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Communication-based intervention for problem behavior: a user's guide for producing positive change
- Authors:
- CARR Edward G., et al
- Publisher:
- Paul H. Brookes
- Publication year:
- 1994
- Pagination:
- 274p.,bibliog.
- Place of publication:
- Baltimore, MD
Step by step guide to innovative methods for managing problem behaviour in people with learning difficulties, or with mental health problems. Contains chapters on: crisis management and functional assessment; the core intervention; and additional procedures and programming for generalisation and maintenance.
You don't know what it's like: finding ways of building relationships with people with severe learning disabilities, autistic spectrum disorder and other impairments
- Authors:
- CALDWELL Phoebe, HOUGHTON Matt
- Publisher:
- Pavilion
- Publication year:
- 2000
- Pagination:
- 117p.
- Place of publication:
- Brighton
Drawing upon her extensive experience, the author illustrates methods of communication and helps readers and staff to set aside their own sense of what ‘reality’ is. This enables them to enter the worlds of others who are struggling to interpret and respond to sets of sensory perceptions different to those we experience in our ‘normal’ world. The key approach in this book is to work creatively, based on an understanding of what a person is experiencing and what it is their behaviour is trying to tell us. The text raises questions about what messages an individual is getting from the world they live in and which of these has meaning for them.
Language impairment in dementia: impact on symptoms and care needs in residential homes
- Authors:
- POTKINS Dawn, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 18(11), November 2003, pp.1002-1006.
- Publisher:
- Wiley
Impairment of language skills affects the level of functioning of an individual, interferes with effective communication and can result in development of disruptive behaviour. Social skills and capacity for self care may be compromised. Few studies have evaluated the impact of language problems on symptoms and socialization in people with dementia in care environments. 315 elderly residents with dementia (29% living in nursing homes, 71% in social care facilities) were assessed using standardized psychiatric schedules including the Sheffield Screening Test for Acquired Language Disorders and Neuropsychiatric Inventory. Dementia Care Mapping was undertaken at random in at least 50% of residents in each facility. Expressive language impairment was associated with the presence of delusions even when severity of dementia was controlled for (p=0.02) and showed a tendency of association with depression (p=0.06). Receptive language difficulties were strongly associated with presence of Aberrant Motor Behaviour, even controlling for severity of dementia (p=0.04). Decreased participation in social activities was correlated with both expressive (p=0.048) and receptive aspects of language (p<0.01) but social withdrawal was only correlated with receptive language difficulties (p=0.01). Language disorders are associated with both behavioural and psychological symptoms of dementia even when severity of dementia is controlled for. Patients' needs in communication skills should be addressed earlier to help them maintain social interactions and reduce the impact on behavioural problems and patients' quality of life.
Challenging behaviour and cerebral palsy
- Author:
- PIMM Paul
- Publisher:
- SCOPE
- Publication year:
- 1997
- Pagination:
- 27p.bibliog.
- Place of publication:
- London
This booklet is a basic introduction with a view to providing a greater understanding of challenging behaviour particularly as it relates to adults with cerebral palsy. Some broad strategies for managing challenging behaviour are discussed. Contents include: personal risk factors in cerebral palsy; reasons for challenging behaviour; management of challenging behaviour in cerebral palsy; post assessment; some key learning points; the pharmacological approach.