Excessive Restraints

[CCM girl 1989]

If you were never in a body net, or never had a child in a body net, or have never been chemically restrained you have no business being here.

 :rofl:

Love it! Thanks for the laugh, LOL!!!!!!!!

[Anonymous]

Reflecting on tragedy: A commentary on deaths of children in restraints

Nunno, Holden, and Tollar (2006) have made a significant contribution to the child abuse literature and community, which had not to date considered the issue of how children are exposed to abuses in mental health settings. Restraint refers to physical restriction of movement; its most common form involves placing individuals on the floor, most often in a prone position, and restraining their limbs until they comply with specific requests or directions. Restraint is the most coercive and dangerous form of behavior management. Restraints can cause suffering through physical discomfort from forced inactivity and can produce feelings of isolation, anxiety, and humiliation. Restraints also are associated with physical injury that has been documented in the medical literature and have been implicated in asphyxia and other mechanisms of unexpected death (Day, 2002; Mohr, Petti, & Mohr, 2003). Moreover, the use of restraints is an intervention with little in the way of either theory or research that supports its efficacy for extinguishing unwanted behaviors (Singh, Singh, Davis, Latham, & Ayers, 1999).


http://www.sciencedirect.com/science?_o ... 7a76fb697b

[CCM girl 1989]

If you were never in a body net, or never had a child in a body net, or have never been chemically restrained you have no business being here.

 :rofl:

And yours would go a little something like this.............

If you don't think all programs/schools/RTC's are bad, your comments are not welcomed here. If you can't bash every single program owner/staff member/shrink that works for any of these places, you have no business posting here. If you have had a positive experience with any program/school/treatment center you have no business posting here. If you don't think the world is out to get you (because they are) then you have no business posting here. If you don't think our government was behind 911 you have no business posting here.

I could go on, and on! But, I think you get my point.

[ZenAgent]

Here is an example of one of my restraints:
Mechanical restraint started at 1:55 PM. Mechanical restraint DCed at 9:55 PM. thats 7 hours of being tied down. 5 Mgs of Haldol, 50 Mgs of Benadryl, and 15 Mgs of Zyprexa Zydis administered at 5:10 PM.
Restrain using body net.

Zyprexa
Indications & Dosage

Efficacy in schizophrenia was demonstrated in a dose range of 10 to 15 mg/day in clinical trials. However, doses above 10 mg/day were not demonstrated to be more efficacious than the 10 mg/day dose. An increase to a dose greater than the target dose of 10 mg/day (i.e., to a dose of 15 mg/day or greater) is recommended only after clinical assessment. The safety of doses above 20 mg/day has not been evaluated in clinical trials

Children require smaller dosages of haloperidol than do adults. The recommended initial dosage of haloperidol for controlling psychotic symptoms in children is 0.5–2.0 mg two or three times each day. The recommended dosage for controlling symptoms of Tourette's syndrome and other non-psychotic disorders is between 0.075 and 0.05 mg per kilogram of body weight per day. The total dosage is usually divided into two or three administrations per day. The goal of therapy is to use the smallest amount of haloperidol that will control symptoms. Children under age three should not take this drug.

Is PV trying to cover-up their ignorance of therapy with an abundance of pharmacy?  That's sickening, and it seems incredibly ignorant to administer all that to you at once, and criminal to give you those dosages.

[Anonymous]

here are another 2 good resources - which provide facts as to the harmfulness of restraints -

http://www.edlawrc.com/general_informat ... restra.htm

http://www.cwla.org/programs/behavior/S ... arison.htm

Just so, the pro-program folks can't get on here, spinning the truth.

[Anonymous]

an annotated bibliography with studies done restraints -

Studies reviewed in this bibliography have focused primarily on the following
variables:
• Patient age
• Patient sex
• Patient gender
• Patient ethnicity
• Patient diagnosis
• Length of stay
• Facility rate of seclusion/restraint
• Location of facility (e.g., urban versus rural)
• Staff training
• Staff education level
• Staff experience level
• Staff gender

Second only to age of the patient as a predictor, is a facility’s rate of seclusion
and restraint. The higher a facility’s use of seclusion and restraint, the more
likely a patient is to be restrained or secluded. Because of this, the research calls
for further study about differences in facility approach to behavior management.

http://www.cwla.org/programs/behavior/SAMSHAbib.pdf

[ZenAgent]

Hey, Settle - I've looked through the parent handbook from PV and I can't find any mention of the use of chemical restraints.  Physical, mechanical, but not chemical.  As a parent, I want to know if there's a possibility my kid is going to be shot-up with a high dose of an antipsychotic.

False, deceptive marketing and advertising.  

I got a phone call this morning, Settle - not the one I expected, it's better.

[Anonymous]

the defintion of chemical restraint is such that -

"Chemical restraint" means a medication used to control behavior or restrict the patient's freedom of movement and is not a standard treatment for the child's medical or psychiatric condition.

