Evaluation of Restraint-Elimination Interventions for Students with Multiple Disabilities in a Pediatric Nursing Care Setting

Abstract

Mechanical restraint devices are sometimes used to prevent challenging behavior displayed by persons with disabilities. However, regulatory guidelines seek to prohibit or restrict the use of restraint in many residential programs. This research evaluated the implementation of restraint-elimination interventions with two students in a pediatric nursing care setting. Assessment and treatment procedures were developed and coordinated through a multidisciplinary, consultative team approach. Mechanical restraints were eliminated successfully with both students following application of individually designed treatment plans. Issues related to restraint-elimination programming and behavioral intervention within pediatric nursing care facilities are discussed.