Skip to main content
Log in

Who is treated using restrictive behavioral procedures?

  • Published:
Journal of Developmental and Physical Disabilities Aims and scope Submit manuscript

Abstract

Controversy about the use of restrictive behavioral procedures persists within the field of developmental disabilities. Many advocates and proponents of the use of exclusively nonrestrictive behavioral procedures have argued that restrictive procedures pose unacceptably high risks of adverse side effects and harm to the people who are treated with them. Yet, little is known about the extent to which procedures like timeout, manual restraint, and overcorrection are actually used in the treatment of people with developmental disabilities who manifest severe behavior disorders. In this article, data gathered on a national sample of people with developmental disabilities age 45 years and older are reviewed to ascertain the extent to which several restrictive procedures are being used in treatment. Findings indicate that these procedures are not being used in an indiscriminate manner.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Brown, C. B., Hanley, A. T., Nemeth, C., Epple, W., Bird, W., and Bontempo, A. (1986).The Developmental Disabilities Profile: Final Report—The Design, Development, and Testing of the Core Instrument, New York State Office of Mental Retardation and Developmental Disabilities, Albany NY.

    Google Scholar 

  • Carr, E. G., Taylor, J. C., Carlson, J. I., and Robinson, S. (1989).Reinforcement and Stimulus-based Treatments for Severe Behavior Problems in Developmental Disabilities, Background paper prepared for the National Institutes of Health Consensus Development Panel on the Treatment of Destructive Behavior, National Institutes of Health, Bethesda, MD.

    Google Scholar 

  • Cataldo, M. F. (1989).The Effects of Punishment and Other Behavior Reducing Procedures on the Destructive Behaviors of Persons with Developmental Disabilities, Background paper prepared for the National Institutes of Health Consensus Development Panel on the Treatment of Destructive Behavior, National Institutes of Health, Bethesda, MD.

    Google Scholar 

  • Gardner, W. I., and Cole, C. L. (1987). Behavior treatment, behavior management, and behavior control: Needed distinctions.Behav. Res. Treat. 2: 37–53.

    Google Scholar 

  • Griffin, J. C., Keyes, J. B., Emerson, J. H., Paisey, T. J., Stark, M. T., Williams, D. E., Dayan, M., Ricketts, R. W., and Zukotynski, G. (1989, May).Survey on the Use of Aversive Therapy: National Association of Superintendents of Public Residential Facilities, Paper presented at the Annual Conference of the American Association on Mental Retardation, Chicago, IL.

  • Griffin, J. E., Williams, D. E., Stark, M. T., Altmeyer, B. K., and Mason, M. (1986). Self-injurious behavior: A state-wide prevalence survey of the extent and circumstances.App. Res. Ment. Ret. 7: 105–116.

    Google Scholar 

  • Guess, D., Helmstetter, E., Turnbull, H. R., and Knowlton, S. (1986).Use of Aversive Procedures with Persons Who are Disabled: A Historical Review and Critical Analysis, The Association for Persons with Severe Handicaps, Seattle, WA.

    Google Scholar 

  • Holburn, C. S. (1990). Rules: The new institutions.Ment. Ret. 28: 89–94.

    Google Scholar 

  • Jacobson, J. W. (1982). Problem behavior and psychiatric impairment in a developmentally disabled population I: Behavior frequency.App. Res. Ment. Ret. 3: 121–139.

    Google Scholar 

  • Jacobson, J. W. (1989). Preliminary findings from a national survey of psychologists about restrictive behavioral procedures.Psychol. Ment. Ret. Dev. Dis. 15(1): 9–13.

    Google Scholar 

  • Jacobson, J. W., and Ackerman, L. J. (1990, April).Who receives restrictive behavioral interventions? II: A data-based approach to a social issue, Paper presented at the Gatlinberg Conference on Research and Theory in Mental Retardation, Brainerd, MN.

  • Jacobson, J. W., and Ackerman, L. J. (1992). Use of behavior management procedures in group homes: Positive and negative approaches. In J. W. Jacobson, S. N. Burchard, and P. J. Carling (eds.),Community Living for People with Development and Psychiatric Disabilities, Johns Hopkins University Press, Baltimore, MD., pp. 94–106.

    Google Scholar 

  • Jacobson, J. W., and Harper, M. S. (1990). Preliminary findings from a national survey of the mental health status of older persons with mental retardation.Aust. New Zea. J. Dev. Dis. 15: 301–309.

    Google Scholar 

  • Jacobson, J. W., Janicki, M. P., and Ackerman, L. J. (1990). Health care needs and usage among older persons with mental retardation.Adult Res. Care J. 3: 77–95.

    Google Scholar 

  • Jacobson, J. W., Sutton, M. S., and Janicki, M. P. (1985). Demography and characteristics of aging and aged mentally retarded persons. In Janicki, M. P., and Wisniewski, H. M. (eds.),Aging and Developmental Disabilities: Issues and Approaches, Brookes, Baltimore, MD.

    Google Scholar 

  • Lennox, D. B., Miltenberger, R. G., Spengler, P., and Erfanian, N. (1988). Decelerative treatment practices with persons who have mental retardation: A review of five years of the literature.Am. J. Ment. Ret. 92: 492–501.

    Google Scholar 

  • Martin, J. E., and Agran, M. (1985). Psychotropic and anti-convulsant drug use by mentally retarded adults across community residential and vocational placements.App. Res. Ment. Ret. 6: 33–50.

    Google Scholar 

  • Matson, J. L., and Gorman-Smith, D. (1984).Punishment and Its Alternatives: A New Perspective for Behavior Modification, Plenum Press, New York.

