ABSTRACT

The use of restraint and seclusion (R&S) in residential youth treatment centers has been a controversial topic over the past years. This study explored the differences between R&S super users and normal users for residential workers in terms of individual and environmental characteristics over eight weeks. One hundred ninety-eight residential workers completed the questionnaires, and Bayesian independent samples t-tests were conducted to verify the differences between the two groups. The results showed very strong evidence that super users have a greater fear of violence (B10 = 65.57), indeed strong evidence that they perceive more verbal aggression (B10 = 18.264), very strong evidence that they witness more aggression against themselves (B10 = 87.35), and extremely strong evidence that they perceive themselves to be more often victims of physical aggression (B10 = 398.55) than normal users. Moderate evidence also revealed that super users experienced a higher level of traumatic stress and perceived a better work climate than normal user (B10 = 3.751 and B10 = 5.116). Perceived stress, chronic fatigue, acute fatigue, recovery, self-efficacy, compassion fatigue, burnout, and social climate order, and organization (work team’s orientation and sense of cohesion) were not statistically associated with R&S (B10 = 0.166 to 0.415).

摘要

在过去几年中，在住宅青少年治疗中心使用约束和隔离 (R&S) 一直是一个有争议的话题。本研究探讨了 R&S 超级用户与住宅工人普通用户在八周内在个人和环境特征方面的差异。198 名住户完成了问卷调查，并进行了贝叶斯独立样本 t 检验，以验证两组之间的差异。结果显示非常有力的证据表明超级用户对暴力有更大的恐惧（B10 = 65.57），确实有力的证据表明他们感受到更多的言语攻击（B10 = 18.264），非常有力的证据表明他们目睹了更多针对自己的攻击（B10 = 87.35 ), 以及极其有力的证据表明，他们认为自己比普通用户更经常成为身体攻击的受害者 (B10 = 398.55)。适度的证据还表明，超级用户比普通用户经历了更高水平的创伤压力，并且认为工作氛围更好（B10 = 3.751 和 B10 = 5.116）。感知压力、慢性疲劳、急性疲劳、恢复、自我效能、同情疲劳、倦怠和社会氛围秩序，以及组织（工作团队的方向和凝聚力）与 R&S 没有统计学相关性（B10 = 0.166 至 0.415）。