Background: Despite agreement that restrictive intervention (RI) should only be used as a last resort and for as long as required, little is known about long-term RI among individuals with a disability. This study examines long-term RI use. Method: From the Restrictive Intervention Data System dataset from Victoria, Australia, a cohort of 1,414…

This is a report of a service improvement pilot project undertaken at an inpatient autism service for adults with intellectual disabilities and severe challenging behaviours. Within the service, a key facet of the care pathway was the use of a biopsychosocial case formulation. Formulation meetings were led by psychology and involved a full…

Increased knowledge of complex behaviors such as pica is needed to improve the support and services in the community for individuals with intellectual disability (ID). Though the prevalence of pica has been documented extensively in institutionalized settings, few studies have explored its etiology. The aim of this study is to explore the…

A British residential school for children with emotional and behavioral difficulties set up a class for those children presenting with complex learning needs, including autism, within the school. The special class was observed over a number of weeks and the boys especially benefited tremendously in their social/emotional development and learning.…

This report describes the experiences of one California nonprofit agency which evolved, in less than 3 years, from supporting 65 people with autism and other challenging behaviors in 13 group homes to supporting 57 people who live in their own homes. The report describes the program's initial focus on providing integrated services in the group…