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Child health
Multidisciplinary intervention highly effective in decreasing restraint use in paediatric acute care
  1. Felesia Renee Bowen1,
  2. Simone Chinnis2
  1. 1 School of Nursing, The University of Alabama at Birmingham, Birmingham, Alabama, USA
  2. 2 Medical University of South Carolina - College of Nursing, Charleston, South Carolina, USA
  1. Correspondence to Dr Felesia Renee Bowen, The University of Alabama at Birmingham - School of Nursing, Birmingham, AL 35294-1210, USA; fbowen{at}

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Commentary on: Dalton EM, Herndon AC, Cunliff A, et al. Decreasing the use of restraints on children admitted for behavioral health conditions. Pediatrics 2021;1481:e2020003939.

Implications for practice and research

  • Standardised protocols for de-escalation can decrease agitation and the need for physical restraints in children with behaviour health disorders.

  • Research is needed to determine ways to mitigate the use of restraints in paediatric behavioural health patients with medical comorbidities.


The increased number of children diagnosed with mental health conditions has resulted in increased admissions to children’s hospitals where staff are ill prepared to care for children with mental health conditions.1 2 Dalton et al 3 discovered four key drivers that informed a multidisciplinary intervention to decrease the use of physical restraints in children (1) de-escalating agitated patients, (2) …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.