title: Identification and Analysis of Factors Contributing to the Reduction in Seclusion and Restraint for a Population with Intellectual Disability.
abstract: BACKGROUND
  A cohort of 11 patients with an intellectual disability and a psychiatric diagnosis present severe behavioural disorders in psychiatric hospital of Quebec in 2009. Control-measure use for this clientele has now been reduced. How do management personnel, families and care teams explain the changes? What clinical interventions did management and care providers implement that contributed to the reduction?
  
  
  METHODS
  A retrospective case study was conducted. Five focus groups were held with people involved in their care, and the patient files were examined.
  
  
  RESULTS
  The factors contributing to this change were the cohesion of the care providers, the involvement of the families and the efforts to determine the function of the behaviour.
  
  
  CONCLUSIONS
  This study may inspire other care teams to try new approaches in dealing with patients with severe behavioural disorders. Also, the model of factors and interventions supporting a reduction in seclusion and restraint measures may inspire future studies.
authors.affiliation: Faculty of Nursing, Université de Montréal, Montreal, Canada.|Quebec Nursing Intervention Research Network (RRISIQ), Montreal, Canada.|Centre de recherche de l'Institut universitaire en santé mentale de Montréal (CRIUSMM), Montreal, Canada.
authors.forename: Caroline
authors.initials: C
authors.lastname: Larue
authors.affiliation: Faculty of Nursing, Université de Montréal, Montreal, Canada.|Quebec Nursing Intervention Research Network (RRISIQ), Montreal, Canada.|Centre de recherche de l'Institut universitaire en santé mentale de Montréal (CRIUSMM), Montreal, Canada.
authors.forename: Marie-Hélène
authors.initials: MH
authors.lastname: Goulet
authors.affiliation: Institut universitaire en santé mentale de Montréal, Montreal, Canada.
authors.forename: Marie-Josée
authors.initials: MJ
authors.lastname: Prevost
authors.affiliation: Centre de recherche de l'Institut universitaire en santé mentale de Montréal (CRIUSMM), Montreal, Canada.|Institut Philippe-Pinel de Montréal, Montreal, Canada.
authors.forename: Alexandre
authors.initials: A
authors.lastname: Dumais
authors.affiliation: Institut universitaire en santé mentale de Montréal, Montreal, Canada.
authors.forename: Jacques
authors.initials: J
authors.lastname: Bellavance
mesh_terms: D000328:Adult; D005260:Female; D017144:Focus Groups; D006778:Hospitals, Psychiatric; D006801:Humans; D008607:Intellectual Disability; D008297:Male; D011792:Quebec; D012149:Restraint, Physical / Q000523:psychology*; D012189:Retrospective Studies
keywords: case study; intellectual disability; seclusion and restraint; severe behavioural disorders