Seclusion and Restraint Practices in Residential Treatment Facilities for Children and Youth

Publisher: American Journal of Orthopsychiatry, vol. 82, no. 1
Jan 30, 2012
Jonathan D. Brown, Kirsten Barrett, Henry T. Ireys, Kamala Allen, Sheila A. Pires, Gary Blau, and Melissa Azur
Using data from two national surveys, this article examines the extent to which residential treatment facilities consistently implement certain practices following incidents of seclusion or restraint. The study found that 76 percent of facilities reported having secluded or restrained youth in the previous year; 34 percent of these facilities reported that, following such incidents, they always debrief the youth, family, and staff; notify the attending physician; and record the incident in the treatment plan.

Emerging Roles of Residential Treatment Centers in the Child and Adolescent Mental Health Services System


Center for Health Care Strategies
The Annie E Casey Foundation
U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration

Time Frame


Senior Staff

Melissa Azur
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Kirsten Barrett
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