423 research outputs found
Experiences of service users with a mild intellectual disability or borderline intellectual functioning with Flexible Assertive Community Treatment:A qualitative study
Background In the Netherlands, Flexible Assertive Community Treatment (FACT) teams have been established for people with mild intellectual disability (MID) or borderline intellectual functioning (BIF) and mental health problems or challenging behaviour. Little is known yet about service usersâ experiences with FACT. Method An inductive grounded theory approach was used to explore how service users valued the treatment and their own functioning, and which factors were perceived as supportive. Semiâstructured interviews were held with 15 service users. Results Most service users highly appreciated the contact with the staff and the practical and emotional support. Persistent involvement, availability and humanity, and respect for autonomy were distinguished as core values in the relationship with the staff. Most service users experienced improvement in time and attributed this to intrapersonal changes and/or less stress in life. Conclusions From the perspective of service users with MID/BIF, FACT appears to have an added value
Brief report: Follow-up outcomes of Multisystemic Therapy for adolescents with intellectual disabilities and the influence of parental intellectual disability
Research on followâup outcomes of systemic interventions for family members with an intellectual disability is scarce. In this study, shortâterm and longâterm followâup outcomes of multisystemic therapy for adolescents with antisocial or delinquent behaviour and an intellectual disability (MSTâID) are reported. In addition, the role of parental intellectual disability was examined. Outcomes of 55 families who had received MSTâID were assessed at the end of treatment and at 6âmonth, 12âmonth and 18âmonth followâup. Parental intellectual disability was used as a predictor of treatment outcomes. Missing data were handled using multiple imputation. Ruleâbreaking behaviour of adolescents declined during treatment and stabilized until 18 months postâtreatment. The presence or absence of parental intellectual disability did not predict treatment outcomes. This study was the first to report longâterm outcomes of MSTâID. The intervention achieved similar results in families with and without parents with an intellectual disability
Brief report:Follow-up outcomes of multisystemic therapy for adolescents with an intellectual disability and the relation with parental intellectual disability
Research on followâup outcomes of systemic interventions for family members with an intellectual disability is scarce. In this study, shortâterm and longâterm followâup outcomes of multisystemic therapy for adolescents with antisocial or delinquent behaviour and an intellectual disability (MSTâID) are reported. In addition, the role of parental intellectual disability was examined. Outcomes of 55 families who had received MSTâID were assessed at the end of treatment and at 6âmonth, 12âmonth and 18âmonth followâup. Parental intellectual disability was used as a predictor of treatment outcomes. Missing data were handled using multiple imputation. Ruleâbreaking behaviour of adolescents declined during treatment and stabilized until 18 months postâtreatment. The presence or absence of parental intellectual disability did not predict treatment outcomes. This study was the first to report longâterm outcomes of MSTâID. The intervention achieved similar results in families with and without parents with an intellectual disability
Maladaptive behaviors are linked with inefficient sleep in individuals with developmental disabilities
The purpose of the current study was to assess the relations between nightly sleep patterns and the frequency of daily maladaptive behavior. Antecedent and consequential relations between sleep patterns and behavior were evaluated with time series analysis. Sleep efficiency and maladaptive behavior were determined for 20 female residents of an institutional care facility for adults with developmental disabilities. Daily maladaptive behavioral data and nightly sleep/awake logs were collected for 4Â months for each participant. Efficient sleep patterns were significantly associated with lower frequencies of maladaptive behaviors. All lagged cross-correlations 8Â days before and 8Â days after an evening of sleep were significant. These findings suggested that inefficient sleep was associated with increased maladaptive behaviors and that the lagged associations reflected a chronic but not an acute linkage between sleep and behavior
Psychomotor therapy targeting anger and aggressive behaviour in individuals with mild or borderline intellectual disabilities:A systematic review
Background: Poor anger regulation is considered a risk factor of aggression in individuals with mild or borderline intellectual disabilities. Psychomotor therapy (PMT) targets anger regulation through body- and movement-oriented interventions. This study aims to inform practitioners on efficacy and research-base of PMT in this population. Method: This systematic review evaluated nine studies which met inclusion criteria in terms of participants, intervention procedures, outcomes and certainty of evidence. Results: Seven studies revealed a substantial reduction of aggressive behaviour or anger. Certainty of evidence was rated inconclusive in most cases due to absence of experimental control. Conclusions: We can conclude that body-oriented PMT, involving progressive relaxation and meditation procedure "Soles of the Feet", is a promising approach. However, the paucity of studies and methodological limitations preclude classifying it as an evidence-based practice. This suggests stronger methodological research and research aimed at PMT's mechanisms of action (e.g., improved interoceptive awareness) is warranted.</p
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