Department of Psychology, 226 Thach Hall, Auburn University, AL 36849-5214, USA.
Behav Modif. 2010 Sep;34(5):443-58. doi: 10.1177/0145445510383528.
Many individuals with dementia and problem behavior are served in nursing home settings long before health issues necessitate constant medical care. Alternative community-based adult day health care programs allow individuals with dementia to remain in their home with their families at a substantially reduced cost; however, many adult day programs face the same difficulties in managing problem behavior as family members do, leading to premature termination of services. This article describes a multiyear project that integrated behavior analytic services into an adult day program for individuals with dementia and problematic behavior. A comprehensive practicum system was developed to provide assessment and treatment services that allowed consumers with problem behavior to remain successfully served in adult day programming while postponing out-of-home nursing home care.
许多患有痴呆症和行为问题的人在需要长期医疗护理之前就已经在养老院接受服务了。替代的社区为基础的成人日间护理计划允许患有痴呆症的人留在家里与家人一起生活，费用大大降低；然而，许多成人日间计划在管理行为问题方面与家庭成员一样面临困难，导致服务提前终止。本文描述了一个多年项目，该项目将行为分析服务整合到有问题行为的痴呆症成人日间计划中。开发了一个综合实习系统，提供评估和治疗服务，使有行为问题的消费者能够在成人日间计划中成功地得到服务，同时推迟家庭以外的养老院护理。
