Choosing staff members reduced time in mechanical restraint in self injury case study


Community based studies have suggested that self injury in people with learning disabilities occurs in approximately 3% of adults living in community settings, show self-injury, often as a chronic condition for those with severe self injury.

For some individuals, protective devices have been used, including padding, helmets, gloves and arm splints.

In this case study, the participant was a 28-year-old woman with autism, bipolar disorder, static cerebral encephalopathy, moderate learning disabilities, hypotonia and musculoskeletal deformities. The woman had a history of biting herself mechanical restraints were applied when she bit, tried to bite herself or asked for them.

The researchers were interested in whether an establishing operation. offering the choice of which staff supported her, would impact on the need for mechanical restraints.

They found that when the woman was allowed to choose staff members, the use of mechanical restraint decreased.

They conclude that this may demonstrate that offering the choice of which staff support someone may be an establishing operation, and that there are

advantages of using alternating treatment designs to assess the effectiveness of treatment conditions for someone who exhibits long-term cyclic behaviour.

Choosing Staff Members Reduces Time in Mechanical Restraint Due to Self-Injurious Behaviour and Requesting Restraint, Jensen, C. et al., in Journal of Applied Research in Intellectual Disabilities, 25: 282–287

Share on Facebook Tweet this on Twitter Share on LinkedIn Share on Google+
Mark as read
Create a personal elf note about this blog
Profile photo of John Northfield

John Northfield

After qualifying as a social worker, John worked in community learning disability teams before getting involved in a number of long-stay hospital closure programmes, working to develop individual plans for people moving into their own homes. He worked for BILD, helping to develop the Quality Network and was editorial lead for the NHS electronic library learning disabilities specialist collection. This led him to found the Learning Disabilities Elf site with Andre Tomlin as a way of making the evidence accessible to practitioners in health and social care. Most recently he has worked as part of Mencap's national quality team and also been involved in a number of national website developments, including the General Medical Council's learning disabilities site.

More posts

Follow me here –