Background: A training package for staff working with clients presenting challenging behaviour was developed to (1) increase their knowledge regarding challenging behaviour, and (2) to improve the quality of physical intervention techniques. The latter aim was intended to reduce staff anxiety about dealing with incidents and limit physical risk of…

This study examined the effectiveness of Devereux's Safe and Positive Approaches training curricula (SPA) in the reduction of injury and restraint. Several data points were collected including utilization rates of restrictive interventions, number of youth injuries, number of staff injuries, and whether the program/organization is a user or…

The US Constitution, federal and state legislatures, courts, and regulations permit physical restraint for both therapeutic (i.e., behavior change) and risk prevention purposes. Although most venues limit restraint as punishment, no government entity prohibits use of physical restraint as a response to imminent danger. This paper provides a…