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Treatment and management of challenging behaviours (CB) in congregate and non-congregate community accommadation.

Robertson, Janet M. and Emerson, Eric and Felce, David and Meek, Andrea and Carr, D. and Knapp, Martin and Hallam, Angela (2004) Treatment and management of challenging behaviours (CB) in congregate and non-congregate community accommadation. Journal of Intellectual Disability Research, 48 (4-5). p. 415. ISSN 0964-2633

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Abstract

Aim: To compare the nature and use of procedures employed to treat and manage CB in community settings for people with intellectual disabilities and severe CB: non-congregate settings where the minority of residents have CB and congregate settings where the majority have CB. Method: Longitudinal matched groups (n = 25) design. Outcome measures: the nature and prevalence of use of procedures used to treat and manage CB, observed and reported severity of CB. Results: Both types of setting was associated with low prevalence of use of behavioural technologies for the reduction of CB (>15% of residents). High proportions received anti-psychotic medication in non-congregate (56%) and congregate (80%) settings. Congregate settings were associated with the increased use of physical restraint as a reactive management strategy (50+% of residents received physical restraint by two or more members of staff). Change over time in reported and observed CB was slight but suggested better outcomes were associated with non-congregate settings. Conclusions: The use of evidence-based behavioural technologies for the reduction of CB in the place of anti-psychotic medication may have led to better outcome.

Item Type: Article
Journal or Publication Title: Journal of Intellectual Disability Research
Subjects: R Medicine > R Medicine (General)
Departments: Faculty of Health and Medicine > Health Research
ID Code: 33071
Deposited By: Mr Richard Ingham
Deposited On: 26 Apr 2010 15:15
Refereed?: Yes
Published?: Published
Last Modified: 26 Jul 2012 17:21
Identification Number:
URI: http://eprints.lancs.ac.uk/id/eprint/33071

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