Search results for ‘Subject term:"challenging behaviour"’ Sort:
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A systematic review of quality of life measures for people with intellectual disabilities and challenging behaviours
- Authors:
- TOWNSEND-WHITE C., PHAM A.N.T., VASSOS M.V.
- Journal article citation:
- Journal of Intellectual Disability Research, 56(3), March 2012, pp.270-284.
- Publisher:
- Wiley
Six of the twenty-four quality of life instruments identified, were considered to be psychometrically sound and were assessed against 24 criteria developed from the consumer outcome measurement literature. None of the instruments were specifically developed for use with people with intellectual disability. One scale, the Multifaceted Lifestyle Satisfaction Scale, performed well in most respects but suffered from a lack of replication; a criticism applied to all of the instruments studied in detail. The need for further development and validation of quality of life measures for use with people who display challenging behaviour, or have intellectual disabilities, is emphasised.
A healthy dialogue: challenging the 'psycho-medical monologue' in services for people with challenging behaviours
- Author:
- GOBLE Colin
- Journal article citation:
- Changes an International Journal of Psychology and Psychotherapy, 16(4), Winter 1998, pp.287-293.
This paper explores the transformative potential of dialogue-based approaches in services for people with learning difficulties and challenging behaviours, and the necessity of challenging 'psycho-medical' discourses and culture.
The influence of staff training on challenging behaviour in individuals with intellectual disability: a review
- Authors:
- COX Alison D., DUBE Charmayne, TEMPLE Beverley
- Journal article citation:
- Journal of Intellectual Disabilities, 19(1), 2015, pp.69-82.
- Publisher:
- Sage
- Place of publication:
- London
Many individuals with intellectual disability engage in challenging behaviour. This can significantly limit quality of life and also negatively impact caregivers (e.g., direct care staff, family caregivers and teachers). Fortunately, efficacious staff training may alleviate some negative side effects of client challenging behaviour. Currently, a systematic review of studies evaluating whether staff training influences client challenging behaviour has not been conducted. The purpose of this article was to identify emerging patterns, knowledge gaps and make recommendations for future research on this topic. The literature search resulted in a total of 19 studies that met our inclusion criteria. Articles were separated into four staff training categories. Studies varied across sample size, support staff involved in training, study design, training duration and data collection strategy. A small sample size (n = 19) and few replication studies, alongside several other procedural limitations prohibited the identification of a best practice training approach. (Publisher abstract)
Positive goals for positive behavioural support: interventions to improve the quality of life for people with learning disabilities whose behaviour challenges
- Authors:
- FOX Peter, EMERSON Eric
- Publisher:
- Pavilion
- Publication year:
- 2010
- Pagination:
- 80p., CD ROM
- Place of publication:
- Brighton
This resource is written to help with the selection and evaluation of outcomes of intervention for people with learning disabilities whose behaviour presents challenges for services. The authors cover a range of potential outcomes, enabling selection of those which are most relevant in order to evaluate progress towards achieving those outcomes. They look at both the personal and social consequences of the person's challenging behaviour and the effect of interventions on these quality of life factors, rather than simply focusing on attempting to reduce the challenging behaviour itself. The book is designed to act as an addition to existing assessment and intervention processes and documentation, and can be adapted to suit individual circumstances. Sections include: positive goals and positive behavioural support (PBS); development of positive goals; and how to use positive goals. It is aimed at carers, clinical psychologists, psychiatrists, behaviour therapists, community learning disability nurses, social workers, care managers, members of community learning disability teams and members of challenging behaviour teams. The resource is presented in ring-bound format with a CD-rom containing video clips and photo stories.
Neuropsychiatric symptoms and quality of life in patients in the final phase of dementia
- Authors:
- KOOPMANS Raymond T. C. M., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 24(1), January 2009, pp.25-32.
- Publisher:
- Wiley
This study aimed to assess neuropsychiatric symptoms and quality of life in a group of patients in the final phase of dementia. All patients with dementia (n = 216) residing on dementia special care units of two Dutch nursing homes were included in the study provided they met the criteria for the final phase of dementia. Neuropsychiatric symptoms were assessed with the Neuropsychiatric Inventory Nursing Home version (NPI-NH) and the Cohen Mansfield Agitation Inventory (CMAI). Quality of life was assessed with the QUALIDEM. Of the 216 dementia patients 39 met the criteria for the final phase of dementia. The patients showed a specific pattern of behaviours with a high prevalence of apathy, agitation and behaviours that were mainly observed during morning care such as making strange noises, grabbing, performing repetitious mannerism, spitting, hitting, screaming and pushing. Overall quality of life of these patients in the final phase of dementia was moderate. In this small sample, patients in the final phase of dementia show specific behavioural problems, that mainly should be addressed with psychosocial interventions.
