title: Restraint and seclusion: the perspective of service users and staff members.
abstract: BACKGROUND
  Restrictive measures may have important physical and psychological consequences on all persons involved. The current study examined how these are perceived by persons with intellectual disabilities and staff.
  
  
  METHODS
  Interviews were conducted with eight persons with intellectual disabilities who experienced a restrictive measure and their care providers. They were queried on their understanding of the restrictive measure, its impact on the relationship, their emotions and alternative interventions.
  
  
  RESULTS
  Restrictive measures were experienced negatively by persons with intellectual disabilities and their care providers. Service users reported feeling sad and angry, whereas staff mentioned feeling anxious. Moreover, persons with intellectual disabilities appeared to understand the goal of restrictive measures (e.g. ensuring their own and others' safety) and identified alternative interventions (e.g. speaking with a staff member or taking a walk).
  
  
  CONCLUSIONS
  This study sheds further light on how persons with intellectual disabilities and staff experience the application of restrictive measures. Debriefing sessions with service users and staff may help minimize negative consequences.
authors: Département de psychologie, Chaire de Déficience intellectuelle et troubles du comportement, Université du Québec à Montréal, Montréal, QC, Canada.
authors: Julie
authors: J
authors: Mérineau-Côté
authors: Diane
authors: D
authors: Morin
mesh_terms: D000328:Adult; D000374:Aggression / Q000523:psychology*; D001291:Attitude of Health Personnel; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D008607:Intellectual Disability / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D012149:Restraint, Physical / Q000523:psychology*; D012934:Social Isolation; D055815:Young Adult
keywords: intellectual disability; restraint; seclusion; service user views; staff views