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Using Staff Training to Decrease the Use of Restrictive Procedures at Two Facilities for Foster Care Children

University of South Florida, kcrosland{at}fmhi.usf.edu

Maricel Cigales

University of South Florida

Glen Dunlap

University of South Florida

Bryon Neff

University of South Florida

Hewitt B. Clark

University of South Florida

Tamela Giddings

University of South Florida

Alfredo Blanco

University of South Florida

Objective: Use of some restrictive procedures, including physical restraint, has been controversial. For children within the foster care system, who have already suffered various degrees of abuse and neglect, restrictive procedures could add to their emotional and behavioral problems. The current study was conducted to determine whether a behavioral staff training program would help reduce the use of restrictive procedures at two group facilities housing children in the foster care system. Method: Pre- and posttraining measures (incident reports) were obtained within a nonconcurrent multiple-baseline design to document the use of restrictive procedures. Results: The data revealed decreases in reports of several restrictive procedures (e.g., take downs, physical holds, and physical and pharmacological restraints) at both facilities. Conclusions: The results suggest that training direct care staff personnel, including social workers, in positive behavioral strategies might reduce staff use of restrictive procedures and result in fewer injuries to both children and staff.

Key Words: restrictive procedures • restraint • child welfare • staff training • Behavior Analysis Services Program

This version was published on September 1, 2008

Research on Social Work Practice, Vol. 18, No. 5, 401-409 (2008)
DOI: 10.1177/1049731507314006


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