Moral positioning: service user experiences of challenging behaviour in learning disability services
- Author:
- STEVENS Martin
- Journal article citation:
- British Journal of Social Work, 36(6), September 2006, pp.955-978.
- Publisher:
- Oxford University Press
Several studies have indicated the importance of challenging behaviour as a limiting factor on quality of life. This article presents the findings of research that aimed to investigate adults with learning disabilities’ understanding and experiences of what is perceived by staff and services to be challenging behaviour. This study was the final phase of research involving Interviews, group discussions and observations were carried out with twenty-six people with learning disabilities using social services’ residential and day services. Participants were able to articulate complex responses about challenging behaviour, which is characterized as a ‘moral web’: a complex network of antecedents, behaviours and consequences. Social care staff were seen by participants to play a key role: protecting people and ensuring that appropriate (negative) consequences were suffered by instigators of challenging behaviour. These findings are interpreted within a positioning theory perspective, suggesting the importance of understanding the ways that challenging behaviour is constructed through social interaction. Implications in the following areas are discussed: developing practice; the role of social care staff; and the study of challenging behaviour as a social phenomenon.
Stimulating the senses
- Authors:
- HAMILL Louise, SULLIVAN Barbara
- Journal article citation:
- Journal of Dementia Care, 13(6), November 2005, pp.37-39.
- Publisher:
- Hawker
The authors report on a study of the effects of different types of sensory stimulation on people with dementia. Sixteen participants took part in the study in a nursing home in London. The first five sessions focused on individual senses of hearing, touch, smell and sight. The final session was a multi-sensory session. The study found that even people with severe dementia benefited from the sessions. However the improvement was not maintained after the sessions, which indicates the need for ongoing sensory stimulation.
Evaluation of a community facility for people with learning disabilities and behaviour disorder (challenging behaviour)
- Authors:
- ROY Meera, et al
- Journal article citation:
- British Journal of Learning Disabilities, 22(1), 1994, pp.11-17.
- Publisher:
- Wiley
As part of a resettlement programme in the West Midlands, three young men with learning disabilities and behaviour disorder moved to a flat in the community providing one-to-one staffing. A fourth man received respite care. A multi-professional team evaluated various aspects of their care and found that they showed an increase in engaged behaviour, a decrease in disturbed behaviour and violent incidents, and required less psychotropic medication.
MIETS: a service option for people with mild mental handicaps and challenging behaviour or psychiatric problems. 2: Assessment, treatment and outcomes for service users and service effectiveness
- Authors:
- MURPHY Glynis, CLARE Isabel
- Journal article citation:
- Mental Handicap Research, 4(2), 1991, pp.180-206.
- Publisher:
- BIMH Publications
Describes the assessment and treatment programmes of two service users to illustrate the Mental Impairment Evaluation and Treatment Service approach, and gives details of the skill profiles which were used to plan their future placements. Data on the behavioural characteristics of MIETS users at pre-admission and discharge are also presented, together with a discussion of the difficulty of using such measures to evaluate service effectiveness.
The informal culture of a direct care staff team supporting people with intellectual disabilities who present with behaviours that challenge: commentary
- Author:
- BEADLE-BROWN Julie
- Journal article citation:
- Tizard Learning Disability Review, 26(3), 2021, pp.169-173.
- Publisher:
- Emerald
Design/methodology/approach: It provides a brief narrative review of the literature on the factors that determine the quality of life of people with intellectual disabilities, including the impact of culture. Findings: Key to ensuring good quality of life outcomes is support that is facilitative, enabling and empowering which can compensate for severity of disability and improve people’s experiences. This approach is called Active Support. Improving quality of life is a key part of preventing and responding to behaviours that challenge. Culture is an important factor in ensuring staff are motivated to work in such ways but is likely to be intertwined with many other factors. Originality/value: This paper summarises the key literature on what is needed to improve outcomes for people with intellectual disabilities. It introduces the importance of exploring how the different dimensions of culture interact and how culture, practice, processes and structures might work in a much more complex and intertwined fashion than previously conceptualised. (Edited publisher abstract)