The Use of Restrictive Measures in Community Services for People With Intellectual Disabilities in Sweden

Petra Björne; Roy Deveau; Peter McGill; Lena Nylander

doi:10.1111/jppi.12399

journal article Open Access Nov 03, 2021

The Use of Restrictive Measures in Community Services for People With Intellectual Disabilities in Sweden

Petra Björne

Roy Deveau

Peter McGill Lena Nylander

Journal of Policy and Practice in Intellectual Disabilities Vol. 19 No. 2 pp. 193-201 · Wiley

View at Publisher Save 10.1111/jppi.12399

Abstract

AbstractBackgroundCommunity services for Swedish people with intellectual disability (ID) are intended to support self‐determination and integrity. Legislation does not allow the use of restrictive or coercive measures.AimThe aim of this study is to identify the extent of, rationale for, and strategies staff believe would reduce the use of restrictive measures in group homes and daily activities services for people with ID.MethodA survey was sent to all staff in group homes and daily activities in one large Swedish municipality. The survey comprised four Likert style questions and one free text question, addressing the type of and reasons for restrictive measures, and how much staff value their replacement. A total of 250 surveys were completed.ResultsA third of staff reported that some restrictive measures were used daily or weekly, primarily to protect and support service users. Adequate numbers of staff, better service design, and training were considered necessary for change.ConclusionStaff report structural reasons, such as staffing, resources time, lack of training, and supervision for using restrictive measures. Staff see reducing the use of restrictive measures as requiring structural changes with engagement from the whole organization.

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References

Details

Published: Nov 03, 2021
Vol/Issue: 19(2)
Pages: 193-201
License: View

Authors

P

Petra Björne

Department for Disability Support Malmö Sweden; Department of Clinical Sciences Lund University Lund Sweden

R

Roy Deveau

Tizard Centre University of Kent Canterbury UK

P

Peter McGill

Tizard Centre University of Kent Canterbury UK

L

Lena Nylander

Department of Clinical Sciences/Psychiatry Lund University Lund Sweden; Gillberg Neuropsychiatry Centre, Institute of Neuroscience and Physiology, Sahlgrenska Academy Gothenburg University Gothenburg Sweden; VUB‐Team Psychiatric Clinic Lund Sweden

Cite This Article

Petra Björne, Roy Deveau, Peter McGill, et al. (2021). The Use of Restrictive Measures in Community Services for People With Intellectual Disabilities in Sweden. Journal of Policy and Practice in Intellectual Disabilities, 19(2), 193-201. https://doi.org/10.1111/jppi.12399

The Use of Restrictive Measures in Community Services for People With Intellectual Disabilities in Sweden

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