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Reducing Restraint through Individualized Positive Behavioral Interventions and Supports in an Inpatient Psychiatric Setting: An Exploratory Study

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Title: Reducing Restraint through Individualized Positive Behavioral Interventions and Supports in an Inpatient Psychiatric Setting: An Exploratory Study
Language: English
Authors: Meredith Ronan (ORCID 0000-0002-5373-7474), Faith Therrien (ORCID 0000-0003-0001-1220), Sandra Sears (ORCID 0000-0001-5488-9536), Katherine Meyer, Sohenga C. Depestre (ORCID 0000-0002-3499-1581), Christopher Rhoads, Brandi Simonsen (ORCID 0000-0002-1561-1686)
Source: Journal of Positive Behavior Interventions. 2026 28(1):3-12.
Availability: SAGE Publications and Hammill Institute on Disabilities. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com
Peer Reviewed: Y
Page Count: 10
Publication Date: 2026
Sponsoring Agency: Office of Special Education Programs (OSEP) (ED/OSERS)
Office of Elementary and Secondary Education (OESE) (ED)
Contract Number: H326S180001
Document Type: Journal Articles
Reports - Research
Descriptors: Positive Behavior Supports, Behavior Problems, Intervention, Multi Tiered Systems of Support, Psychiatric Hospitals, Residential Institutions, Environmental Influences, Adults, Program Implementation, Safety Equipment, Individualized Programs, Program Effectiveness
DOI: 10.1177/10983007251335349
ISSN: 1098-3007
1538-4772
Abstract: Traditional responses to aggressive behavior in inpatient psychiatric settings have relied heavily on aversive and restrictive practices, such as restraint, despite the fact that such practices demonstrate limited effectiveness and are at odds with a rehabilitative, patient-centered mission. In response to such concerns, a growing number of researchers and practitioners have moved toward proactive, person-centered approaches to addressing challenging behavior, such as Positive Behavioral Interventions and Supports (PBIS). Positive Behavioral Interventions and Supports is a multi-tiered framework for preventing and responding to challenging behavior by addressing environmental and contextual factors. This article describes an exploratory study examining the effect that implementation of individualized PBIS plans had on restraint events in an adult inpatient psychiatric hospital setting in the Northeastern United States. Results indicated a 76% reduction in restraints following implementation of individualized PBIS plans. Implications for future research and practice are explored as a means of improving clinical outcomes and quality of life of individuals in inpatient psychiatric settings.
Abstractor: As Provided
Entry Date: 2026
Accession Number: EJ1493557
Database: ERIC
FullText Text:
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  Data: Reducing Restraint through Individualized Positive Behavioral Interventions and Supports in an Inpatient Psychiatric Setting: An Exploratory Study
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  Data: <searchLink fieldCode="AR" term="%22Meredith+Ronan%22">Meredith Ronan</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-5373-7474">0000-0002-5373-7474</externalLink>)<br /><searchLink fieldCode="AR" term="%22Faith+Therrien%22">Faith Therrien</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0003-0001-1220">0000-0003-0001-1220</externalLink>)<br /><searchLink fieldCode="AR" term="%22Sandra+Sears%22">Sandra Sears</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0001-5488-9536">0000-0001-5488-9536</externalLink>)<br /><searchLink fieldCode="AR" term="%22Katherine+Meyer%22">Katherine Meyer</searchLink><br /><searchLink fieldCode="AR" term="%22Sohenga+C%2E+Depestre%22">Sohenga C. Depestre</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-3499-1581">0000-0002-3499-1581</externalLink>)<br /><searchLink fieldCode="AR" term="%22Christopher+Rhoads%22">Christopher Rhoads</searchLink><br /><searchLink fieldCode="AR" term="%22Brandi+Simonsen%22">Brandi Simonsen</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-1561-1686">0000-0002-1561-1686</externalLink>)
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  Data: <searchLink fieldCode="SO" term="%22Journal+of+Positive+Behavior+Interventions%22"><i>Journal of Positive Behavior Interventions</i></searchLink>. 2026 28(1):3-12.
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  Data: SAGE Publications and Hammill Institute on Disabilities. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com
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  Data: 10
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  Data: 2026
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  Data: Office of Special Education Programs (OSEP) (ED/OSERS)<br />Office of Elementary and Secondary Education (OESE) (ED)
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  Data: H326S180001
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  Data: Journal Articles<br />Reports - Research
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  Data: <searchLink fieldCode="DE" term="%22Positive+Behavior+Supports%22">Positive Behavior Supports</searchLink><br /><searchLink fieldCode="DE" term="%22Behavior+Problems%22">Behavior Problems</searchLink><br /><searchLink fieldCode="DE" term="%22Intervention%22">Intervention</searchLink><br /><searchLink fieldCode="DE" term="%22Multi+Tiered+Systems+of+Support%22">Multi Tiered Systems of Support</searchLink><br /><searchLink fieldCode="DE" term="%22Psychiatric+Hospitals%22">Psychiatric Hospitals</searchLink><br /><searchLink fieldCode="DE" term="%22Residential+Institutions%22">Residential Institutions</searchLink><br /><searchLink fieldCode="DE" term="%22Environmental+Influences%22">Environmental Influences</searchLink><br /><searchLink fieldCode="DE" term="%22Adults%22">Adults</searchLink><br /><searchLink fieldCode="DE" term="%22Program+Implementation%22">Program Implementation</searchLink><br /><searchLink fieldCode="DE" term="%22Safety+Equipment%22">Safety Equipment</searchLink><br /><searchLink fieldCode="DE" term="%22Individualized+Programs%22">Individualized Programs</searchLink><br /><searchLink fieldCode="DE" term="%22Program+Effectiveness%22">Program Effectiveness</searchLink>
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  Data: 10.1177/10983007251335349
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  Data: 1098-3007<br />1538-4772
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  Data: Traditional responses to aggressive behavior in inpatient psychiatric settings have relied heavily on aversive and restrictive practices, such as restraint, despite the fact that such practices demonstrate limited effectiveness and are at odds with a rehabilitative, patient-centered mission. In response to such concerns, a growing number of researchers and practitioners have moved toward proactive, person-centered approaches to addressing challenging behavior, such as Positive Behavioral Interventions and Supports (PBIS). Positive Behavioral Interventions and Supports is a multi-tiered framework for preventing and responding to challenging behavior by addressing environmental and contextual factors. This article describes an exploratory study examining the effect that implementation of individualized PBIS plans had on restraint events in an adult inpatient psychiatric hospital setting in the Northeastern United States. Results indicated a 76% reduction in restraints following implementation of individualized PBIS plans. Implications for future research and practice are explored as a means of improving clinical outcomes and quality of life of individuals in inpatient psychiatric settings.
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  Data: As Provided
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  Data: 2026
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  Data: EJ1493557
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        Value: 10.1177/10983007251335349
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      – TitleFull: Reducing Restraint through Individualized Positive Behavioral Interventions and Supports in an Inpatient Psychiatric Setting: An Exploratory Study
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