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The restraint spiral: Emergent themes in the perceptions of physical restraint of juveniles

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Abstract

This qualitative investigation explores the experiences of both children who were physically restrained in a juvenile facility and that of the adult professionals who restrained them. Among the major themes identified were the rationalizations of safety and noncompliance for restraint use by the adults. Children associated fear, anger, and retraumatization with the experience of being restrained. Both the children who were restrained and the adults who restrained them identified lingering emotional and behavioral postrestraint effects. Restraint incidents were found to follow a predictable 10-layered behavioral spiral. Implications for practice and further research are explored.
© Journal of Higher Education Outreach and Engagement, Volume 15, Number 4, p. 87, (2011)
A Reactive, Radical Approach to
Engaged Scholarship
Malcolm Smith
Abstract
While exploring the current challenges facing academic institu-
tions and the needs of their scholars to make their work relevant
in the lives of university constituents, the author advocates for
a reactive and radical approach to engaged scholarship by out-
lining an 8-step process that considers the importance of trans-
formation, immediacy, and relevance in academic research in
the eld of human service.
Introduction
The growing gap between academic research and actual
practice in the eld of human service, particularly in ser-
vice to children and families, is well-known by practitio-
ners and well-substantiated by academics (Osterling & Austin, 2008;
Glasgow, Lichtenstein, & Marcus, 2003; Martin & Martin, 1989). is gap
puts human service faculty members and students at odds with the
growing needs of the human service eld in two ways: academics
oen teach and use methods that have academic relevance but
not practical relevance, and practitioners oen devalue academic
knowledge relative to experiential knowledge. ere is wariness
toward academic solutions that are grounded in theory and litera-
ture rather than in the immediacy of practice. is more theoretical
approach oen makes academic institutions and human service
departments irrelevant in the eyes of practitioners, who see aca-
demic researchers as largely trying to use their programs as testing
grounds for theories and assumptions that are oen not grounded
in real world experience.
e growing gap between human service practitioners and
academics appears to be fueled by changes on both fronts. For
example:
• Many public and private funding streams are requiring
that their recipients use “evidence-based” program-
ming. In reality, human service programs that meet
this intense criterion (usually associated with double-
blind and medical-model-type studies) are (1) few
and far between and hard to nd, (2) oen not exible
enough to be used with rapidly changing social and
Copyright © 2011 by the University of Georgia. All rights reserved. ISSN 1534-6104
88 Journal of Higher Education Outreach and Engagement
familial conditions, (3) restricted in practicality
and ecacy since “evidence” is oen out-of-date or
addressing antiquated issues by the time it is su-
cient to meet the “evidence-based” criterion, and (4)
oen expensive to procure and administer (Burton &
Chapman, 2004). us, many practitioner programs
have come to distrust “evidence-based” programs.
• ere is a growing inaccessibility of academic peer-
reviewed journals. Academic journal subscriptions
have become increasingly expensive, causing many
libraries, especially university libraries, to discontinue
subscriptions. Few human service agencies can aord
subscriptions to all publications in the eld. In addi-
tion, there has been a continued fragmentation of
academic disciplines into smaller elds, which creates
more places for “evidence” to hide. It can take months
or even years to complete the peer-review process due
to the time constraints of the largely volunteer peer
reviewers. With rapidly changing familial structures,
world and local economies, and demographic land-
scapes, old news is oen not as relevant (Morris, 2009;
Weiner, 2001).
• e promotion and tenure process at many universities
does not reward engaged scholarship. Many research
universities still do not value engaged research (Van
de Ven, 2007), nor recognize it adequately during the
promotion and tenure process.
• Although faculty members access human service pro-
grams to provide students with “real world” intern-
ships and to test research questions, those experiences
are seldom allowed to inuence the university itself. In
order to become more relevant to the eld and to stu-
dents, academic programs could gain immediacy and
relevance if conduits were created through which stu-
dents’ experiences and practitioners’ knowledge could
ow back to researchers.
Although newer models of engagement have emerged, most
of them, like Van de Vens (2007) work on the subject, try to use
existing, promotion-based archetypes to describe the process. is
approach oen puts the researcher, rather than the practitioner or
clients, in charge of asking the questions. For example, the rst tier
A Reactive, Radical Approach to Engaged Scholar ship 89
of Van de Vens diamond model of engaged scholarship calls for
a researcher to “Situate, ground, diagnose, and infer the research
problem(p. 10).
is terminology suggests that it is the researcher, not the
community, agency, practitioner, or client, who has the ability to
x a system. us, the decision making goes to a researcher who
diagnoses” the problem, stepping out of the engagement role by
bringing to the situation an academic bias. Many human service
practitioners have become suspect of academics that try to make
uid real world problems t into neat academic paradigms.
Program solutions designed to attack the increasingly complex
array of stressors that families, children, and individuals are facing
in contemporary society have become multisystemic, multisymp-
tomatic, and constant in their changing nature. One could read
academic literature and on-the-market “x-it” books and still lack
an adequate background to coach anyone on how to remedy these
problems. (For an overview of these current problems, look to the ongoing
“Kids Count” data reports: Annie E. Casey Foundation, 2011).
