Behavioral Management Leads to Reduction in Aggression in a Child and Adolescent Psychiatric Inpatient Unit

Autor/inn/en	Dean, Angela J.; Duke, Suzanne G.; George, Michelle; Scott, James
Titel	Behavioral Management Leads to Reduction in Aggression in a Child and Adolescent Psychiatric Inpatient Unit
Quelle	In: Journal of the American Academy of Child & Adolescent Psychiatry, 46 (2007) 6, S.711 (10 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0890-8567
Schlagwörter	Patients; Aggression; Behavior Modification; Hospitalized Children; Psychiatry; Antisocial Behavior; Adolescents; Mental Health; Prevention; Staff Development; Positive Reinforcement; Intervention; Program Effectiveness; Injuries; Behavior Change; Foreign Countries; Australia + Suchen Sie Ihr Suchwort? Patient; Behaviour modification; Verhaltensänderung; Psychiatrie; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Psychohygiene; Prävention; Vorbeugung; Personnel development; Personalentwicklung; Ausland; Australien
Abstract	Objective: Aggression is common in children and adolescents admitted to psychiatric inpatient units. Few interventions for reducing aggressive behaviors have been identified. This study aimed to evaluate the impact of a milieu-based behavioral management program on the frequency of aggressive behaviors in a child and adolescent mental health inpatient unit. Method: The behavioral management program incorporated individualized patient management plans, early detection and prevention, staff training, reinforcement of appropriate behaviors, and intervention using the least restrictive option. Outcomes were assessed for 6 months before and after program introduction, and included episodes of aggressive behavior, injuries, use of physical restraint, seclusion, p.r.n. sedation, use of security services, and staffing factors. Results: Implementation of behavioral management led to a significant reduction in the episodes of aggressive behavior (p less than 0.05) and other unwanted outcomes including injuries (p less than 0.05), use of physical restraint (p less than 0.001), and duration of seclusion (p less than 0.001). These outcomes were achieved without reducing the number of admissions, changing the types of patients admitted, increasing staff costs, or increasing the use of p.r.n. medications. Conclusions: Aggressive behaviors in child and adolescent psychiatric inpatient unit scan be reduced by implementing a broad-based behavioral management program. These findings highlight the importance of organizational approaches to behavior and risk management. (Contains 2 tables and 2 figures.) (Author).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10