Mullins Laura, Scott Victoria
Department of Applied Disability Studies, Brock University, St Catharines, ON, Canada.
J Intellect Disabil. 2023 Dec;27(4):1085-1106. doi: 10.1177/17446295221114619. Epub 2022 Jul 16.
Developmental support agencies support many adults with intellectual disabilities in the community. Unfortunately, these adults often exhibit high rates of challenging behaviour, which present significant pressures on these service providers. Agencies need to develop effective means of increasing their capacity to provide quality support. Previous systematic reviews found that training staff in positive behaviour supports can improve outcomes; however, the factors facilitating training's effects, long-term effectiveness, and outcomes for service users have yet to be determined. We conducted a scoping review of 98 journal articles and book chapters to develop a model for fostering capacity development drawing from Organizational Behaviour Management and Knowledge Translation theories. Some relevant factors include features of the inner and outer organizational contexts, training approaches (e.g., behavioural skills training & in-situ coaching), ongoing support and feedback. This model may lead to more effective and enduring treatment programs and improved support for adults with intellectual disabilities.
发展支持机构为社区中许多智力残疾成年人提供支持。不幸的是，这些成年人常常表现出高比例的挑战性行为，这给这些服务提供者带来了巨大压力。机构需要开发有效的方法来提高其提供优质支持的能力。先前的系统评价发现，对员工进行积极行为支持培训可以改善结果；然而，促进培训效果、长期有效性以及服务使用者结果的因素尚未确定。我们对98篇期刊文章和书籍章节进行了范围综述，以从组织行为管理和知识转化理论中构建一个促进能力发展的模型。一些相关因素包括组织内部和外部环境的特征、培训方法（如行为技能培训和现场指导）、持续支持和反馈。该模型可能会带来更有效和持久的治疗方案，并改善对智力残疾成年人的支持。