Only through immersion in the eld; through the experi-
ence of engagement with agencies, programs, and their clients;
and through careful observation and listening can one truly build
the collaborative skills necessary for eective engagement. What
human service agencies desperately need are partnerships.
In reality, a truly engaged scholar should be a collaborator
whose curiosity and skill allow him or her to observe the problem
from multiple individual and systemic dimensions, and whose
experience in so doing is merely a tool he or she brings to the col-
laboration that is used to assist the other collaborators in owning
the problem or condition, and in designing and testing a solution
to it. If the intended goals are to both immerse students in the best
of eld learning and experience and to boost the relevance of the
academic institution in the eyes of constituencies, faculty mem-
bers must make changes in their relationships to the institutions,
programs, consumers, and communities with whom they engage.
Otherwise, they risk the fate of irrelevance.
Toward a Reactive and Radical Approach to
Engaged Scholarship
e need for universities to dramatically alter how scholars
discover and disseminate knowledge has been well-documented.
As Lerner and Simon (1998) put it, “universities must change from
their currently perceived (and in several respects, actual) status as
90 Journal of Higher Education Outreach and Engagement
enclaves for ethereal elitism(p. 4). is realization has led many
universities to reinvigorate a quest for relevance in their communi-
ties and states, and even globally (Stanton, 2008).
e dierence between “ethereal elitism” in current practice
and the world envisioned by proponents of “engaged scholarship
like Van De Ven (2007) seems to be taking the same researcher-
driven design (i.e., researcher driven questions, researcher driven
hypotheses and goals, researcher driven answers, and researcher
driven conclusions) and replicating this design in the eld environ-
ment. e obvious barrier to this researcher-based collaboration is
that human service agencies have become resistive to approaches
in which a researcher steps out from the halls of academia and
professes to understand the needs of the community without rst
experiencing immersion in the eld.
For many practitioners and community members, this
approach is misguided and demeaning. e days of the academic
institution dictating to human
service practitioners what they
need or should be doing are gone.
Communities expect collabo-
ration in which the researcher
becomes a true collaborator who
can both coach and listen; who
engages in the problem from all
perspectives; who assists the col-
laborative team in understanding the context in which the problem
occurs and the strengths of the community, agency, or client to
overcome it; and who then helps the collaborators adjust their
potential and resources to address the problem.
At this point, the researcher uses his or her academic persona
to help measure the change made by the collaborator. e last stage
in what the author considers radical, enmeshed research is that the
researcher and student collaborators can then share this change
with the university, thus continually updating all facets of academic
knowledge, research, practice, and teaching.
About the Approach
A reactive and radical approach to engaged scholarship is
based on a belief in the fundamentals of outreach scholarship. e
approach works toward transformation of the community, trans-
formation of the researcher and students, and, through the process,
a transformation in the nature of the academic institution and how
“Communities expect
collaboration in which
the researcher becomes
a true collaborator. . . .
A Reactive, Radical Approach to Engaged Scholar ship 91
it is viewed by constituents. e approach diers from Lerner and
Simon’s (1998), Stantons (2008), and Van de Ven’s (2007) in (1) the
extent of immersion by the researcher, (2) the expectations of com-
munity and academic change, and (3) the nature of the relationship
between the researcher and the collaborators. Rather, this approach
to engagement is reactive. e chrono-system (or the inuences of
the social era or happenings, trends and events of the immediate
time in which the engagement takes place; (Bronfenbrenner, 1994) is
crucial to the process of engagement. Real-life issues require imme-
diate analysis, intervention, eect measurement, and change. For
example, if a bullying epidemic is being perceived as causing child
suicides, the situation cannot wait for a longitudinal analysis and
a ve-year study.
is approach to engagement is also radical. Building on the
frameworks of action research (Greenwood and Levin, 1998) and later
the concept of feminist action research (Reid, 2004), radical outreach
calls for researcher immersion and “enmeshment” in a problem to
gain a clearer understanding, followed by radical transformation
in the community members, in the researchers and students, and
eventually in the institutional learning community.
e major dierence between a reactive and radical approach
and other forms of engaged scholarship is the extent to which it
immerses the researcher in a community’s problems. e faculty
member becomes enmeshed with the community and collabora-
tors. e term enmeshment arose from the works of family systems
pioneer Minuchin (1974), who used it to mean “diused bound-
aries.” In the academic setting, enmeshment, or the breaking down
of “silos” between the researcher, the community, the human ser-
vice provider, and the clients, allows understanding of a problem
from all sides. Enmeshment in solving a problem is the purest form
of collaboration, in which all those sitting at the table work toward
the same goal as equals. A reactive and radical approach to engaged
scholarship places the emphasis for scholarship on nding a lasting
transformation of a community’s ability to solve a problem.
Eight Steps in a Reactive and Radical Approach
to Engaged Scholarship
1. Reactive matching and real collaboration. e most impor-
tant and most delicate part of any engaged scholarship endeavor is
the creation of collaboration. e onus is on the faculty member
to begin the collaborative process. is cannot be accomplished
from within the institution. It is a combination of following one’s
92 Journal of Higher Education Outreach and Engagement
personal passions and curiosities, nding those in the commu-
nity who are actively involved in those areas, and then inviting
practitioners to the academy. e research team becomes a regular
observer in the community.
