From Causes of Aggression to Interventions

Jahoda, Andrew; Willner, Paul; Pert, Carol; Macmahon, Kenneth

doi:10.1016/b978-0-12-401662-0.00003-8

Cited by 10 publications

(11 citation statements)

References 120 publications

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“…The current study supports the importance of the relation between the frequency of aggressive incidents and social environmental factors, which underlines the transaction models underlying inpatient aggression in daily practices (Jahoda et al, 2013 ). It can be expected that interventions focused on this transactional model will show an impact on both the group climate and the prevalence of aggressive incidents.…”

Section: Discussionsupporting

confidence: 87%

Group climate, aggressive incidents and coercion in a secure forensic setting for individuals with mild intellectual disability or borderline intellectual functioning: A multilevel study

Neimeijer

Delforterie

Roest

et al. 2020

Research Intellect Disabil

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A high number of aggressive incidents in secure forensic care are considered a serious problem, not only for clients but also for sociotherapists 1 as well (Robinson et al., 2018;Ros et al., 2013).According to the results of a study presented by one of the Dutch labour unions (CNV, Zorg & Welzijn, 2018) addressing aggressive incidents in Dutch health care for people with intellectual disabilities, more than 50% of the 640 caregivers experienced physical (70%) or verbal (79%) aggressive incidents in their work.About half (53%) reported an increase in aggressive incidents during the past year. These results are worrying given the range of negative consequences for victims, the aggressor and the organization in which aggressive incidents occur. Negative consequences for the victim can include psychological effects (e.g. anxiety, sleep disturbance, fear, anger and resentment) and physical injury (Knotter, 2019). Sociotherapists and clients may feel less safe in living groups where there are a high number of aggressive 1 Throughout this paper, the term 'sociotherapist' is used to describe the role of a professional caregiver.

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Section: Discussionsupporting

confidence: 87%

Group climate, aggressive incidents and coercion in a secure forensic setting for individuals with mild intellectual disability or borderline intellectual functioning: A multilevel study

Neimeijer

Delforterie

Roest

et al. 2020

Research Intellect Disabil

View full text Add to dashboard Cite

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“…For example, individuals with IDD evince aggression that is often of low frequency but high intensity, and are likely to physically hurt their caregivers as well as their peers. The prevalence rate of aggression in this population varies considerably, ranging from about 7% ( Emerson et al, 2001 ) to over 50% ( Tenneij et al, 2009 ; Jahoda et al, 2013 ). Current research suggests that when caregivers are stressed due to the aggressive behavior of the individuals in their care, they tend to develop a negative attitude toward the individuals, eventually leading to negatively interacting with them or avoiding them ( Jahoda et al, 2013 ).…”

Section: Introductionmentioning

confidence: 97%

“…The prevalence rate of aggression in this population varies considerably, ranging from about 7% ( Emerson et al, 2001 ) to over 50% ( Tenneij et al, 2009 ; Jahoda et al, 2013 ). Current research suggests that when caregivers are stressed due to the aggressive behavior of the individuals in their care, they tend to develop a negative attitude toward the individuals, eventually leading to negatively interacting with them or avoiding them ( Jahoda et al, 2013 ). Indeed, caregiver stress may lead them to recommend that individuals in their care who are aggressive be treated with restrictive procedures such as psychotropic medications, emergency medications, and physical restraints ( Singh et al, 2011a ; Deveau and McGill, 2014 ).…”

Section: Introductionmentioning

confidence: 97%

Effectiveness of Caregiver Training in Mindfulness-Based Positive Behavior Support (MBPBS) vs. Training-as-Usual (TAU): A Randomized Controlled Trial

et al. 2016

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Caregivers of individuals with intellectual and developmental disabilities (IDD) often end up having their medical and psychological well-being compromised due to the stressful nature of caregiving, especially when those in their care engage in aggressive behavior. In this study, we provided caregivers with mindfulness-based training to enable them to better manage their psychological well-being and, through this, to also enhance specific indices of quality of life of the individuals in their care. Thus, the aim of the present study was to evaluate in a randomized controlled trial (RCT) the comparative effectiveness of Mindfulness-Based Positive Behavior Support (MBPBS) and Training-as-Usual (TAU) for caregivers in a congregate care facility for individuals with severe and profound IDD. The comparative effects of the two training conditions were assessed in terms of caregiver variables care recipient variable (number of aggressive events), and agency variables Results showed that MBPBS was significantly more effective than TAU in enabling the caregivers to manage their perceived psychological stress, and to reduce the use of physical restraints and stat medications for aggressive behavior of the individuals in their care. In addition, there were significant reductions in aggressive events by the individuals in their care, 1:1 staffing of individuals with aggressive behavior, and staff turnover. Furthermore, the MBPBS training was significantly more cost-effective than the TAU training. If replicated in future RCT studies, MBPBS may provide an effective means of enhancing socially acceptable bidirectional engagement of caregivers and care recipients within a person-centered context.

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“…Individuals with intellectual and developmental disabilities (IDD) commonly exhibit aggressive behaviors ( Jahoda et al, 2013 ). The prevalence of aggression in this population varies widely, ranging from about 7 to 50%, depending on the population sampled, the sample size, level of functioning of the sample, the definition of aggression, institutional versus community sample, and the sampling method used ( Emerson et al, 2001 ; Tenneij et al, 2009 ).…”

Section: Introductionmentioning

confidence: 99%

Caregiver Training in Mindfulness-Based Positive Behavior Supports (MBPBS): Effects on Caregivers and Adults with Intellectual and Developmental Disabilities

et al. 2016

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Caregivers often manage the aggressive behavior of individuals with intellectual and developmental disabilities that reside in community group homes. Sometimes this results in adverse outcomes for both the caregivers and the care recipients. We provided a 7-day intensive Mindfulness-Based Positive Behavior Support (MBPBS) training to caregivers from community group homes and assessed the outcomes in terms of caregiver variables, individuals’ behaviors, and an administrative outcome. When compared to pre-MBPBS training, the MBPBS training resulted in the caregivers using significantly less physical restraints, and staff stress and staff turnover were considerably reduced. The frequency of injury to caregivers and peers caused by the individuals was significantly reduced. A benefit-cost analysis showed substantial financial savings due to staff participation in the MBPBS program. This study provides further proof-of-concept for the effectiveness of MBPBS training for caregivers, and strengthens the call for training staff in mindfulness meditation.

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From Causes of Aggression to Interventions

Cited by 10 publications

References 120 publications

Group climate, aggressive incidents and coercion in a secure forensic setting for individuals with mild intellectual disability or borderline intellectual functioning: A multilevel study

Group climate, aggressive incidents and coercion in a secure forensic setting for individuals with mild intellectual disability or borderline intellectual functioning: A multilevel study

Effectiveness of Caregiver Training in Mindfulness-Based Positive Behavior Support (MBPBS) vs. Training-as-Usual (TAU): A Randomized Controlled Trial

Caregiver Training in Mindfulness-Based Positive Behavior Supports (MBPBS): Effects on Caregivers and Adults with Intellectual and Developmental Disabilities

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