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

Björne, Petra LU ; Deveau, Roy ; McGill, Peter and Nylander, Lena LU (2022) In Journal of Policy and Practice in Intellectual Disabilities 19(2). p.193-201
Abstract

Background: Community 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. Aim: The 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. Method: A 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... (More)

Background: Community 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. Aim: The 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. Method: A 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. Results: A 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. Conclusion: Staff 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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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
community services, intellectual disabilities, policy, practice, restrictive measures, staff
in
Journal of Policy and Practice in Intellectual Disabilities
volume
19
issue
2
pages
193 - 201
publisher
Wiley-Blackwell
external identifiers
  • scopus:85118439012
ISSN
1741-1122
DOI
10.1111/jppi.12399
language
English
LU publication?
yes
additional info
Publisher Copyright: Journal of Policy and Practice in Intellectual Disabilities© 2021 The Authors. Journal of Policy and Practice in Intellectual Disabilities published by International Association for the Scientific Study of Intellectual and Developmental Disabilities and Wiley Periodicals LLC.
id
e514d771-1ef5-4359-ad27-e6f9bb11a098
date added to LUP
2021-12-02 12:46:46
date last changed
2022-06-29 19:19:20
@article{e514d771-1ef5-4359-ad27-e6f9bb11a098,
  abstract     = {{<p>Background: Community 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. Aim: The 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. Method: A 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. Results: A 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. Conclusion: Staff 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.</p>}},
  author       = {{Björne, Petra and Deveau, Roy and McGill, Peter and Nylander, Lena}},
  issn         = {{1741-1122}},
  keywords     = {{community services; intellectual disabilities; policy; practice; restrictive measures; staff}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{193--201}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Journal of Policy and Practice in Intellectual Disabilities}},
  title        = {{The Use of Restrictive Measures in Community Services for People With Intellectual Disabilities in Sweden}},
  url          = {{http://dx.doi.org/10.1111/jppi.12399}},
  doi          = {{10.1111/jppi.12399}},
  volume       = {{19}},
  year         = {{2022}},
}