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Applied behaviour analysis and standard treatment in intellectual disability: 2-year outcomes

  • Angela Hassiotis (a1), Anton Canagasabey (a2), Daniel Robotham (a3), Louise Marston (a4), Renee Romeo (a5) and Michael King (a6)...
Summary

Applied behaviour analysis by a specialist team plus standard treatment for adults with intellectual disability displaying challenging behaviour was reported to be clinically and cost-effective after 6 months. In a 2-year follow-up of the same trial cohort, participants receiving the specialist intervention had significantly lower total and subdomain Aberrant Behavior Checklist scores than those receiving usual care alone. After adjustment for baseline covariates there was no significant difference in costs between the trial arms.

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Copyright
Corresponding author
Angela Hassiotis, Research Department of Mental Health Sciences, Charles Bell House, 67–73 Riding House Street, London W1W 7EY, UK. Email: a.hassiotis@ucl.ac.uk
Footnotes
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See editorial, pp. 428–430, this issue.

Declaration of interest

None.

Footnotes
References
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1 Department of Health. Services for People with Learning Disabilities and Challenging Behaviour or Mental Health Needs (Revised Edition). Department of Health, 2007 (http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_080128.pdf).
2 Rohr, ME. Consultation regarding behavior services improvement. In Contemporary Dual Diagnosis: MH/MR Service Models, vol 2, Partial and Supportive Services (eds Jacobson, JW, Holburn, S, Mulick, JA): 6775. NADD Press, 2002.
3 Aman, MG, Singh, NN, Stewart, AW, Field, CJ. The Aberrant Behavior Checklist: a behavior rating scale for the assessment of treatment effects. Am J Ment Defic 1985; 89: 485–91.
4 Hassiotis, A, Robotham, D, Canagasabey, C, Romeo, R, Langridge, D, Blizard, R, et al. Randomized, single-blind, controlled trial of a specialist behavior therapy team for challenging behavior in adults with intellectual disabilities. Am J Psychiatry 2009; 166: 1278–85.
5 Prosser, H, Moss, S, Costello, H. The Psychiatric Assessment Schedule for Adults With a Developmental Disability (PAS–ADD) Checklist. University of Manchester, Hester Adrian Research Centre, 1998.
6 Beecham, J. Collecting and estimating cost. In The Economic Evaluation of Mental Health Care (ed Knapp, M): 6182. Ashgate, 1995.
7 Department of Health. National Health Services Schedule of Reference Costs, 2006. Department of Health, 2006 (http://dh.gov.uk/nhsexec/refcosts.htm).
8 Curtis, L, (ed). Unit Cost of Health and Social Care, 2007. University of Kent Personal Social Services Research Unit, 2007.
9 Romeo, R, Knapp, M, Tyrer, P, Crawford, M, Oliver-Africano, P. The treatment of challenging behaviour in intellectual disabilities: cost-effectiveness analysis. J Intell Disability Res 2009; 53: 633–43.
10 Mansell, J. Raising Our Sights: Services for Adults with Profound Intellectual and Multiple Disabilities. Department of Health, 2010 (http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_117961.pdf).
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The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
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Applied behaviour analysis and standard treatment in intellectual disability: 2-year outcomes

  • Angela Hassiotis (a1), Anton Canagasabey (a2), Daniel Robotham (a3), Louise Marston (a4), Renee Romeo (a5) and Michael King (a6)...
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