Formal versus informal interventions for challenging behaviour in persons with intellectual disabilities

Abstract

The low levels of intervention accountability, training and supervision may place many clients with challenging behaviour at increased risk for ineffective and unnecessary restrictive interventions, and physical abuse. The results of this survey stimulated the government to write province-wide standards (that have yet to be implemented).

Practice Leadership at the Front Line in Supporting People with Intellectual Disabilities and Challenging Behaviour: A Qualitative Study of Registered Managers of Community‐based, Staffed Group homes

“…implementing 'Active Support' (AS) which may also ameliorate challenging behaviour (Beadle-Brown et al, 2012). Providing FA based interventions is not straightforward as they may conflict with staff perceptions of, and emotional responses to, challenging behaviour (Feldman et al, 2004;Hastings & Remington, 1994). They also usually require sustained implementation over time which is often difficult for services to deliver (Department of Health, 2007).…”

A Review of Canadian Mental Health Research on Intellectual and Developmental Disabilities

“…In terms of aggression type, verbal aggression was most frequently reported. In another study, results of an Ontario-wide project on outpatient intervention for challenging behavior among people with IDD found that interventions were more likely to be informal, missing appropriate documentation, and lacking input from professionals (Feldman, Atkinson, Foti-Gervais, & Condillac, 2004). Findings speak to the high need for clinical oversight, which is not always there.…”

“…Much of this work stems from early intervention research conducted on parents with IDD (Feldman, 2002;Feldman et al, 2004;Feldman & Aunos, 2010;McConnell, Llewellyn, Dalziel, Laidlaw, & Hindmarsh, 2009). In a more recent study, Feldman and colleagues (2012) examined the relations among child functioning and contextual, parent, child, and parenting characteristics.…”

The role of physiological arousal in the management of challenging behaviours in individuals with autistic spectrum disorders

“…A recent survey of 625 service users with learning disabilities in Canada reported that only 26.9% of service users had some form of crisis intervention plan (Feldman, Atkinson, Foti-Gervais, & Condillac, 2004). Crisis interventions are a critical component of community supports for people with a learning disability who present with aggressive behaviours (Hanson & Weiseler, 2002;Lakin & Larson, 2002).…”