SEPARATE AND COMBINED EFFECTS OF METHYLPHENIDATE AND A BEHAVIORAL INTERVENTION ON DISRUPTIVE BEHAVIOR IN CHILDREN WITH MENTAL RETARDATION

Antipsychotics are frequently used in the Intellectual Disability when displayed conduct disorder or specific psychiatric disorders such as disruptive behavior disorder as disruptive disorders, neurodevelopmental disorders such as autism, various psychotic disorders, disorder Impulse Control Disorders, etc. The long-acting Injectable risperidone is a drug which by its nature from the beginning makes the maintenance treatment of these patients. In a study conducted by our team in 2007 was described the good therapeutic response to long-acting injectable risperidone (LAIR) in psychiatric disorders in this population.ObjectivesIn depth study of the use of long-acting injectable risperidone in this specific population on the basis of a previous study on a sample of 60 Pack. To describe the demographic characteristics of the new sample of 80 patients, type of Mental Retardation and the most common psychiatric diagnoses. To analyze the therapeutic response to treatment by comparing the clinical course before and after treatment with long-acting injectable risperidone (episodes of aggression, hospitalization, emergency room visits, mechanical restraint, disruptive behavior ...). The dose of long-acting injectable risperidone used, the presence of antipsychotic combination therapy, side effects, etc. are analized. We analyze the information on family overload in relation to treatment with Long- acting injectable Risperidone in a part of the sample.ResultsThe study of a sample of 80 patients of both sexes, with diagnosis of mental retardation treated with LAIR is in the process of statistical analysis. But it is possible to appreciate the good therapeutic response and high tolerability of patients to treatment.

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Preventing and curing mental retardation by behavioral intervention: An evaluation of some claims

Intelligence ◽

10.1016/0160-2896(86)90015-2 ◽

1986 ◽

Vol 10 (3) ◽

pp. 197-207 ◽

Cited By ~ 6

Author(s):

Herman H. Spitz

Keyword(s):

Mental Retardation ◽

Behavioral Intervention

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S151 COMBINED EFFECTS OF BEHAVIORAL INTERVENTION AND SOLIFENACIN SUCCINATE IN PATIENTS DISSATISFIED WITH OVERACTIVE BLADDER MEDICATION

European Urology Supplements ◽

10.1016/s1569-9056(13)60340-1 ◽

2012 ◽

Vol 11 (4) ◽

pp. 170

Author(s):

K. Drasa ◽

M. Krasniqi

Keyword(s):

Overactive Bladder ◽

Behavioral Intervention ◽

Combined Effects ◽

Solifenacin Succinate

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The Disruptive bEhavior manageMEnt ANd prevention in hospitalized patients using a behaviORal intervention team (DEMEANOR) study protocol: a pragmatic, cluster, crossover trial.

10.21203/rs.2.16569/v2 ◽

2020 ◽

Author(s):

Jay Morrison ◽

Michele Hasselblad ◽

Ruth Kleinpell ◽

Reagan Buie ◽

Deborah Ariosto ◽

...

Keyword(s):

