title: The impact of restraint reduction meetings on the use of restrictive physical interventions in English residential services for children and young people.
abstract: OBJECTIVE
  The aim was to examine the impact of post restraint reduction meetings upon the frequency and restrictiveness of restraint use in English children's residential services.
  
  
  BACKGROUND
  Attention has been drawn to the misuse, overuse and safety of some techniques used to physically restrain children in residential services. Successful interventions to reduce restraints have been reported, mostly from the USA.
  
  
  RESULTS
  Demonstrate a significant overall reduction in both, frequency and restrictiveness of restraints; the greatest percentage decrease in the most restrictive floor restraints. Whilst five services reduced both frequency and restrictiveness, five services showed some increases in frequency and/or restrictiveness of restraints employed.
  
  
  CONCLUSIONS
  Restraint reduction is most effectively reduced through employing multiple strategies and that post restraint reduction meetings maybe one useful component. Organisations seeking to promote restraint reduction meetings need to allocate sufficient priority and resources to support these.
authors.affiliation: Tizard Centre, University of Kent, Kent, UK.
authors.forename: R
authors.initials: R
authors.lastname: Deveau
authors.affiliation: Leitch Consultancy, Appin, Argyll, UK.
authors.forename: S
authors.initials: S
authors.lastname: Leitch
mesh_terms: D000293:Adolescent; D002648:Child; D002653:Child Behavior Disorders / Q000628:therapy; D002654:Child Care / Q000379:methods*; D004739:England; D006801:Humans; D007318:Inservice Training / Q000458:organization & administration*; D008137:Longitudinal Studies; D012112:Residential Facilities; D012149:Restraint, Physical / Q000706:statistics & numerical data*
keywords: challenging behaviour; child care; reflective practice; residential and respite care