![Sample our Behavioral Sciences journals, sign in here to start your access, latest two full volumes FREE to you for 14 days]({"type":"image" , "src" : "/sda/110801/TOC-Subject-Sample-2021-Behavioral-Sciences.jpg"})
Abstract
Early identification of youth who will exhibit the most challenging behavior during the course of a residential stay would allow clinicians to allocate limited resources to best manage these youth. Seclusion/restraint procedures were examined for 156 youth in two public residential facilities from July 2000–September 2005. Few seclusion/restraints occurred in the first month, but this peaked in months two and three. Youth subgroups with different trajectories for the frequency of seclusion/restraint use were distinguishable by the first 60 days. By the second month in residence clinicians can identify youth who will continue to exhibit challenging behavior.
We are grateful for the support of: Dr. Brian Hepburn, Director, Maryland Mental Hygiene Administration (MHA); Child Mental Health Institute for Children and Adolescents (Gayle Jordan-Randolph, MD, Jean Smith, MD, Holly Sikoryak, MD, David Horn, MD [MHA]; Eileen Hansen, LCSW, Ruth Anne McCormick, RN, C., DNSc, [University of Maryland]; and Jane Walker [Maryland Coalition of Families for Children's Mental Health]). The authors are grateful to Sarah Davarya for her assistance with the data collection. This work was made possible through the financial support of the Maryland Mental Hygiene Administration.