Disruptive Behavior ◽

Behavioral Intervention ◽

Safety Concern ◽

Medical Center ◽

Behavioral Health Care ◽

Hospitalized Patients ◽

Staff Retention ◽

Acting Out ◽

Psychiatric Staff ◽

Intervention Team

Abstract Background Disruptive behavior in hospitalized patients has become a priority area of safety concern for clinical staff, as well as having consequences for patient management and hospital course. Proactive screening and intervention of patients with behavioral co-morbidities has been reported to reduce disruptive behavior in some settings, but has not been studied in a rigorous way. Methods The D isruptive b E havior manage ME nt AN d prevention in hospitalized patients using a behavi OR al intervention team (DEMEANOR) study is a pragmatic, cluster, cross-over trial being conducted. Each month, the behavioral intervention team, comprised of a psychiatric-mental health advanced practice nurse and a clinical social worker, with psychiatrist consultation as needed, rotates between an adult medicine unit and a mixed cardiac unit at Vanderbilt University Medical Center in Nashville, TN. The team proactively screens patients upon admission utilizing a protocol which includes a comprehensive chart review, and if indicated, a brief interview, seeking to identify those patients who possess risk factors indicative of either a potential psychological barrier to their own clinical progress or a potential risk for exhibiting disruptive, aggressive or self-injurious behavior during their hospitalization. Once identified, the team provides interventions aimed at mitigating these risks, educates and supports the patient care teams (nurses, physicians and others), and assists non-psychiatric staff in the management of patients who require behavioral health care. Patients who are both admitted to and discharged from either unit are included in the study. Anticipated enrollment is approximately 1790 patients. The two primary outcomes are i) a composite of objective measures related to the patients’ disruptive, threatening or acting out behaviors, and ii) staff self-reported comfort with and confidence in their ability to manage patients exhibiting disruptive, threatening or acting out behavior. Secondary outcomes include patient length of stay, patient attendant (sitter) use, and the unit nursing staff retention. Discussion This ongoing trial will provide evidence on the real-world effectiveness of a proactive behavioral intervention to prevent disruptive, threatening or acting out events in adult hospitalized patients.

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The Disruptive bEhavior manageMEnt ANd prevention in hospitalized patients using a behaviORal intervention team (DEMEANOR) study protocol: a pragmatic, cluster, crossover trial

10.21203/rs.2.16569/v1 ◽

2019 ◽

Author(s):

Jay Morrison ◽

Michele Hasselblad ◽

Ruth Kleinpell ◽

Reagan Buie ◽

Deborah Ariosto ◽

...

Keyword(s):

Disruptive Behavior ◽

Behavioral Intervention ◽

Behavior Management ◽

Safety Concern ◽

Medical Center ◽

Behavioral Health Care ◽

Hospitalized Patients ◽

Acting Out ◽

Psychiatric Staff ◽

Intervention Team

Abstract Background Disruptive behavior in hospitalized patients has become a priority area of safety concern for clinical staff, as well as having consequences for patient management and hospital course. Proactive screening and intervention of patients with behavioral co-morbidities has been reported to reduce disruptive behavior in some settings, but has not been studied in a rigorous way.Methods The D isruptive b E havior manage ME nt AN d prevention in hospitalized patients using a behavi OR al intervention team (DEMEANOR) study is a pragmatic, cluster, cross-over trial being conducted. Each month, the behavioral intervention team, comprised of a psychiatric-mental health advanced practice nurse and a clinical social worker, with psychiatrist consultation as needed, rotates between an adult medicine unit and a mixed cardiac unit at Vanderbilt University Medical Center in Nashville, TN. The team proactively screens patients upon admission utilizing a protocol which includes a comprehensive chart review, and if indicated, a brief interview, seeking to identify those patients who possess risk factors indicative of either a potential psychological barrier to their own clinical progress or a potential risk for exhibiting disruptive, aggressive or self-injurious behavior during their hospitalization. Once identified, the team provides interventions aimed at mitigating these risks, educates and supports the patient care teams (nurses, physicians and others), and assists non-psychiatric staff in the management of patients who require behavioral health care. Patients who are both admitted to and discharged from either unit are included in the study. Anticipated enrollment is approximately 1790 patients. The two primary outcomes are i) a composite of objective measures related to the patients’ disruptive, threatening or acting out behaviors, and ii) staff self-reported comfort with and confidence in their ability to manage patients exhibiting disruptive, threatening or acting out behavior. Secondary outcomes include patient length of stay, patient attendant (sitter) use, and the unit nursing staff retention.Discussion This ongoing trial will provide evidence on the real-world effectiveness of a proactive behavioral intervention to prevent disruptive, threatening or acting out events in adult hospitalized patients.

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