Rights statement: The final, definitive version of this article has been published in the Journal, Journal of Intellectual Disabilities, 9 (2), 2005, © SAGE Publications Ltd, 2005 by SAGE Publications Ltd at the Journal of Intellectual Disabilities page: http://jid.sagepub.com/ on SAGE Journals Online: http://online.sagepub.com/
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Final published version
Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
}
TY - JOUR
T1 - The last resort?
T2 - staff and client perspectives on physical intervention
AU - Fish, Rebecca
AU - Culshaw, Eloise
N1 - The final, definitive version of this article has been published in the Journal, Journal of Intellectual Disabilities, 9 (2), 2005, © SAGE Publications Ltd, 2005 by SAGE Publications Ltd at the Journal of Intellectual Disabilities page: http://jid.sagepub.com/ on SAGE Journals Online: http://online.sagepub.com/
PY - 2005/6
Y1 - 2005/6
N2 - This study provides feedback from research with staff and clients of a medium secure learning disability service in north-west England. Participants were asked about incidents which required the use of physical intervention, using unstructured interviews within a participatory research framework. The article explores clients' and staff accounts of aggressive incidents and the consequences of physical intervention. Clients cited other clients and the ward atmosphere as the main reasons for aggressive behaviour. Some clients said that the use of physical intervention made them more frustrated and brought back memories of frightening experiences. Staff reported that incidents of aggression and the use of physical intervention were upsetting and traumatic, causing feelings of guilt and self-reproach. Staff said that they always used physical intervention as a last resort, although clients often reported otherwise. Time out and post-incident discussions were valued by both groups, as were strong staff/client relationships.
AB - This study provides feedback from research with staff and clients of a medium secure learning disability service in north-west England. Participants were asked about incidents which required the use of physical intervention, using unstructured interviews within a participatory research framework. The article explores clients' and staff accounts of aggressive incidents and the consequences of physical intervention. Clients cited other clients and the ward atmosphere as the main reasons for aggressive behaviour. Some clients said that the use of physical intervention made them more frustrated and brought back memories of frightening experiences. Staff reported that incidents of aggression and the use of physical intervention were upsetting and traumatic, causing feelings of guilt and self-reproach. Staff said that they always used physical intervention as a last resort, although clients often reported otherwise. Time out and post-incident discussions were valued by both groups, as were strong staff/client relationships.
KW - Aggression
KW - Feedback
KW - Humans
KW - Intellectual Disability
KW - Psychomotor Agitation
KW - Restraint, Physical
U2 - 10.1177/1744629505049726
DO - 10.1177/1744629505049726
M3 - Journal article
C2 - 15937049
VL - 9
SP - 93
EP - 107
JO - Journal of Intellectual Disabilities
JF - Journal of Intellectual Disabilities
SN - 1744-6295
IS - 2
ER -