New Directions in the Treatment of Aggressive Behavior for Persons with Mental and Developmental Disabilities

Robert Paul Liberman (Editor)
University of California at Los Angeles, School of Medicine, Los Angeles, California, US

Gary W. LaVigna (Editor)
Institute for Applied Behavior Analysis, Los Angeles, California, US

Series: Psychiatry – Theory, Applications and Treatments
BISAC: MED105000

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New Directions in the Treatment of Aggressive Behavior in Persons with Mental and Developmental Disabilities was written because of the paucity of practical, evidence-based and person-centered information regarding the treatment and management of aggressive behavior exhibited by persons with these disabilities.

This book will acquaint readers about the:
•scope of aggression among the mentally and developmentally disabled persons
•basic principles for designing and validating novel treatments for aggressive behavior
•comprehensive functional assessment of aggression that permits individualized design of treatment interventions with a high likelihood of success in reducing or eliminating aggression toward others or self.
•positive behavior supports for a wide range of developmentally disabled persons, including those with traumatic brain injuries
•currently validated, evidence-based medications for the control of aggression and how to use medications so they are monitored for effectiveness
•cognitive-behavior therapy for aggression among the mentally ill
•national and international dissemination and adoption of the treatment techniques described in this book

The major reason for writing this book was to bring these new directions in the effective treatment of aggressive behavior into the mainstream of services for persons with mental and developmental disabilities. The Editors engaged in enormous efforts of dissemination — far beyond publications and presentations to professional colleagues at conferences, conventions and institutes. Our extensive dissemination efforts – where they given workshops and training institutes – have taken place in China, Japan, India, Turkey, Israel, Algeria, Spain, France, Italy, Bulgaria, Poland, Czech Republic and Slovakia, Austria, Germany, Sweden, Norway, Denmark, U.K., Ireland, Australia, New Zealand and South Africa. For example, our colleagues in China recently informed us that over 50,000 Chinese persons with schizophrenia have participated in our published modules for training social and independent living skills. Our previous books have been translated in numerous languages, and at last count are in active use in 23 countries. Their goal in writing this book was to encourage various service agencies, treatment facilities and clinical teams to use positive techniques in managing aggressive behavior and teach appropriate communication and self-management skills.

Foreword

Preface

Chapter 1 pp. 1-104.
Scope of Aggressive Behavior in People with Mental and Developmental Disabilities
(Robert Paul Liberman, Gary W. LaVigna, Linda Hume, Brodie Paterson, Hazel Powell, University of California at Los Angeles, School of Medicine, CA, USA, and others)

Chapter 2 pp. 105-240.
Basic Principles of Treatment for Aggressive Behavior in Persons with Mental and Developmental Disabilities
(Robert Paul Liberman, Gary W. LaVigna, University of California at Los Angeles, School of Medicine, CA, USA, and others)

Chapter 3 pp. 241-294.
Comprehensive Functional Assessment for Designing New Treatments for Aggressive Behavior
(Thomas J. Willis, Gary W. LaVigna, Institute for Applied Behavior Analysis, CA, USA)

Chapter 4 pp. 295-322.
Positive Behavior Support in the Treatment of Aggression
(Gary W. LaVigna, Thomas J. Willis, Lori Ann Dotson, and Kathryn Edwards, Institute for Applied Behavior Analysis, CA, USA)

Chapter 5 pp. 323-360.
Non-Aversive Reactive Strategies (NARS) to Reduce the Episodic Severity of Aggression and to Reduce the Need for Restrictive Practices
(Matthew Spicer, Nicola Crates, Anglicare, Tasmania, and others)

Chapter 6 pp. 361-390.
Multi-element Behavior Support for People with Acquired Brain Injury
(Brian McClean, Mark Stanton, Acquired Brain Injury Ireland, and others)

Chapter 7 pp. 391-414.
The Role of Positive Behavioural Supports in Reducing the Use of Restrictive Practices
(David Allen, Peter McGill, Mark Smith, Cardiff University, UK, and others)

Chapter 8 pp. 415-488.
Pharmacological Treatment of Aggression in Persons with Mental & Developmental Disabilities
(Robert Paul Liberman, University of California at Los Angeles, School of Medicine, CA, USA)

Chapter 9 pp. 489-712.
Behavior Therapy for Aggressive Persons with Mental Disorders
(Robert Paul Liberman, University of California at Los Angeles, School of Medicine, CA, USA)

Chapter 10 pp. 713-790.
Dissemination of Evidence-based Treatments for Aggressive Behavior
(Linda Hume, Brodie Peterson, Hazel Powell, Robert Paul Liberman, Gary W. LaVigna, School of Nursing, Midwifery & Social Care at Napier University, Edinburgh, Scotland, and others)

Appendix

Index

“There are few books more timely and needed as this description of the evidence-based and person-centered treatment techniques that can prevent and effectively treat aggressive behavior of the mentally and developmentally disabled persons. This population is disproportionately both aggressors and victims of aggression. Doctors Liberman and LaVigna have devised and disseminated the most important methods for preventing and treating violence that in recent years has reached epidemic proportions.” - Robert E. Drake, Ph.D, M.D., Andrew Thomson Professor of Psychiatry, Geisel-Dartmouth School of Medicine

"This scholarly book by national leaders of managing aggression among persons with mental and developmental disabilities is essential reading for all psychiatrists, psychologists and those in the criminal justice field. There can be no better time to learn how to reduce the calamities occurring every day by unchecked violence by individuals with brain disorders." - Peter C. Whybrow, M.D., Professor & Executive Chairperson, Department of Psychiatry & Biobehavioral Sciences, Geffen-UCLA School of Medicine

“Much needed to control and diminish the violence afflicting our society is this outstanding compendium of novel and effective treatments of aggression in persons with psychiatric and developmental disabilities. The chapters provide practice-oriented and validated contributions for the work of clinicians, caregivers, researchers and those in the criminal justice field.” - Nirbhay N. Singh, Ph.D., Clinical Professor of Psychiatry, Medical College of Georgia

"This masterfully written book provides effective practices for effectively and humanely treating the urgent problem of aggression among persons with brain disabilities. The methods are described clearly and their application illustrated vividly through authentic case examples. Using the techniques developed by Liberman and LaVigna will enable practitioners to teach persons disabled with brain dysfunctions the socially acceptable behaviors for integrating people into positive community roles and functioning." - Hewitt B. “Rusty” Clark, Ph.D., Professor Emeritus, University of South Florida Developer of Transition to Independence Process for youth

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