Australian Psychiatrists and Trainee Psychiatrists’ Perceptions of Chemical Restraint of Adults with Intellectual Disability

Article

Edwards, Nicole, Franklin, Catherine, King, Julie and Watling, Hanna. 2024. "Australian Psychiatrists and Trainee Psychiatrists’ Perceptions of Chemical Restraint of Adults with Intellectual Disability." Journal of Mental Health Research in Intellectual Disabilities. 17 (1), pp. 65-77. https://doi.org/10.1080/19315864.2023.2192689
Article Title

Australian Psychiatrists and Trainee Psychiatrists’ Perceptions of Chemical Restraint of Adults with Intellectual Disability

ERA Journal ID124131
Article CategoryArticle
AuthorsEdwards, Nicole, Franklin, Catherine, King, Julie and Watling, Hanna
Journal TitleJournal of Mental Health Research in Intellectual Disabilities
Journal Citation17 (1), pp. 65-77
Number of Pages13
Year2024
PublisherTaylor & Francis
Place of PublicationUnited States
ISSN1931-5864
1931-5872
Digital Object Identifier (DOI)https://doi.org/10.1080/19315864.2023.2192689
Web Address (URL)https://www.tandfonline.com/doi/full/10.1080/19315864.2023.2192689
Abstract

Background: Psychiatrists prescribe the psychotropic medication that is used to manage behaviors of concern (BOC) in people with intellectual disability(ID) (i.e., chemical restraint), and their attitudes and perceptions towards this treatment are important topics for study.
Methods: 133 Queensland psychiatrists and psychiatry trainees
completed a survey on attitudes and perceptions of ID and
psychotropic medication. Exploratory cluster analysis was performed on 14 Likert items from this survey to detect groupings within the data.
Results: Cluster analysis indicated the existence of two distinct clusters. While both groups were willing to be involved in the treatment of adults with ID, Cluster 1 held attitudes that showed inconsistencies with human rights principles and with international guidelines regarding psychotropic medication use for BOC.
Conclusions: Our study highlights that the attitudes and perceptions of a significant subgroup of psychiatrists may contribute to the overprescribing of psychotropics for BOC.

KeywordsChemical restraint; intellectual disability; behaviours of concern; psychiatrists; prescribing attitudes
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 20203299. Other biomedical and clinical sciences
Byline AffiliationsQueensland University of Technology
University of Queensland
Mater Hospitals, Australia
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