Trauma informed interventions to reduce seclusion, restraint and restrictive practices amongst staff caring for children and adolescents with challenging behaviours: A Systematic Review
Citation:
Kelly P, Saab M, Hurley EF, Heffernan S, Goodwin J, Mulud ZA, O Malley M,O Mahony J,Curtin M, Groen G, Ivanova S, Jorns-Presentati A, Korhonen J, Kostadinov K, Lalova V,Lahti M, Petrova G, O Donovan A, Trauma informed interventions to reduce seclusion, restraint and restrictive practices amongst staff caring for children and adolescents with challenging behaviours: A Systematic Review, Journal of Child & Adolescent Trauma, 2023Download Item:
Abstract:
Background: Engaging with children and adolescents in mental health settings who are
exhibiting behaviours that challenge can often result in the use of seclusion, restraint and
coercive practices. It is recognised that more therapeutic ways to engage this population are
needed, adopting trauma informed interventions may provide a solution. Aims: The aim of this
systematic review is to synthesize the evidence in relation to the effect of trauma-informed
interventions on coercive practices in child and adolescent residential settings. Methods: The
review is guided by elements of the Cochrane Handbook for Systematic Reviews of
Interventions and reported using the Preferred Reporting Items for Systematic reviews and
Meta-Analyses (PRISMA) checklist. Results were synthesized and reported narratively.
Findings: Nine studies met the eligibility criteria for this review. There was a lack of
homogeneity amongst the studies. The trauma-informed interventions used were typically
multi-faceted, underpinned by a variety of approaches and sought to bring about changes to
clinical practice. Most studies (n=8) reported significant reductions in the use of restrictive
practices following the implementation of a trauma informed approach. Conclusion: The use
of a trauma-informed approach, underpinned by an organisational change or implementation
strategy, have the potential to reduce coercive practices with children and adolescents.
However, the included interventions were insufficiently described to draw strong conclusions.
Author's Homepage:
http://people.tcd.ie/kellyp37Description:
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Author: Kelly, Peter
Type of material:
Journal ArticleSeries/Report no:
Journal of Child & Adolescent Trauma;Availability:
Full text availableKeywords:
Trauma informed care, Children, Adolescents, Coercive practice, Interventions, Violence and aggressionSubject (TCD):
Inclusive Society , Childhood and mental health , Health Psychology , Health outcomes , Mental health nursing , Trauma informed careMetadata
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