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Evaluating neuropsychologically informed rehabilitation training for staff within a high secure intellectual disability service

Evaluating neuropsychologically informed rehabilitation training for staff within a high secure... Neuropsychologically informed rehabilitation (NIR) is one approach to supporting people with intellectual disabilities, cognitive impairment and challenging behaviour. This study aims to evaluate a five-day training course in NIR for staff working with adult male offenders with intellectual disabilities in a high secure hospital. The impacts on both the staff who undertook the training and the patients with challenging behaviour were explored.Design/methodology/approachParticipants were psychology, nursing and day services staff and male patients. The staff completed a post-training questionnaire and three measures at pre-NIR training, post-NIR training and one-year follow-up. Patients completed four questionnaire measures within the same periods.FindingsNIR training was positively evaluated by staff. Staff members’ perceived efficacy in working with challenging behaviour significantly increased post-training which was maintained at follow-up. Thematic analysis showed that the training staff members built their confidence, knowledge and skills. Because of these being high to start with, the study could not evidence statistically significant changes in these. Thematic analysis yielded two main themes, namely, benefits and quality of training, each with their own subthemes. The impacts of the training on patients were difficult to assess related to various factors.Research limitations/implicationsThe knowledge and confidence measures used were limited in scope with an experienced staff group and required development.Practical implicationsNIR training could assist staff in other secure and community settings in working with people with intellectual disabilities and challenging behaviours.Originality/valueThis study positively contributes to an area that requires more research. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Intellectual Disabilities and Offending Behaviour Emerald Publishing

Evaluating neuropsychologically informed rehabilitation training for staff within a high secure intellectual disability service

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Publisher
Emerald Publishing
Copyright
© Emerald Publishing Limited
ISSN
2050-8824
DOI
10.1108/jidob-08-2019-0016
Publisher site
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Abstract

Neuropsychologically informed rehabilitation (NIR) is one approach to supporting people with intellectual disabilities, cognitive impairment and challenging behaviour. This study aims to evaluate a five-day training course in NIR for staff working with adult male offenders with intellectual disabilities in a high secure hospital. The impacts on both the staff who undertook the training and the patients with challenging behaviour were explored.Design/methodology/approachParticipants were psychology, nursing and day services staff and male patients. The staff completed a post-training questionnaire and three measures at pre-NIR training, post-NIR training and one-year follow-up. Patients completed four questionnaire measures within the same periods.FindingsNIR training was positively evaluated by staff. Staff members’ perceived efficacy in working with challenging behaviour significantly increased post-training which was maintained at follow-up. Thematic analysis showed that the training staff members built their confidence, knowledge and skills. Because of these being high to start with, the study could not evidence statistically significant changes in these. Thematic analysis yielded two main themes, namely, benefits and quality of training, each with their own subthemes. The impacts of the training on patients were difficult to assess related to various factors.Research limitations/implicationsThe knowledge and confidence measures used were limited in scope with an experienced staff group and required development.Practical implicationsNIR training could assist staff in other secure and community settings in working with people with intellectual disabilities and challenging behaviours.Originality/valueThis study positively contributes to an area that requires more research.

Journal

Journal of Intellectual Disabilities and Offending Behaviour – Emerald Publishing

Published: Apr 30, 2020

Keywords: Staff training; Intellectual disabilities; Neuropsychologically informed rehabilitation; Cognitive rehabilitation; Challenging behaviour; Cognitive impairment

References

  • A case study on adapted eye movement desensitisation and reprocessing (EMDR) for a male high secure hospital patient with intellectual disability (ID) presenting with treatment resistant challenging behaviour
    Annesley, P.; Kamath, S.A.; Brooks, D.; Starkie, J.
  • Challenging behaviours in adults with an intellectual disability: a total population study and exploration of risk indices
    Bowring, D.L.; Totsika, V.; Hastings, R.P.; Toogood, S.; Griffith, G.M.
  • Prevalence of psychotropic medication use and association with challenging behaviour in adults with an intellectual disability: a total population study
    Bowring, D.L.; Totsika, V.; Hastings, R.P.; Toogood, S.; McMahon, M.
  • Using thematic analysis in psychology
    Braun, V.; Clarke, V.
  • Theoretical and practical aspects of cognitive remediation in intellectual disabilities: relevance of the cognitive remediation therapy program (CRT)
    Carteau-Martin, I.; Amado, I.; Thillay, A.; Houy-Durand, E.; Barthelemy, C.; Bonnet-Brilhault, F.
  • Evidence-based cognitive rehabilitation: updated review of the literature from 2003 through 2008
    Cicerone, K.D.; Langenbahn, D.M.; Braden, C.; Malec, J.F.; Kalmar, K.; Fraas, M.; Azulay, J.
  • The influence of staff training on challenging behaviour in individuals with intellectual disability: a review
    Cox, A.D.; Dube, C.; Temple, B.
  • The effectiveness of working memory training with individuals with intellectual disabilities – a meta-analytic review
    Danielsson, H.; Zottarel, V.; Palmqvist, L.; Lanfranchi, S.
  • Factors affecting response rates of the web survey: a systematic review
    Fan, W.; Yan, Z.
  • Computer-based cognitive remediation program for the treatment of behavioral problems in children with intellectual disability: the «COGNITUS & MOI» study protocol for a randomized controlled trial
    Favre, E.; Peyroux, E.; Babinet, M.N.; Poisson, A.; Demily, C.
  • Trainer and support staff’s experiences of engaging with the who’s challenging who? Challenging behaviour training course
    Flynn, S.; Hastings, R.P.; Gillespie, D.; McNamara, R.; Randell, E.
  • A checklist of challenging behaviour: the development of a survey instrument
    Harris, P.; Humphreys, J.; Thomson, G.
  • Positive behaviour support training for staff for treating challenging behaviour in people with intellectual disabilities: a cluster RCT
    Hassiotis, A.; Poppe, M.; Strydom, A.; Vickerstaff, V.; Hall, I.; Crabtree, J.; Biswas, A.
  • A conceptual framework for understanding why challenging behaviours occur in people with developmental disabilities
    Hastings, R.P.; Allen, D.; Baker, P.; Gore, N.J.; Hughes, J.C.; McGill, P.; Toogood, S.
  • Who’s challenging who training for staff empathy towards adults with challenging behaviour: cluster randomised controlled trial
    Hastings, R.P.; Gillespie, D.; Flynn, S.; McNamara, R.; Taylor, Z.; Knight, R.; Przybylak, P.
  • The use of physical interventions with people with intellectual disabilities and challenging behaviour – the experiences of service users and staff members
    Hawkins, S.; Allen, D.; Jenkins, R.
  • A meta‐analysis of intervention effects on challenging behaviour among persons with intellectual disabilities
    Heyvaert, M.; Maes, B.; Onghena, P.
  • The usefulness of group cognitive remediation in young adults with mild to moderate intellectual disability: a pilot study
    Kanthasamy, S.; Lim, J.M.; Lee, J.J.W.
  • Training direct care staff working with persons with intellectual disabilities and challenging behaviour: a meta-analytic review study
    Knotter, M.H.; Spruit, A.; De Swart, J.J.; Wissink, I.B.; Moonen, X.M.; Stams, G.J.
  • What’s the average survey response rate? [2018 benchmark]
    Lindemann, N.
  • Assessment and treatment of challenging behaviour for individuals with intellectual disability: a research review
    Lloyd, B.P.; Kennedy, C.H.
  • Essen climate evaluation scale
    Schalast, N.
  • MANS-LD easy read prospective (with WHOQOL)
    Skirrow, P.
  • Training course delivered by trust neuropsychologists