Organisational impact on the use of restrictive measures: The perspective of Swedish front-line managers.
J Appl Res Intellect Disabil
; 36(5): 1025-1033, 2023 Sep.
Article
en En
| MEDLINE
| ID: mdl-37151147
ABSTRACT
BACKGROUND:
Restrictive measures (RM) are prevalent in services for people with intellectual disabilities. This study investigates managerial awareness of RM and the nature of organisational supports required to reduce their use.METHOD:
A survey asked front-line managers and staff what (RM) were used, their purpose, impact and importance (10-item Likert scales) and what organisational changes were required (free text). Responses were analysed using descriptive methods and content analysis.RESULTS:
Managers reported a lower use of RM, compared with staff. According to managers, RM were mainly used to keep service users from harm, their use having a significant impact. Opportunities to change practices were limited by a lack of resources and organisational support.CONCLUSION:
Front-line managers seem to lack the capacity to address the use of RM due to organisational drift; limited manager time and opportunity to allocate resources; inadequate environments; and lack of skilled staff, knowledge and relevant professional input.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Discapacidad Intelectual
Límite:
Humans
País/Región como asunto:
Europa
Idioma:
En
Revista:
J Appl Res Intellect Disabil
Año:
2023
Tipo del documento:
Article
País de afiliación:
Suecia