Journal article
Case Study: When Restraints Are the Least Restrictive Alternative for Managing Aggression
Journal of the American Academy of Child and Adolescent Psychiatry, Vol.37(5), pp.554-558
05/1998
DOI: 10.1097/00004583-199805000-00018
PMID: 9585658
Abstract
This article discusses the controversial use of restraints with a persistently violent adolescent on a child and adolescent psychiatry unit. The authors present an individualized program that used a series of ambulatory restraints on a long-term basis and prophylactically to contain the aggression of a psychotic girl. Clozapine was used concomitantly to control her psychosis. The prophylactic use of mechanical restraints allowed this teenager to be integrated into the milieu and to receive multiple treatments that the standard protocol precluded. This case underscores the difficulties in managing aggression when youths do not respond to standard protocols and do not conform to our assumptions about the least restrictive alternative. It is concluded that prophylactic mechanical restraint provided the least restrictive alternative to personal freedom for this teenager and had therapeutic benefit.
Details
- Title: Subtitle
- Case Study: When Restraints Are the Least Restrictive Alternative for Managing Aggression
- Creators
- BETH TROUTMANKATHLEEN MYERSCARRIE BORCHARDTRICHARD KOWALSKIJEROME BUBRICK
- Resource Type
- Journal article
- Publication Details
- Journal of the American Academy of Child and Adolescent Psychiatry, Vol.37(5), pp.554-558
- DOI
- 10.1097/00004583-199805000-00018
- PMID
- 9585658
- NLM abbreviation
- J Am Acad Child Adolesc Psychiatry
- ISSN
- 0890-8567
- eISSN
- 1527-5418
- Publisher
- Elsevier Inc
- Language
- English
- Date published
- 05/1998
- Academic Unit
- Psychiatry
- Record Identifier
- 9984004087502771
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