[TheWho]

Here is an example of one of my restraints:
Mechanical restraint started at 1:55 PM. Mechanical restraint DCed at 9:55 PM. thats 7 hours of being tied down. 5 Mgs of Haldol, 50 Mgs of Benadryl, and 15 Mgs of Zyprexa Zydis administered at 5:10 PM.
Restrain using body net.

Zyprexa
Indications & Dosage

Efficacy in schizophrenia was demonstrated in a dose range of 10 to 15 mg/day in clinical trials. However, doses above 10 mg/day were not demonstrated to be more efficacious than the 10 mg/day dose. An increase to a dose greater than the target dose of 10 mg/day (i.e., to a dose of 15 mg/day or greater) is recommended only after clinical assessment. The safety of doses above 20 mg/day has not been evaluated in clinical trials

Children require smaller dosages of haloperidol than do adults. The recommended initial dosage of haloperidol for controlling psychotic symptoms in children is 0.5–2.0 mg two or three times each day. The recommended dosage for controlling symptoms of Tourette's syndrome and other non-psychotic disorders is between 0.075 and 0.05 mg per kilogram of body weight per day. The total dosage is usually divided into two or three administrations per day. The goal of therapy is to use the smallest amount of haloperidol that will control symptoms. Children under age three should not take this drug.

Is PV trying to cover-up their ignorance of therapy with an abundance of pharmacy?  That's sickening, and it seems incredibly ignorant to administer all that to you at once, and criminal to give you those dosages.

Zen, we really cannot say, by just looking at a log, if the amounts were appropriate or not.

Zeprexa is manufactured in tablet doses of:

2.5, 5, 7.5, 10, 15, 20 mg.

Treatment of bipolar disorder usually is initiated with oral doses of 10-15 mg once daily. The dose may be increased by 5 mg daily at 24 hour intervals. Doses greater than 20 mg daily have not been evaluated. In clinical trials, doses of 5-20 mg daily were effective.


You need to be careful how you distinguish between treatment and chemical restraint.  If a person is being administered a drug as part of their treatment then it is not considered a restraint.  If a drug is being administered to control a person’s behavior then it could be considered dosing for restraint.  So it is the process of prescribing rather than the agent prescribed that distinguishes treatment from restraint.



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[Anonymous]

TheWho said -

Restraint is being defined as a chemical restraint or a person being medicated 3 times per day for a month = 90+ times.

So, your defintion is equally fallacious, by your own standards - just ignore all the data and spin your own facts.


I'll break it down for you a person being medicated 3 times a day for a month - like you said - doesn't equal chemical restraint - it is defined by something as being outside of a medical scope that is used to discipline or control behavior. End of story. you can split hairs all you want.

Just be very careful of what you say, TheWho.

[Anonymous]

qft

TheWho said

You need to be careful how you distinguish between treatment and chemical restraint. If a person is being administered a drug as part of their treatment then it is not considered a restraint. If a drug is being administered to control a person’s behavior then it could be considered dosing for restraint. So it is the process of prescribing rather than the agent prescribed that distinguishes treatment from restraint.

[CCM girl 1989]

I agree with the Who in regards to being careful when you say you were being chemically restrained. It could have been treatment you were receiving?

[Anonymous]

I agree with the Who in regards to being careful when you say you were being chemically restrained. It could have been treatment you were receiving?

quoting for truth - the fact she can't read.

TheWho didn't say to be careful, i told him to be careful

oy vey, you are an idiot.

[Anonymous]

I agree with the Who in regards to being careful when you say you were being chemically restrained. It could have been treatment you were receiving?

...autotroll?

Some namefag should seriously sig this.

[TheWho]

TheWho said -

Restraint is being defined as a chemical restraint or a person being medicated 3 times per day for a month = 90+ times.

So, your defintion is equally fallacious, by your own standards - just ignore all the data and spin your own facts.


I'll break it down for you a person being medicated 3 times a day for a month - like you said - doesn't equal chemical restraint - it is defined by something as being outside of a medical scope that is used to discipline or control behavior. End of story. you can split hairs all you want.

Just be very careful of what you say, TheWho.

Next time (it might be helpful) to use my entire quote...  here is what I said in response to finally understanding that Settle was talking about physical and/or chemical restraints:

"Ah, I understand what everyone is talking about (Ding,Ding,Ding) Restraint is being defined as a chemical restraint or a person being medicated 3 times per day for a month = 90+ times. I was going to say.. Dam.. trying to get these kids into poseys every morning after breakfast... then again after Lunch... then again after Dinner would take an army of staff and a dedicated room to store, name and install/uninstall all these poseys. "

Chemical restraint is being used here in this thread (or defined here) as someone being dosed 3 times a day for a month.  The medical community doesn’t define it this way.  For example:

 If you dose a person with 15 mg of Zyprexa for the purpose of calming them down addressing an immediate behavior issue we can consider that a "Chemical Restraint"

If you dose a person with 15 mg of Zeprexa as part of a daily treatment or prescribed routine then this would not be considered a restraint .

I was clearing up a previous misconception....  Hope this helps.... I have some further detailed definitions which may help differentiate between the two restraints if anyone is interested, but didn’t want to post a journal here.




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