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Thinking on your feet: understanding the immediate responses of staff to adults who challenge intellectual disability services.
J Appl Res Intellect Disabil 2012; 25(3):189-202JA

Abstract

BACKGROUND

A gap prevails between the conceptualization of good practice in challenging behaviour management and its implementation in intellectual disability services. This study aimed to investigate staff members' perspectives of managing clients with challenging behaviours in residential services.

MATERIALS AND METHODS

Semi-structured interviews were conducted with eleven staff in two services. Additionally, service documents on challenging behaviour management were examined in these services. A qualitative methodology was used to investigate staff members' immediate responses to clients' difficult behaviours and their decision-making processes.

RESULTS

The immediate responses of staff were conceptualized as the result of complex appraisals shaped by their service context involving the core processes of making the right choice and prioritizing the best interests of all involved.

CONCLUSIONS

Staff members' responses were understood as a dynamic and retroactive process, where their past and current challenging behaviour management experiences in the service influenced their responses to clients in the future.

Authors+Show Affiliations

South London and the Maudsley NHS Foundation Trust, London, UK. pravoux@lambeth.gov.ukNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22489031

Citation

Ravoux, Peggy, et al. "Thinking On Your Feet: Understanding the Immediate Responses of Staff to Adults Who Challenge Intellectual Disability Services." Journal of Applied Research in Intellectual Disabilities : JARID, vol. 25, no. 3, 2012, pp. 189-202.
Ravoux P, Baker P, Brown H. Thinking on your feet: understanding the immediate responses of staff to adults who challenge intellectual disability services. J Appl Res Intellect Disabil. 2012;25(3):189-202.
Ravoux, P., Baker, P., & Brown, H. (2012). Thinking on your feet: understanding the immediate responses of staff to adults who challenge intellectual disability services. Journal of Applied Research in Intellectual Disabilities : JARID, 25(3), pp. 189-202. doi:10.1111/j.1468-3148.2011.00653.x.
Ravoux P, Baker P, Brown H. Thinking On Your Feet: Understanding the Immediate Responses of Staff to Adults Who Challenge Intellectual Disability Services. J Appl Res Intellect Disabil. 2012;25(3):189-202. PubMed PMID: 22489031.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Thinking on your feet: understanding the immediate responses of staff to adults who challenge intellectual disability services. AU - Ravoux,Peggy, AU - Baker,Peter, AU - Brown,Hilary, Y1 - 2011/10/18/ PY - 2012/4/11/entrez PY - 2012/4/11/pubmed PY - 2012/10/5/medline SP - 189 EP - 202 JF - Journal of applied research in intellectual disabilities : JARID JO - J Appl Res Intellect Disabil VL - 25 IS - 3 N2 - BACKGROUND: A gap prevails between the conceptualization of good practice in challenging behaviour management and its implementation in intellectual disability services. This study aimed to investigate staff members' perspectives of managing clients with challenging behaviours in residential services. MATERIALS AND METHODS: Semi-structured interviews were conducted with eleven staff in two services. Additionally, service documents on challenging behaviour management were examined in these services. A qualitative methodology was used to investigate staff members' immediate responses to clients' difficult behaviours and their decision-making processes. RESULTS: The immediate responses of staff were conceptualized as the result of complex appraisals shaped by their service context involving the core processes of making the right choice and prioritizing the best interests of all involved. CONCLUSIONS: Staff members' responses were understood as a dynamic and retroactive process, where their past and current challenging behaviour management experiences in the service influenced their responses to clients in the future. SN - 1468-3148 UR - https://www.unboundmedicine.com/medline/citation/22489031/Thinking_on_your_feet:_understanding_the_immediate_responses_of_staff_to_adults_who_challenge_intellectual_disability_services_ L2 - https://doi.org/10.1111/j.1468-3148.2011.00653.x DB - PRIME DP - Unbound Medicine ER -