title: Descriptive analysis of physical restraint (protective holding) among community living adults with intellectual disability.
abstract: We analyzed incidence and implementation patterns of physical restraint (PR) among 448 adults with intellectual disability within community-based day habilitation programs and group homes. PR was implemented exclusively as a consequence for self-harming, aggressive, and environmentally disruptive behaviors. Less than 10% of adults received PR and more than 90% of documented restraints occurred as a planned intervention procedure. Several adults accounted for the majority of PR. The clinical implications of these findings are discussed.
authors.affiliation: May Institute, 41 Pacella Park Drive, Randolph, MA 02368, USA. jluiselli@mayinstitute.org
authors.forename: James K
authors.initials: JK
authors.lastname: Luiselli
authors.forename: James M
authors.initials: JM
authors.lastname: Sperry
authors.forename: Christine
authors.initials: C
authors.lastname: Magee
mesh_terms: D000328:Adult; D000368:Aged; D003155:Community Mental Health Centers / Q000592:standards* / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D008875:Middle Aged; D009511:New England; D019989:Persons with Intellectual Disabilities / Q000534:rehabilitation*; D012149:Restraint, Physical / Q000706:statistics & numerical data*; D055815:Young Adult