Reactive matching requires discussions and active listening. It
is the matching of passions among all participants including prac-
titioners, policy makers, and advocates. It is both personal and
professional in nature. Successful collaborators recognize several
necessary aspects of collaboration, including
• interactive leadership. No one entity, be it a funding
entity, community, or university, owns “the right” to
direct a collaborative partnership. Leadership rests in
the member who has the tools, instruments, or need
at each critical juncture in a project.
• the importance of relationships. A common passion
unites collaborators, and that passion to serve is the
basis for relationships necessary to attack the problem.
Trust is the key ingredient for success of any collabora-
tion, and that trust is based on a principle of mutual
respect for each partner’s strengths and needs.
• conict and stress are expected. Any collaborative
relationship based on passion will eventually create
conict and stress. ese are actually healthy signs
of collaboration, and as the collaborators commit to
work through them, trust and mutuality are fostered.
• universities, researchers, or funders cannot force
collaboration. Collaboration is a natural process that
grows from mutual respect, trust, and the need of each
member to pool limited resources to improve the lives
of others.
An example of a reactive and radical approach to engaged
scholarship occurred in 2009, when a group of mothers in New
Hampshire formed a coalition to call for reform in the school
policies and state laws regarding bullying. is was a dire need
of a group of parents. When they contacted the university to see
if there were researchers who might join their eort, a family life
and family policy specialist with the University of New Hampshire’s
Cooperative Extension service responded.
e specialist assessed the problem, compared New Hampshire
law with other state and national laws, policies, and existing
research. He then assisted in draing a new law and provided
A Reactive, Radical Approach to Engaged Scholar ship 93
evidence to the legislature in support of the proposed legislation.
Although not produced by a traditional peer-reviewed process, the
resulting legislation, which was enacted by New Hampshire’s 420-
member legislature in 2010, had a positive outcome. e law clearly
dened bullying and required schools to deal more eectively with
bullying incidents.
2. Experiential observation and listening. Once collabo-
ration has been envisioned, the task of the faculty member is to
become silent. Before asking questions, the most important thing
an engaged scholar can do is observe the problem to ascertain the
context of the interacting systems causing the need.
e purpose of this observation is to ensure that the faculty
member is a good t as a collaborator.
State child support policies are oen fraught with contentious
battling factions. In New Hampshire, the process of reviewing and
updating the state guidelines used by state agencies and courts to
decide who should support the children of divorce stalled, caught
between contentious political attacks between fathers’ rights
groups and womens advocacy groups. Consequently, there had
been no substantial updating to the state’s policies since 1982, even
though the nature of divorce and shared parenting, formulas for
calculating costs of raising children, and the social issues revolving
around child support had all changed drastically. What was called
for was radical engagement and reactive scholarship.
When the University of New Hampshire Cooperative Extension
received a $110,000 state contract to provide a mandated review of
New Hampshire’s child support formula, a team devised several
ways to solicit input from key constituents. ey surveyed judges
and attorneys; provided six community forums across the state and
took individual testimony at each; and went to legislative groups,
special interest groups, and citizens and provided various means
for each to give input into the process.
In other words, the team became a skilled listener, a partner in
the process of expression and advocacy for both sides. e scien-
tic rigor, the perception of fairness and impartiality that quantita-
tive and qualitative methodology brought to the table was cathartic
for all sides in the debate. e process was unstuck by the fact
that advocates, lawyers, judges, and those who had been caught in
the bureaucracy created by the child support system felt rigorously
heard. e result was six pieces of legislation that dramatically
altered the methodology for child support in New Hampshire and
more fairly supported children of divorce.
94 Journal of Higher Education Outreach and Engagement
3. Radical immersion and enmeshment. Aer observing the
need, condition, or problem, the faculty member must become
immersed and enmeshed with those who encounter it. e fac-
ulty member will also examine all sides of the issue from academic
journals to popular press, from newspaper and internet accounts
to rsthand perceptions.
It is imperative that, when appropriate, students be brought
into this immersion so that their observations, reections, and
conduits of learning inuence the researcher’s perception of the
problem and vice versa. Enmeshment means that the researcher
sits as an equal member and learner in meetings, hearings, client
sessions, scholarly discussions, and internet and social media dis-
cussions with all of the collaborators. In addition, it is the respon-
sibility of the faculty member to ensure that all collaborators have
access to university resources: data, libraries and journals, tech-
nology, and students.
e guiding purpose of enmeshment is to break down the
barriers between “client,” “practitioner,” “student,” and “scholar.
e process of enmeshment fuses the trust of all collaborators and
focuses their respective perspectives and talents on transformation
of the social condition.
For example, in a recent study conducted examining work and
family “t” or “balance” of parents in New Hampshire, working
parents were interviewed during focus groups hosted at family
resource centers and through phone surveys. e voices of these
parents, many struggling with issues like transportation, childcare,
housing, and family stress, culminated in a series of state regula-
tions, business regulations, and publications aimed at businesses.
4. Collaborative needs analysis and logical methods. e
faculty member in a collaborative partnership should not be the
dictator of needs assessment formats, logic models, or products of
engaged scholarship. Information is useful to the practitioner and
community when the community members determine it is useful.
