Staff experiences of working with children and adolescents engaging in behaviours that challenge in mental health and paediatric inpatient environments: A qualitative exploratory study across four European countries

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dc.check.date2025-11-26en
dc.check.infoAccess to this article is restricted until 12 months after publication by request of the publisheren
dc.contributor.authorGoodwin, Johnen
dc.contributor.authorO'Malley, Mariaen
dc.contributor.authorO'Donovan, Aineen
dc.contributor.authorAllen, Stephanieen
dc.contributor.authorCurtin, Margareten
dc.contributor.authorGoulding, Ryanen
dc.contributor.authorGroen, Gunteren
dc.contributor.authorHeffernan, Sineaden
dc.contributor.authorIvanova, Svetlaen
dc.contributor.authorKorhonen, Joonasen
dc.contributor.authorJörns-Presentati, Astriden
dc.contributor.authorKostadinov, Kostadinen
dc.contributor.authorLalova, Valentinaen
dc.contributor.authorO'Mahony, Jamesen
dc.contributor.authorPetrova, Gerganaen
dc.contributor.authorVainio, Villeen
dc.contributor.authorLahti, Marien
dc.contributor.funderErasmus+en
dc.date.accessioned2024-12-17T09:25:54Z
dc.date.available2024-12-17T09:25:54Z
dc.date.issued2024-11-26en
dc.description.abstractThere has been a recent global increase in the number of young people experiencing mental health challenges in both child and adolescent mental health settings and acute paediatric settings. In many of these settings, restrictive practices are used to manage behaviours that challenge, such as aggression and violence. However, little is known about staff’s experiences with responding to behaviours that challenge in these settings. A qualitative descriptive design was adopted, with participants engaging in 1:1 interviews or focus groups in Ireland, Finland, Germany, and Bulgaria. Data were analysed using reflexive thematic analysis. Four themes were identified: (1) the importance of establishing a safe, therapeutic environment, (2) identified antecedents to behaviours that challenge, (3) how staff respond to behaviours that challenge, and (4) the needs of staff when maintaining a safe, therapeutic environment. Consideration needs to be given to the environments where young people are cared for, with an emphasis placed on safe, comfortable, therapeutic spaces to reduce behaviours that challenge. Staff should be better trained in trauma-informed practice, and both staff and service users should be provided with opportunities to de-brief following episodes of restrictive practices, with a focus on enhancing and maintaining therapeutic relationships.en
dc.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationGoodwin, J., O’Malley, M., O’Donovan, A., Allen, S., Curtin, M., Goulding, R., Groen, G., Heffernan, S., Ivanova, S., Korhonen, J., Jörns-Presentati, A., Kostadinov, K., Lalova, V., O’Mahony, J., Petrova, G., Vainioe, V. and Lahti, M. (2024) 'Staff experiences of working with children and adolescents engaging in behaviours that challenge in mental health and paediatric inpatient environments: A qualitative exploratory study across four European countries', Child Care in Practice. https://doi.org/10.1080/13575279.2024.2407085en
dc.identifier.doihttps://doi.org/10.1080/13575279.2024.2407085en
dc.identifier.eissn1476-489Xen
dc.identifier.issn1357-5279en
dc.identifier.urihttps://hdl.handle.net/10468/16725
dc.language.isoenen
dc.publisherTaylor & Francisen
dc.relation.ispartofChild Care in Practiceen
dc.relation.projectinfo:eu-repo/grantAgreement/EC/ERASMUS+::Partnerships for cooperation and exchanges of practices::Cooperation partnerships in higher education/2021-1-FI01-KA220-HED-000032106/EU/Caring violent child safely in child psychiatric and residential units/en
dc.rights© 2024, The Child Care in Practice Group. Published by Taylor & Francis. All rights reserved. This is an Accepted Manuscript of an article published by Taylor & Francis in Child Care in Practice on 26 November 2024, available online: https://doi.org/10.1080/13575279.2024.2407085en
dc.subjectAggressionen
dc.subjectChild and adolescent psychiatryen
dc.subjectDe-escalationen
dc.subjectRestrictive practicesen
dc.subjectTrauma-informed careen
dc.subjectViolenceen
dc.titleStaff experiences of working with children and adolescents engaging in behaviours that challenge in mental health and paediatric inpatient environments: A qualitative exploratory study across four European countriesen
dc.typeArticle (peer-reviewed)en
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