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Pre-intervention assessment for disruptive behavior problems: a focus on staff needs.

E L Cassidy¹, J I Sheikh

¹Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, USA. ecassidy@stanford.edu

Aging & Mental Health

|May 25, 2002

Summary

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A retrospective chart review of gabapentin for the treatment of aggressive and agitated behavior in patients with dementias.

The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry·2000

Managing dementia behavior problems requires significant staff time, with frontline staff prioritizing less invasive interventions. This study details behavioral consultation methods and intervention outcomes.

Area of Science:

Gerontology
Behavioral Science
Clinical Psychology

Background:

Dementia often presents behavioral challenges requiring institutional support.
Mental health professionals are frequently consulted for managing these behaviors.

Purpose of the Study:

To illustrate a typical behavioral consultation process for dementia-related behavior problems.
To describe assessment methods and their role in intervention planning.

Main Methods:

Utilized topographical, functional, and observational assessment methods.
Detailed a case example of behavioral consultation within an institution.

Main Results:

Approximately 40% of staff time is dedicated to implementing behavioral interventions.

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Frontline staff demonstrate proficiency in applying less invasive strategies initially.

Conclusions:

Behavioral interventions for dementia are time-intensive but can be effectively managed.
Ongoing evaluation and assessment of staff burden are crucial for sustained care.
Implications for future interventions and staff support are discussed.