A faculty member can facilitate the development of a logic model,
and suggest methods, but should not solely determine the goals,
objectives, and desired outcomes.
A reactive and radical approach to engaged scholarship is
dependent on a mutual trust between the community members
and the faculty member. e faculty member trusts the community
members to identify the problem and produce the means to trans-
form it, and the community members trust the faculty member to
A Reactive, Radical Approach to Engaged Scholar ship 95
be truthful and open in bringing together key collaborators, iden-
tifying strengths and roadblocks, and creating research questions.
In addition, the faculty member should never rely exclusively
on quantitative or qualitative methods. Human service faculty
members, in particular, recognize that case studies, focus groups,
ethnographies, careful observations, and program evaluations are
valid data collection mechanisms. Moreover, validation of the nd-
ings should be provided by the community members.
In recent years, New Hampshire county jails have been trying
to radically change their approach to inmates. With dwindling
county resources to support a costly county-based criminal justice
system, ocials and taxpayers are demanding that these institu-
tions become more than just holding pens. A great deal of lit-
erature has focused on reducing risk or “Criminogenic” factors of
inmates by using prevention education and treatment.
University of New Hampshire Cooperative Extension had been
an active partner in this process, but needed more than assump-
tions on which to base a preventative education process with
inmates. Working carefully with jail ocials and teams of inmates,
Extension faculty members and Family Studies students designed a
survey of inmates, given at intake to the jail, that would help iden-
tify what the inmates saw as their family-life needs.
e verbal survey was an option, yet when intake sta explained
that the survey would help them and other inmates get education
that could help them with family, parenting, and relationship issues,
95% of inmates in one county jail and 72% in the other volunteered
to take the survey over a period of 6 months. ey identied that
they needed help with money management and participating in
the “above ground” economy, that they needed help with parenting
and child rearing skills, and that they wanted to know how to form
better, stronger, and more positive relationships in their lives.
Extension listened, designed, and implemented programs in
each area, and then went back to the inmates to gauge their inter-
ests. Participation had grown, and recidivism had dwindled. e
collaboration worked.
5. Continuous assessment. During an engaged scholarship
project, there should be a continuous feedback loop among the col-
laborators. e questions “Is this working?” and “How should we
readjust our goals and objectives based on what we have learned,
and what has changed?” should be constantly asked by participants.
For example, success in human service engaged research is
really the measurement of personal transformation. It is based on
96 Journal of Higher Education Outreach and Engagement
the notion that individuals, systems, and policies are intimately
linked in either promoting or suppressing that transformation.
erefore, change is a growth process that is sensitive to the inter-
actions between individuals and their ecology. e faculty member
is concerned not only about changes made by the individual, but
about how the treatment, intervention, program, or policy aects
the relevant systems. e faculty member facilitates collaborative
monitoring of both the individual participants and the systems
in which the individuals interact. Ultimately, the faculty member
must also measure the change that this research has made in his or
her institution.
When designing a new collaborative family resource center and
student laboratory for the study of parent education in Manchester,
New Hampshire, Cooperative Extension devised a unique method
for both assessing needs of the community and for gathering con-
stant feedback on the collaborative’s ability to meet those needs.
With the YWCA of New Hampshire, the key collaborator, a
series of Friday ice cream socials were initiated for community
leaders, parents, and community stakeholders. ese were sched-
uled for Friday aernoons at the YWCAs easily accessed downtown
location, and personal invitations were sent to key representatives
of stakeholder groups, inviting them to bring friends.
During the informal conversations, team members would cir-
culate among guests with a series of key questions relative to the
needs, program strengths, and perceptions of service of the col-
laboration. e responses were written down by team members,
coded, and analyzed for key and recurrent themes, feedback, and
response.
Participants quickly caught onto the idea and would make sure
to bring key constituents of the programming to share their percep-
tions, criticisms, and concerns of the programming. is method
of constant feedback has become an integral part of the ongoing
assessment of the program and has increased participation of par-
ents who have been led by satised stakeholders to the resource
center.
6. Communal transformation. e ultimate question for a
faculty member doing reactive and radical engaged scholarship is,
“What changed?” What transformations occurred in the lives of all
the individuals involved in the endeavor?
Measuring communal transformation is not easy. Many dif-
ferent assessments need to be conducted, including assessments of
the perceptions of all those directly involved, of media outlets, and
A Reactive, Radical Approach to Engaged Scholar ship 97
of policy makers as well as those who promote homeostasis in the
ecology of the project.
Transformation can oen be minute, but hopeful. For example,
a reactive and radical outreach and engagement initiative may
not eliminate homelessness in a community, but it may create a
pathway through which families can nd employment, and thus
begin a process of transformation. It may not eliminate bullying in
a school, but it may start a path that will one day result in elimina-
tion of the problem. In short, in order for engaged scholarship to
be radical, it must promote transformation in the community. It is
up to the members of the partnership to measure the value, impor-
tance, and depth of the transformation.
