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17 J. Psychiatry & L. 239 (1989)
Staff and Patient Perceptions of the Least Restrictive Alternatives for the Short-Term Control of Disturbed Behavior

handle is hein.journals/jpsych17 and id is 249 raw text is: The Journal of Psychiary & Law/Summer 1989 Staff and patient perceptions of the least restrictive alternatives for the short-term control of disturbed behavior BY GRANT T. HARRIS, B.SC., PH.D., MARNIE E. RICE, B.A., M.A., PH.D., AND DENISE L. PRESTON, B.A. Although there is agreement within professional and legal communities that the least restrictive alternative should be used when restraining upset psychiatric patients, there is disagreement as to what constitutes the least restrictive alternative. Forty patients and 38 staff who had either much or little direct experience with restraint techniques were asked their opinions about various aspects of the appropriateness and restrictiveness of nine different techniques or combinations of techniques for managing upset patients in each of four different hypothetical situations. The results revealed remarkable agreement about the relative intrusiveness of the techniques. The implications for the management of disturbed patients are discussed. Although much has been written about the use of restraint and seclusion as control techniques in the management of the disturbed behavior of psychiatric patients, there are few AUTHORS' NOTE: Thanks are due to Dr. Vern Quinsey for comments on an earlier draft, and to patients and staff of the Oak Ridge Division of the Mental Health Centre for volunteering to serve as respondents. Requests for reprints should be addressed to the first author at the Mental Health Centre, Penetanguishene, Ontario, Canada, LOK IPO. © 1990 by FederalLegal Publications, Inc.

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