The clinical management and prevention of pica: a retrospective follow-up of 41 individuals with intellectual disabilities and pica

Authors:
WILLIAMS Don E., et al
Journal article citation:
Journal of Applied Research in Intellectual Disabilities, 22(2), March 2009, pp.210-215.
Publisher:
Wiley

Pica is a very dangerous form of self-injurious behaviour because one occurrence can be lethal. This study describes an intervention for people with intellectual disabilities and pica that included comprehensive management of the environment as well as behaviour treatment over a 9-year period. Over a 9-year period, nine surgeries for pica-related incidents occurred prior to intervention; over the 9 years of intervention, pica surgeries were eliminated. Eighty-five percent of participants experienced a 75–100% reduction in pica. Sixteen participants still had restrictive procedures including oral hygiene, overcorrection, contingent personal restraint, contingent mechanical restraint and visual screening with goggles. All continuous mechanical restraint that had been used in baseline was eliminated. People with intellectual disabilities and dangerous pica can be protected on a long-term basis from serious harm if proper management and clinical interventions are both employed. Although restrictive interventions were used on a long-term basis, they were contingent upon a pica incident or pica attempts, which occurred much lower than in baseline sessions. Resident rights were protected throughout the intervention.

Subject terms:
intervention, learning disabilities, behaviour modification, challenging behaviour;
Content type:
research
Link:
Journal home page
ISSN online:
1468-3148
ISSN print:
1360-2322

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