Regulatory Barriers to the Use of Time Out in Child Inpatient Units: Interference With Effective Treatment?

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I read with interest the article “Behavior Modification Is Associated With Reduced Psychotropic Medication Use in Children With Aggression in Inpatient Treatment: A Retrospective Cohort Study” by Carlson et al.,1 and I believe it raises important developmental questions regarding the application of adult criteria for seclusion and restraint (S/R) management to time out (T/O) procedures on child psychiatric inpatient units and the reliance on verbal de-escalation options to address behavioral crises with this patient population.

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