing acute aggressive behavior of youths in residential and inpatient treatment facilities. Psychiatr Serv 54:1357-1363
17. Forster PL, Cavness C, Phelps MA (1999), Staff training decreases use of seclusion and restraint in an acute psychiatric hospital. Arch Psychiatr Nurs 13:269-271
18. Garrison WT, Ecker B, Friedman M, Davidoff R, Haeberle K, Wagner M (1990), Aggression and counteraggression during child psychiatric hospitalization. J Am Acad Child Adolesc Psychiatry 29:242-250
19. Goren S, Abraham I, Doyle N (1996), Reducing violence in a child psychiatric hospital through planned organizational change. J Child Adolesc Psychiatr Nurs 9:27-28. quiz 37-8
20. Gowers SG, Harrington RC, Whitton A et al. (1999), Brief scale for measuring the outcomes of emotional and behavioral disorders in children. Health of the Nation Outcome Scales for children and Adolescents (HoNOSCA). Br J Psychiatry 174:413-416
21. Greene RW, Ablon JS, Martin A (2006), Innovations: child & adolescent psychiatry: use of collaborative problem solving to reduce seclusion and restraint in child and adolescent inpatient units. Psychiatr Serv 57:610-612
22. Jonikas JA, Cook JA, Rosen C, Laris A, Kim JB (2004), A program to reduce use of physical restraint in psychiatric inpatient facilities. Psychiatr Serv 55:818-820
23. Joshi PT, Capozzoli JA, Coyle JT (1988), Use of a quiet room on an inpatient unit. J Am Acad Child Adolesc Psychiatry 27:642-644
24. Kalogjera IJ, Bedi A, Watson WN, Meyer AD (1989), Impact of therapeutic management on use of seclusion and restraint with disruptive adolescent inpatients. Hosp Community Psychiatry 40:280-285
25. Khadivi AN, Patel RC, Atkinson AR, Levine JM (2004), Association between seclusion and restraint and patient-related violence. Psychiatr Serv 55:1311-1312
26. Kuster T, Rowland G, Schaffner T, Kupfersmid J (1988), Strategies for the prevention of physical assault among emotionally disturbed youths (PAARR). Child Youth Serv 10:85-101
27. LeBel J, Stromberg N, Duckworth K et al. (2004), Child and adolescent inpatient restraint reduction: a state initiative to promote strength-based care. J Am Acad Child Adolesc Psychiatry 43:37-45
28. Lochman JE, Powell NR, Whidby JM, Fitzgerald DP (2006), Aggressive children: cognitive-behavioral assessment and treatment. In: Child and Adolescent Therapy: Cognitive-Behavioral Procedures, Kendall PC, ed. New York: Guilford
29. Malone RP, Luebbert JF, Delaney MA et al. (1997), Nonpharmacological response in hospitalized children with conduct disorder. J Am Acad Child Adolesc Psychiatry 36:242-247
30. Masters KJ, Bellonci C, Bernet W et al. (2002), Practice parameter for the prevention and management of aggressive behavior in child and adolescent psychiatric institutions, with special reference to seclusion and restraint. J Am Acad Child Adolesc Psychiatry 41:4S-25S
31. Mental Health Act 2000 Queensland: Reprint No. 2F, August 2006. Available at: http://www.legislation.qld.gov.au/LEGISLTN/CURRENT/M/MentalHealA00.pdf. Accessed February 1, 2007
32. Mohr WK, Petti TA, Mohr BD (2003), Adverse effects associated with physical restraint. Can J Psychiatry 48:330-387
33. Natta MB, Holmbeck GN, Kupst MJ, Pines RJ, Schulman JL (1990), Sequences of staff-child interactions on a psychiatric inpatient unit. J Abnorm Child Psychol 18:1-14
34. Nelson WM, Finch AJ Jr, Ghee AC (2006), Anger management with children and adolescents. In: Child and Adolescent Therapy: Cognitive-Behavioral Procedures, Kendall PC, ed. New York: Guilford
35. Paterson B, Bradley P, Stark C, Saddler D, Leadbetter D, Allen D (2003), Deaths associated with restraint use in health and social care in the UK. The results of a preliminary survey. J Psychiatr Ment Health Nurs 10:3-15
36. Petti TA, Mohr WK, Somers JW, Sims L (2001), Perceptions of seclusion and restraint by patients and staff in an intermediate-term care facility. J Child Adolesc Psychiatr Nurs 14:115-127
37. Petti TA, Stigler KA, Gardner-Haycox J, Dumlao S (2003), Perceptions of P.R.N. psychotropic medications by hospitalized child and adolescent recipients. J Am Acad Child Adolesc Psychiatry 42:434-441
38. Ryan EP, Hart VS, Messick DL, Aaron J, Burnette M (2004), A prospective study of assault against staff by youths in a state psychiatric hospital. Psychiatr Serv 55:665-670
39. Sanders MR (1999), Triple P-Positive Parenting Program: towards an empirically validated multilevel parenting and family support strategy for the prevention of behavior and emotional problems in children. Clin Child Fam Psychol Rev 2:71-90
40. Sanders MR, Markie-Dadds C, Tully LA, Bor W (2000), The triple P-positive parenting program: a comparison of enhanced, standard, and self-directed behavioral family intervention for parents of children with early onset conduct problems. J Consult Clin Psychol 68:624-640
41. Sukhodolsky DG, Cardona L, Martin A (2005), Characterizing aggressive and noncompliant behaviors in a children's psychiatric inpatient setting. Child Psychiatry Hum Dev 36:177-193
42. Troutman B, Myers K, Borchardt C, Kowalski R, Bubrick J (1998), Case study: when restraints are the least restrictive alternative for managing aggression. J Am Acad Child Adolesc Psychiatry 37:554-558
43. Vitiello B, Hill JL, Elia J, Cunningham E, McLeer SV, Behar D (1991), p.r.n. medications in child psychiatric patients: a pilot placebo-controlled study. J Clin Psychiatry 52:499-501
44. Vivona JM, Ecker B, Halgin RP, Cates D, Garrison WT, Friedman M (1995), Self- and other-directed aggression in child and adolescent psychiatric inpatients. J Am Acad Child Adolesc Psychiatry 34:434-444