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Evaluating neuropsychologically informed rehabilitation training for staff within a high secure intellectual disability service
Journal of Intellectual Disabilities and Offending Behaviour Pub Date : 2020-02-21 , DOI: 10.1108/jidob-08-2019-0016 Phyllis Annesley , Zoe Hamilton , Roisin Galway , Samantha Akiens , Rachel Hicks , Martin Clarke
Journal of Intellectual Disabilities and Offending Behaviour Pub Date : 2020-02-21 , DOI: 10.1108/jidob-08-2019-0016 Phyllis Annesley , Zoe Hamilton , Roisin Galway , Samantha Akiens , Rachel Hicks , Martin Clarke
Neuropsychologically informed rehabilitation (NIR) is one approach to supporting people with intellectual disabilities, cognitive impairment and challenging behaviour. This study aims to evaluate a five-day training course in NIR for staff working with adult male offenders with intellectual disabilities in a high secure hospital. The impacts on both the staff who undertook the training and the patients with challenging behaviour were explored.,Participants were psychology, nursing and day services staff and male patients. The staff completed a post-training questionnaire and three measures at pre-NIR training, post-NIR training and one-year follow-up. Patients completed four questionnaire measures within the same periods.,NIR training was positively evaluated by staff. Staff members’ perceived efficacy in working with challenging behaviour significantly increased post-training which was maintained at follow-up. Thematic analysis showed that the training staff members built their confidence, knowledge and skills. Because of these being high to start with, the study could not evidence statistically significant changes in these. Thematic analysis yielded two main themes, namely, benefits and quality of training, each with their own subthemes. The impacts of the training on patients were difficult to assess related to various factors.,The knowledge and confidence measures used were limited in scope with an experienced staff group and required development.,NIR training could assist staff in other secure and community settings in working with people with intellectual disabilities and challenging behaviours.,This study positively contributes to an area that requires more research.
中文翻译:
在高度安全的智力残疾服务中评估对员工进行神经心理咨询的康复培训
神经心理知悉康复(NIR)是一种支持智障,认知障碍和挑战性行为的人的方法。这项研究旨在评估在高安全性医院中针对与智障成年男性罪犯一起工作的员工进行的为期五天的NIR培训课程。探索了对培训人员和行为挑战患者的影响。参与者为心理学,护理和日间服务人员以及男性患者。工作人员在NIR之前的培训,NIR之后的培训和一年的随访中完成了培训后调查表和三项措施。患者在同一时期内完成了四项问卷调查。工作人员对NIR培训进行了积极评估。工作人员在应对具有挑战性的行为方面的感觉效率显着提高了培训后的水平,并在随访中予以保持。专题分析表明,培训人员建立了信心,知识和技能。由于这些起步很高,因此该研究无法证明这些变化具有统计学意义。主题分析产生两个主要主题,即培训的收益和质量,每个主题都有自己的子主题。培训对患者的影响难以评估,其影响因素与各种因素有关。使用经验丰富的员工团队并需要发展,所使用的知识和信心措施范围有限。NIR培训可以帮助处于其他安全和社区环境中的员工开展工作与智障人士和具有挑战性的行为。
更新日期:2020-02-21
中文翻译:
在高度安全的智力残疾服务中评估对员工进行神经心理咨询的康复培训
神经心理知悉康复(NIR)是一种支持智障,认知障碍和挑战性行为的人的方法。这项研究旨在评估在高安全性医院中针对与智障成年男性罪犯一起工作的员工进行的为期五天的NIR培训课程。探索了对培训人员和行为挑战患者的影响。参与者为心理学,护理和日间服务人员以及男性患者。工作人员在NIR之前的培训,NIR之后的培训和一年的随访中完成了培训后调查表和三项措施。患者在同一时期内完成了四项问卷调查。工作人员对NIR培训进行了积极评估。工作人员在应对具有挑战性的行为方面的感觉效率显着提高了培训后的水平,并在随访中予以保持。专题分析表明,培训人员建立了信心,知识和技能。由于这些起步很高,因此该研究无法证明这些变化具有统计学意义。主题分析产生两个主要主题,即培训的收益和质量,每个主题都有自己的子主题。培训对患者的影响难以评估,其影响因素与各种因素有关。使用经验丰富的员工团队并需要发展,所使用的知识和信心措施范围有限。NIR培训可以帮助处于其他安全和社区环境中的员工开展工作与智障人士和具有挑战性的行为。