Therapeutic Restraint and Protective Holding
This chapter reviews the role of therapeutic restraint (TR) in clinical service delivery for behavioral crises. Behavioral crises often involve dangerous destructive behaviors that place the individual or others in harm. To protect the safety of the individual, his/her caregivers, and the environment, TR is often used in conjunction with behavioral programming. The use of TR is always a last resort approach when less invasive procedures have been unsuccessful. In this chapter, we will review (a) what constitutes TR, (b) clinical decision-making strategies when considering use of TR, (c) policy statements on TR by relevant professional organization, (d) forms of TR, (e) limitations of TR, and (f) ways to reduce the necessity and need for TR for IDD in crisis.
KeywordsIntellectual Disability Challenging Behavior Mindfulness Training Physical Restraint Destructive Behavior
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