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Exploring the Use of Seclusion and Restraint with Deaf Psychiatric Patients: Comparisons with Hearing Patients

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Abstract

Archival data of seclusion and restraint events in a group of deaf adults (n = 30) was compared with a random sample of hearing adults with intellectual disabilities (ID) (n = 30) and a random sample of hearing adults without ID (n = 51) admitted to a state hospital from 1998 to 2008. Only 12% of the hearing non-ID group experienced a seclusion or restraint versus 43% of the deaf group. The ID group also showed significantly higher rates of seclusion and restraint than the hearing non-ID group (30 vs. 12%). Patients in the deaf and ID group were significantly more likely to be diagnosed with impulse control disorders (23 and 23%, respectively), which may have contributed to the higher utilization of seclusion and restraint procedures in these groups. Deafness-related cultural and linguistic variables that impact the use of seclusion and restraint are reviewed.

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Acknowledgments

Many thanks to Christopher J. McDougle, M.D. for his helpful review of this article prior to submission.

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Authors and Affiliations

  1. Department of Psychiatry, Indiana University School of Medicine, 1111 W. 10th Street, PB, Indianapolis, IN, 46202, USA

    David R. Diaz & Sarah A. Landsberger

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  1. David R. Diaz
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  2. Sarah A. Landsberger
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Correspondence to David R. Diaz.

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Diaz, D.R., Landsberger, S.A. Exploring the Use of Seclusion and Restraint with Deaf Psychiatric Patients: Comparisons with Hearing Patients. Psychiatr Q 81, 303–309 (2010). https://doi.org/10.1007/s11126-010-9139-x

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  • DOI: https://doi.org/10.1007/s11126-010-9139-x

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