The last resort? : staff and client perspectives on physical intervention

Fish, Rebecca and Culshaw, Eloise (2005) The last resort? : staff and client perspectives on physical intervention. Journal of Intellectual Disabilities, 9 (2). pp. 93-107. ISSN 1744-6295

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This study provides feedback from research with staff and clients of a medium secure learning disability service in north-west England. Participants were asked about incidents which required the use of physical intervention, using unstructured interviews within a participatory research framework. The article explores clients' and staff accounts of aggressive incidents and the consequences of physical intervention. Clients cited other clients and the ward atmosphere as the main reasons for aggressive behaviour. Some clients said that the use of physical intervention made them more frustrated and brought back memories of frightening experiences. Staff reported that incidents of aggression and the use of physical intervention were upsetting and traumatic, causing feelings of guilt and self-reproach. Staff said that they always used physical intervention as a last resort, although clients often reported otherwise. Time out and post-incident discussions were valued by both groups, as were strong staff/client relationships.

Item Type:
Journal Article
Journal or Publication Title:
Journal of Intellectual Disabilities
Additional Information:
The final, definitive version of this article has been published in the Journal, Journal of Intellectual Disabilities, 9 (2), 2005, © SAGE Publications Ltd, 2005 by SAGE Publications Ltd at the Journal of Intellectual Disabilities page: on SAGE Journals Online:
Uncontrolled Keywords:
?? aggressionfeedbackhumansintellectual disabilitypsychomotor agitationrestraint, physicalpsychiatry and mental healthhealth professions (miscellaneous) ??
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Deposited On:
17 Sep 2013 08:03
Last Modified:
13 Jun 2024 00:53