Stakeholder views on the barriers and facilitators of psychosocial interventions to address reduction in aggressive challenging behaviour in adults with intellectual disabilities.

Autor:	Kouroupa A; Division of Psychiatry, Faculty of Brain Sciences, University College London, London, England, UK., Hamza L; Assessment and Intervention Team, Barnet Enfield and Haringey Mental Health NHS Trust, London, England, UK., Rafiq A; Division of Psychiatry, Faculty of Brain Sciences, University College London, London, England, UK., Hassiotis A; Division of Psychiatry, Faculty of Brain Sciences, University College London, London, England, UK., Rapaport P; Division of Psychiatry, Faculty of Brain Sciences, University College London, London, England, UK., Jahoda A; School of Health and Wellbeing, University of Glasgow, Glasgow, Scotland, UK., Taggart L; Ulster University, Coleraine, Northern Ireland, UK., Steed L; Centre for Primary Care, Wolfson Institute of Population Health, Queen Mary University of London, London, England, UK., Cooper SA; School of Health and Wellbeing, University of Glasgow, Glasgow, Scotland, UK., Melville C; School of Health and Wellbeing, University of Glasgow, Glasgow, Scotland, UK., Marston L; Department of Primary Care and Population Health, Institute of Epidemiology and Health Care, University College London, London, England, UK., Royston R; Division of Psychiatry, Faculty of Brain Sciences, University College London, London, England, UK., Ali A; Unit for Social and Community Psychiatry, Queen Mary University of London, London, England, UK.
Jazyk:	angličtina
Zdroj:	NIHR open research [NIHR Open Res] 2023 Dec 29; Vol. 3, pp. 40. Date of Electronic Publication: 2023 Dec 29 (Print Publication: 2023).
DOI:	10.3310/nihropenres.13437.2
Abstrakt:	Success of psychosocial interventions in reducing aggressive challenging behaviour is likely to be related not only to mechanistic aspects but also to therapeutic and system factors. The study aims to examine the facilitators and barriers that influence whether psychosocial interventions for aggressive challenging behaviour in adults with intellectual disabilities lead to positive change. We conducted 42 semi-structured interviews with adults with intellectual disabilities who display aggressive challenging behaviour, family/paid carers, and professionals engaged in or delivering a psychosocial intervention across the UK. Data were analysed thematically using a framework approach. Stakeholders considered therapeutic and supportive relationships and personalised care as facilitating factors in addressing aggressive challenging behaviour. The operational structure of community intellectual disability services and conflicting expectations of professionals and carers were the main contextual barriers that impeded the implementation of psychosocial interventions in adults with intellectual disabilities. Findings highlight the valued components that maximise positive change in adults with intellectual disabilities who display aggressive challenging behaviour. Several operational adjustments including referral criteria, roles of professionals and workforce issues need to be addressed in services to maximise the implementation of psychosocial interventions leading to reduction in aggressive challenging behaviour in this population. Competing Interests: No competing interests were disclosed. (Copyright: © 2023 Kouroupa A et al.)
Databáze:	MEDLINE
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