 Stress and Fatigue on Educators in Residential Treatment Centres: How does this impact restraint & seclusion? 
Restraints and seclusions (R&S) in youth residential treatment centers (RTCs) are used regularly even though their use is controversial. Although R&S are meant to be used within a legal framework, their application in the day-to-day operations can be influenced by the caregiver’s stress and fatigue. Considering the physical and psychological iatrogenic effects of R&S for both youth and educators, it is highly relevant to widen the current knowledge on the matter. Our objective was to examine, via a prospective longitudinal design, the associative links between the level of perceived stress, acute fatigue, chronic fatigue and intershift recovery on the use of R&S in youth RTCs. Our sample of 155 educators working in RTCs completed eight weekly diaries and cross-lagged analyses were conducted. None of the hypothesis were confirmed. However, results showed that the educator’s stress was negatively associated with R&S at a later time. Moreover, the use of R&S was positively associated with acute fatigue, negatively with recovery and positively with a subsequent use of R&S.