Care staff attributions toward self-injurious behaviour exhibited by adults                 with intellectual disabilities

Snow, Elizabeth; Langdon, Peter E.; Reynolds, Shirley

doi:10.1177/1744629507073998

Cited by 23 publications

(34 citation statements)

References 44 publications

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“…Both of these studies used a measure of the emotions associated with challenging behaviour but did not measure the actual level of challenging behaviour staff were exposed to. Snow, Langdon, and Reynolds (2007) interviewed 41 nurses working with people demonstrating self-injurious behaviour. Staff were interviewed about their attributional beliefs about two vignettes describing challenging behaviour, and completed the MBI (Maslach & Jackson, 1986).…”

Section: Quantitative Studiesmentioning

confidence: 99%

The relationship between challenging behaviour, burnout and cognitive variables in staff working with people who have intellectual disabilities

Mills

Rose

2011

J intellect Disabil Res

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OverviewThis thesis is submitted in partial fulfilment of the degree of Doctor of Clinical Psychology (Clin. Psy. D.) at the University of Birmingham. It is comprised of two volumes and includes a research study and reports of clinical work while on placement during clinical training.Volume I includes a literature review paper and an empirical paper. The literature review examines the literature on stress in staff who work with people with intellectual disabilities and challenging behaviour in order to address the question of whether there is an association between challenging behaviour and stress. The empirical paper follows on from the literature review in that it examines whether the relationship between challenging behaviour and staff burnout is for the instructions for authors). Finally, Volume I also contains a public domain briefing paper detailing the findings of the literature review and research study.Volume II includes five Clinical Practice Reports describing work completed on adult, child, learning disability and forensic placements. The reports describe a case study of a 59 year old woman with a mild learning disability presenting with generalized anxiety formulated from both cognitive and psychodynamic perspectives, a single-case experimental design study of a 10 year old boy with an autistic spectrum disorder and challenging behaviour where a behavioural intervention was implemented, a case study of a 13 year old boy with Obsessive Compulsive Disorder from a cognitive-behavioural perspective, a small scale service related research project exploring the barriers to implementing early warning signs work in a Community Mental Health Team setting, and an abstract providing a summary of an oral presentation of a 25 year old man with schizoaffective disorder in a medium secure forensic setting implementing a cognitive intervention. In order to ensure anonymity names and identifying information have been altered or omitted. AcknowledgementsFirstly I would like to thank all the participants who kindly took the time to complete the questionnaires for this study. I would also like to thank all the home managers and services I have liaised with who have been extremely helpful in the organisation of the study.

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Section: Quantitative Studiesmentioning

confidence: 99%

The relationship between challenging behaviour, burnout and cognitive variables in staff working with people who have intellectual disabilities

Mills

Rose

2011

J intellect Disabil Res

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“…However, groups involved in direct delivery indicated accurate interpretations of the functions of CB to impact positively on quality provision. This is consistent with the literature suggesting that accurate interpretation of behaviour is facilitative of positive outcomes for service users (Grey et al, 2002;Hastings, 1997Hastings, , 2002Hastings, , 2005Hastings & Remington, 1994;Lambrechts et al, 2009;McDonnell, 1997;Snow et al, 2007).…”

Section: Communication and Collaborationsupporting

confidence: 91%

“…This is supported by a number of authors (see Arthur-Kelly, 2006;Grey et al, 2002;Hastings, 1997Hastings, , 2002Hastings, , 2005Hastings & Remington, 1994;Lambrechts et al, 2009;McDonnell, 1997;Snow, Langdon, & Reynolds, 2007). Thus, interactions that are supportive of evidence based practices (described below) and individualised services which "support the person to achieve a good quality of life" (Department of Health (UK),…”

Section: Individualisationmentioning

confidence: 89%

“…With regard to CB, attributions are judgments about the cause of the behaviour, and beliefs are underlying cognitions about the behaviour, which may include causation (Snow et al, 2007). Staff beliefs and attributions are considered formative to the appropriateness of responses to CB (Grey et al, 2002;Lambrechts et al, 2009).…”

Section: Staff Attitudesmentioning

confidence: 99%

“…Specifically, attributing CB as internal to the client, rather than considering factors in the environment that serve as a catalyst for the behaviour, may facilitate an inappropriate response (Weigel, Langdon, Collins, & O'Brien, 2006). Incorrect attribution is reinforcing and maintaining of CB (Grey et al, 2002;Hastings, 1997Hastings, , 2002Hastings, , 2005Hastings & Remington, 1994;Lambrechts et al, 2009;McDonnell, 1997;Snow et al, 2007). Further, internal causations are significant contributors to staff stress (Allen, 1999;Hastings & Brown, 2002), which is further associated with less positive interactions and reduced frequency of interactions with service users (Hastings et al, 2004).…”

Section: Staff Attitudesmentioning

confidence: 99%

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A conceptual model of quality service provision for people with intellectual disability and challenging behaviours: Enhancement and enrichment through service user and other stakeholder consultation

Gatfield¹

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People with intellectual disability and challenging behaviour are one of the most disenfranchised groups in society. How they are supported through services has a primary role in changing this outcome. While legislation provides frameworks for quality service provision for people with disabilities, they do not identify the mechanisms specific to the cohort that can address this disenfranchisement. As such, it is paramount to develop an understanding of quality service provision specific to those with intellectual disability and challenging behaviour.To identify the factors required for quality service provision for people with ID and CB, a three-stage design incorporating participants from various stakeholder groups (n=7) was undertaken. Study one involved data collection from CEOs and managers (n=55) of service provider agencies using a Delphi study, and clinicians and senior practitioners (n=85) using survey methods. Study two incorporated interviews conducted with families/carers of service users (n=11), advocates (n=10), support workers (n=13) and supervisors (n=11) who had provided services to the cohort, complemented by survey data (n=102). Study three involved data collection with service users with intellectual disability and challenging behaviour (n=14) through focus groups.The results of this research led to the identification of processes and practices associated with and impacting on quality service provision that were not identified through the literature review. Further, it identified agents that are formative to the production of quality services.The outcome of this research is a model of quality service provision for the cohort that conceptualises quality as a continuous process and includes factors across sociopolitical systems that are formative to, and impacting on, quality service provision. The developed model has significant implications for service provider agencies, service user consultation, government, substitute decision making, and the National Disability Insurance Scheme.

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Staff Support and Development when Working with Sexual Offenders with Intellectual Disabilities

Mosher¹

2010

Assessment and Treatment of Sexual Offenders With Intellectual Disabilities

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Care staff attributions toward self-injurious behaviour exhibited by adults with intellectual disabilities

Cited by 23 publications

References 44 publications

The relationship between challenging behaviour, burnout and cognitive variables in staff working with people who have intellectual disabilities

The relationship between challenging behaviour, burnout and cognitive variables in staff working with people who have intellectual disabilities

A conceptual model of quality service provision for people with intellectual disability and challenging behaviours: Enhancement and enrichment through service user and other stakeholder consultation

Staff Support and Development when Working with Sexual Offenders with Intellectual Disabilities

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