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Mental Health and Behavioural Issues in Children and Young People with a Learning Disability
Published in Cathy Laver-Bradbury, Margaret J.J. Thompson, Christopher Gale, Christine M. Hooper, Child and Adolescent Mental Health, 2021
Chris Hardie, Chantal Holman, Becky Sparks, Catherine Thompson
The most widely accepted definition of challenging behaviour is:Culturally abnormal behaviour of such intensity, frequency or duration that the physical safety of the person or others is likely to be placed in serious jeopardy, or behaviour that is likely to seriously limit use of, or result in the person being denied access to, ordinary community facilities.(Emerson, 1995)
Treating and Supporting the Caregiver
Published in Danielle L. Terry, Michelle E. Mlinac, Pamela L. Steadman-Wood, Providing Home Care for Older Adults, 2020
Providing psychoeducation about MNCD to normalize behaviors and reduce any unrealistic expectations that might cause frustration and other negative reactions by a caregiver can be important. Learning to identify the ‘ABCs’ (antecedent–behavior–consequence) of behavior and coaching the caregiver to develop effective behavior management strategies to address their CR’s challenging behaviors can help instill understanding and compassion.
Why Do People Not Engage With Healthcare?
Published in James Matheson, John Patterson, Laura Neilson, Tackling Causes and Consequences of Health Inequalities, 2020
High-fidelity services seek to maintain relationships with patients to maximize the possibility of continuity of care. The maintenance of relationships with all patients will be achieved by the quality of care and communication as well as ease of use of administrative processes of the practice. However, how the practice addresses challenging behaviours will also play a part. Many patients from dysfunctional backgrounds find rigid rules difficult and tend to assert themselves in manners that cause fear for staff and can create dangerous situations. Learning the skills to manage challenging behaviours can prevent such behaviours escalating to the point where barring becomes inevitable. Furthermore, practices can arrange to temporarily bar a patient from one practice and put them on probation for a period of time at a partner practice. This ensures such patients, who often face significant poor health, do not lose access to health advice and care.
Program evaluation of in-patient treatment units for adults with acquired brain injury and challenging behavior
Published in Brain Injury, 2022
Alison D. Cox, Madeline Pontone, Karl F. Gunnarsson
Although the goal is largely skill acquisition, at times individuals will engage in behaviors described as challenging, which can substantially interfere with rehabilitation goals (8). Challenging behavior can be described as aggressive, self-injurious, and destructive behavior that poses a significant risk to the individuals’ health and safety and to that of those around them (9). Challenging behavior can limit an individuals’ ability to effectively participate in their community, reduce opportunities to learn new skills, pose as a barrier to meaningful activities, and lead to poorer quality of life (9). Subsequently, individuals who engage in challenging behavior (secondary to their ABI) may not receive appropriate care in rehabilitation settings due to the facilities lack of resources to manage the behavior. When this occurs, discharge from service can be due to non-progress or regression, and people are often transferred to alternative programming, long-term care facilities or home (10). This latter outcome may be especially risky because the individual still presents with significantly reduced adaptive behaviors in addition to persistent challenging behavior. Caregivers (e.g., loved ones, spouses, etc.) may be ill-equipped to support these individuals upon discharge, which may place everyone at an increased risk for harm (11).
Professional Perspectives on Supporting Those with Alcohol-Related Neurocognitive Disorders: Challenges & Effective Treatment
Published in Alcoholism Treatment Quarterly, 2021
Robert M. Heirene, Bev John, Marie O’Hanrahan, Ioannis Angelakis, Gareth Roderique-Davies
This is the first study to attempt to understand the effective treatment of ARNDs and the challenges associated with trying to achieve this from multiple professional perspectives. The most commonly reported challenges were resource-related obstacles (e.g., lack of funding & appropriate treatment services), the significant physical and mental health needs of individuals with the condition and the challenging behaviors they display, the lack of understanding and awareness of the ARNDs, and the lack of clarity as to which services and specialties are responsible for treating this population. The most frequently reported strategies for effective treatment were the use of a comprehensive assessment process to ensure accurate diagnosis and inform treatment options, the need for coordinated input from multiple services, the development of a clearly defined treatment pathway with designated services at each phase, individualized care and treatment programs, improved education regarding ARNDs, and the development of specialized ARND services.
Providing on-line support to families of people with brain injury and challenging behaviour: A feasibility study
Published in Neuropsychological Rehabilitation, 2021
Skye McDonald, Emily Trimmer, Jill Newby, Samantha Grant, Paul Gertler, Grahame K. Simpson
Yet challenging behaviours are difficult for families and carers to live with and manage. They are linked to the family members’ own emotional distress and feelings of enduring carer burden (Anderson, Simpson, & Morey, 2013; Kreutzer et al., 2009; Livingston et al., 2010; Tam, McKay, Sloan, & Ponsford, 2015). Five years post TBI a third of families reported, not only heightened distress, but also unhealthy family functioning, both of which were reciprocally related to the behavioural problems in the person with TBI (Schönberger, Ponsford, Olver, & Ponsford, 2010). Families also reported that their greatest unmet need was emotional support and proper information (Murray, Maslany, & Jeffery, 2006) including access to professional support when needed (Watanabe, Shiel, McLellan, Kurihara, & Hayashi, 2001). This highlights the need for supportive interventions for family members to help them cope with the neuro-behavioural changes in the injured person.