Reduced Frequency of Aggressive Behavior in Forensic Patients in a Social Learning Program

Beck, Niels C.; Menditto, Anthony A.; Baldwin, Lee J.; Angelone, Edgar O.; Maddox, Mark

doi:10.1176/ps.42.7.750

Cited by 27 publications

(24 citation statements)

References 2 publications

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“…In addition, overall patient functioning, indexed by a composite score including domains such as grooming, bedroom cleanliness, meal behavior, and prosocial behaviors, increased by 17%. These data, which replicate those from earlier programs using more intensive training and observational rating procedures (Beck, Menditto, Baldwin, Angelone, & Maddox, 1991;Paul & Lentz, 1977), indicate that violence among psychotic patients can be significantly reduced by changing patterns of interactions between psychiatric staff and patients. Besides being relevant to family members, and an aspect of much family psychoeducation, this is also relevant for police officers, and so should be incorporated into family treatments as well as crisis intervention training (CIT) for police (Ellis, 2014;Frese & Greek, 2007), to help reduce the number of fatal shootings of people with a serious mental illness.…”

Section: Violence In Treatment Settingssupporting

confidence: 72%

Schizophrenia and violence: realities and recommendations

Silverstein

Pozzo

Roché

et al. 2015

Crime Psychology Review

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Published findings on the relationship between schizophrenia and violence have been mixed, due to differences in study design and quality. In this review, we address the issue with an emphasis on characterizing who is most likely to be violent and when. We conclude that: (1) individuals with schizophrenia are at an increased risk for violence due to specific psychotic symptoms; (2) this risk is increased by brain abnormalities, psychiatric comorbidities, and demographic factors that are not specific to schizophrenia; (3) the majority of violent offenses committed by people with schizophrenia are indistinguishable from offenses committed by others; and (4) despite our knowledge of factors related to increased violence risk and the existence of effective treatments to mitigate this risk, valid risk assessment instruments for this population are lacking, and treatment strategies are rarely employed at any level of psychiatric care. In short, while most people with schizophrenia are not violent and violence committed by people with this condition accounts for only a small percentage of overall violent crime, there is nevertheless a significantly increased risk for violence among subgroups in this population. This has implications for people living with people with schizophrenia, mental health professionals, administrators of psychiatric care facilities, law enforcement personnel, the court system, and policymakers.

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Section: Violence In Treatment Settingssupporting

confidence: 72%

Schizophrenia and violence: realities and recommendations

Silverstein

Pozzo

Roché

et al. 2015

Crime Psychology Review

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“…More specifically, a social learning milieu was chosen because of the documented effectiveness of behaviorally oriented social learning programs in reducing aggression (Beck, Menditto, Baldwin, Angelone, & Maddox, 1991;Menditto, Beck, Stuve, Fisher, Stacy, Logue, & Baldwin, 1996), reducing injuries and negative events (LePage, 1999), and reducing seclusion and restraint (Dickerson, Ringel, Parente, & Boronow, 1994). Furthermore, the use of a social learning program has been successfully applied to chronic, institutionalized psychiatric patients (Glynn & Mueser, 1992;Paul & Lentz, 1977).…”

Section: Choosing a Milieumentioning

confidence: 99%

Changing a culture: a brief program analysis of a social learning program on a maximum‐security forensic unit

Goodness¹,

Renfro²

2002

Behavioral Sci & The Law

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This report presents outcome data collected for a three-year period from a maximum-security forensic psychiatric program. Admission and discharge variables, restraint/seclusion, and client abuse/neglect data are presented from a one-year period that preceded the advent of the Behavior Management Treatment Program's (BMTP's) Social Learning Diagnostic Program to two years after implementing the Social Learning Diagnostic Program. Significant overall progress and improvement was observed in all variables analyzed after instituting a social learning program paradigm. This report provides a brief summary of the BMTP's Social Learning Diagnostic Program along with a discussion of the role played by Dangerousness Management Plans in the treatment of patients within the social learning milieu. Additionally the patient population served, and the rationale for implementation of a program based in social learning theory, are discussed.

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“…The BRITE Program utilized a token economy [11], response cost programme [12] and level system consistent with the social learning approach developed by Paul and Lentz [9] and adapted by Menditto [13,14]. Token earnings were based on hygiene, room-care, and attendance and participation in classes and programmes.…”

Section: Programme Descriptionmentioning

confidence: 99%

Improvements in cognitive functioning following intensive behavioural rehabilitation

et al. 1998

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Serial evaluation of intelligence tests performed with long-term patients in psychiatric hospitals frequently reveal deterioration in cognitive functioning. Despite early success in the amelioration of cognitive symptoms of schizophrenia, little effort at cognitive remediation is currently directed to long-term psychiatric patients. In contrast, in the brain injury rehabilitation community, cognitive remediation is strongly supported despite mixed results in clinical literature. Within this context, individuals with brain injury in psychiatric hospitals may have little prospect of receiving cognitive remediation services. Utilizing performance on intelligence testing spanning 20 years, the following study evaluates changes in cognitive functioning of a severely brain injured individual, who had been replaced in a long-term psychiatric hospital and treated in an intensive behavioural rehabilitation programme. Results found that the patient demonstrated a significant improvement in overall verbal and nonverbal cognitive functioning during treatment. These improvements were maintained for a 1-year period. It was suggested that the use of 'low tech', small group interventions, within intensive behavioural rehabilitation programmes, may lead to the recovery of cognitive functioning for individuals who are significantly post-injury.

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Reduced Frequency of Aggressive Behavior in Forensic Patients in a Social Learning Program

Cited by 27 publications

References 2 publications

Schizophrenia and violence: realities and recommendations

Schizophrenia and violence: realities and recommendations

Changing a culture: a brief program analysis of a social learning program on a maximum‐security forensic unit

Improvements in cognitive functioning following intensive behavioural rehabilitation

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