Page 74 - Reduction of coercive measures
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Chapter 4
Abstract
Background
Little systematic insight exists in the extent to which coercive measures are applied in residential care and how this depends on characteristics of the person with the disability and the situation.
Specific aims
To integrate previously reported disparate factors, this study examined links between resident-related and staff-related factors and coercive measures. The study also explored whether measures used to prevent from direct and unplanned danger, and measures restricting participation in daily life activities to protect from indirect danger or disadvantage had different associated factors.
Methods
Participants were 209 residents with intellectual disabilities who lived in 41 units where 24/7 care was provided. A list of 76 coercive measures was recorded by support staff and professionals in a mandatory registration system. Resident-related factors included challenging behavior, attachment behavior, and level of communication and socialization. Staff related factors included causal attributions on challenging behavior and staff self-efficacy in handling challenging behavior. In multilevel analyses, estimates of independent effects accounted for group home effects.
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