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Use of Collaborative Problem Solving to Reduce Seclusion and Restraint in Child and Adolescent Inpatient Units

by Ross W. Greene, J. Stuart Ablon, Andrés Martin
Psychiatric Services ()


[Correction Notice: An erratum for this article was reported in Vol 58(8) of Psychiatric Services (see record 2007-13763-017). The names of two authors were omitted from the byline in this column. The correct byline is Ross W. Greene, Ph.D., J. Stuart Ablon, Ph.D., Bruce Hassuk, M.D., Kathleen M. Regan, R.N., B.S.N., and Andrés Martin, M.D., M.P.H. Dr. Hassuk is with Harvard Medical School and is former Medical Director of the Child Assessment Unit, Cambridge Hospital. Ms. Regan is with the Child Assessment Unit, Cambridge Hospital, and the Cambridge Health Alliance, Harvard Medical School.] The authors describe "collaborative problem solving," a cognitive-behavioral approach for working with aggressive children and adolescents. The model conceptualizes aggressive behavior as the byproduct of lagging cognitive skills in the domains of flexibility, frustration tolerance, and problem solving. The goal is to train staff to assess specific cognitive skills that may be contributing to challenging behavior and to teach children new skills through collaborative problem solving. The authors present results from an inpatient unit that dramatically reduced rates of seclusion and restraint. (PsycINFO Database Record (c) 2012 APA, all rights reserved) (journal abstract)

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