Restraint interventions in people with moderate to profound intellectual disabilities: Perspectives of support staff and family members

Background Due to incompatibilities in communication, it is key that family members and support staff can take the perspective of people with moderate to profound intellectual disabilities (ID) whilst putting aside their own perspectives. Method Ten vignettes describing types of restraint interventi...

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Bibliographic Details
Published in:Journal of applied research in intellectual disabilities 2019-01, Vol.32 (1), p.172-183
Main Authors: Embregts, Petri J. C. M., Negenman, Annemarieke, Habraken, Jolanda M., Boer, Marike E., Frederiks, Brenda J. M., Hertogh, Cees M. P. M.
Format: Article
Language:English
Subjects:
Adult
Aged
Attitude of Health Personnel
Behavior disorders
Caregiver Attitudes
Caregivers
Communication
Communication Problems
Employee Attitudes
Family
Family Attitudes
Female
Health Personnel
Humans
Intellectual disabilities
Intellectual Disability
Intellectual Disability - nursing
Intellectual Disability - psychology
Intervention
Male
Mental Disorders - nursing
Mental Disorders - psychology
Middle Aged
Nursing assistants
Original
Patients rights
Perspective Taking
Physical restraints
Problem Behavior - psychology
Residential Care
Residential Facilities
Restraint, Physical - psychology
Severity of Illness Index
Vignettes
Young Adult
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Summary:Background Due to incompatibilities in communication, it is key that family members and support staff can take the perspective of people with moderate to profound intellectual disabilities (ID) whilst putting aside their own perspectives. Method Ten vignettes describing types of restraint interventions (RIs) were presented to 20 unique pairs of support staff and family members related to individuals with moderate to profound ID. Results In taking their own perspective, more than half of the support staff and family members perceived all RIs as involuntary and severe. In contrast, when asked to put themselves in the position of the client/family member, only three RIs were considered involuntary by a majority of support staff and family members. Conclusions These results indicate that support staff and family members can take into account the perspective of people with moderate to profound ID in the evaluation and consideration of involuntary care.
ISSN:1360-2322
1468-3148
DOI:10.1111/jar.12519