Stakeholder views on the barriers and facilitators of psychosocial interventions to address reduction in aggressive challenging behaviour in adults with intellectual disabilities [version 1; peer review: 2 approved]
Background: Success of psychosocial interventions in reducing aggressive challenging behaviour is likely to be related not only to mechanistic aspects, but also to therapeutic and system factors. The study aims to examine the facilitators and barriers that influence whether psychosocial intervention...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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F1000 Research Ltd
2023-08-01
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| Series: | NIHR Open Research |
| Subjects: | |
| Online Access: | https://openresearch.nihr.ac.uk/articles/3-40/v1 |
| _version_ | 1797656189422534656 |
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| author | Athanasia Kouroupa Aisha Rafiq Leila Hamza Penny Rapaport Angela Hassiotis Laurence Taggart Andrew Jahoda Sally-Ann Cooper Liz Steed Louise Marston Craig Melville Afia Ali Rachel Royston |
| author_facet | Athanasia Kouroupa Aisha Rafiq Leila Hamza Penny Rapaport Angela Hassiotis Laurence Taggart Andrew Jahoda Sally-Ann Cooper Liz Steed Louise Marston Craig Melville Afia Ali Rachel Royston |
| author_sort | Athanasia Kouroupa |
| collection | DOAJ |
| description | Background: Success of psychosocial interventions in reducing aggressive challenging behaviour is likely to be related not only to mechanistic aspects, but also to therapeutic and system factors. The study aims to examine the facilitators and barriers that influence whether psychosocial interventions for aggressive challenging behaviour in adults with intellectual disabilities lead to positive change. Methods: We conducted 42 semi-structured interviews with adults with intellectual disabilities and aggressive challenging behaviour, family/paid carers, and professionals engaged in or delivering a psychosocial intervention across the UK. Data were analysed thematically using a framework approach. Results: Stakeholders considered therapeutic and supportive relationships and personalised care as facilitating factors of psychosocial interventions to address aggressive challenging behaviour. The operational structure of community intellectual disability services and conflicting expectations of professionals and carers were the main contextual barriers that impeded the implementation of psychosocial interventions addressing aggressive challenging behaviour in adults with intellectual disabilities. Conclusions: Findings highlight the valued components that maximise positive change in adults with intellectual disabilities who display aggressive challenging behaviour. Several operational adjustments including referral criteria, roles of professionals and workforce issues need to be addressed in services to maximise the implementation of psychosocial interventions to reduce aggressive challenging behaviour in adults with intellectual disabilities. |
| first_indexed | 2024-03-11T17:26:41Z |
| format | Article |
| id | doaj.art-71e99679d7d7435a80fb8ab0de4e196e |
| institution | Directory Open Access Journal |
| issn | 2633-4402 |
| language | English |
| last_indexed | 2024-03-11T17:26:41Z |
| publishDate | 2023-08-01 |
| publisher | F1000 Research Ltd |
| record_format | Article |
| series | NIHR Open Research |
| spelling | doaj.art-71e99679d7d7435a80fb8ab0de4e196e2023-10-19T00:00:00ZengF1000 Research LtdNIHR Open Research2633-44022023-08-01314575Stakeholder views on the barriers and facilitators of psychosocial interventions to address reduction in aggressive challenging behaviour in adults with intellectual disabilities [version 1; peer review: 2 approved]Athanasia Kouroupa0https://orcid.org/0000-0003-3659-160XAisha Rafiq1Leila Hamza2Penny Rapaport3Angela Hassiotis4Laurence Taggart5Andrew Jahoda6Sally-Ann Cooper7Liz Steed8Louise Marston9https://orcid.org/0000-0002-9973-1131Craig Melville10Afia Ali11Rachel Royston12https://orcid.org/0000-0002-9901-2284Division of Psychiatry, Faculty of Brain Sciences, University College London, London, England, UKDivision of Psychiatry, Faculty of Brain Sciences, University College London, London, England, UKAssessment and Intervention Team, Barnet Enfield and Haringey Mental Health NHS Trust, London, England, UKDivision of Psychiatry, Faculty of Brain Sciences, University College London, London, England, UKDivision of Psychiatry, Faculty of Brain Sciences, University College London, London, England, UKUlster University, Coleraine, Northern Ireland, UKSchool of Health and