摘要:

AbstractEighty‐two per cent of all cases of abuse or neglect of an adult with mental retardation substantiated by the Abuse Investigation Division of the Connecticut Office of Protection and Advocacy for Persons with Disabilities over a five‐year period occurred in the victim's residence. Chi square analyses revealed that there was significantly more abuse in institutions and group homes and significantly less in the individual's own home. Furthermore, analyses revealed that there was significantly more personal neglect in group homes and community training homes and significantly less in own homes. The results were discussed and recommendations made regarding ways of reducing abuse and negl

ISSN:1072-0847    

DOI:10.1002/bin.2360090402

出版商:John Wiley&Sons, Ltd    

年代:1994

数据来源: WILEY

摘要:

AbstractThis study investigated the effectiveness of a graduated exposure procedure, combined with peer feedback, in the treatment of speech anxiety. Subjects were assigned to one of two conditions: (a) graduated exposure/shaping plus feedback or (b) no‐treatment control. Results indicated that the graduated exposure/shaping plus feedback treatment group demonstrated significantly greater speech anxiety reduction than the no‐treatment control group at post‐ and follow‐up ass

ISSN:1072-0847    

DOI:10.1002/bin.2360090403

出版商:John Wiley&Sons, Ltd    

年代:1994

数据来源: WILEY

摘要:

AbstractThe Occupational Stress Inventory (Osipow&Spokane, 1987) and the Maslach Burnout Inventory (Maslach, 1982) were used to assess the levels of occupational stress and burnout amongst staff providing services to people with an intellectual disability both in an institutional and community settings. Data were analyzed to determine the effects of direct client contact, staff mental health, and working environment (institution vs. community). While levels of burnout and occupational stress were not high overall, staff working in an institutional setting scores more highly.

ISSN:1072-0847    

DOI:10.1002/bin.2360090404

出版商:John Wiley&Sons, Ltd    

年代:1994

数据来源: WILEY

摘要:

AbstractA psychiatric monitoring procedure was designed to better manage and treat suicidal behavior and threats in a person with moderate mental retardation, and psychiatric disorders. During the baseline suicidal threats and behavior were managed by assigning the person a counselor available to discuss his problems, keeping him in eyesight at all time, admission to the state school infirmary, counseling from his physician, and admission to a Multiple Disabilities Unit (MDU) located in a state hospital located 2 hr drive away from the state school in which he lived. A functional assessment indicated that these behaviors were not related to depressed mood or a depressive disorder. Rather, they were socially mediated operant behaviors in a person with poor impulse control, in which the attempts to manage the behaviors by the interdisciplinary team might have been counter‐habilitative. A psychiatric surveillance procedure was based upon this functional assessment. The procedure consisted of increasing the number of apparently pleasurable activities available on the living area, asking for a no harm agreement following suicide threats or attempts, social isolation for 12–36 hr immediately contingent upon failure to give a no harm agreement, and release from social isolation contingent upon a no harm agreement. Data showed that this procedure was completely successful in reducing admissions to the MDU over a 7 month period. The social isolation was typically used once a week for approximately 25 hours over the 7‐month period. It was noted that considerable savings were made by not using admissions to the state hospital over a 7‐month period. Functional assessment can form the basis of developing and evaluating a variety of procedures relating to challenging behavior in persons with dual diagnosis including management of suicidal threats and b

ISSN:1072-0847    

DOI:10.1002/bin.2360090405

出版商:John Wiley&Sons, Ltd    

年代:1994

数据来源: WILEY

摘要:

AbstractA detailed procedure for making placebo cigarette butts or “bogus butts” which can be used in the observation and treatment of pica for cigarettes is described. These placebo cigarette butts have been used successfully with several individuals in a residential treatment setting.The use of these bogus butts allows the clinician/researcher to use a stimulus object which can be safely ingested, thus permitting a functional analysis of the target behavior as well as assessment of potential treatment approaches without the possible interference and confound of a prevention procedure such as physically removing the pica material before it is consumed, limiting the length of baseline, or intervening during the basel

ISSN:1072-0847    

DOI:10.1002/bin.2360090406

出版商:John Wiley&Sons, Ltd    

年代:1994

数据来源: WILEY

ISSN:1072-0847    

DOI:10.1002/bin.2360090401

出版商:John Wiley&Sons, Ltd    

年代:1994

数据来源: WILEY