Treatment and management of challenging behaviours in congregate and noncongregate community‐based supported accommodation

Robertson, Janet; Emerson, Eric; Pinkney, Lisa; Caesar, Emma; Felce, David John; Meek, Andrea Janine; Carr, Deborah; Lowe, Kathy; Knapp, Martín; Hallam, Angela

doi:10.1111/j.1365-2788.2005.00663.x

Cited by 63 publications

(67 citation statements)

References 17 publications

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“…Meta-analytic studies reveal that the most effective interventions are those based on applied behavior analysis (Harvey et al 2009;Kahng et al 2002;Meyer and Evans 2006) with limited evidence that psychopharmacological interventions are effective (Singh et al 2005;Tyrer et al 2009) despite their widespread use (Molyneux et al 1999;Robertson et al 2000). However, behavioral interventions are labour and resource intensive for severe challenging behavior and consequently rarely available (Oliver et al 1987;Robertson et al 2005).…”

Section: Introductionmentioning

confidence: 97%

The Association Between Repetitive, Self-Injurious and Aggressive Behavior in Children With Severe Intellectual Disability

Oliver

Petty

Ruddick

et al. 2011

J Autism Dev Disord

101

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We evaluated the independent association between adaptive behavior, communication and repetitive or ritualistic behaviors and self-injury, aggression and destructive behavior to identify potential early risk markers for challenging behaviors. Data were collected for 943 children (4-18 years, M = 10.88) with severe intellectual disabilities. Odds ratio analyses revealed that these characteristics generated risk indices ranging from 2 to 31 for the presence and severity of challenging behaviors. Logistic regressions revealed that high frequency repetitive or ritualistic behavior was associated with a 16 times greater risk of severe self-injury and a 12 times greater risk of showing two or more severe challenging behaviors. High frequency repetitive or ritualistic behaviors independently predict challenging behavior and have the potential to be early risk markers for self-injury and aggression of clinical significance.

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Section: Introductionmentioning

confidence: 97%

The Association Between Repetitive, Self-Injurious and Aggressive Behavior in Children With Severe Intellectual Disability

Oliver

Petty

Ruddick

et al. 2011

J Autism Dev Disord

101

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show abstract

“…While the idea that individuals with DD can suffer from mental illness has been largely accepted since the late 1980s, this is still an underserved and poorly studied population [34][35][36]. Historically, it was thought that the cognitive limitations inherent in individuals with DD precluded the development of emotional disorders.…”

Section: Mental Illness As a Contributor To Aggressionmentioning

confidence: 98%

Diagnosis and Treatment of Aggression in Individuals with Developmental Disabilities

2008

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Aggressive behavior is a common referral problem for individuals with developmental disabilities (DD), placing them at risk for institutionalization, social isolation, physical restraint, over-use of medication to treat behavior problems, exclusion from services, and becoming a victim of abuse. Aggression strains relationships between individuals being supported and their caregivers, whether professionals or family members. The treatment of aggression is persons with DD, with or without comorbid mental illness, remains a controversial area and changes in practice have been slow to come. The evidence related to pharmacotherapy and psychological treatment is, in general, either lacking or poor. This does not suggest that these treatments are necessarily ineffective but that there is not enough good quality evidence to support their usefulness. This review considers the prevalence and correlates of aggression, as well as possible causative factors. The relationship between mental illness, intellectual disability and aggression is explored. The psychopharmacological and psychological treatment literature is reviewed with implications for clinical care and future research.

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“…The quality of life for people with disability is no doubt highly related to the quality of care provided within the housing setting (Cooper et al 2005;Evans et al 2003;Fakhoury et al 2002;Kelly and Winkler 2007;Robertson et al 2005;Sergeant and Brown 2004;Tsemberis and Eisenberg 2000), but there is strong evidence to suggest that quality of life is also related to factors present within the physical care environment (Parker et al 2004). Although it is difficult to determine the causal attribution between place and care, Moos and Lemke (1980) earlier reported that the workforce who operate in well designed residential settings provide residents with more choice in their daily activities and more influence on operational policies (Parker et al 2004).…”

Section: Care and Support And Building Designmentioning

confidence: 99%

Developing design guidelines for inclusive housing: a multi-stakeholder approach using a Delphi method

Zeeman

Wright

Hellyer³

2016

J Hous and the Built Environ

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Increasing interest and investment in inclusive housing for people with complex disabilities has resulted in a greater focus on research evidence and industry replication. In the absence of practice standards and regulatory structures, building design principles and guidelines for purpose-built supported housing have an important role within the sector. The current project was a first attempt at developing a set of principles and design features that have the potential to inform future inclusive housing guidelines. The researchers applied a multi-stakeholder Delphi process to generate nine design principles to guide future supported housing, and a parsimonious set of design features (n = 247) across ten design spaces. The framework such as developed in this study can be further tested to develop a more robust understanding of what works in supported housing design, and therefore what can be replicated over time.

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Treatment and management of challenging behaviours in congregate and noncongregate community‐based supported accommodation

Abstract: Changes in reported and observed challenging behaviour over a 10-month period were slight. The use of evidence-based behavioural technologies for the reduction of challenging behaviour may have led to better outcomes.

Cited by 63 publications

References 17 publications

The Association Between Repetitive, Self-Injurious and Aggressive Behavior in Children With Severe Intellectual Disability

The Association Between Repetitive, Self-Injurious and Aggressive Behavior in Children With Severe Intellectual Disability

Diagnosis and Treatment of Aggression in Individuals with Developmental Disabilities

Developing design guidelines for inclusive housing: a multi-stakeholder approach using a Delphi method

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