The Development and Implementation of Non-Violent Resistance in Child and Adolescent Residential Settings

Kirsten van Gink, Lieke van Domburgh, Lucres Jansen, Nick Goddard, Ron Ottenbros, Ber van der Stegen, Arne Popma, Robert Vermeiren

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Non-violent Resistance (NVR) is a method to manage child and adolescent aggressive behavior and to decrease parental helplessness. Although developed for a family setting, this paper describes the adaptation of NVR for child and adolescent residential settings, reports on the possible hampering and facilitating elements of implementing NVR in four different institutions and finally presents seclusion and restraint rates before and after implementation. Retrospective analysis of the different implementation processes suggested the following elements to facilitate implementation: awareness that NVR is not a quick fix, a considerable amount of time and financial investment, a team-wide perspective, support from all levels in an organization and influential team members committed to NVR to decrease the risk of falling back into more familiar patterns. Seclusion and restraint figures pre-post point in the direction that the implementation of an adapted version of NVR in residential settings could result in decreased seclusion and restraint. Furthermore, this decrease was most pronounced in sites with a successful implementation process. This observational study provides a starting point for an empirical basis for the use of NVR within child and adolescent residential settings. Further research on successful implementation processes for multi-level, milieu-based interventions, such as NVR, is required.
Original languageEnglish
JournalResidential Treatment for Children and Youth
DOIs
Publication statusPublished - 2019

Cite this

@article{274cc9ac76804a929ceaf4895520850e,
title = "The Development and Implementation of Non-Violent Resistance in Child and Adolescent Residential Settings",
abstract = "Non-violent Resistance (NVR) is a method to manage child and adolescent aggressive behavior and to decrease parental helplessness. Although developed for a family setting, this paper describes the adaptation of NVR for child and adolescent residential settings, reports on the possible hampering and facilitating elements of implementing NVR in four different institutions and finally presents seclusion and restraint rates before and after implementation. Retrospective analysis of the different implementation processes suggested the following elements to facilitate implementation: awareness that NVR is not a quick fix, a considerable amount of time and financial investment, a team-wide perspective, support from all levels in an organization and influential team members committed to NVR to decrease the risk of falling back into more familiar patterns. Seclusion and restraint figures pre-post point in the direction that the implementation of an adapted version of NVR in residential settings could result in decreased seclusion and restraint. Furthermore, this decrease was most pronounced in sites with a successful implementation process. This observational study provides a starting point for an empirical basis for the use of NVR within child and adolescent residential settings. Further research on successful implementation processes for multi-level, milieu-based interventions, such as NVR, is required.",
author = "{van Gink}, Kirsten and {van Domburgh}, Lieke and Lucres Jansen and Nick Goddard and Ron Ottenbros and {van der Stegen}, Ber and Arne Popma and Robert Vermeiren",
year = "2019",
doi = "10.1080/0886571X.2019.1590172",
language = "English",
journal = "Residential Treatment for Children and Youth",
issn = "0886-571X",
publisher = "Routledge",

}

The Development and Implementation of Non-Violent Resistance in Child and Adolescent Residential Settings. / van Gink, Kirsten; van Domburgh, Lieke; Jansen, Lucres; Goddard, Nick; Ottenbros, Ron; van der Stegen, Ber; Popma, Arne; Vermeiren, Robert.

In: Residential Treatment for Children and Youth, 2019.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - The Development and Implementation of Non-Violent Resistance in Child and Adolescent Residential Settings

AU - van Gink, Kirsten

AU - van Domburgh, Lieke

AU - Jansen, Lucres

AU - Goddard, Nick

AU - Ottenbros, Ron

AU - van der Stegen, Ber

AU - Popma, Arne

AU - Vermeiren, Robert

PY - 2019

Y1 - 2019

N2 - Non-violent Resistance (NVR) is a method to manage child and adolescent aggressive behavior and to decrease parental helplessness. Although developed for a family setting, this paper describes the adaptation of NVR for child and adolescent residential settings, reports on the possible hampering and facilitating elements of implementing NVR in four different institutions and finally presents seclusion and restraint rates before and after implementation. Retrospective analysis of the different implementation processes suggested the following elements to facilitate implementation: awareness that NVR is not a quick fix, a considerable amount of time and financial investment, a team-wide perspective, support from all levels in an organization and influential team members committed to NVR to decrease the risk of falling back into more familiar patterns. Seclusion and restraint figures pre-post point in the direction that the implementation of an adapted version of NVR in residential settings could result in decreased seclusion and restraint. Furthermore, this decrease was most pronounced in sites with a successful implementation process. This observational study provides a starting point for an empirical basis for the use of NVR within child and adolescent residential settings. Further research on successful implementation processes for multi-level, milieu-based interventions, such as NVR, is required.

AB - Non-violent Resistance (NVR) is a method to manage child and adolescent aggressive behavior and to decrease parental helplessness. Although developed for a family setting, this paper describes the adaptation of NVR for child and adolescent residential settings, reports on the possible hampering and facilitating elements of implementing NVR in four different institutions and finally presents seclusion and restraint rates before and after implementation. Retrospective analysis of the different implementation processes suggested the following elements to facilitate implementation: awareness that NVR is not a quick fix, a considerable amount of time and financial investment, a team-wide perspective, support from all levels in an organization and influential team members committed to NVR to decrease the risk of falling back into more familiar patterns. Seclusion and restraint figures pre-post point in the direction that the implementation of an adapted version of NVR in residential settings could result in decreased seclusion and restraint. Furthermore, this decrease was most pronounced in sites with a successful implementation process. This observational study provides a starting point for an empirical basis for the use of NVR within child and adolescent residential settings. Further research on successful implementation processes for multi-level, milieu-based interventions, such as NVR, is required.

UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85063909964&origin=inward

U2 - 10.1080/0886571X.2019.1590172

DO - 10.1080/0886571X.2019.1590172

M3 - Article

JO - Residential Treatment for Children and Youth

JF - Residential Treatment for Children and Youth

SN - 0886-571X

ER -