Wellbeing, University of Glasgow, Glasgow, Scotland, UKSchool of Health and Wellbeing, University of Glasgow, Glasgow, Scotland, UKCentre for Primary Care, Wolfson Institute of Population Health, Queen Mary University of London, London, England, UKDepartment of Primary Care and Population Health, Institute of Epidemiology and Health Care, University College London, London, England, UKSchool of Health and Wellbeing, University of Glasgow, Glasgow, Scotland, UKUnit for Social and Community Psychiatry, Queen Mary University of London, London, England, UKDivision of Psychiatry, Faculty of Brain Sciences, University College London, London, England, UKBackground: Success of psychosocial interventions in reducing aggressive challenging behaviour is likely to be related not only to mechanistic aspects, but also to therapeutic and system factors. The study aims to examine the facilitators and barriers that influence whether psychosocial interventions for aggressive challenging behaviour in adults with intellectual disabilities lead to positive change. Methods: We conducted 42 semi-structured interviews with adults with intellectual disabilities and aggressive challenging behaviour, family/paid carers, and professionals engaged in or delivering a psychosocial intervention across the UK. Data were analysed thematically using a framework approach. Results: Stakeholders considered therapeutic and supportive relationships and personalised care as facilitating factors of psychosocial interventions to address aggressive challenging behaviour. The operational structure of community intellectual disability services and conflicting expectations of professionals and carers were the main contextual barriers that impeded the implementation of psychosocial interventions addressing aggressive challenging behaviour in adults with intellectual disabilities. Conclusions: Findings highlight the valued components that maximise positive change in adults with intellectual disabilities who display aggressive challenging behaviour. Several operational adjustments including referral criteria, roles of professionals and workforce issues need to be addressed in services to maximise the implementation of psychosocial interventions to reduce aggressive challenging behaviour in adults with intellectual disabilities.https://openresearch.nihr.ac.uk/articles/3-40/v1Intellectual disabilities aggression challenging behaviour qualitative methods community care interventionseng |
| spellingShingle | Athanasia Kouroupa Aisha Rafiq Leila Hamza Penny Rapaport Angela Hassiotis Laurence Taggart Andrew Jahoda Sally-Ann Cooper Liz Steed Louise Marston Craig Melville Afia Ali Rachel Royston Stakeholder views on the barriers and facilitators of psychosocial interventions to address reduction in aggressive challenging behaviour in adults with intellectual disabilities [version 1; peer review: 2 approved] NIHR Open Research Intellectual disabilities aggression challenging behaviour qualitative methods community care interventions eng |
| title | Stakeholder views on the barriers and facilitators of psychosocial interventions to address reduction in aggressive challenging behaviour in adults with intellectual disabilities [version 1; peer review: 2 approved] |
| title_full | Stakeholder views on the barriers and facilitators of psychosocial interventions to address reduction in aggressive challenging behaviour in adults with intellectual disabilities [version 1; peer review: 2 approved] |
| title_fullStr | Stakeholder views on the barriers and facilitators of psychosocial interventions to address reduction in aggressive challenging behaviour in adults with intellectual disabilities [version 1; peer review: 2 approved] |
| title_full_unstemmed | Stakeholder views on the barriers and facilitators of psychosocial interventions to address reduction in aggressive challenging behaviour in adults with intellectual disabilities [version 1; peer review: 2 approved] |
| title_short | Stakeholder views on the barriers and facilitators of psychosocial interventions to address reduction in aggressive challenging behaviour in adults with intellectual disabilities [version 1; peer review: 2 approved] |
| title_sort | stakeholder views on the barriers and facilitators of psychosocial interventions to address reduction in aggressive challenging behaviour in adults with intellectual disabilities version 1 peer review 2 approved |
| topic | Intellectual disabilities aggression challenging behaviour qualitative methods community care interventions eng |
| url | https://openresearch.nihr.ac.uk/articles/3-40/v1 |
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