Clinical Safety and Treatment of Severe Aggression: Behavioral-Pharmacological Intervention Evaluation in a Young Adult With Autism Spectrum Disorder

IF 0.8 4区心理学 Q4 PSYCHIATRY

Clinical Case Studies Pub Date : 2022-03-10 DOI:10.1177/15346501221081254

Jaime Scibelli, Frederick Scibelli, J. Luiselli, J. Hrdina, Kelly Anglin, Silva Orchanian

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引用次数: 1

Abstract

This case study concerned clinical safety and behavioral-pharmacological intervention with an 18-year-old man who had autism spectrum disorder and high-frequency aggression toward care providers at a specialized school. A multicomponent behavior support plan included antecedent, differential reinforcement, environmental modification, and physical management procedures subsequently combined with psychotropic medication (aripiprazole). Clinical safety components emphasized comprehensive care provider training, continuous supervision, function-based treatment, and prevention-focused strategies. The behavioral-pharmacological intervention eliminated implementation of aggression-contingent physical restraint and was associated with increased transition compliance during the school day. Throughout the 7.5 months duration of the study, there were no injuries to the participant or other students and a single injury was sustained by one care provider. Intervention effects were long-standing, and care providers rated their training, implementation fidelity, and therapeutic outcome favorably.

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严重攻击的临床安全性和治疗:一名年轻成人自闭症谱系障碍的行为-药物干预评估

这项案例研究涉及一名患有自闭症谱系障碍的18岁男子的临床安全性和行为药理学干预，他对一所专门学校的护理人员有高频攻击性。多成分行为支持计划包括先行、差异强化、环境改造和随后与精神药物（阿立哌唑）相结合的物理管理程序。临床安全部分强调全面的护理人员培训、持续监督、基于功能的治疗和以预防为重点的策略。行为药理学干预消除了攻击性条件下的身体约束，并与在校期间过渡依从性的增加有关。在整个7.5个月的研究期间，参与者或其他学生没有受伤，一名护理人员只受了一次伤。干预效果是长期的，护理人员对他们的培训、实施忠诚度和治疗结果给予了好评。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Case Studies Multiple-

CiteScore

1.80

自引率

20.00%

发文量

期刊介绍： Clinical Case Studies seeks manuscripts that articulate various theoretical frameworks. All manuscripts will require an abstract and must adhere to the following format: (1) Theoretical and Research Basis, (2) Case Introduction, (3) Presenting Complaints, (4) History, (5) Assessment, (6) Case Conceptualization (this is where the clinician"s thinking and treatment selection come to the forefront), (7) Course of Treatment and Assessment of Progress, (8) Complicating Factors (including medical management), (9) Managed Care Considerations (if any), (10) Follow-up (how and how long), (11) Treatment Implications of the Case, (12) Recommendations to Clinicians and Students, and References.