For example, since 2007, senior undergraduate and graduate
students in a University of New Hampshire Family Policy class have
been required to attend and participate in the state’s Summit on
Children’s Issues. e students are required to research the issues
that are aecting families and children in New Hampshire, and to
apply that knowledge by assisting the Children’s Alliance, an advo-
cacy group of children and family agencies, in devising an annual
list of legislative priorities. Over the past 3 years, more than eight
new laws or policy changes have been enacted as a direct result of
class projects. In exit interviews and teaching evaluations, the stu-
dents reported that their participation was transformative in their
academic careers, and members of the Childrens Alliance reported
that the student input and testimony was valuable to the legislative
process.
7. Radical dissemination. Two fundamental beliefs of the fac-
ulty member, both rooted in feminist action research (Reid, 2004),
are (1) that all research is biased, and (2) that all research is political
in nature. With those beliefs in mind, a faculty member promotes
transformation by drawing attention to it.
Faculty members understand that community members who
invest in public institutions want to see the fruit of their invest-
ments, not have them buried in obscure academic journals.
erefore, the faculty member welcomes media involvement,
public discourse, debate, and input, and promotes the work or the
collaborative. All participants in the engagement endeavor should
benet from this information dissemination. e faculty member
should also advocate for the diverse forms that engaged scholarship
products take. For example, blogs, newspaper articles, and radio or
television talk shows are venues where practitioners, funders, and
other non-academics increasingly gather their news.
98 Journal of Higher Education Outreach and Engagement
e issue of work and family “t” or balance has been an
increasing concern of the University of New Hampshire. As part
of the ongoing investigation, the researcher and others have been
involved in a legislative policy committee concerned about the
intersection of family life and work life. As a result, a consider-
able opportunity has been presented over the past four years to
advocate for change in how companies regard the non-work lives
of their employees.
In 2008, the researcher began to write a monthly column in
the New Hampshire Business Review, a popular trade journal about
work and family life research. In addition, the University of New
Hampshire Cooperative Extension began to host a series of annual
conferences for business professionals and legislators on work and
family life. Cooperative Extension also became the host agency for
the Sloan Award for excellence in work and family life work, which
is a prestigious national award given to businesses for their accom-
plishments in work-life balance.
Suddenly, the researcher and his colleagues became featured
speakers at business luncheons, chamber of commerce meetings,
and other business-type venues as well as at non-prot family-
serving agency meetings. As a result, in part, of this increased vis-
ability, the research team was asked to examine work and family
stress factors experienced by working parents in New Hampshire.
e results may be used to inform future legislation. e oppor-
tunities provided by relationships with these new stakeholders
for the university and for the students were obvious. Suddenly,
yogurt companies and engineering rms were seeing a whole new
relevance for the university’s work. Chief executive ocers began
asking if they could speak to a class on family policy.
8. Personal growth and transformation. e radical passion
that drives a faculty member to investigate and facilitate commu-
nity collaboration is a deep desire to better understand the world,
and a deep commitment to making personal transformation
through discovery. e faculty member must also ask: “What’s in
this for me?” “Will it further my passion?” “Will it feed my desire
for altruism?” “Will it give me a legacy?” “Will it alleviate my aca-
demic homeostasis?” In a reactive and radical approach to engaged
scholarship, faculty members should measure their personal trans-
formation and growth.
e researcher was a part of all of the previous examples men-
tioned in this article over the past four years. e result has been
that instead of coming to a new university and being isolated in the
A Reactive, Radical Approach to Engaged Scholar ship 99
cold connes of the ivory tower, the researcher developed friends,
collaborators, and trusted condants in the worlds of business,
in politics, in the researcher’s chosen eld of human service, and
across the campus.
Radical outreach and reactive engagement has allowed the
researcher to help prisoners stay out of jail; be a founder of a parent
resource center and student laboratory; to co-write legislation that
has made children safer and more secure; to be a columnist and a
frequent media guest; and, most importantly, to see how research
can make a dierence in people’s lives. However, best of all, this
approach has led to great stories, wonderful collaborators, and real
world research to share with my students, to engage them with, and
to arouse their passion to radical outreach and reactive engagement.
Conclusion
A reactive and radical approach to engaged scholarship changes
the community, academic institution, researcher, and students. It
breaks down the barriers that exist between research and action. It
builds trust, loyalty, and lasting relationships between stakeholders
and the university. It transforms the researcher into a meaningful
social changer.
Reactive engagement and radical outreach oer a clear path
for engaged faculty members to become more relevant to the com-
munities with which they are partnering. It allows institutions to
become more visible and useful to their constituencies. Finally, it
oers research projects that teach university students – through
immersion – ethics, values, and collaborative and critical thinking
skills.
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About the Author
Malcolm Smith is the Family Life and Family Policy Specialist
at the University of New Hampshire Cooperative Extension. He
is also an Associate Extension Professor in the Department of
Family Studies who is active in research about bullying and peer
victimization in children; work and family life issues; reduction
of criminogenic factors among inmate populations; and the
science of outreach and engagement. He earned his bachelor’s
degree in Education and Communication Arts from Washburn
University, his master’s degree in Education from Minnesota
State University, and his Ph.D. in Family Studies and Human
Services from Kansas State University.
