Can staff training reduce behavioural problems in residential care for the elderly mentally ill?
International Journal of Geriatric PsychiatryPublished 1 March 1998
Esme Moniz‐Cook, Sharon Agar, Miriam Silver, Bob Woods, Michael Wang, Christine Elston
Citations65
SJR quartileQ1
SJR score1.22
SNIP1.20
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
The effect of a brief in‐service training programme on the psychosocial management of behavioural disturbance in residential care is described, and although the incidence of problematic behaviour did not change 3 months after training, staff in the experimental homes reported a significant improvement in their management of troublesome behaviour, as compared to the control home.
Abstract
The effect of a brief in-service training programme on the psychosocial management of behavioural disturbance in residential care is described. Although the incidence of problematic behaviour did not change 3 months after training, staff in the experimental homes reported a significant improvement in their management of problematic behaviour, as compared to the control home. However, these effects were not maintained a year later. The importance of post-training supervision and the sociocultural context of the home in the maintenance of psychosocial intervention in residential settings is discussed.
Keywords
PsychologyMedicineHealth Professions
BMJEffect of a training programme to reduce stress in carers of patients with dementia.
260 Citations1989Henry Brodaty, Meredith Gresham
The intensive intervention programme described for carers of patients with dementia can reduce the psychological morbidity of the carer and delay the placement of the patient in an institution without increasing the use of health services by either patient or carer.
Journal of the American Geriatrics SocietyA Randomized Trial of Dementia Care in Nursing Homes
213 Citations1996Barry W. Rovner, Cynthia D. Steele +2 more
To evaluate the efficacy of a dementia care program to reduce behavior disorders in nursing home patients with dementia, a large number of patients have shown signs of dementia-like symptoms.
International Journal of Geriatric PsychiatryPerson and process in dementia
196 Citations1993Tom Kitwood
The manifestations and progress of a dementing illness are seen to be crucially dependent on the nature of the interpersonal context and the quality of dementia care can be evaluated.
Journal of the American Geriatrics SocietyA Descriptive Study of Physically Aggressive Behavior in Dementia by Direct Observation
121 Citations1994Sarah Bridges‐Parlet, David S. Knopman +1 more
Objective: To study, by direct observation, physically aggressive behavior (PAB) in a cohort of older persons with dementia.
Alzheimer Disease & Associated DisordersManagement of Behavior Disturbance in Alzheimer Disease
121 Citations1992Linda Teri, Peter V. Rabins +6 more
The current thinking on five areas of prime importance to patients, care providers, and health care professionals: agitation, assault/aggression, screaming, wandering, and depression/apathy/withdrawal are summarized.
Journal of GerontologyCaregiver and Environmental Variables Related to Difficult Behaviors in Institutionalized, Demented Elderly Persons
111 Citations1992Sandra C. Burgener, Mary Marmoll Jirovec +2 more
International Journal of Geriatric PsychiatryBehavioural complications of dementia—can they be treated?
104 Citations1995A. C. Hinchliffe, Inge Hyman +2 more
There was an improvement in carer mental health and in the behavioural difficulties of the person with dementia for group 1; the two measures of outcome were associated and there was no improvement in either outcome measure.
Journal of Gerontological NursingAGGRESSIVE BEHAVIOR: Educating Nursing Assistants
98 Citations1992Karen S. Feldt, Muriel B. Ryden
The use of the clinical nurse specialist to teach and assist in role modeling direct care of residents was effective in improving nursing assistant skill in working with aggressive cognitively impaired residents.
The International Journal of Aging and Human DevelopmentInstitutional Staff Training and Management: A Review of the Literature and a Model for Geriatric, Long-Term-Care Facilities
95 Citations1990Louis D. Burgio, Kathryn L. Burgio
Current methods of institutional staff training and management are reviewed and a model to address organizational resistance is proposed and suggestions are made for enhancing cooperation in geriatric, long-term-care facilities.
