| Case study: when restraints are the least restrictive alternative for managing aggression. | |
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MedLine Citation:
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PMID: 9585658 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This article discusses the controversial use of restraints with a persistently violent adolescent on a child and adolescent psychiatry unit. The authors present an individualized program that used a series of ambulatory restraints on a long-term basis and prophylactically to contain the aggression of a psychotic girl. Clozapine was used concomitantly to control her psychosis. The prophylactic use of mechanical restraints allowed this teenager to be integrated into the milieu and to receive multiple treatments that the standard protocol precluded. This case underscores the difficulties in managing aggression when youths do not respond to standard protocols and do not conform to our assumptions about the least restrictive alternative. It is concluded that prophylactic mechanical restraint provided the least restrictive alternative to personal freedom for this teenager and had therapeutic benefit. |
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Authors:
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B Troutman; K Myers; C Borchardt; R Kowalski; J Bubrick |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of the American Academy of Child and Adolescent Psychiatry Volume: 37 ISSN: 0890-8567 ISO Abbreviation: J Am Acad Child Adolesc Psychiatry Publication Date: 1998 May |
Date Detail:
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Created Date: 1998-06-11 Completed Date: 1998-06-11 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8704565 Medline TA: J Am Acad Child Adolesc Psychiatry Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 554-8 Citation Subset: IM |
Affiliation:
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Division of Child Psychiatry, University of Iowa, Iowa City 52242-1057, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Aggression / psychology* Antipsychotic Agents / administration & dosage Clozapine / administration & dosage Combined Modality Therapy Female Humans Patient Admission* Patient Isolation / psychology Psychiatric Department, Hospital Psychotic Disorders / psychology, therapy Restraint, Physical* / psychology Suicide, Attempted / prevention & control, psychology Violence / prevention & control*, psychology |
| Chemical | |
Reg. No./Substance:
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0/Antipsychotic Agents; 5786-21-0/Clozapine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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