... Or, l'utilisation de ce type d'intervention est controversée. Les recherches sur le sujet ont révélé que ces interventions peuvent engendrer diverses conséquences négatives autant pour les jeunes que pour les éducateurs, telles que des blessures physiques, la retraumatisation, ainsi qu'un affaiblissement de leur relation thérapeutique (Day, 2002;Smith et Bowman, 2009). Plus important encore, aucun de ces deux types d'intervention ne s'est avéré efficace sur le plan thérapeutique (Day, 2002;Smith et Bowman, 2009). ...
... Les recherches sur le sujet ont révélé que ces interventions peuvent engendrer diverses conséquences négatives autant pour les jeunes que pour les éducateurs, telles que des blessures physiques, la retraumatisation, ainsi qu'un affaiblissement de leur relation thérapeutique (Day, 2002;Smith et Bowman, 2009). Plus important encore, aucun de ces deux types d'intervention ne s'est avéré efficace sur le plan thérapeutique (Day, 2002;Smith et Bowman, 2009). Pour ajouter à ceci, les quelques études existantes sur l'utilisation de la contention ont montré que les éducateurs font parfois un usage inapproprié de cette pratique (par exemple, comme mesure disciplinaire au lieu d'une mesure de sécurité; Day, 2002). ...
... Or, l'utilisation de ce type d'intervention est controversée. Les recherches sur le sujet ont révélé que ces interventions peuvent engendrer diverses conséquences négatives autant pour les jeunes que pour les éducateurs, telles que des blessures physiques, la retraumatisation, ainsi qu'un affaiblissement de leur relation thérapeutique (Day, 2002;Smith et Bowman, 2009). Plus important encore, aucun de ces deux types d'intervention ne s'est avéré efficace sur le plan thérapeutique (Day, 2002;Smith et Bowman, 2009). ...
... Les recherches sur le sujet ont révélé que ces interventions peuvent engendrer diverses conséquences négatives autant pour les jeunes que pour les éducateurs, telles que des blessures physiques, la retraumatisation, ainsi qu'un affaiblissement de leur relation thérapeutique (Day, 2002;Smith et Bowman, 2009). Plus important encore, aucun de ces deux types d'intervention ne s'est avéré efficace sur le plan thérapeutique (Day, 2002;Smith et Bowman, 2009). Pour ajouter à ceci, les quelques études existantes sur l'utilisation de la contention ont montré que les éducateurs font parfois un usage inapproprié de cette pratique (par exemple, comme mesure disciplinaire au lieu d'une mesure de sécurité; Day, 2002). ...
... The use of R&S, however, is controversial. Most importantly, neither type of intervention has proven to be therapeutically effective (Day, 2002;Smith & Bowman, 2009). Moreover, scientists have linked the use of R&S in residential treatment centers to a variety of negative consequences for youths, such as physical injuries and distress and a weakening of their therapeutic relationship with residential workers (Day, 2002;Smith & Bowman, 2009). ...
... Most importantly, neither type of intervention has proven to be therapeutically effective (Day, 2002;Smith & Bowman, 2009). Moreover, scientists have linked the use of R&S in residential treatment centers to a variety of negative consequences for youths, such as physical injuries and distress and a weakening of their therapeutic relationship with residential workers (Day, 2002;Smith & Bowman, 2009). Furthermore, the few existing studies on the use of R&S in youth protection settings have shown that residential workers sometimes make inappropriate use of this practice (e.g., disciplinary measure instead of security measure; Day, 2002). ...
Article
Background Restraint and seclusion (R&S) are controversial methods of intervention aimed at protecting children from immediate harm in residential treatment centers (RTC). Previous studies have mainly focused on situational factors and youth characteristics to predict its use. Objectives This study sought to evaluate the role other potential predictors could play in the decision to use R&S, namely characteristics of residential workers and their perceived team climate. Methods For two months, a total of 132 residential workers from different RTC in the greater Montreal area completed weekly diaries of standardized questionnaires. Using an explanatory sequential design (i.e., mixed methods), this study aimed at exploring the role of residential workers’ characteristics (e.g., exposure to client aggression, stress and fatigue) and aspects of their perceived team climate (e.g., order and organization, communication and openness) as predictors of R&S use. Survey results were later also presented to four focus groups for discussion. Results Results indicated that exposure to verbal violence from youths was associated with the increased use of R&S. Meanwhile, perceived communication and openness were associated with lower rates of R&S use. Participants shared that repeated exposure to verbal violence diminished their level of tolerance while teamwork provided them with the emotional space needed to focus on the needs of youths and find alternatives to R&S. Conclusion This study sheds light on the complex role of human emotions in the decision to use of R&S. Specifically, intense momentary emotions during crisis interventions had a greater influence on the use R&S than chronic states, such as fatigue.
... Nor is restraint effective. Children in custody have said that they did not change their behaviour because of the threat of physical restraint (Gyateng, Moretti, May, & Turnbull, 2013); while the negative, damaging and even fatal consequences of restraint are well documented (Goldson & Coles, 2005;Howard League, 2011;Smith & Myers Bowman, 2009). Given the consistent over-representation of Black and minority ethnic boys in custodial settings, restraint practices have been highlighted as a particular problem for this group of children (Barn, Feilzer, & Hardwick, 2018). ...
... If it is not safe, if it heightens rather than diminishes the emotions and violent behaviour of children in incarceration and adversely affects adult professionals, if it does not teach anything then why do we continue to use it? Smith & Myers Bowman, 2009, p 80. ...
