Restraint and self-injury in people with intellectual disabilities: a review.
Most of the recent debate concerning the ethics of physical interventions has focused on the management of aggressive and destructive behaviours, neglecting the management of self-injurious behaviour. This is an important omission, given the extremely serious consequences that can arise from this form of challenging behaviour. The present article reviews types of restraint used to manage self-injury, prevalence of use, and main and side effects of restraint use. It describes some good practice standards and highlights the need for further research and debate in this complex area.
Jones
Edwin
E
Bro Morgannwg NHS Trust, Wales and Unit for Development in Intellectual Disability, University of Glamorgan, Wales. edwin.jones@bromor-tr.wales.nhs.uk
Allen
David
D
Moore
Kate
K
Phillips
Bethan
B
Lowe
Kathy
K
D001521:Behavior Therapy; D006801:Humans; D007318:Inservice Training; D008607:Intellectual Disability / Q000523:psychology*; D017410:Practice Guidelines as Topic; D012149:Restraint, Physical / Q000009:adverse effects / Q000941:ethics* / Q000706:statistics & numerical data; D016728:Self-Injurious Behavior / Q000517:prevention & control* / Q000523:psychology; D006113:United Kingdom; D014600:Utilization Review / Q000706:statistics & numerical data