Mindfulness: Therapeutic Applications for Individuals with Autism Spectrum Disorder

Singh, Nirbhay N.; Lancioni, Giulio E.; Hwang, Yeonsook; Myers, Rachel E.

doi:10.1007/978-3-030-88538-0_57

Cited by 4 publications

(1 citation statement)

References 38 publications

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“…A variety of non-pharmacological interventions have been used to manage challenging behaviors in people with IDD and autism, including behavior analytic treatments (e.g., Luiselli, 2021;Virues-Ortega et al, 2022), positive behavior support interventions (Gore et al, 2022), and more recently mindfulness-based programs (Singh et al, 2021(Singh et al, , 2022. Both paid caregivers and family members play a pivotal role in influencing psychotropic prescribing for challenging behavior.…”

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confidence: 99%

Training Direct Care Staff to Empower Adults with Intellectual Disabilities and Their Families to Reduce Overmedication

Limbu

2023

Adv Neurodev Disord

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Objectives People with intellectual and developmental disabilities (IDD) and autism are subject to restrictive practices like physical restraint and the overuse of psychotropic medications for challenging behavior. People with disabilities and their families are often not involved in shared decision-making for prescription and other care planning, which may violate the UN Human Rights Charter. Methods One way of reducing overmedication is by empowering adults with IDD and their family caregivers to collaborate in the decision to use medications. SPECTROM (https://spectrom.wixsite.com/project), a training program for direct care workers, was developed to help reduce the overmedication of these people. This article presents ideas on how SPECTROM resources could empower adults with IDD and their families to influence their care decisions, including psychotropic prescribing. Results Information provided in 32 easy-read leaflets in SPECTROM on psychotropic medications can be used to improve shared decision-making involving people with IDD and their families. Similarly, the Yellow Passport, an easy-read health record, could help information sharing among care service providers, thus improving their health care. SPECTROM has one module devoted to effectively engaging with people with IDD to improve their communication and help them with their skills building. Conclusions Currently, very limited evidence exists on the effects of SPECTROM to empower individuals with IDD and their families in reducing psychotropic medications for challenging behaviors. In addition to the two pilot studies on SPECTROM from UK and Australia, further research is needed to explore the evidence supporting the above suggestions.

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Training Direct Care Staff to Empower Adults with Intellectual Disabilities and Their Families to Reduce Overmedication

Limbu

2023

Adv Neurodev Disord

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Ethical Prescribing of Psychotropic Medications for People with Neurodevelopmental Disorders

Deb,

Limbu,

Bianco

et al. 2023

Adv Neurodev Disord

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Objectives People with neurodevelopmental disorders (NDDs) such as intellectual and developmental disabilities (IDD) and autism are subjected to restrictive practices like physical restraint and the overuse of psychotropic medications for challenging behaviour in the absence of a psychiatric disorder. This practice may lead to human rights violations. Rational and evidence-based shared decision-making for person-centred planning will help reduce this practice. Methods We have discussed in this paper the issue of the overmedication of people with NDD, explaining how this practice may violate the United Nations (UN) Convention on the Rights of Persons with Disabilities (CRPD). Results We have discussed how the following UN CRPD Articles may be affected by overmedication, including Article 15 (degrading treatment or punishment), 16 (abuse), 17 (the integrity of the person), and 25 (health). The other Articles that may be indirectly affected by this practice are 5 (equality and non-discrimination), 9 (accessibility), 19 (independent living and community inclusion), 21 (access to information), 24 (education), 26 (rehabilitation), 27 (work and employment), 28 (adequate living standard), and 30 (participation in recreation and leisure). Conclusions Overmedication of people with NDD, particularly the off-licence use of psychotropics for challenging behaviour, the side effects of these medications impacting the person’s quality of life are likely to violet several UN Articles on Rights of Persons with Disabilities. Following the right guidelines may help reduce these human rights violations.

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Human Rights, Disability, and Mindfulness

Hwang,

Chan,

Singh

2023

Adv Neurodev Disord

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Mindfulness: Therapeutic Applications for Individuals with Autism Spectrum Disorder

Cited by 4 publications

References 38 publications

Training Direct Care Staff to Empower Adults with Intellectual Disabilities and Their Families to Reduce Overmedication

Training Direct Care Staff to Empower Adults with Intellectual Disabilities and Their Families to Reduce Overmedication

Ethical Prescribing of Psychotropic Medications for People with Neurodevelopmental Disorders

Human Rights, Disability, and Mindfulness

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