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Integrating behavioral, psychodynamic, recovery-oriented, and trauma-informed principles to decrease aggressive
Erika R Carr1, Nakia Hamlett1, Marc Hillbrand1
1Department of Psychiatry, Yale University School of Medicine.
The American Journal of Orthopsychiatry
|June 6, 2024
Summary
Positive behavioral support (PBS) effectively reduces challenging behaviors in adults with serious mental illness. This trauma-informed approach enhances safety and promotes meaningful lives for patients and staff.
Area of Science:
- Psychiatry
- Behavioral Science
- Social Justice
Background:
- Positive behavioral support (PBS) is established for developmental disabilities and schools.
- Increasing use of PBS with adults experiencing serious mental illness.
- Inpatient psychiatric units can be traumatizing due to acuity and containment methods.
Purpose of the Study:
- Evaluate a trauma-informed, recovery-oriented PBS approach for adults with serious mental illness.
- Reduce challenging behaviors like aggression and self-injury in inpatient settings.
- Promote social justice, safety, and meaningful lives through evidence-based interventions.
Main Methods:
- Applied a trauma-informed and recovery-oriented Positive Behavioral Support (PBS) approach.
- Integrated psychotherapeutic principles into the PBS framework.
- Focused on principles of safety, person-centered values, and empowerment.
Main Results:
- Significant decrease in the frequency and intensity of challenging behaviors, particularly aggression.
- Reduced likelihood of traumatic experiences for both patients and staff.
- Demonstrated effectiveness of PBS in a psychiatric inpatient setting.
Conclusions:
- A trauma-informed, recovery-oriented PBS approach is effective for treating serious mental illness.
- This approach aligns with social justice principles, advocating for equity and meaningful lives.
- The integration of psychotherapy enhances patient care and reduces negative experiences in inpatient settings.
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