Swipe om te navigeren naar een ander artikel
Some individuals with developmental disabilities who reside in community group homes occasionally engage in low-frequency, but high-intensity, aggressive behavior. Over time, staff members assigned to manage the aggressive behaviors of these individuals are repeatedly injured, have to take time off work, become highly stressed, and eventually find alternative employment. In this study, we provided a 7-day intensive Mindfulness-Based Positive Behavior Support (MBPBS) training to staff from three group homes and measured the effects of such training on their use of verbal redirection and physical restraint, staff stress levels and turnover, staff and peer injuries, and benefit-cost analyses. When compared to baseline measures, results showed clinically and statistically significant reductions in the use of verbal redirection, complete disuse of physical restraints within a few weeks of MBPBS training, and cessation of staff and peer injuries. In addition, there was a significant reduction in staff stress and zero staff turnover. Finally, benefit-cost analysis showed substantial financial savings due to staff participation in the MBPBS program. This study adds to the extant research suggestive of mindfulness-based interventions being effective in reducing the use of restraints, decreasing staff stress, and providing financial savings to the service providers of individuals with developmental disabilities.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
Allen, D., Lowe, K., Brophy, S., & Moore, K. (2009). Predictors of restrictive reactive strategy use in people with challenging behavior. Journal of Applied Research in Intellectual Disabilities, 22, 159–168. CrossRef
Anālayo. (2003). Satipatthana: the direct path to realization. Cambridge: Windhorse Publications.
Barlow, D. H., Nock, M. K., & Hersen, M. (2009). Single case experimental designs: strategies for studying behavior change (3rd ed.). Boston: Allyn and Bacon.
Bethay, J. S., Wilson, K. G., Schnetzer, L. W., Nassar, S. L., & Bordieri, M. J. (2013). A controlled pilot evaluation of acceptance and commitment training for intellectual disability staff. Mindfulness, 4, 113–121. CrossRef
Bluth, K., & Wahler, R. G. (2011). Does effort matter in mindful parenting? Mindfulness, 2, 175–178. CrossRef
Brooker, J. E., Julian, J., Webber, L., Chan, J., Shawyer, F., & Meadows, G. (2013). Evaluation of an occupational mindfulness program for staff employed in the disability sector in Australia. Mindfulness, 4, 122–136. CrossRef
Brooker, J. E., Webber, L., Julian, J., Shawyer, F., Graham, A. L., Chan, J., & Meadows, G. (2014). Mindfulness-based training shows promise in assisting staff to reduce their use of restrictive interventions in residential services. Mindfulness. doi: 10.1007/s12671-014-0306-2.
Buksbazen, J. D. (2002). Zen meditation in plain English. Boston: Wisdom Publications.
Chödrön, P. (2007). Don’t bite the hook: finding freedom from anger, resentment, and other destructive emotions. Boston: Shambhala Audio.
Chödrön, P. (2010). Taking the leap: freeing ourselves from old habits and fears. Boston: Shambhala.
Cohen, S., & Williamson, G. (1988). Psychological stress in a probability sample of the United States. In S. Spacapan & S. Oskamp (Eds.), The social psychology of health: Claremont symposium on applied social psychology (pp. 31–67). Newbury Park: Sage.
Hawkins, S., Allen, D., & Jenkins, R. (2005). The use of physical interventions with people with intellectual disabilities and challenging behavior: the experiences of service users and staff members. Journal of Applied Research in Intellectual Disabilities, 18, 19–34. CrossRef
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and commitment therapy: an experiential approach to behavior change. New York: Guilford.
Heyvaert, M., Saenen, L., Maes, B., & Onghena, P. (2014a). Systematic review of restraint interventions for challenging behavior among persons with intellectual disabilities: focus on experiences. Journal of Applied Research in Intellectual Disabilities. doi: 10.1111/jar.12095.