    Google Scholar 

  • Matson, J. L., and Mulick, J. A. (1991). Introduction: A continuum of service and research. In Matson, J. L., and Mulick, J. A. (eds.),Handbook of Mental Retardation (second edition), Pergamon, New York, pp. xi-xv.

    Google Scholar 

  • McGee, J. J. (1988). Issues related to applied behavior analysis. In Stark, J. A., Menolascino, F. J., Albarelli, M. H., and Gray, V. C. (eds.),Mental Retardation and Mental Health, Springer-Verlag, New York, pp. 203–212.

    Google Scholar 

  • Meinhold, P. A., and Mulick, J. A. (1990a). Risks, choices and behavioral treatment.Beh. Res. Treat. 5: 29–44.

    Google Scholar 

  • Meinhold, P. A., and Mulick, J. A. (1990b). Counter-habilitative contingencies in institutions for people with mental retardation: Ecological and regulatory influences.Ment. Ret. 28: 67–76.

    Google Scholar 

  • Miltenberger, R. G., Lennox, D. B., and Erfanian, N. (1989). Acceptability of alternative treatments for persons with mental retardation: Ratings from institutional and community-based staff.Am. J. Ment. Ret. 93: 388–395.

    Google Scholar 

  • Morgan, R. L. (1989). Judgments of restrictiveness, social acceptability, and usage: Review of research on aversive procedures to decrease behavior.Am. J. Ment. Ret. 94: 121–133.

    Google Scholar 

  • Mulick, J. A., Hammer, D., and Dura, J. R. (1991). Assessment and management of antisocial and hyperactive behavior. In Matson, J. L., Mulick, J. A., (eds.),Handbook of Mental Retardation (second edition), Pergamon, New York, pp. 397–412.

    Google Scholar 

  • Mulick, J. A., and Kedesdy, J. (1988). Self-injurious behavior, its treatment, and normalization.Ment. Ret. 26: 223–229.

    Google Scholar 

  • Mulick, J. A., and Linscheid, T. R. (1988). Alternatives to punishment: Solving behavior problems with non-aversive strategies (book review).Res. Dev. Dis. 9: 317–321.

    Google Scholar 

  • National Institutes of Health. (1989, September 11–13).Treatment of Destructive Behaviors in Persons with Developmental Disabilities (Consensus development conference statement). Bethesda, MD: Author.

    Google Scholar 

  • Repp, A. C., and Singh, N. N. (eds.) (1990).The Use of Nonaversive and Aversive Interventions for Persons with Developmental Disabilities, Sycamore Publishing, Sycamore, IL.

    Google Scholar 

  • Schroeder, S. R. (1991). Self-injury and stereotypy. In Matson, J. L., Mulick, J. A., (eds.),Handbook of Mental Retardation (second edition), Pergamon, New York, pp. 382–396.

    Google Scholar 

  • Schroeder, S. R., Rojahn, J., and Oldenquist, A. (1989).Treatment of Destructive Behaviors Among People with Developmental Disabilities, Background paper prepared for the National Institutes of Health Consensus Development Panel on the Treatment of Destructive Behavior, National Institutes of Health, Bethesda, MD.

    Google Scholar 

  • Spreat, S., and Lipinski, D. (1986). A survey of state policies regarding the use of restrictive/aversive behavior modification procedures.Behav. Res. Treat. 1: 137–152.

    Google Scholar 

  • Stoltz, S. (1975). Ethical issues in research on behavior therapy. In Wood, W. S., (ed.),Issues in Evaluating Behavior Modification, Research Press, Champaign, IL, pp. 239–256.

    Google Scholar 

  • Stuart, R. B. (1973). Notes on the ethics of behavior research and intervention. In Hammerlynck, L. A., Handy, L. C., and Mash, E. J. (eds.),Behavior Change: Methodology, Concepts and Practice, Research Press, Champaign, IL, pp. 221–233.

    Google Scholar 

  • Tarnowski, K. J., Rasnake, L. K., Mulick, J. A., and Kelly, P. A. (1989). Acceptability of behavioral interventions for self-injurious behavior.Am. J. Ment. Ret. 93: 575–580.

    Google Scholar 

  • Thompson, T., Gardner, W. I., and Baumeister, A. A. (1988). Ethical issues in interventions for persons with retardation, autism, and related developmental disorders. In Stark, J. A., Menolascino, F. J., Albarelli, M. H., and Gray, V. C. (eds.),Mental Retaddation and Mental Health: Classification, Diagnosis, Treatment, Services, Springer-Verlag, New York, pp. 211–217.

    Google Scholar 

  • Thompson, T., Hackenberg, T., and Schaal, D. (1989).Pharmacological Treatment for Behavior Problems in Developmental Disabilities, Background paper prepared for the National Institutes of Health Consensus Development Panel on the Treatment of Destructive Behavior. National Institutes of Health, Bethesda, MD.

    Google Scholar 

  • Van Houten, R., Axelrod, S., Bailey, J. S., Favell, J. E., Foxx, R. M., Iwata, B., and Lovaas, O. I. (1988). The right to effective treatment.T. Behav. Analy. 11: 111–114.

    Google Scholar 

  • Wood, W. S. (1975). What is ‘applied’ in the applied analysis of behavior? In Wood, W. S. (ed.),Issues in Evaluating Behavior Modification, Research Press, Champaign, IL, pp. 23–45.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Jacobson, J.W. Who is treated using restrictive behavioral procedures?. J Dev Phys Disabil 4, 99–113 (1992). https://doi.org/10.1007/BF01046393

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01046393

Key Words

Navigation