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General Parenting
Therapeutic/restrictive holding
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<blockquote data-quote="slsh" data-source="post: 495316" data-attributes="member: 8"><p>You need to be well trained in restraints before using them. There is the potential for injury, either you or difficult child.</p><p></p><p>We used the "basket hold" (encircling his body with ours, sitting, from behind) on thank you from about age 5 until 7 or 8. Actually it was a bit modified because he was really good at head-butting us. When he got too big for that, we did switch to the floor restraint (again, after training). </p><p></p><p>We used restraints when he was violent towards us. Very rarely did we do it for destroying property, unless it involved safety issues for us (i.e. throwing objects at us or sibs). For quite a long time, restraints were daily. School and Residential Treatment Center (RTC) staff also used restraints - some appropriately, some not.</p><p></p><p>I think it's important during a restraint to *not* engage verbally with- the difficult child - well, at least with- thank you anyway. Any verbal interaction just revved him up more. I've seen some "professionals" actually try to start processing with- him while doing a restraint - uh, no. The most we ever said to him (once we had figured it out) was that he was out of control, so we would maintain control of his body until he could regain it - calm voice, no emotion.</p><p></p><p>A huge downside to restraints with- thank you was that they became terribly reinforcing to him. He would provoke and provoke (increasingly aggressive behavior) until a restraint was unavoidable, no matter how much we worked to deescalate. By the time he hit Residential Treatment Center (RTC) #3, he was having to be restrained multiple times a day, using a 3-person hold. The payoff for him was he had the undivided attention of several staff members, and even though he was being restrained, he was fully in control of the situation. What finally broke the cycle was when staff started using chemical restraints - an extreme measure and obviously not one you can use at home. </p><p></p><p>I think restraints are necessary when you have a violent child, but I think it needs to be done, again, after good training by psychiatrist or therapist. Trying to learn how to deescalate before you get to that point is also important.</p></blockquote><p></p>
[QUOTE="slsh, post: 495316, member: 8"] You need to be well trained in restraints before using them. There is the potential for injury, either you or difficult child. We used the "basket hold" (encircling his body with ours, sitting, from behind) on thank you from about age 5 until 7 or 8. Actually it was a bit modified because he was really good at head-butting us. When he got too big for that, we did switch to the floor restraint (again, after training). We used restraints when he was violent towards us. Very rarely did we do it for destroying property, unless it involved safety issues for us (i.e. throwing objects at us or sibs). For quite a long time, restraints were daily. School and Residential Treatment Center (RTC) staff also used restraints - some appropriately, some not. I think it's important during a restraint to *not* engage verbally with- the difficult child - well, at least with- thank you anyway. Any verbal interaction just revved him up more. I've seen some "professionals" actually try to start processing with- him while doing a restraint - uh, no. The most we ever said to him (once we had figured it out) was that he was out of control, so we would maintain control of his body until he could regain it - calm voice, no emotion. A huge downside to restraints with- thank you was that they became terribly reinforcing to him. He would provoke and provoke (increasingly aggressive behavior) until a restraint was unavoidable, no matter how much we worked to deescalate. By the time he hit Residential Treatment Center (RTC) #3, he was having to be restrained multiple times a day, using a 3-person hold. The payoff for him was he had the undivided attention of several staff members, and even though he was being restrained, he was fully in control of the situation. What finally broke the cycle was when staff started using chemical restraints - an extreme measure and obviously not one you can use at home. I think restraints are necessary when you have a violent child, but I think it needs to be done, again, after good training by psychiatrist or therapist. Trying to learn how to deescalate before you get to that point is also important. [/QUOTE]
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