Heyvaert, M., Saenen, L., Maes, B., & Onghena, P. (2014b). Systematic review of restraint interventions for challenging behaviors among persons with intellectual disabilities: focus on effectiveness in single-case experiments. Journal of Applied Research in Intellectual Disabilities. doi: 10.1111/jar.12094.
Hölzel, B. K., Lazar, S. W., Gard, T., Schuman-Olivier, Z., Vago, D. R., & Ott, U. (2011). How does mindfulness meditation work? Proposing mechanisms of action from a conceptual and neural perspective. Perspectives on Psychological Science, 6, 537–559. CrossRef
Howard, R., Rose, J., & Levenson, V. (2009). The psychological impact of violence on staff working with adults with intellectual disabilities. Journal of Applied Research in Intellectual Disabilities, 22, 538–548. CrossRef
Kabat-Zinn, J. (1990). Full catastrophe living: using the wisdom of your body and mind to face stress, pain and illness. NY: Delta.
Kongtrül, D. (2008). Light comes through: Buddhist teaching on awakening to our natural intelligence. Boston: Shambhala.
Kyabgon, T. (2003). Mind at ease: self-liberation through Mahamudra meditation. Boston: Shambhala.
McDonald, K. (2005). How to meditate: a practical guide. Boston: Wisdom Publications.
Myers, R. E., Winton, A. S. W., Lancioni, G. E., & Singh, N. N. (2014). Mindfulness in developmental disabilities. In N. N. Singh (Ed.), Psychology of meditation (pp. 209–240). New York: Nova Science.
Noone, S. J., & Hastings, R. P. (2010). Using acceptance and mindfulness-based workshops with support staff caring for adults with intellectual disabilities. Mindfulness, 1, 67–73. CrossRef
Parker, R. I., Hagan-Burke, S., & Vannest, K. (2007). Percentage of all non-overlapping data (PAND): an alternative to PND. Journal of Special Education, 40, 194–204. CrossRef
Richards, S. B., Taylor, R. L., & Ramasamy, R. (2013). Single subject research: applications in educational and clinical settings. Belmont: Wadsworth.
Sameroff, A. J. (1995). General systems theories and developmental psychopathology. In D. Cicchetti & D. J. Cohen (Eds.), Developmental psychopathology. Vol. 1: theory and methods (pp. 659–695). New York: Wiley.
Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse. New York: Guilford Press.
Singh, N. N. (2014). Psychology of meditation. New York: Nova.
Singh, N. N., Lancioni, G. E., Winton, A. S. W., Singh, A. N., Adkins, A. D., & Singh, J. (2009). Mindful staff can reduce the use of physical restraints when providing care to individuals with intellectual disabilities. Journal of Applied Research in Intellectual Disabilities, 22, 194–202. CrossRef
Singh, N. N., Singh, J., Singh, A. D. A., Singh, A. N. A., & Winton, A. S. W. (2011). Meditation on the soles of the feet for anger management: a trainer’s manual. Raleigh, NC: Fernleaf. ( www.fernleafpub.com).
Singh, N. N., Lancioni, G. E., Winton, A. S. W., Karazsia, B. T., Myers, R. E., Latham, L. L., & Singh, J. (2014). Mindfulness-Based Positive Behavior Support (MBPBS) for mothers of adolescents with autism spectrum disorder: effects on adolescents’ behavior and parental stress. Mindfulness, 5, 646-657. doi: 10.1007/s12671-014-0321-3.
Tenneij, N. H., & Koot, H. M. (2008). Incidence, types and characteristics of aggressive behavior in treatment facilities for adults with mild intellectual disability and severe challenging behavior. Journal of Intellectual Disability Research, 52, 114–124. PubMed
- Effects of Training Staff in MBPBS on the Use of Physical Restraints, Staff Stress and Turnover, Staff and Peer Injuries, and Cost Effectiveness in Developmental Disabilities
Nirbhay N. Singh
Giulio E. Lancioni
Bryan T. Karazsia
Rachel E. Myers
Alan S. W. Winton
Larry L. Latham
- Springer US