Predicting involvement in coercive interventions from individual and contextual risk factors and treatment context

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dc.contributor Conners, Frances A.
dc.contributor Klinger, Laura G.
dc.contributor Lochman, John E.
dc.contributor Parker, Jeffrey G.
dc.contributor.advisor Salekin, Randall T. Grimes, Ross Danner 2017-03-01T16:24:53Z 2017-03-01T16:24:53Z 2012
dc.identifier.other u0015_0000001_0000849
dc.identifier.other Grimes_alatus_0004D_11055
dc.description Electronic Thesis or Dissertation
dc.description.abstract Although coercive physical interventions such as restraint and seclusion have been linked to serious injuries and death in children and adolescents, little is known about the risk factors for youths' involvement in these interventions, particularly in the context of long-term residential treatment. This study examined admission and intake records for 99 youths in an intensive residential treatment facility to identify risk factors that could predict involvement in coercive physical interventions, to identify patterns of coercive intervention involvement while in treatment, and to explore the role of staff training in the use of these interventions. Results indicated that younger age and higher ratings of impulsivity predicted both any involvement and the total involvement in coercive interventions. While aggression was positively correlated with any involvement in coercive interventions, it did not predict total number of interventions required. Higher ratings of callous and unemotional traits and longer length of stay also predicted the total number of interventions a youth was involved in. Five trajectories of involvement across the first eight months of treatment were also identified, including a minimally involved group, a low-slightly increasing group, a moderate-increasing group, a moderate decreasing group, and a high-decreasing group. Finally, results indicated that staff members appeared more likely to utilize coercive physical interventions immediately after training, with steadily declining utilization until the next training session. Also discussed are the relevance of these results to residential treatment and the next steps for research on coercive physical interventions, given that these youths frequently interact with multiple interconnected microsystems, each of which exerts influence on youths' responses to treatment.
dc.format.extent 146 p.
dc.format.medium electronic
dc.format.mimetype application/pdf
dc.language English
dc.language.iso en_US
dc.publisher University of Alabama Libraries
dc.relation.ispartof The University of Alabama Electronic Theses and Dissertations
dc.relation.ispartof The University of Alabama Libraries Digital Collections
dc.relation.hasversion born digital
dc.rights All rights reserved by the author unless otherwise indicated.
dc.subject.other Clinical psychology
dc.subject.other Health sciences
dc.subject.other Occupational psychology
dc.title Predicting involvement in coercive interventions from individual and contextual risk factors and treatment context
dc.type thesis
dc.type text University of Alabama. Dept. of Psychology Psychology The University of Alabama doctoral Ph.D.

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