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Integrating behavioral, psychodynamic, recovery-oriented, and trauma-informed principles to decrease aggressive

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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.

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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.