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An evaluation of the effectiveness of positive behavioural support within a medium secure mental health forensic service

机译:中等安全心理健康法医服务中积极行为支持效能的评价

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A number of recent influential reports recommend the use of proactive and preventative approaches such as Positive Behavioural Support (PBS) in the management of challenging behaviours. Although evidence supporting the use of PBS is mainly drawn from studies of learning disability and child populations, it is recognised that PBS could have a much wider utility. In this study, PBS was implemented in a medium secure forensic mental health service, a novel context. Impact was evaluated using an adapted version of the Checklist of Challenging Behaviour at baseline and then at 3 monthly intervals for a year. Significant reductions were observed in aggression frequency, management difficulty and severity and other challenging behaviour frequency and management difficulty. Reductions in challenging behaviour were still evident after six months for the full group and twelve months for the sub-group with the exception of other challenging behaviour management difficulty. In contrast, no such significant differences were found for a control group. This study indicated that PBS was an effective intervention in the management of challenging behaviour in this forensic mental health context.
机译:一些最近的有影响力的报告建议使用积极的和预防方法,例如积极行为支持(PBS)在挑战行为的管理中。虽然支持使用PBS的证据主要来自学习残疾和儿童群体的研究,但认识到PBS可能具有更广泛的效用。在这项研究中,PBS在中等安全法医心理健康服务中实施了一种新颖的背景。使用基线的挑战性行为的调整版本评估了影响,然后每月3个月间隔。在侵略频率,管理难度和严重程度和其他具有挑战性的行为频率和管理难度下观察到显着减少。在整个团队六个月后,持续的挑战行为的减少仍然是显而易见的,除了其他具有挑战性的行为管理难度之外,分组的十二个月。相比之下,对对照组没有发现这种显着差异。本研究表明,PBS在该法医心理健康背景下管理有挑战性行为的有效干预。

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