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An evaluation of staff training in positive behavioural support
- Authors:
- MacDONALD Anne, McGILL Peter, MURPHY Glynis
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 31(6), 2018, pp.1046-1061.
- Publisher:
- Wiley
Background: Positive Behavioural Support (PBS) has been shown to be effective in minimizing challenging behaviour and improving the lives of people with intellectual disabilities. Training in PBS is an important factor in achieving good coverage in the use of PBS. The aim of this study was to evaluate the impact of training managers of social care services in PBS. Method: A year‐long training programme in PBS was delivered to 50 managers of community‐based services for people with challenging behaviour. Data were collected pre‐ and post‐training, and at six month follow‐up. A non‐randomized control group design was used. Results: Data demonstrated significant reduction in challenging behaviour. However, there was no change in quality of life for service users. Conclusion: Training in PBS can reduce challenging behaviour in people with intellectual disabilities; demonstrating any impact of PBS training on quality of life remains a challenge. (Publisher abstract)
Physical interventions with people with intellectual disabilities: staff training and policy frameworks
- Authors:
- MURPHY Glynis, et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 16(2), June 2003, pp.115-125.
- Publisher:
- Wiley
Physical intervention or restraint with people who have intellectual disabilities is sometimes necessary, even though it is known to present dangers to both staff and service users (some service users have died as a result of restraint). This study aims to investigate the extent to which staff in intellectual disability services were trained in the use of physical interventions or restraint. Their views of a recent policy framework on physical interventions were also sought. There were three groups of participants: (i) group 1 included staff who had attended conferences on the Policy Framework (the conference sample); (ii) group 2 included staff from two geographical areas (the geographical sample); (iii) group 3 included staff in specialist assessment and treatment services (the SpAT sample). All participants were sent a questionnaire asking them about their training in (and use of) physical intervention methods and their opinions on the policy document. There were at least 12 different types of training recorded, including a number of varieties of Control and Restraint (C&R). By no means did all the senior staff did have training in physical intervention methods. The degree of training varied with the sample and the type of training varied with the employing organization. Most participants in group 1 were very positive about the BILD & NAS Policy Framework but few staff in groups 2 and 3 had read the document. About two-thirds of the participants said their services had (or were developing) a written policy on physical interventions. There remained a clear need for further training in physical interventions and evidence on which the effectiveness of different methods of physical interventions could be judged.
Physical interventions for people with intellectual disabilities: initial survey of training and evaluation of a policy framework
- Authors:
- MURPHY Glynis, KELLY-PIKE Amanda, McGILL Peter
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 14(4), 2001, pp.401-411.
- Publisher:
- Wiley
This article concerns an initial study of training in physical interventions amongst a group of senior staff and their views on a recent policy framework on physical interventions developed by the British Institute of Learning Disabilities (BILD) and National Autistic Society (NAS). All participants were sent a questionnaire asking them about their training in, and use of, physical intervention methods, and their opinions on the policy document. The participants came from a variety of services and were relatively well qualified and senior because of the way the sample was derived. Most participants were very positive about the BILD and NAS policy framework, and about two-thirds of the participants said that their services had, or were developing, a written policy on physical interventions. This group of staff, many of whom were trained in physical interventions, rated the BILD and NAS policy framework as very helpful. There remained a clear need for guidance with respect to the advantages and disadvantages of the many available methods, and an evidence base on which to judge the effectiveness of different methods of physical interventions.