Challenging behaviour and learning disabilities: summary of NICE guidance

Pilling, Stephen; Marcus, Elena; Whittington, Craig; Murphy, Glynis H.

doi:10.1136/bmj.h2652

Cited by 11 publications

(7 citation statements)

References 9 publications

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“…Challenging behaviors in learners with Developmental disabilities such as ASD include aggression, self-injury, stereotypic behavior, and withdrawal. It results out of interaction between personal and environmental factors (Pilling, et al, 2015). Prevalence of challenging behaviors increases with age during childhood; it reaches a peak during adolescence and young adulthood but eventually declines at late adulthood (Rattaz et al, 2018).…”

Section: Common Challenging Behaviorsmentioning

confidence: 99%

Autism Spectrum Disorder: Review of Common challenging behaviors and appropriate intervention strategies

Nyakundi¹,

Wairungu²

2021

IJRISS

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Autism Spectrum Disorder is a triad of disabilities with individuals exhibiting challenges in Social-Communication, repetitive behaviors and restricted activities and interests. Its etiology is not clear but, researchers point at a complex interaction between genetics and environment. There are more boys with ASD than girls at a ratio of 4 boys: 1girl. The disorder has been in an unprecedented rate of increase in the last few decades. Currently 1 in every 59 children has ASD (in USA). One of the greatest concerns by parents, speech therapists and educationists is how to deal with challenging behaviors in learners with ASD. The main aim of this paper is to consolidate research work and expert's opinion on what challenging behaviors entails and as well what intervention strategies exist.To achieve this, an in-depth review of research findings published in renowned journals was done. A qualitative research approach was assumed utilizing Google scholar search engine to search for terms 'Autism Spectrum Disorders' 'challenging behaviors in ASD' and 'intervention strategies for challenging behaviors in ASD'. After this, the authors scanned through the abstracts of the articles to weigh their relevance in achieving the aim of the study. Only those articles that covered the relevant topics in an in-depth manner were considered for review. In this era of inclusive education, it is important that education is given a collaborative multidisciplinary team approach. Teaching learners with ASD or conducting therapy sessions can be difficult when challenging behaviors are exhibited. Behavior analysts are critically important in managing challenging behaviors but unfortunately we do not have enough of them to always be available when need arises. It is important to train related education stakeholders on how toidentify and intervene when challenging behaviors are exhibited. A one 'stop shop' is necessary as provided by this article. Most common challenging behaviors include physical and verbal aggression, elopement, pica, noncompliance, property destruction, self-injury, and incontinence. From the review, contemporary intervention strategies include Applied behavior analyses, use of Picture exchange communication system and Prompting and prompt fading. The bottom line of behavior management entails laying down behavior expectations and positively reinforcing it. Inappropriate behavior cannot change unless an alternative one is introduced and reinforced.

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Section: Common Challenging Behaviorsmentioning

confidence: 99%

Autism Spectrum Disorder: Review of Common challenging behaviors and appropriate intervention strategies

Nyakundi¹,

Wairungu²

2021

IJRISS

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“…Frequently, the referred child or young person has not had a detailed or completed behavioural assessment or treatment plan, which is a widely recommended intervention . When available, it has often not been enacted, mainly because implementation is challenging as most schools, parents and carers do not have easy access to professionals with both the time and skills to assist.…”

Section: Clinical Perspectivementioning

confidence: 99%

Short‐term aripiprazole therapy for autism spectrum disorder

Araba

Marraffa

2018

J Paediatrics Child Health

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“…Smith et al (1996) reported behavioural disorders in about 64% of their population-based cohort of adults with ID. These rates are higher in people with more severe disabilities and within inpatient settings (Pilling et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

Emotional problems and intellectual disability: comparing groups with and without forensic involvement

Craven¹,

Shelton²

2020

JIDOB

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Purpose Individuals with intellectual disability (ID) are known to experience increased emotional and behavioural concerns. The study aims to assess whether detained ID patients with a forensic history (IDPF) have increased difficulty managing their impulse control in comparison to detained ID patients without a forensic history (IDP). Using the externalising behaviour problems (EBP) subscale of the EPS, the study aims to compare the differences between the IDFP and IDP groups. Design/methodology/approach A total of 60 patients with ID detained under the Mental Health Act 1983 (Revised 2007) were assessed using the behaviour rating scale of the EPS. The outcome scores of the EBP were used to examine any observed differences between the scores of forensically involved patients [n = 34] and those without a forensic history [n = 26]. It was hypothesised that patients with a forensic history would display higher scoring on externalised behavioural problems (EBP) than patients without such a history. Findings Non-parametric testing revealed that there were no significant differences in EBP scoring between the two sample groups. These findings indicate that, for patients in the present study, no differences were detected in the presentation of these two distinct groups. In fact, with the exception of the verbal aggression subscale of the EBP, the other three subscales (physical aggression, non-compliance and hyperactivity) show that actually the IDP group displayed the higher ranked means in these subscales when compared with the forensically involved group. Originality/value These results indicate possible increased treatment needs within the IDP group and question whether offending history is necessarily a reliable predictor of ongoing hostility and behavioural concerns within similar inpatient services.

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Challenging behaviour and learning disabilities: summary of NICE guidance

Abstract: This is one of a series of BMJ summaries of new guidelines based on the best available evidence; they highlight important recommendations for clinical practice, especially where uncertainty or controversy exists.

Cited by 11 publications

References 9 publications

Autism Spectrum Disorder: Review of Common challenging behaviors and appropriate intervention strategies

Autism Spectrum Disorder: Review of Common challenging behaviors and appropriate intervention strategies

Short‐term aripiprazole therapy for autism spectrum disorder

Emotional problems and intellectual disability: comparing groups with and without forensic involvement

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