Thanks to better oversight, guidelines, and regulations, restraint and seclusion tactics for aggressive behavior are on the decline in pediatric psychiatric treatment settings. Unfortunately, serious harm still can result from restraint or seclusion. Consider the following case recently reported in the news:
A teenage patient allegedly restrained by a technician at a mental health facility in Virginia dies of positional asphyxiation according to the medical examiner.
Trauma-informed and strength-based programs are directed to reduce these restrictive interventions and improve care. Six Core Strategies have been found to reduce and prevent restraints and seclusions among children and adolescents in psychiatric settings.