Year of Publication


Date of Thesis


Document Type


Degree Name

Master of Science


Occupational Therapy

Subject Categories

Occupational therapists -- United States -- Attitudes


Although many programs are working to reduce and eliminate the use of restraint and seclusion practices, these practices continue to be highly prevalent. A one-hour in-service training on Trauma-Informed Care and sensory-based alternatives for de-escalating behavior was presented to staff members working directly with adolescents with severe emotional and behavioral problems living in a Residential Treatment Center. Staff member attitudes regarding Trauma-Informed Care, the use of restraints, and sensory-based alternatives were measured before and after the in-service training to determine pre-existing staff attitudes and the potential influence of this training on staff attitudes.



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