Abstract
ABSTRACT As our Summer Treatment Program (STP) grew, the rates of timeouts involving physical restraint increased. These increases necessitated significant restructuring of our approach to screening/intake, crisis response and intervention, reinforcement, staff training, and program group and leadership structure. We describe the evolution of these approaches since 2015, when the STP was first offered, through present day (2023). During STP, timeouts were documented when they occured. These data were entered for each year and analyzed. Additionally, disruptive behavior, anxiety and depression symptoms, and impairment rating scales gathered as part of the eligibility screening process were examined across years. We present data showing the decrease in physical management (restraint) during timeout associated with these changes in the STP. Since these changes were implemented, we have had zero incidents of timeout with physical management over the past 3 years. We also show that these strategies did not just eliminate the most severe children. We believe clinical decision-making for eligibility using our screening criteria and other modifications were associated with the decrease in need for physical restraint and provide guidance for future use by other Summer Treatment Programs.
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