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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 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
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