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Who is treated using restrictive behavioral procedures? A population perspective

J W Jacobson1, L J Ackerman

  • 1New York State Office of Mental Retardation and Developmental Disabilities, Albany 12229-0001.

Research in Developmental Disabilities
|January 1, 1993
PubMed
Summary
This summary is machine-generated.

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Restrictive behavioral procedures for destructive behaviors in individuals with intellectual disability are controversial. This study found that intellectual level and behavior type significantly influence treatment choices, with psychoactive medication often preferred over timeout.

Area of Science:

  • Intellectual Disability Research
  • Behavioral Interventions
  • Psychopharmacology

Background:

  • Restrictive behavioral procedures for destructive behaviors in individuals with intellectual disability are debated.
  • Understanding the application of pharmacological and behavioral consequences is crucial for ethical treatment.

Purpose of the Study:

  • To analyze the extent of pharmacological and behavioral consequences for destructive behaviors in a large developmental services population.
  • To determine the relationship between individual characteristics (intellectual level, residential setting, behavior type, age) and treatment consequence application.

Main Methods:

  • Analysis of data from 31,000 individuals within a state's developmental services system.
  • Statistical examination of the correlation between demographic/clinical variables and the use of pharmacologic and behavioral consequences.

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Main Results:

  • Individual characteristics significantly influence the type and extent of consequences applied.
  • Pharmacological and several behavioral consequences are applied at similar rates.
  • Timeout, a specific behavioral procedure, is used less frequently than psychoactive medication across all examined subgroups.

Conclusions:

  • Treatment decisions for destructive behaviors in individuals with intellectual disability are influenced by multiple factors.
  • Psychoactive medication appears to be a more common intervention than timeout for these behaviors.
  • Further research is needed to understand the efficacy and ethical implications of these varied treatment approaches.