The Reduction of Mechanical Restraints and PRN Medication in 400 Persons with Neurodevelopmental Disorders: an Analysis of 11 Years Process in 23 Italian Residential Settings
| Autor: | Giovanni Miselli, Michela Uberti, Serafino Corti, Roberto Cavagnola, Maria Laura Galli, Giuseppe Chiodelli, Giovanni Michelini, Mauro Leoni, Francesco Fioriti |
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| Rok vydání: | 2018 |
| Předmět: |
Service (business)
030506 rehabilitation medicine.medical_specialty Social work Aggression Process (engineering) Public health 05 social sciences Public policy 03 medical and health sciences Pro re nata medicine 0501 psychology and cognitive sciences Behavior management Psychology (miscellaneous) medicine.symptom 0305 other medical science Psychology Psychiatry Social Sciences (miscellaneous) 050104 developmental & child psychology |
| Zdroj: | Advances in Neurodevelopmental Disorders. 2:353-361 |
| ISSN: | 2366-7540 2366-7532 |
| Popis: | Contrary to public policy and research expectations, restrictive behavior practices continue to be used with individuals with intellectual disabilities. This paper reports the effects of a multi-component service package for a residential service for over 400 adults with intellectual disabilities and challenging behavior. Over an 11-year period, there was a large and near elimination of mechanical restraints and pro re nata medications and a decrease in staff working days missed because of resident aggression, despite an increase in the complexity of resident needs. This study demonstrates that large-scale, long-term reduction of restrictive behavior management practices is possible using a multi-component organizational reform package. |
| Databáze: | OpenAIRE |
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