Respiratory assessment in child and adolescent residential treatment settings: reducing restraint-associated risks.

@article{Johnson2007RespiratoryAI,
  title={Respiratory assessment in child and adolescent residential treatment settings: reducing restraint-associated risks.},
  author={Timmy Dane Johnson},
  journal={Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, Inc},
  year={2007},
  volume={20 3},
  pages={
          176-83
        }
}
  • T. Johnson
  • Published 1 August 2007
  • Psychology, Medicine
  • Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, Inc
TOPIC Crisis situations of youth in treatment settings may require restraints. Restraints should only be used in situations where there is imminent danger to the child and when there is no alternative. They are meant to maintain the child's safety, but there is risk for respiratory compromise. PURPOSE Nursing care of children in restraints must include respiratory assessment and, when indicated, immediate intervention to prevent disastrous outcomes. SOURCES Review using PubMed and… 
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Citation Type

An exploration of youth physically restrained in mental health residential treatment centers
Predictors of Injury to Youth Associated with Physical Restraint in Residential Mental Health Treatment Centers
TLDR
Eliminating or greatly reducing the use of prone, supine, and settle holds will likely lead to a drop in injuries of children, and those who use restraints on children should reevaluate their behavior management plans to reduce their risk of hurting children by restraints.
Supportive holding or restraint: terminology and practice.
TLDR
With authors still using terms interchangeably, it is important to debate whether there is a clear demarcation in terminology and practice, or whether one is a continuation of the other, differentiated by the degree of force used.
Restraint use in residential programs: why are best practices ignored?
TLDR
Several states and providers have embarked on initiatives to reduce using restraint and seclusion in residential programs, and successful reduction/prevention strategies have been identified, implemented, and reported.
Holding children and young people for clinical procedures: movingtowards an evidence-based practice
TLDR
It appears that therapeutic holding practices have moved from being viewed as ‘uncontested’ to ‘indifferent’, which has serious implications for current practice and the future training of healthcare professionals.
The use of physical restraint in a school setting: an examination of physical restraint use and injuries to students and staff
Invited Commentary on CAPTA and The Residential Placement: A Survey of State Policy and Practice

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