Conflict prevention, de-escalation and restraint in children/youth inpatient and residential facilities: A systematic mapping review

Conflict and aggression are well-known concerns in youth inpatient residential facilities, frequently affecting both the quality of children/youth (hereafter, youth) care well-being staff. Responses, such as restraint seclusion (R&S), also pose challenges can threaten safety Various educational training programs have been implemented to improve practice create safer places live work for This article reviews research on results measures taken response conflict facilities. Because very little this topic was published before 2015, we searched systematic original studies between January 2015 November 2020 a total 7 databases. Our aims 1) describe review literature related effects interventions prevent manage violence 2) R&S experiences staff, violence, R&S, 3) identify potential gaps knowledge about these issues that future could narrow or close. The search retrieved 4,698 potentially relevant publications. A 14 publications—2 12 individual case studies—met our inclusion criteria. Most were conducted residential-care hospital/psychiatric facilities; small number juvenile justice indicates contributed reduction episodes differed from those led conflicts aggression. staff negative physical restraint. Results show further needed effectiveness de-escalation preventing