Abstract
Parents-guardians of adults who had intellectual disability completed a social validity assessment that documented their attitudes and opinions about physical restraint. Both parents-guardians of adults that had and had not experienced physical restraint rated most highly that (a) physical restraint should only be used if less intensive procedures have failed and (b) physical restraint can be adapted to ensure safety and reduce risk of harm. They endorsed less favorably that effective use of physical restraint makes it possible for individuals to progress and achieve a better quality of life. The parents-guardians of adults that had not experienced physical restraint differed from the parents-guardians of adults with a physical restraint history in acceptance of physical restraint to ensure safety of their family member. We discuss these findings and implications for habilitation services programs.
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Chan, J., LeBel, J., & Webber, L. (2012). The dollars and sense of restraints and seclusion. Journal of Law and Medicine, 20, 73–81.
Chan, J., Webber, L., & French, P. (2014). The importance of safeguarding rights and the role of legislation: the Australian perspective. In S. Karim (Ed.), A human rights perspective on reducing restrictive practices in intellectual disabilities and autism spectrum disorders (pp. 53–72). Birmingham: British Institute of Learning Disabilities.
Cunningham, J., McDonnell, A., Easton, S., & Sturmey, P. (2003). Social validation data on three methods of physical restraint: views of consumers, staff, and students. Research in Developmental Disabilities, 24, 307–316.
Favell, J. E., McGimsey, J. F., & Jones, M. L. (1978). The use of physical restraint in the treatment of self-injury and as positive reinforcement. Journal of Applied Behavior Analysis, 11, 225–241.
French, P., Chan, J., & Carracher, R. (2010). Realizing human rights in clinical practice and service delivery to persons with cognitive impairment who engage in behaviors of concern. Psychiatry, Psychology, and the Law, 17, 245–272.
Harris, J. (1996). Physical restraint procedures for managing challenging behaviors presented by mentally retarded adults and children. Research in Developmental Disabilities, 17, 99–134.
Kazdin, A. E. (1977). Assessing the clinical or applied importance of behavior change through social validation. Behavior Modification, 1, 427–452.
Kinner, S. A., Harvey, C., Hamilton, B., Brophy, L., Roper, C., McSherry, B., & Young, J. T. (2016). Attitudes towards seclusion and restraint in mental health settings: findings from a large, community-based survey of consumers, carers, and mental health professionals. Epidemiology and Psychiatric Services, published online: 12 Aug 2016, pp. 1–10.
Lennox, D., Geren, M., & Rourke, D. (2011). Emergency physical restraint: considerations for staff training and supervision. In J. K. Luiselli (Ed.), The handbook of high-risk challenging behaviors in people with intellectual and developmental disabilities (pp. 271–292).
Luiselli, J. K. (2011). Therapeutic implementation of physical restraint. In J. K. Luiselli (Ed.), The handbook of high-risk challenging behaviors in intellectual and developmental disabilities (pp. 243–256). Baltimore, MD: Paul H. Brookes.
Luiselli, J. K. (2013). Descriptive analysis of a staff injury reduction intervention in a human services setting for children and youth with intellectual and developmental disabilities. Behavior Modification, 37, 665–679.
Luiselli, J. K., Sperry, J. M., & Draper, C. (2015). Social validity assessment of physical restraint intervention by care providers of adults with intellectual and developmental disabilities. Behavior Analysis in Practice, 8, 170–175.
Magee, S. K., & Ellis, J. (1988). The detrimental effects of physical restraint as a consequence for inappropriate classroom behavior. Journal of Applied Behavior Analysis, 34, 501–504.
McDonnell, A. A., & Sturmey, P. (2000). The social validation of three physical restraint procedures: a comparison of young people and professional groups. Research in Developmental Disabilities, 21, 85–92.
McDonnell, A., Sturmey, P., & Dearden, B. (1993). The acceptability of physical restraint procedures for people with a learning disability. Behavioral and Cognitive Psychotherapy, 21, 255–264.
Parsons, M. B., Rollyson, J. H., & Reid, D. H. (2012). Evidence-based staff training: a guide for practitioners. Behavior Analysis in Practice, 5, 2–11.
Reed, D. D., Luiselli, J. K., Miller, J. R., & Kaplan, B. A. (2013). Therapeutic restraint and protective holding. In D. D. Reed, F. DiGennaro Reed, & J. K. Luiselli (Eds.), Handbook of crisis intervention and developmental disabilities (pp. 107–120). New York: Springer.
Rickard, E. D., Chan, J., & Merriman, B. (2013). Issues emanating from the implementation of policies on restraint use with people with intellectual disabilities. Journal of Policy and Practice in Intellectual Disabilities, 10, 252–259.
Schwartz, I. S., & Baer, D. M. (1991). Social validity assessments: is current practice state of the art. Journal of Applied Behavior Analysis, 24, 189–204.
Sheldon, J. B., & Sheldon-Sherman, J. A. L. (2013). Legal and ethical issues. In D. D. Reed, F. DiGennaro Reed, & J. K. Luiselli (Eds.), Handbook of crisis intervention and developmental disabilities (pp. 261–279). New York: Springer.
Spreat, S., Lipinski, D., Hill, J., & Halpin, M. E. (1986). Safety indices associated with the use of contingent restraint procedures. Applied Research in Mental Retardation, 7, 475–481.
Sturmey, P. (2009). It is time to reduce and safely eliminate restrictive behavioral practices. Journal of Applied Research in Intellectual Disabilities, 22, 105–110.
Tilli, D. M., & Spreat, S. (2009). Restraint safety in a residential setting for persons with intellectual disabilities. Behavioral Interventions, 24, 127–134.
United Nations (2006). Convention on the rights of persons with disabilities. New York: Author.
Vause, T., Regehr, K., Feldman, M., Griffiths, D., & Owen, F. (2009). Right to evidence-based treatment for individuals with developmental disabilities: issues on the use of therapeutic punishment. In F. Owen & D. Griffiths (Eds.), Challenges to the human rights of people with intellectual disabilities (pp. 219–239). London: Jessica Kingsley Publishers.
Williams, D. E. (2009). Restraint safety: an analysis of injuries related to restraint of people with intellectual disabilities. Journal of Applied Research in Intellectual Disabilities, 22, 135–139.
Wolf, M. M. (1978). Social validity: the case for subjective measurement or how applied behavior analysis is finding its heart. Journal of Applied Behavior Analysis, 11, 202–214.
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Parents-guardians provided written informed consent for emergency PR when their daughter/son was admitted to the habilitation services program and when PR comprised a written behavior support plan.
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Luiselli, J.K., Sperry, J.M., Draper, C. et al. Parent-Guardian Evaluation of Physical Restraint Among Adults with Intellectual Disability: a Social Validity Assessment. Adv Neurodev Disord 1, 73–78 (2017). https://doi.org/10.1007/s41252-017-0013-9
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DOI: https://doi.org/10.1007/s41252-017-0013-9