Abstract
ABSTRACT The use of restraint in residential treatment centers has been a subject of considerable controversy during the past few years. This article describes the many efforts which have been made at the Julia Dyckman Andrus Memorial Residential Treatment Center (NY) to develop a systematic model to address the issue of restraint in a consistent and ongoing manner. The Andrus model addresses careful attention to issues including the underlying treatment philosophy, leadership commitment and vision, ongoing intervention training, staff supervision, documentation and data analysis, and clinical review of collected data. The short-term goal of the model was to reduce the use of restraint by half within 12 months, while the ultimate goal was to create a treatment setting which approached a zero-restraint clinical environment.
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