The GerontologistImproving Nursing Home Care Through Training and Job Redesign
94 Citations1992Michael A. Smyer, D. R. Brannon +1 more
The Penn State Nursing Home Intervention Project's short-term longitudinal study assessed the single and combined effects of two interventions designed to affect nursing assistants' performance by increasing their knowledge and motivation: skills training and job redesign.
International Journal of Geriatric PsychiatrySuccess and failure in five case studies: Used of cued recall to ameliorate behaviour problems in senile dementia
85 Citations1995Michael I. Bird, Paula Alexopoulos +1 more
The GerontologistImpacts Associated with Special Care Units in Long-Term Care Facilities
83 Citations1990D. Holmes, Jeanne A. Teresi +4 more
Results of this preliminary study suggest that the two groups differ in level of cognitive impairment, in behavior, and in functional and physical status.
The GerontologistUsing Life Histories to Individualize Nursing Home Staff Attitudes Toward Residents
64 Citations1991M. E. Pietrukowicz, Mallory Johnson
Controlling for individual differences such as prior work experience and knowledge about aging, staff reviewing the chart with the life history rated that resident as more instrumental, autonomous, and personally acceptable than staff who reviewed the chart without theLife history.
Behavior TherapyImplementation issues for the behavior modifier as institutional change agent
50 Citations1977N. Dickon Reppucci
The GerontologistEffect of an Incontinence Training Program on Nursing Home Staff's Knowledge, Attitudes, and Behavior
47 Citations1991Elizabeth B. Campbell, Mark W. Knight +2 more
To test a behavioral approach for urinary incontinence (UI), 166 staff in four nursing homes participated in a quasi-experimental study that measured knowledge and attitudes about UI and compliance with toileting protocols.
The GerontologistGroup Intervention for Dementia Family Caregivers: A Longitudinal Perspective
46 Citations1989William E. Haley
Methodological and clinical issues evident from this long-term follow-up include differential attrition from treatment, issues in selection of participants, and need for measures appropriate to long- term outcome.
International Journal of Geriatric PsychiatryPsychological distress among workers caring for the elderly
46 Citations1994Robertson Macpherson, Rebecca Eastley +2 more
A strong relationship was demonstrated between staff psychological disturbance and aggression from residents over the last week, and staff were more likely to perceive a lack of support at work, and to report 'shouting back' at aggressive residents.
International Journal of Geriatric PsychiatryThe impact of reminiscence groups in two different settings
43 Citations1990Donna Head, Sara Portnoy +1 more
Ways in which reminiscence may best be used with elderly people with dementia are discussed, and the extension of observation to include more qualitative aspects of interaction is recommended.
Clinical GerontologistBehavioral and Cognitive Outcomes of SCU Care
42 Citations1991Paul K. Chafetz
Longitudinal results indicated no superior outcomes on the SCU, and possible interpretations discussed include limited benefit of SCU care over segregated but nonenriched care.
Journal of Gerontological NursingBehavior Management Training for Nurse Aides: Is it Effective?
41 Citations1990Margaret D. Cohn, Ann L. Horgas +1 more
To be practically useful, mental health training programs for nurse aides should be provided by professional personnel in brief, concrete, self-contained units that model the skills they present.
Journal of the American Geriatrics SocietySkills Training With Supporters of the Demented
38 Citations1986Carole Gendron, Lorraine Poitras +6 more
Improvements among trained individuals on measures related to assertiveness, problem solving, and stress reduction and few such improvements occurred among untrained subjects suggest the usefulness of brief structured skills training programs in helping supporters to improve their coping abilities.
Psychology Press eBooksClifton Assessment Procedures for the Elderly (CAPE)
33 Citations2020Pattie, Gilleard
The GerontologistProblematic Behavior and the Alzheimer Patient: Retrospection as a Method of Understanding and Counseling
32 Citations1987D. Shomaker
The GerontologistA Mental Health Training Program in Nursing Homes
30 Citations1988P. Chartock, A. Nevins +2 more
Clinical GerontologistFrequency and Management Difficulty of Behavioral Problems Among Dementia Patients in Long-Term Care Facilities
28 Citations1993Jane Fisher, Christine M. Fink +1 more
Dementia patients in long-term care facilities reported that the most frequently occurring behavior problems were disorientation, urinary incontinence, and inability to self-feed.
