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首页> 外文期刊>Aging & mental health >The effects of enhanced program review and staff training on the management of aggression among clients in a long-term neurobehavioral rehabilitation program.
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The effects of enhanced program review and staff training on the management of aggression among clients in a long-term neurobehavioral rehabilitation program.

机译：在长期的神经行为康复计划中，加强计划审查和员工培训对客户的侵略性管理的影响。

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OBJECTIVE: This article examined the effects of staff training, staff support groups, and increased client behavior monitoring on the rate of physical aggression toward peers and objects in an older neurobehavioral population treated in a long-term neurorehabilitation program. METHODS: During the 15 months of data collection, programmatic enhancements were introduced including: Staff training and support groups, comprehensive assessment and individualized program development, and client-centered weekly and systemic monthly behavior management review. Incidents of physical aggression were assessed using staff report. Data were corroborated using multiple sources including, medical records, written incident reports, and Overt Aggression Scale-Modified for Neurorehabilitation - Extended (OAS-MNR-E). RESULTS: A total of 267 clients were present in the facility during the reporting period. The clients had neurobehavioral disability of various origins, 73% had a psychiatric diagnosis in addition to one or more medical diagnoses, and 58% had a dementia diagnosis. An already low rate of incidents of physical aggression per client month (0.02) was reduced by 77% following the implementation of programmatic enhancements. CONCLUSION: Enhanced systematic behavioral review of clients provided concurrently with staff training in non-aversive principles and ongoing staff support groups reduced the incidents of behavioral disregulation in older persons with psychiatric diagnoses, medical comorbidities, and neurobehavioral disabilities.
机译：目的：本文研究了员工培训，员工支持小组和增加的客户行为监测对长期接受神经康复计划治疗的老年神经行为人群中同伴和对象的身体攻击率的影响。方法：在15个月的数据收集过程中，引入了计划上的增强功能，包括：员工培训和支持小组，全面评估和个性化计划开发，以及以客户为中心的每周和系统的每月行为管理审查。使用工作人员报告评估人身攻击事件。数据来自多个来源，包括医疗记录，书面事件报告以及针对神经康复的公开攻击量表-扩展（OAS-MNR-E）。结果：在报告期间，该机构共有267位客户。来访者患有各种原因的神经行为残疾，除了一种或多种医学诊断外，还有73％的人有精神病学诊断，还有58％的人有痴呆症的诊断。实施程序增强后，每个客户月本已较低的身体侵略事件（0.02）减少了77％。结论：在对服务对象进行非一般性原则的培训的同时，增强了对客户的系统性行为检查，并且正在进行的工作人员支持小组减少了患有精神病诊断，医疗合并症和神经行为障碍的老年人的行为失调事件。

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