Jeffrey Chan

Exploring the Concepts of Clinical Governance and Evidence-based Practice Within the Disability Sector in Singapore

Publisher: Springer Science and Business Media LLC

Date: 20-01-2022

DOI: 10.1007/S41252-022-00241-1

‘Environments of concern’: reframing challenging behaviour within a human rights approach

Publisher: Informa UK Limited

Date: 02-01-2023

DOI: 10.1080/20473869.2022.2118513

Applying the CRPD to People With Intellectual and Developmental Disability With Behaviors of Concern During COVID‐19

Publisher: Wiley

Date: 05-03-2021

DOI: 10.1111/JPPI.12374

Abstract: People with intellectual and developmental disability (IDD) are a vulnerable population in all aspects of access and participation, abuse and neglect, and being subject to the use of restrictive practices. Accordingly, they are a group whose human rights can be impacted where equal access to supports, services, and accessible information is compromised. The current COVID‐19 pandemic is a global humanitarian emergency that has had a devastating impact across the world, for all people. Growing concern has been raised about the impact of the COVID‐19 virus on the health of people with disabilities and there has been subsequent development of strategies and protocols to promote equal access to information, health supports, and services. People with IDD have high levels of underlying comorbidity that increases their risk of contracting COVID‐19 and measures to protect them from infection are critically important. However, those measures may trigger behaviors of concern and increase the risk of being subjected to restrictive practices. While some attention has been paid to the health impacts of COVID‐19 on people with disabilities, there has been less paid to the impact on the human rights of people with IDD who present with behaviors of concern. The aim of this paper is to provide a hypothetical exploration of the impacts of pandemic prevention measures on people with IDD and behaviors of concern in the context of the Convention on the Rights of Persons with Disabilities (CRPD). In the absence of available guidance for working with people with IDD with behaviors of concern during COVID‐19, we suggest behavior support response plans that aim to ensure that people with IDD with behaviors of concern are supported properly in a time of significant disruption for them, thereby safeguarding their human rights.

Effects of Mindful Engagement and Attention on Reciprocal Caregiver and Client Interactions: A Behavioral Analysis of Moment-to-Moment Changes During Mindfulness Practice

Publisher: Springer Science and Business Media LLC

Date: 08-2023

DOI: 10.1007/S12671-023-02190-9

Abstract: The objective of this study was to examine the effects of Mindfulness-Based Positive Behavior Support (MBPBS) training on the nature of caregiver and client reciprocal interactions at a moment-by-moment level using behavior analytic methodology. Specifically, we compared the behavior of caregivers and clients before and after MBPBS training for the caregivers in terms of caregiver-client engagement, percent of learning and leisure interactions during caregiver-client engagement, and percent of the clients’ challenging behaviors and socially acceptable behaviors during learning and leisure interactions. In addition, we examined the effects of specific conditionality of attentional responses of the caregivers to the clients’ challenging or socially acceptable behavior in terms of frequency, latency, duration, and quality. Caregiver and client engagements were videotaped before and after MBPBS training for the caregivers. The percent of caregiver-client engagement was analyzed using partial-interval recording for overall engagement and the clients’ challenging behaviors and socially acceptable behaviors during learning and leisure interactions. The effects of the caregivers’ attentional responses to the clients’ challenging behaviors and socially acceptable behaviors were analyzed using whole-interval recording. Training caregivers in MBPBS significantly increased caregiver-client engagement during learning and leisure activities, which resulted in the clients exhibiting fewer challenging behaviors and more socially appropriate behaviors. Furthermore, an analysis of the effects of different types of caregiver attention showed differential effects on the clients’ challenging behaviors and socially acceptable behaviors. The results indicated that behavior analytic methods can be used as an objective and reliable way of capturing the nature of changes in predefined behaviors of both caregivers and clients at a moment-by-moment level following training of the caregivers in a mindfulness-based program. Using such an analytic method may provide an effective way of objectively measuring some experiential processes involved in mindfulness training.

NDIS Quality And Safeguards Commission

Location: Australia

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University Of Queensland

Location: Australia

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Macquarie University

Location: Australia

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University Of Sydney

Location: Australia

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Linkage Projects - Grant ID: LP0219336

Start Date: 03-2002

End Date: 09-2005

Amount: $235,000.00

Funder: Australian Research Council

Linkage Projects - Grant ID: LP210200536

Start Date: 09-2022

End Date: 09-2025

Amount: $466,852.00

Funder: Australian Research Council