Richmond Behavioral Consulting, 5218 Virginia Drive, Richmond, TX 77406-8516, USA.
Res Dev Disabil. 2011 Nov-Dec;32(6):2336-9. doi: 10.1016/j.ridd.2011.07.032. Epub 2011 Sep 3.
We used an organizational behavior management (OBM) approach to increase behavior intervention plans and decrease the use of mechanical restraint. First, recipients were tracked as a member of the priority group if they engaged in frequent self-injurious behavior or physical aggression toward others and/or if they had been placed in mechanical restraint as a result of the problem behaviors. Second, a behavior data monitoring and feedback system was put in place. Third, organizational contingencies for the use of mechanical restraint or the occurrence of frequent self-injurious behavior or physical aggression toward others were initiated. Over the course of 17 months, behavior intervention plans were more than doubled to 124 and mechanical restraints decreased by almost 80%. This study represents the first to use an organizational behavior management (OBM) to reduce restraint with people who have intellectual disabilities.
我们采用组织行为管理（OBM）方法来增加行为干预计划并减少机械约束的使用。首先，如果患者频繁出现自伤行为或对他人的身体攻击，或者由于这些问题行为而被机械约束，那么他们将被列为优先级群体的成员进行跟踪。其次，建立了行为数据监测和反馈系统。第三，针对机械约束的使用或频繁发生自伤行为或对他人的身体攻击的情况，启动了组织应急措施。在 17 个月的时间里，行为干预计划增加了一倍多，达到 124 个，机械约束减少了近 80%。这项研究首次使用组织行为管理（OBM）来减少智障人士的约束。
