ERIC Number: EJ834917
Record Type: Journal
Publication Date: 2009-Mar
Abstractor: As Provided
Reference Count: 0
Restrictive Behaviour Management Procedures with People with Intellectual Disabilities Who Require Dental Treatment
Newton, J. T.
Journal of Applied Research in Intellectual Disabilities, v22 n2 p118-125 Mar 2009
Background: Dental disease is more common among people with intellectual disabilities than in the general population. Improvements in oral health require individuals to engage in daily oral hygiene and regular visits to a dental practitioner; both may be challenging for the individual with intellectual impairment. Materials and Methods: A review of policies relating to behaviour management and physical restraint for individuals with intellectual disabilities and challenging behaviours was undertaken. Published studies of behaviour management in individuals with intellectual disabilities attending for dental treatment were reviewed. Reference to studies of children with average IQ and other populations were made where appropriate. Results: There is little published evidence regarding behaviour management for people with intellectual disabilities who require dental treatment. Current policies place great emphasis on pharmacological management and restrictive behaviour management techniques. There is a paucity of studies which have employed a functional analysis framework. There are few incentives for dentists to implement positive approaches to behaviour management as current systems of payment reward the completion of numbers of treatments and thus there is an incentive to complete treatments quickly rather than to spend time with patients. Conclusions: There is a need for research addressing the behaviour management of individuals with intellectual disabilities who require dental treatment, particularly the efficacy of non-restrictive techniques and the provision of incentives that reward the use of positive behaviour management among dentists. The use of restrictive techniques should be carefully monitored for compliance with best practice guidelines.
Descriptors: Mental Retardation, Dental Health, Hygiene, Dentistry, Patients, Rewards, Dental Evaluation, Behavior Modification, Behavior Problems, Intervention, Drug Therapy, Functional Behavioral Assessment
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Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Authoring Institution: N/A