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Self-injurious behaviour: a collection of published papers on prevalence, causes and treatment in people who are mentally handicapped or autistic
- Authors:
- MURPHY Glynis, WILSON Barbara
- Publisher:
- British Institute of Mental Handicap
- Publication year:
- 1985
- Pagination:
- 455p.,diags.,tables,illus.,bibli
- Place of publication:
- Wolverhampton
The NICE guidelines and quality standards on learning disabilities and behaviour that challenges
- Author:
- MURPHY Glynis
- Journal article citation:
- Tizard Learning Disability Review, 22(2), 2017, pp.71-81.
- Publisher:
- Emerald
This paper explains the process of developing the National Institute for Health and Care Excellence (NICE) guidelines on learning disabilities, covering the subject of 'behaviour that challenges'. The guidelines, which were published in May 2015, cover service user and carer experiences, assessment, risk factors and interventions for behaviour that challenges. The linked quality standards were published later in 2015. The final guidance is described in summary form, together with the quality standards. (Edited publisher abstract)
The chronicity of self-injurious behaviour: a long-term follow-up of a total population study
- Authors:
- TAYLOR Lorne, OLIVER Chris, MURPHY Glynis
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 24(2), March 2011, pp.105-117.
- Publisher:
- Wiley
Self-injury is common for people with intellectual disabilities, and is associated with various risk identifiers, such as degree of disability, sensory impairments, and autism. This study investigated the quality of life and changes in behaviour for a cohort of 49 people with intellectual disabilities and self-injurious behaviour (SIB) who were all part of a previous total population study conducted in the south of England. Findings revealed that 84% of the sample continued to self-injure nearly 20 years on, with no significant mean changes in severity. More people were receiving psychological treatment; more were also receiving anti-convulsant and anti-psychotic medications, though polypharmacy had reduced. The number of people accessing full-time day activities had decreased, with 44% of people only accessing structured daily activities for 2.5 days per week or less. The authors concluded that this study added to the growing evidence of extreme chronicity for SIB and the relative lack of impact of treatment for people in whom SIB was well-established. In ending, they highlight the importance of early intervention to help eliminate SIB.
Self-injurious behaviour: what do we know and where are we going
- Author:
- MURPHY Glynis
- Journal article citation:
- Tizard Learning Disability Review, 4(1), January 1999, pp.5-12.
- Publisher:
- Emerald
Self-injurious behaviour can become an intransigent difficulty, reduce people's quality of life and lead to hospital admissions or other restrictive outcomes. Over the last 15 years there have been some important developments in the treatment of severe self-injury, but the evidence is that these are making little impact on most people's lives. The reasons why this might be are discussed, and it is proposed that it is time for a radical new approach to interventions for self-injurious behaviour.