Musculoskeletal disorders in dental care providers: limited evidence for preventive interventions


Just two RCTs were identified for this Cochrane review of work-related musculoskeletal disorders in dental care providers providing very-low quality evidence for physical ergonomic interventions.

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Physical restraint: Why has it increased in Norway?

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In 1999, the law in Norway governing the use of physical intervention was changed with the aim of reducing and restricting their use.

Here, Rachel Allen looks at some research that set out to find out what has happened since the change in the law.

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What is it like to receive or use restraint interventions? A systematic review of the literature


Whilst there is a good deal of research into the use of physical interventions in the management of challenging behaviour, there is less available on the way these are experienced by people receiving them, or the staff and family carers involved.

Here, Rose Tomlins looks at a review of the literature that focused on these experiences.

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New guidance on restrictive physical interventions published by Dept of Health


The use of restrictive interventions should always be as a ‘last resort’ and always in the context of a clear and agreed individualised plan of support. However, the events at Winterbourne View suggested that not only was this not always the case, but that in fact these approaches were sometimes being used to humiliate or [read the full story…]

Physical interventions governance audit identifies value of multi disciplinary overview


The use of physical interventions for people with learning disabilities must be within a locally agreed policy framework and as a last resort. Commissioners of services need to be assured that their use is appropriate and that good quality monitoring is taking place. The researchers in this study looked at the work of good practice [read the full story…]

Systematic adoption of positive behavioural support across a service system was associated with reductions in physical interventions


We have posted previously about the use of physical interventions in services for people with learning disabilities and challenging behavioiur, with BILD estimating their use in around half of all people with learning disabilities and challenging behaviour. (BILD link). The researchers in this organisational case study were interested in whether the adoption of organisation-wide positive [read the full story…]

Clozapine use in women with borderline personality disorder and mild learning disability reduced rates of self injury and use of restraint


Clozapine is an atypical antipsychotic medication used to treat the symptoms of schizophrenia, most usually used as a treatment of last resort where people have not responded to other anti-psychotic treatments. It has a number of severe side effects including and can also cause the excessive production of saliva and weight gain.. The researchers in [read the full story…]

Dutch policy makers look to international experience to help reduce the use of restraints in people with learning disabilities


Recently in the Netherlands, Dutch TV showed footage of a teenager known as ‘Brandon’ who was resident in a long stay institution. Because of his challenging behaviour, he was managed in this institution by the use of a harness, which was attached via a leather strap to a metal bracket on the wall. Dutch psychiatrists have [read the full story…]

Staff injuries as a result of physical interventions in forensic learning disabilities services analysed


Earlier this week we have looked at the reports into the Winterbourne View scandal, which identified some appalling practice by staff at the home. Today, we are looking at some research that focuses on the potential for injury of staff who are involved in physical interventions. Physical interventions are defined as responses to challenging behaviour [read the full story…]

People with learning disabilities experience physical interventions as painful and emotionally distressing

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Physical interventions are still widely used in learning disability services, with BILD estimating their use in around half of all people with learning disabilities and challenging behaviour. The experience of people with learning disabilities of such interventions is not something that has been reported widely in the literature, but the researchers in this study set [read the full story…]