Challenging behaviour: the effectiveness of specialist support teams

Lowe, Kathy; Felce, David John; Blackman, Derek

doi:10.1111/j.1365-2788.1996.tb00639.x

Cited by 44 publications

(46 citation statements)

References 8 publications

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“…Here, however, we note the limited evidence of impact in the Minnis and Devine study (2001, p. 47) at 9 months, and suggest that there are no proven predictors of appropriate time lapse (see Lowe et al 1996). Various possible explanations can be offered.…”

Section: Discussionmentioning

confidence: 58%

“…For example, Lowe et al (1996), in their evaluation of peripatetic specialist challenging behaviour teams for people with learning disabilities, found that carers' assessments of presenting behaviours altered positively, in the absence of any observed evidence of behavioural improvement. Carers' ability to cope is fundamental to placement maintenance or breakdown, regardless of behavioural change.…”

Section: Discussionmentioning

confidence: 99%

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Training foster carers in challenging behaviour: a case study in disappointment?

Pithouse

Hill-Tout

Lowe

2002

Child & Family Social Work

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2001), published as we completed our own study, which found no clear evidence of the impact of a carer training programme on foster children's emotional and behavioural functioning. Our enquiry lends support to their valuable findings; however, our research design differs in many respects and will reveal different insights into this complex field. We return to Minnis and Devine later but first we set out the parameters of our own investigation, which recognized that challenging behaviour is not a single entity and that training in this field cannot be made to fit all needs. In this regard it was important to embark on our research with a clear grasp of the sorts of difficulties typically encountered in the research setting in question. Hence, some initial profiling of current problems was needed early on to examine if the sample contained predefined clinical characteristics or whether challenging behaviour was more a matter of professional judgement by staff and carers. It soon became clear that most children so defined were not the subject of clinical definition and thus it became important to apply a checklist in order to identify the study population. Our checklist assumed a wide and multiple range of challenging behaviours such as absconding, theft, self-harm, violence, attention deficit and hyperactivity disorders A B S T R AC T This paper sets out key features of a semi-experimental investigation conducted between March 1999 and April 2001 into the impact of training foster carers in techniques to manage challenging behaviour.We identified a sample of children (n = 103) in foster care in four authorities in South Wales who were selected by a checklist as showing behaviours that could be defined as challenging. From this search procedure we identified their foster carers (n = 106) and created a training intervention group for 53 carers looking after 49 children and a non-intervention comparison group of 53 carers looking after 54 children. Both groups of carers were interviewed using a range of measures before and after the delivery of the training in order to identify any changes they perceived in the conduct of children and changes they perceived in their own capacities as carers. The training was delivered in small groups and evaluative feedback was gathered from carers and from training officers in those agencies that participated in the study. The results suggested that training, as designed and delivered in this study, had limited impact on child conduct and carer capacity. The reasons for this are discussed in light of selected findings. We spend some time on describing our methods in order to expose our approach to the critical scrutiny of readers, whose views would be welcome as we make our future research plans in this field.

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Section: Discussionmentioning

confidence: 58%

Section: Discussionmentioning

confidence: 99%

Training foster carers in challenging behaviour: a case study in disappointment?

Pithouse

Hill-Tout

Lowe

2002

Child & Family Social Work

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“…They found that 75% of 134 interventions resulted in improvements in behavior. A case-control study (9) compared outcomes of 14 individuals who received specialist intervention by a "peripatetic" multidisciplinary team with a randomly selected group of 12 individuals who received standard care. The intervention comprised individualized assessment and management plans.…”

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confidence: 99%

Randomized, Single-Blind, Controlled Trial of a Specialist Behavior Therapy Team for Challenging Behavior in Adults With Intellectual Disabilities

Hassiotis¹,

Robotham²,

Canagasabey³

et al. 2009

AJP

132

112

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“…As noted by Stancliffe et al (1999a), "specialist community behavior support teams are of limited effectiveness if nonspecialist ID services are ineffective in day-today management of challenging behavior'' (p. 482). Research on the impact of specialist teams, which exist in the United Kingdom and to some (unknown) extent in the United States, has been mixed, variable across teams, and not entirely encouraging (Emerson & Forrest, 1996;Lowe, Felce, & Blackman, 1996). Emerson and Forrest (1996) conducted a survey of community support teams for people with ID and problem behaviors in England and Wales, which they estimated to employ about 450 staff, at a cost of £10 million to serve about 2000 people yearly.…”

Section: Recent Relevant Evaluationsmentioning

confidence: 99%