Carlson GA, Chua J, Pan K, Hasan T, Bied A, Martin A, Klein DN. Dr. Carlson et al. Reply.
J Am Acad Child Adolesc Psychiatry 2020;
59:684-685. [PMID:
32471590 DOI:
10.1016/j.jaac.2020.01.020]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/19/2019] [Accepted: 01/23/2020] [Indexed: 11/17/2022]
Abstract
We appreciate the thoughtful and supportive comments from Dr. Masters1 and agree that coercive parent-child relationships were often what was addressed and modified during hospitalization. Lowering seclusion and restraint rates by prohibiting them, without lowering rates of aggression, is not the desired outcome. As we noted in our paper, evidence-based treatments are sorely needed for young children whose severe and destructive outbursts get them psychiatrically hospitalized.
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