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| Responsible Use of Restrictive Procedures: A Framework for Decision Making |
| Friday, May 26, 2023 |
| 4:00 PM–7:00 PM |
| Convention Center Mile High Ballroom 2A |
| Area: DDA/PCH; Domain: Service Delivery |
| CE Instructor: G. David David Smith, Ph.D. |
| G. DAVID SMITH (GDS Behavioral Consulting) |
| Description: Restrictive procedures are often included in behavior support plans for people with an intellectual disability (ID), especially for those with a co-morbid mental illness (MI) who exhibit dangerous behaviors (Ferleger, 2008; Friedman & Crabb, 2018; Sturmey, 2009) or self-injury (McGill et al., 2009). Commonly used restrictive procedures include restraints and seclusion, schedules, rules, boundaries, limiting options, restricting access, or modifying the social and physical environment in ways that limit an individual’s freedom to act on their own. Legal precedent, state and federal law and prevailing ethical guidelines require that the “least restrictive” alternative must always be used. Despite this, there is no standard definition of the term “restrictive” and no commonly accepted way of assessing the relative restrictiveness of behavior change procedures. This workshop presents a simple and concrete way to quantify “restrictiveness” that allows determination of the relative restrictiveness of behavior change procedures. It also demonstrates the use of risk-benefit analysis (RBA) to guide and inform decisions concerning their use. |
| Learning Objectives: At the conclusion of this workshop participants will be able to: 1. Recognize restrictive procedures distinguishing them from nonrestrictive procedures, 2. Measure and assess the relative “restrictiveness” of procedures, and 3. Use Risk-Benefit A to inform the selection, design, application and continued use of restrictive procedures. |
| Activities: Teaching strategies will include lecture, small group break out, review of case studies, and guided practice measuring the restrictiveness of designated procedures and assessing the benefit-risk associated with implementation of designated restrictive procedures. |
| Audience: Participants should have experience developing behavior change plans, prior knowledge and experience implementing restrictive procedures and presenting behavior change plans to human rights committees. |
| Content Area: Practice |
| Instruction Level: Intermediate |
| Keyword(s): benefit-cost analysis, least restrictive, restrictive procedures |