Incidence, types and characteristics of aggressive behaviour in treatment facilities for adults with mild intellectual disability and severe challenging behaviour

Journal of Intellectual Disability Research : JIDR
Nienke H Tenneij, Hans M Koot

Abstract

Inpatient aggression in treatment facilities for persons with intellectual disability (ID) can have aversive consequences, for co-clients and staff, but also for the aggressors themselves. To manage and eventually prevent inpatient aggressive incidents, more knowledge about their types and characteristics is necessary. In four facilities, totalling 150 beds, specialized in the treatment of adults with mild ID or severe challenging behaviour, aggressive incidents were registered during 20 weeks using the Staff Observation Aggression Scale-Revised. Characteristics of auto-aggressive and outwardly directed incidents and differences in their incidence in male and female clients in these facilities were compared. During the observation period of 20 weeks, 639 aggressive incidents were documented. Most of these (71%) were outwardly directed, predominantly towards staff, while most of the remaining incidents were of an auto-aggressive nature. Of the 185 clients present during the observation period, 44% were involved in outwardly directed incidents (range per client 1-34), and 12% in auto-aggressive incidents (range per client 1-92). Auto-aggressive and outwardly directed incidents differed regarding source of provocation, means used ...Continue Reading

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Citations

Aug 4, 2011·Journal of Multidisciplinary Healthcare·Donald E Greydanus, Roger W Apple
Apr 17, 2012·Research in Developmental Disabilities·Shawna L Carroll Chapman, Li-Tzy Wu
Apr 11, 2018·The Cochrane Database of Systematic Reviews·Edoardo G OstinelliClive E Adams
Sep 18, 2018·Journal of Developmental and Physical Disabilities·Kim J H M van den BogaardPetri J C M Embregts
Jun 30, 2021·Journal of Deaf Studies and Deaf Education·Julia SalznerJohannes Fellinger

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