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Organisational impact on the use of restrictive measures: The perspective of Swedish front‐line managers

Björne, Petra, McGill, Peter, Deveau, Roy, Hofvander, Björn (2023) Organisational impact on the use of restrictive measures: The perspective of Swedish front‐line managers. Journal of Applied Research in Intellectual Disabilities, 36 (5). pp. 1025-1033. ISSN 1468-3148. (doi:10.1111/jar.13112) (KAR id:101199)


Background: Restrictive measures (RM) are prevalent in services for people with intellectual disabilities. This study investigates managerial awareness of RM and the nature of organisational supports required to reduce their use. Method: A survey asked front‐line managers and staff what (RM) were used, their purpose, impact and importance (10‐item Likert scales) and what organisational changes were required (free text). Responses were analysed using descriptive methods and content analysis. Results: Managers reported a lower use of RM, compared with staff. According to managers, RM were mainly used to keep service users from harm, their use having a significant impact. Opportunities to change practices were limited by a lack of resources and organisational support. Conclusion: Front‐line managers seem to lack the capacity to address the use of RM due to organisational drift; limited manager time and opportunity to allocate resources; inadequate environments; and lack of skilled staff, knowledge and relevant professional input.

Item Type: Article
DOI/Identification number: 10.1111/jar.13112
Uncontrolled keywords: intellectual disabilities, managers, organisational change, restrictive measures, staff
Subjects: H Social Sciences
H Social Sciences > HV Social pathology. Social and public welfare
Divisions: Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research > Tizard
SWORD Depositor: JISC Publications Router
Depositing User: JISC Publications Router
Date Deposited: 16 May 2023 13:58 UTC
Last Modified: 23 Aug 2023 13:39 UTC
Resource URI: (The current URI for this page, for reference purposes)

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