Brief report: Aggressive challenging behaviour in adults with intellectual disability following community resettlement

Authors: Bhaumik, S.; Watson, J. M.; Devapriam, J.; Raju, L. B.; Tin, N. N.; Kiani, R.; Talbott, L.; Parker, R.; Moore, L.; Majumdar, S. K.; Ganghadaran, S. K.; Dixon, K.; Das Gupta, A.; Barrett, M.; Tyrer, F.

Source: Journal of Intellectual Disability Research, Volume 53, Number 3, March 2009 , pp. 298-302(5)

Publisher: Wiley-Blackwell

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Abstract:

Background

Aggressive challenging behaviour is common in adults with intellectual disability (ID) in long-term care facilities. The government's commitment to the closure of all facilities in England has led to concerns over how to manage this behaviour in the community. The aim of this study was to assess changes in aggressive challenging behaviour and psychotropic drug use in adults with ID following resettlement using a person-centred approach. Method

The Modified Overt Aggression Scale was administered to carers of 49 adults with ID prior to discharge from a long-stay hospital and 6 months and 1 year after community resettlement. Results

All areas of aggressive challenging behaviour reduced significantly between baseline and 6 months following resettlement (P < 0.001). This reduction remained (but did not decrease further) at 1-year follow-up. Conclusions

Further work is needed to evaluate the role of environmental setting on aggressive challenging behaviour in adults with ID.

Keywords: intellectual disability; aggression; deinstitutionalisation; hospital; community

Document Type: Research article

DOI: http://dx.doi.org/10.1111/j.1365-2788.2008.01111.x

Affiliations: 1: Leicestershire Partnership NHS Trust, Leicester Frith Hospital, Leicester, UK

Publication date: 2009-03-01