Twenty-year follow-up of pupils in a special class for the mentally retarded: A study of a complete school community.

Bloch, Aaron M

doi:10.1111/j.1939-0025.1984.tb01509.x

Cited by 4 publications

(1 citation statement)

References 3 publications

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“…Carter and Jancer (1984) found that suicidal behavior was the cause of death in only one case in a series of 204 sudden deaths over a 50-year period. Bloch (1984) conducted a 3-and 20-year follow-up report of 18 persons with mild mental retardation who had been in special education. He found that one suicide had occurred in this group.…”

Section: Introductionmentioning

confidence: 99%

Suicidal threats and behavior in a person with developmental disabilities: Effective psychiatric monitoring based on a fundamental assessment

Sturmey

1994

Behavioral Interventions

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A psychiatric monitoring procedure was designed to better manage and treat suicidal behavior and threats in a person with moderate mental retardation, and psychiatric disorders. During the baseline suicidal threats and behavior were managed by assigning the person a counselor available to discuss his problems, keeping him in eyesight at all time, admission to the state school infirmary, counseling from his physician, and admission to a Multiple Disabilities Unit (MDU) located in a state hospital located 2 hr drive away from the state school in which he lived. A functional assessment indicated that these behaviors were not related to depressed mood or a depressive disorder. Rather, they were socially mediated operant behaviors in a person with poor impulse control, in which the attempts to manage the behaviors by the interdisciplinary team might have been counter-habilitative. A psychiatric surveillance procedure was based upon this functional assessment. The procedure consisted of increasing the number of apparently pleasurable activities available on the living area, asking for a no harm agreement following suicide threats or attempts, social isolation for 12-36 hr immediately contingent upon failure to give a no harm agreement, and release from social isolation contingent upon a no harm agreement. Data showed that this procedure was completely successful in reducing admissions to the MDU over a 7 month period. The social isolation was typically used once a week for approximately 25 hours over the 7-month period. It was noted that considerable savings were made by not using admissions to the state hospital over a 7-month period. Functional assessment can form the basis of developing and evaluating a variety of procedures relating to challenging behavior in persons with dual diagnosis including management of suicidal threats and behavior.

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Section: Introductionmentioning

confidence: 99%