Diagnostic, Treatment and Service Considerations to Address Challenging Behavior: A Model Program for Integrated Service Delivery

Beasley, Joan B.; Klein, Anita S.; Weigle, Karen L.

doi:10.1007/978-3-319-18096-0_129

Cited by 6 publications

(4 citation statements)

References 27 publications

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“…Many of the service models offered access to services 24 hours per day, 7 days per week. The START programmes (Beasley et al, 1992(Beasley et al, , 2016(Beasley et al, , 2018Kroll, 1999, 2002;Kalb et al, 2019;Rubin et al, 2007) included most of these features and were the most researched models in our review. This is the first systematic review on crisis stabilisation to date.…”

Section: Discussionmentioning

confidence: 99%

Crisis stabilisation services for people with intellectual disabilities: A systematic review

McCombe

Martin

Curtis

et al. 2021

J Intellect Disabil

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People with intellectual and developmental disabilities sometimes engage in challenging behaviours. When behaviours escalate to the point where they pose imminent risk to the safety of people and environments, a crisis occurs that jeopardises community living and participation. In these situations, timely access to crisis stabilisation services is required. We conducted a systematic review of the literature to synthesise evidence on effective crisis stabilisation service models for challenging behaviours. A total of 46 publications met the inclusion criteria. The literature describes a spectrum of crisis stabilisation services of varying intensities including: outreach, outpatient, inpatient, respite, and capacity building through education and training. However, there is limited guidance on how to best structure service models. This review highlights the need for comprehensive and person-centred programme evaluations.

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Section: Discussionmentioning

confidence: 99%

Crisis stabilisation services for people with intellectual disabilities: A systematic review

McCombe

Martin

Curtis

et al. 2021

J Intellect Disabil

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“…The evidence base overwhelmingly identifies individualised and person-centred care as a central enabler of effective support provision, with this tai lored to the needs, personal preferences, values, goals and challenges experienced by an individual with complex support needs (Ahmed et al, 2016;Barnao, 2013;Beasley et al, 2016;Bowers et al, 2017). This approach links to evidence that successful models encourage 'personal growth' by emphasising motivation and confidence (Browning et al, 2016;Davidson et al, 2014;Davies et al, 2016), a sense of belonging and increased community engagement (Dixon et al, 2016;Gonzalez and Andvig, 2015;Wylie and Griffin, 2013), meaningful activities (Cornes et al, 2014) and the creation of supportive and ongoing relationships (Davis et al, 2016;de Vet et al, 2017;Johnson et al, 2014;Urbis, 2015).…”

Section: Systemmentioning

confidence: 99%

“…This marginalisation was often compounded by social issues including poverty and discrimination (Caxaj, 2016;Gardiner et al, 2017;Henning, 2016;Johnson et al, 2015), which services frequently did not adequately consider (Davidson et al, 2014;Quirouette, 2016). Additionally, people with complex support needs living in rural and remote communities were identified as experiencing specific barriers to service access due to poor availability of geographically proximate specialist services (Barbabella et al, 2017;Bellon et al, 2015;Caxaj, 2016;Hoeft et al, 2018). Community prejudice and resistance to the support of populations with complex support needs were also cited as contributing to the systematic marginalisation of these groups (Johnson et al, 2015;McCauley and Samples, 2017).…”

Section: Systems Levelmentioning

confidence: 99%

Integrated responses for people with cognitive disability and complex support needs: Factors and principles

Dowse

Dillon-Savage²,

Dew

et al. 2020

Evidence Base

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People with cognitive disability who have complex support needs typically engage with multiple services across social care domains that operate in silos. These services are individually ill-equipped to adequately recognise the presence or impact of disability and respond to the breadth, depth and intersectional nature of people's support needs. This lack of appropriate recognition and response often in turn works to further exacerbate the complexity of a person's support needs. This paper reports on a systematic review of current national and international evidence addressing good practice in supporting people with complex support needs. The review assesses evidence in policy and practice in disciplines including homelessness, child protection, disability, social work, youth studies, health, mental health and drug and alcohol to identify key factors that facilitate or hamper person-centred integrated social care. An analytic frame adapted from Ecological Systems Theory is deployed to present the key factors identified to shape responsive support at the level of people, services and systems. The paper concludes with a discussion of three key principles synthesised from the review as the crucial underpinnings of a responsive social care system for people with cognitive disability and complex support needs.

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“…; Beasley et al . ). Inpatient care, though necessary at times, is best viewed as one step in a continuum of treatment alternatives in behavioural health care.…”

Section: Introductionmentioning

confidence: 97%

Psychiatric hospitalisation among individuals with intellectual disability referred to the START crisis intervention and prevention program

Kalb

Beasley

Klein

et al. 2016

J intellect Disabil Res

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Diagnostic, Treatment and Service Considerations to Address Challenging Behavior: A Model Program for Integrated Service Delivery

Cited by 6 publications

References 27 publications

Crisis stabilisation services for people with intellectual disabilities: A systematic review

Crisis stabilisation services for people with intellectual disabilities: A systematic review

Integrated responses for people with cognitive disability and complex support needs: Factors and principles

Psychiatric hospitalisation among individuals with intellectual disability referred to the START crisis intervention and prevention program

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