Pediatric NeurosurgeryPharyngeal Abscess with External Carotid Artery Erosion and Pseudoaneurysm
26 Citations2008Roger L. Gonda, Oscar H. Gutierrez +2 more
The case of a ruptured external carotid artery pseudoaneurysm successfully controlled by angiographic catheter occlusion which allowed subsequent surgical repair to be reported.
Medical Entomology and ZoologyPsychological Assessment of the Elderly
26 Citations1988John Wattis, I. Hindmarch
The relationship between depression and disability in the elderly - data from the Comprehensive Assessment and Referral Evaluation (CARE), B.Copeland and John P.Wattis measuring the effects of psychotropic drugs and quantifying clinical observation.
The GerontologistIntroducing Psychiatric Care into Nursing Homes
25 Citations1992Lisa P. Gwyther, Kenneth Sakauye +1 more
A consultation-liaison psychiatry program in a teaching nursing home helped implement six guiding principles including make the patient human to the staff; assume no behavior is random; look for depression of psychosis as a source of problems.
Health & Social Care in the CommunityResidential care for older people: job satisfaction and psychological health in care staff
25 Citations2007Esme Moniz‐Cook, Dip Clin +2 more
It is argued that carefully targeted staff development programs have the potential for reducing burnout and days lost through illness and can also improve ‘therapeutic reciprocity’ which in turn might enhance psychological well-being in care staff, and the quality of life for residents.
Educational GerontologySTAFF PERCEPTIONS OF BEHAVIORAL PROBLEMS IN NURSING HOME RESIDENTS WITH DEMENTIA: THE ROLE OF TRAINING
21 Citations1993Deborah J. Monahan
A before‐after evaluation design was used to assess characteristics of patients and their staff caregivers at baseline and 1 year after the educational intervention, and staff perceptions of the frequency and difficulty in managing behavioral symptoms declined.
European Journal of Work and Organizational PsychologyMaking sense of “resistance”: Responses to organizational change in a private nursing home for the elderly
20 Citations1996Carolyn Meston, Nigel King
Resistance to the innovation is interpreted in light of the values of staff and how they are consistent or inconsistent with the value base of the innovation.
Health & Social Care in the CommunityChanges in the provision of long-stay care, 1970-1990
19 Citations2007Robin Darton, Kenneth G. Wright
There is some evidence that the growth of the independent sector has increased consumer choice and improved efficiency in the provision of long-stay care but at some cost to those people who would have been provided with free NHS facilities but now have to contribute to the costs of their care.
PubMedDependency, quality and staffing of institutions for elderly people.
9 Citations1993Patricia A. Wood, M Castleden
The outcome of a policy to transfer the most heavily dependent patients from the care of the public sector could increasingly burden the private sector, with no clear provision for improved staff ratios, quality of care or training of staff.
Psychiatric BulletinPsychiatric clinics in residential homes for the elderly
7 Citations1996Graham Jackson, Donald Lyons
The clinic was well received by the staff in the homes, reduced the need for urgent domiciliary consultations and hospital admission and appeared to be highly cost-effective.
The GerontologistAn Evaluation of a Gerontological Training Program for Nursing Assistants
4 Citations1994Rachel Filinson
A gerontological training program for nursing assistants has been developed by the New England Gerontology Academy and produced a cadre of committed paraprofessionals but was not suited for those whose removal from the labor market had been long-term.
Clinical Social Work JournalSensitizing nursing home staff to residents' psychosocial needs
3 Citations1985Irene A. Gutheil
A situation where inservice training was utilized to help aides gain a greater understanding of the residents in their care is described.
Australian Journal on AgeingResidential Aged Care Workers In Rural Settings: A Study Of Their Roles And Training Needs
1 Citations1994Roger Harris, Michele Simons +1 more
It is indicated that a number of care workers do not have formal training in aged care, and while most workers have experienced difficulties in gaining access to training, they firmly believe that on-going development is important for them in their role as carers.