Treatment and Management of Challenging Behaviours in Residential Settings

• DOI: 10.1046/j.1468-3148.2000.00036.x
• Publication Date: 2003-03-12T04:03:28Z
• Authors: E. Emerson; J. Robertson; N. Gregory; C. Hatton; S. Kessissoglou; A. Hallam; J. Hillery
• Keywords: Challenging behaviour; Staffing; Seclusion; Toileting; Behavior management

Abstract Aspects of the treatment and management challenging behaviour were investigated among 500 adults with intellectual disabilities receiving various forms residential supports. The present results indicated that: (1) 53% participants reported to have shown at least one ‘moderately serious’ or ‘severe’ form in previous month; (2) most commonly employed strategies physical restraint (used 44% people showing behaviour), sedation (35%), seclusion (20%) mechanical (3%); (3) ‘treatment strategies’ goal setting within individual programme plans 62% antipsychotic medication (49%), written intervention programmes (23%) behaviourally orientated (15%); (4) factors identified through logistic regression analyses be associated use specific included personal characteristics person (e.g. age diagnosis autism), resources type accommodation, cost provision staffing levels), organization (e.g, planning support residents) nature more sustained episodes behaviour).