Reducing Restraint Through Individualized Positive Behavioral Interventions and Supports in an Inpatient Psychiatric Setting: An Exploratory Study

IF 1.4 3区 心理学 Q3 EDUCATION, SPECIAL
Meredith Ronan, Faith Therrien, Sandra Sears, Katherine Meyer, Sohenga C. Depestre, Christopher Rhoads, Brandi Simonsen
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引用次数: 0

Abstract

Traditional responses to aggressive behavior in inpatient psychiatric settings have relied heavily on aversive and restrictive practices, such as restraint, despite the fact that such practices demonstrate limited effectiveness and are at odds with a rehabilitative, patient-centered mission. In response to such concerns, a growing number of researchers and practitioners have moved toward proactive, person-centered approaches to addressing challenging behavior, such as Positive Behavioral Interventions and Supports (PBIS). Positive Behavioral Interventions and Supports is a multi-tiered framework for preventing and responding to challenging behavior by addressing environmental and contextual factors. This article describes an exploratory study examining the effect that implementation of individualized PBIS plans had on restraint events in an adult inpatient psychiatric hospital setting in the Northeastern United States. Results indicated a 76% reduction in restraints following implementation of individualized PBIS plans. Implications for future research and practice are explored as a means of improving clinical outcomes and quality of life of individuals in inpatient psychiatric settings.
通过个体化积极行为干预和支持在住院精神病患者中减少约束:一项探索性研究
精神科住院病人对攻击行为的传统反应很大程度上依赖于厌恶和限制性的做法,比如约束,尽管事实上这种做法证明效果有限,而且与康复、以病人为中心的使命不一致。为了应对这些担忧,越来越多的研究人员和从业者已经转向积极主动、以人为本的方法来解决具有挑战性的行为,例如积极行为干预和支持(PBIS)。积极行为干预和支持是一个多层次的框架,通过解决环境和背景因素来预防和应对具有挑战性的行为。本文描述了一项探索性研究,探讨了在美国东北部的一家成人精神病院实施个体化PBIS计划对约束事件的影响。结果表明,实施个体化PBIS计划后,限制减少了76%。对未来的研究和实践的影响是探索作为一种手段,改善临床结果和个人的生活质量在住院精神病设置。
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来源期刊
CiteScore
4.90
自引率
14.30%
发文量
10
期刊介绍: ...offers sound, research-based principles of positive behavior support for use in school, home and community settings with people with challenges in behavioral adaptation. Regular features include empirical research; discussion, literature reviews, and conceptual papers; programs, practices, and innovations; forum; and media reviews.
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