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Behaviours that challenge in adults with intellectual disability: overview of assessment and management

Hassiotis, Angela; Rudra, Sonya; (2022) Behaviours that challenge in adults with intellectual disability: overview of assessment and management. BJPsych Advances , 28 (6) pp. 393-400. 10.1192/bja.2022.28. Green open access

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Abstract

Up to a fifth of people with intellectual disabilities display challenging behaviour that has a significant impact on their health and quality of life. Psychotropic medication does not appear to confer any clinical benefits beyond risk reduction in acute situations. However, very few non-pharmacological treatments have clear evidence of clinical and cost-effectiveness and there is therefore often a dearth of advice as to which components or interventions would be helpful. To our knowledge no single model has been developed to provide a clear path from understanding the behaviour to the implementation of a therapeutic approach for such a complex clinical problem. In this article we describe a stepped-care model that needs to be further operationalised in the assessment and management of behaviours that challenge in adults with intellectual disabilities.

Type: Article
Title: Behaviours that challenge in adults with intellectual disability: overview of assessment and management
Open access status: An open access version is available from UCL Discovery
DOI: 10.1192/bja.2022.28
Publisher version: https://doi.org/10.1192/bja.2022.28
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Behaviours that challenge, intellectual disabilities, interventions, psychosocial, formulation
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry > Epidemiology and Applied Clinical Research
URI: https://discovery.ucl.ac.uk/id/eprint/10159670
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