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Journal of Intellectual Disabilities
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Restraint and self-injury in people with intellectual disabilities

A review

Edwin Jones

Special Projects team, Bro Morgannwg NHS Trust, Wales and Unit for Development in Intellectual Disability, University of Glamorgan, Wales

David Allen

Special Projects team, Bro Morgannwg NHS Trust, Wales and Unit for Development in Intellectual Disability, University of Glamorgan, Wales

Kate Moore

Special Projects team, Bro Morgannwg NHS Trust, Wales

Bethan Phillips

Special Projects team, Bro Morgannwg NHS Trust, Wales and Unit for Development in Intellectual Disability, University of Glamorgan, Wales

Kathy Lowe

Special Projects team, Bro Morgannwg NHS Trust, Wales and Unit for Development in Intellectual Disability, University of Glamorgan, Wales

Most of the recent debate concerning the ethics of physical interventions has focused on the management of aggressive and destructive behaviours, neglecting the management of self-injurious behaviour.This is an important omission, given the extremely serious consequences that can arise from this form of challenging behaviour.The present article reviews types of restraint used to manage self-injury, prevalence of use, and main and side effects of restraint use. It describes some good practice standards and highlights the need for further research and debate in this complex area.

Key Words: restraint • self-injury

Journal of Intellectual Disabilities, Vol. 11, No. 1, 105-118 (2007)
DOI: 10.1177/1744629507074006
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