The Clinical Management and Prevention of Pica: A Retrospective Follow-Up of 41 Individuals with Intellectual Disabilities and Pica

Autor/inn/en	Williams, Don E.; Kirkpatrick-Sanchez, Sharon; Enzinna, Christie; Dunn, Jacqueline; Borden-Karasack, Deborah
Titel	The Clinical Management and Prevention of Pica: A Retrospective Follow-Up of 41 Individuals with Intellectual Disabilities and Pica
Quelle	In: Journal of Applied Research in Intellectual Disabilities, 22 (2009) 2, S.210-215 (6 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1360-2322
DOI	10.1111/j.1468-3148.2008.00490.x
Schlagwörter	Intervention; Mental Retardation; Surgery; Hygiene; Behavior Disorders; Prevention; Self Destructive Behavior; Institutionalized Persons; Environmental Influences; Behavior Modification; Behavior Change; At Risk Persons + Suchen Sie Ihr Suchwort? Geistige Behinderung; Chirurgie; Prävention; Vorbeugung; Self destrucive behaviour; Selbstzerstörung; Environmental influence; Umwelteinfluss; Behaviour modification; Verhaltensänderung; Risikogruppe
Abstract	Background: Pica is a very dangerous form of self-injurious behaviour because one occurrence can be lethal. Dealing successfully with dangerous pica in a large institution requires a high level of administrative support. It cannot be relegated to each psychologist to write a programme. A written behaviour programme is only one component of long-term treatment. Method: This study describes an intervention for people with intellectual disabilities and pica that included comprehensive management of the environment as well as behaviour treatment over a 9-year period. Results: Over a 9-year period, nine surgeries for pica-related incidents occurred prior to intervention; over the 9 years of intervention, pica surgeries were eliminated. Eighty-five percent of participants experienced a 75-100% reduction in pica. Sixteen participants still had restrictive procedures including oral hygiene, overcorrection, contingent personal restraint, contingent mechanical restraint and visual screening with goggles. All continuous mechanical restraint that had been used in baseline was eliminated. Conclusion: People with intellectual disabilities and dangerous pica can be protected on a long-term basis from serious harm if proper management and clinical interventions are both employed. Although restrictive interventions were used on a long-term basis, they were contingent upon a pica incident or pica attempts, which occurred much lower than in baseline sessions. Resident rights were protected throughout the intervention. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10