Article
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This article reports on a study of children's experiences of being physically restrained by staff in a range of custodial settings. The research was carried out in collaboration with a team of young researchers, and generated rich and insightful accounts of children's experiences of legitimised violence in the form of ‘restraint’. These lead us to reflect on whether this is a normal and justifiable feature of custody, or as oppressive and unacceptable to the extent that it represents a form of brutalisation, and an unnecessary, unjustifiable and repressive form of control, where the rights of children are routinely transgressed.
... Given the very nature of physical restraint, children who experience it are placed at greater risk of retraumatization and the development of comorbid psychopathology [13]. Children perceive being restrained as hostile and traumatizing and view the experience as detrimental to their relationships with staff [14,15]. ...
Article
Full-text available
The use of physical restraint in residential treatment programs for children remains highly controversial. Physically coercive techniques have the potential to worsen a child’s mental health condition, cause psychological trauma, and result in physical injury or even death. Numerous attempts have been made to reduce the use of physical restraint in institutions when children are deemed “out of control”, but no approach has eliminated its use altogether. In this review article, institutional incentives are discussed that make it difficult, if not impossible, for residential programs to stop restraining children. Staff are trained to respond to a dysregulated, aggressive child by staying actively engaged with them (interacting with them), a practice that runs counter to what is recommended by empirically supported treatments. The practice of disengagement, i.e., delaying interaction until the child has completely calmed down, combined with other clinical strategies described in this article, is a more effective alternative. There is no practical way to use disengagement in residential treatment, however, it is successfully used in family- and home-based treatment approaches. Family treatments have over 40 years of documented clinical efficacy with challenging youth and do not use physical restraint, but they are still relatively unknown to the public. The practice of restraining children must end, and family-based treatments offer an effective alternative to residential treatment. Children with serious mental health challenges deserve an opportunity to get better at home with the support of their own families before resorting to more invasive treatments that can harm them.
... Mechanical restraints have a long history as behavior modification and control tools (Bersot and Arrigo 2011;Finizio 1992). Incarcerated children associate fear, anger, and re-traumatization with the experience of being restrained, and there are emotional and behavioral post-restraint effects (Smith and Bowman 2009). Criminologists argue youth justice systems harm through imposed punitiveness and by undermining opportunities for rehabilitation and care (Goldson 2018). ...
Article
Full-text available
Using English prison inspectorate reports, the article presents an Ervine Goffman-inspired sociological discourse analysis of official political accounts about the living conditions of incarcerated children held in London’s Feltham prison. Through a close reading of inspection reports, we develop a critical window into their lived experiences in an exceptionally harmful UK prison regime. The construction of this prison estate conjures its dilapidation, unhygienic conditions, and endless social danger. The stigmatizing construction of the child prisoner intimates a pervasive culture of violence and bullying, resulting in their aversion to purposive activities. While, at first blush, prison inspectorate reporting is based on the policy of efficiency to ensure a safe and rehabilitative prison experience for youth, it is argued that the nature of the reporting of incarceration obviates a critique of the wider political fabric that custodial interventions will invariably reproduce. The Inspectorate operates within the state’s dominant class-stratified political ideology. The adoption of a generic labeling discourse in the reports minimizes the communication of harms inflicted on children by criminal ‘justice’ that can only worsen their wellbeing and reproduce the harmful intensity of their pre-existing marginality.
... These strategies represent trauma-informed approaches to care given that the priority is collaborating and working with young people, attempting to build skills that they can use beyond their time in care. This is especially important considering restraints can be used as a tool to control uncooperative youth rather than a means of ensuring environmental safety (Smith & Bowman, 2009). ...
Thesis
Full-text available
Trauma-informed care (TIC), an organizational framework aimed at creating healing environments to counteract the effects of trauma, has become an increasingly popular approach within the field of human services. Despite existing research evaluating the effectiveness of TIC in youth group home settings, the direct perspectives of Child and Youth-Care (CYC) Counsellors with this approach remain limited. In the current study, 10 CYC Counsellors in Alberta were interviewed to better understand how they experience TIC in group homes, including barriers and facilitators to implementation. Using Constructivist Grounded Theory methodology in concert with Thematic Analysis, four major themes emerged from the data. Findings indicate that TIC is enacted by CYC Counsellors through a series of processes that begin with an overarching need for connection and safety at all levels of the organization (with leadership, their team, and youth). Only when connection and safety have been established can they then begin to acquire trauma-informed knowledge, develop the appropriate mindset, and perform the trauma-informed behaviours required to enact TIC completely. Recommendations include providing CYC Counsellors with opportunities to have their perspectives and experiences included in the development of organizational policies and practice procedures, structuring TIC training so that CYC Counsellors are guided by experienced professionals, and balancing expectations for care with sufficient resources to enact TIC.
... Though restraints are intended to prevent youth from harming themselves or others, restraints are not without consequences for youth. Children perceive being restrained as hostile and traumatizing (Smith and Bowman 2009), and children report that restraints bring about intense feelings of shame, discomfort, and anger (Vishnivetsky et al. 2013). These emotional reactions are detrimental to the therapeutic process and their relationship with staff (Chun et al. 2016a). ...
