Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
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TY - JOUR
T1 - Treatment and management of challenging behaviours (CB) in congregate and non-congregate community accommadation.
AU - Robertson, Janet M.
AU - Emerson, Eric
AU - Felce, David
AU - Meek, Andrea
AU - Carr, D.
AU - Knapp, Martin
AU - Hallam, Angela
PY - 2004/6
Y1 - 2004/6
N2 - Aim: To compare the nature and use of procedures employed to treat and manage CB in community settings for people with intellectual disabilities and severe CB: non-congregate settings where the minority of residents have CB and congregate settings where the majority have CB. Method: Longitudinal matched groups (n = 25) design. Outcome measures: the nature and prevalence of use of procedures used to treat and manage CB, observed and reported severity of CB. Results: Both types of setting was associated with low prevalence of use of behavioural technologies for the reduction of CB (>15% of residents). High proportions received anti-psychotic medication in non-congregate (56%) and congregate (80%) settings. Congregate settings were associated with the increased use of physical restraint as a reactive management strategy (50+% of residents received physical restraint by two or more members of staff). Change over time in reported and observed CB was slight but suggested better outcomes were associated with non-congregate settings. Conclusions: The use of evidence-based behavioural technologies for the reduction of CB in the place of anti-psychotic medication may have led to better outcome.
AB - Aim: To compare the nature and use of procedures employed to treat and manage CB in community settings for people with intellectual disabilities and severe CB: non-congregate settings where the minority of residents have CB and congregate settings where the majority have CB. Method: Longitudinal matched groups (n = 25) design. Outcome measures: the nature and prevalence of use of procedures used to treat and manage CB, observed and reported severity of CB. Results: Both types of setting was associated with low prevalence of use of behavioural technologies for the reduction of CB (>15% of residents). High proportions received anti-psychotic medication in non-congregate (56%) and congregate (80%) settings. Congregate settings were associated with the increased use of physical restraint as a reactive management strategy (50+% of residents received physical restraint by two or more members of staff). Change over time in reported and observed CB was slight but suggested better outcomes were associated with non-congregate settings. Conclusions: The use of evidence-based behavioural technologies for the reduction of CB in the place of anti-psychotic medication may have led to better outcome.
U2 - 10.1111/j.1365-2788.2004.t01-1-00609.x
DO - 10.1111/j.1365-2788.2004.t01-1-00609.x
M3 - Journal article
VL - 48
SP - 415
EP - 415
JO - Journal of Intellectual Disability Research
JF - Journal of Intellectual Disability Research
SN - 0964-2633
IS - 4-5
ER -