Article
Full-text available
Background The restraining of children is a pervasive but controversial practice that has resulted in the injury and death of children. Despite this threat of harm, little research has explored what factors contribute to the risk of a child becoming injured during a restraint event. Objective This study examined multiple child and restraint factors to better understand what predicts the injury of a child during a restraint event. Methods Longitudinal data (794 youth, 13,339 restraint events) from six residential treatment centers in the Midwest were utilized to predict injury associated with restraint using nested hierarchical logistic regression models. Results Injuries to the child are a frequent outcome following the use of restraints on a child. Findings show that a child being male and older contributed to the likelihood of an injury, but the race of the child did not predict injury. In addition, three physical hold types—prone, supine, and settle—were associated with a greater likelihood of injury. Conclusions Results suggest those who use restraints on children should reevaluate their behavior management plans to reduce their risk of hurting children by restraints. Eliminating or greatly reducing the use of prone, supine, and settle holds will likely lead to a drop in injuries of children.
... The use of physical restraints with troubled youth is controversial, however (Mullen 2000; Nunno et al. 2006;Smith and Bowman 2009). Indeed, there are "frequently raised concerns about the risk of severe physical and psychological injury and death when restraints are used on children" (Nunno et al. 2006(Nunno et al. : 1334; see also Delaney 2006;LeBel et al. 2010). ...
Article
Full-text available
In this case study of neoliberal responsibilization (Garland 1996), I used grounded theory methods to explore practitioners’ experiences of Therapeutic Crisis Intervention at a for-profit, violence-prevention, group home for troubled youth. While previous research has shown that responsibilization can create spaces for on-the-ground resistance to post-welfarism and the reemergence of rehabilitative practices, this study shows that it can also lead to irresponsibly dangerous practices. As a result of this analysis, I introduce the concept of “slumcare” to capture a broad array of egregiously substandard behavioral-healthcare interventions that are provided throughout the United States in the name of crime prevention. While systemic endangerment is just one illustration of “slumcare,” I contend that three interrelated processes—priority corruption, a paper trail of propriety, and the evasion of criticism—explain how the neoliberal state enables a host of “slumcare practices”—including systemic endangerment—to persist beyond the walls of this particular site.
... Finally, in qualitative studies, a sense of parenting at a distance (i.e., duality between parental role and distance required to manage problematic behaviors), the pressures for consistency, the desire for balance between control and connection, the desire for normality, the inconsistent nature of the relationships with youth (McLean, 2015), the negative perception of safety, and the perception of noncompliance of the youth were dynamics reported by staff as influencing the use of restraint (M. L. Smith & Bowman, 2009). ...
Article
Children placed in residential treatment centers (RTCs) typically present challenging behavior including aggression. In this context, restraint and seclusion (R&S) are seen as “last resort” strategies for educators to manage youth aggression. The use of R&S is controversial, as they can lead to psychological and physical consequences for both the client and the care provider and have yet to be empirically validated as therapeutic. The objectives of this systematic review are to identify the factors related to R&S use in RTCs for youth and to review the interventions aiming to reduce the use of R&S. The identification of these factors is the first step to gaining a better understanding of the decision-making process leading to the use of R&S and ultimately to reducing the use of these strategies to a minimum. Thus, the present systematic review was conducted by searching PubMed, CINAHL, ERIC, and PsycNET for articles published between 2002 and 2017. Key words used were synonyms of R&S, youth, and RTCs. Thirty-one studies met the inclusion criteria: must report on factors affecting the use of R&S in RTCs, must be conducted in RTCs for youth under the age of 21, and must report on original and empirical data. Factors related to the characteristics of the client, the care provider, and the environment, as well as to the implementation of programs for the reduction of R&S, were found to influence the use of R&S in RTCs. A conceptual model is presented. The implementation of programs to reduce R&S use is discussed.
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This article summarizes discussions held by 23 scholars from research universities in the USA, who are committed to civic and community engaged scholarship and working to advance this work on their campuses and in their communities. This meeting was second in a series first convened by Campus Compact and Tufts University to advance civic engagement within research institutions. This statement, endorsed by the entire group, focuses on opportunities and challenges in four critical areas: engaged scholarship; scholarship focused on civic and community engagement; educating students for civic and community engagement; institutionalization. It identifies challenges to establishing and sustaining engaged scholarship presented by research university contexts, and offers a vision for fully engaged institutions, calling on colleagues to embrace this vision and work to bring it about.
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Feminist action research is a promising, though under-developed, research approach for advancing women"s health and social justice agendas. In this article the foundations, principles, dimensions, promises, and challenges of engaging in feminist action research are explored.
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The current emphasis on educating children in the least restrictive environment has resulted in the use of physical restraint procedures across all educational placement settings, including public schools. Since its initial use, restraint has been controversial. Professionals who use physical restraint claim that it is necessary to safely manage dangerous behaviors. Child advocates, however, argue that far too many children suffer injury and death from the very staff charged with helping them. The authors review research literature, legislation, and court decisions on topics related to the use of restraint in schools and identify position statements and recommended practices from nationally recognized professional organizations and advocacy groups. Recommendations are given for research, policy, and procedures for the use and practice of physical restraint in schools.
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