<html xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns:m="http://schemas.microsoft.com/office/2004/12/omml" xmlns="http://www.w3.org/TR/REC-html40"><head><meta http-equiv=Content-Type content="text/html; charset=utf-8"><meta name=Generator content="Microsoft Word 15 (filtered medium)"><style><!--
/* Font Definitions */
@font-face
{font-family:"Cambria Math";
panose-1:2 4 5 3 5 4 6 3 2 4;}
@font-face
{font-family:Calibri;
panose-1:2 15 5 2 2 2 4 3 2 4;}
@font-face
{font-family:Cambria;
panose-1:2 4 5 3 5 4 6 3 2 4;}
@font-face
{font-family:inherit;
panose-1:2 11 6 4 2 2 2 2 2 4;}
/* Style Definitions */
p.MsoNormal, li.MsoNormal, div.MsoNormal
{margin:0cm;
margin-bottom:.0001pt;
font-size:12.0pt;
font-family:"Calibri",sans-serif;
mso-fareast-language:EN-US;}
a:link, span.MsoHyperlink
{mso-style-priority:99;
color:#0563C1;
text-decoration:underline;}
a:visited, span.MsoHyperlinkFollowed
{mso-style-priority:99;
color:#954F72;
text-decoration:underline;}
span.StileMessaggioDiPostaElettronica17
{mso-style-type:personal-compose;
font-family:"Calibri",sans-serif;
color:windowtext;}
.MsoChpDefault
{mso-style-type:export-only;
font-family:"Calibri",sans-serif;
mso-fareast-language:EN-US;}
@page WordSection1
{size:612.0pt 792.0pt;
margin:70.85pt 2.0cm 2.0cm 2.0cm;}
div.WordSection1
{page:WordSection1;}
--></style></head><body lang=IT link="#0563C1" vlink="#954F72"><div class=WordSection1><p class=MsoNormal>Buongiorno,<o:p></o:p></p><p class=MsoNormal>condivido con il gruppo un articolo fresco di pubblicazione, che rappresenta i processi attivati per allineare un gruppi di servizi residenziali per persone adulte con disabilità (Autismo e Disabilità Intellettiva), agli standard scientifici attuali.<o:p></o:p></p><p class=MsoNormal>Cordialmente,<o:p></o:p></p><p class=MsoNormal>Mauro Leoni<span style='font-size:11.0pt'><o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt'><o:p> </o:p></span></p><p class=MsoNormal style='text-autospace:none'><span style='font-size:10.0pt;color:black'> <o:p></o:p></span></p><p class=MsoNormal style='text-autospace:none'><span style='color:black'><a href="https://link.springer.com/journal/41252">https://link.springer.com/journal/41252</a><o:p></o:p></span></p><p class=MsoNormal style='text-autospace:none'><span style='color:black'><o:p> </o:p></span></p><p style='mso-margin-top-alt:4.5pt;margin-right:0cm;margin-bottom:4.5pt;margin-left:0cm'><span style='font-size:10.5pt;font-family:"inherit",serif;color:#1D2129'><o:p> </o:p></span></p><p style='mso-margin-top-alt:4.5pt;margin-right:0cm;margin-bottom:4.5pt;margin-left:0cm'><b><span style='font-size:10.5pt;font-family:"inherit",serif;color:#1D2129'>The Reduction of Mechanical Restraints and PRN Medication in 400<br>Persons with Neurodevelopmental Disorders: an Analysis of 11 Years<br>Process in 23 Italian Residential Settings<o:p></o:p></span></b></p><p style='mso-margin-top-alt:4.5pt;margin-right:0cm;margin-bottom:4.5pt;margin-left:0cm'><span style='font-size:10.5pt;font-family:"inherit",serif;color:#1D2129'><o:p> </o:p></span></p><p style='mso-margin-top-alt:4.5pt;margin-right:0cm;margin-bottom:4.5pt;margin-left:0cm'><span style='font-size:10.5pt;font-family:"inherit",serif;color:#1D2129'>Mauro Leoni & Roberto Cavagnola & Giuseppe Chiodelli & Serafino Corti & Francesco Fioriti & Maria Laura Galli & Giovanni Michelini & Giovanni Miselli & Michela Uberti<o:p></o:p></span></p><p style='mso-margin-top-alt:4.5pt;margin-right:0cm;margin-bottom:4.5pt;margin-left:0cm'><span style='font-size:10.5pt;font-family:"inherit",serif;color:#1D2129'><o:p> </o:p></span></p><p style='mso-margin-top-alt:4.5pt;margin-right:0cm;margin-bottom:4.5pt;margin-left:0cm'><span style='font-size:10.5pt;font-family:"inherit",serif;color:#1D2129'>Abstract<o:p></o:p></span></p><p style='mso-margin-top-alt:4.5pt;margin-right:0cm;margin-bottom:4.5pt;margin-left:0cm'><span style='font-size:10.5pt;font-family:"inherit",serif;color:#1D2129'>Contrary to public policy and research expectations, restrictive behavior practices continue to be used with individuals with<br>intellectual disabilities. This paper reports the effects of a multi-component service package for a residential service for over 400<br>adults with intellectual disabilities and challenging behavior. Over an 11-year period, there was a large and near elimination of<br>mechanical restraints and pro re nata medications and a decrease in staff working days missed because of resident aggression,<br>despite an increase in the complexity of resident needs. This study demonstrates that large-scale, long-term reduction of restrictive<br>behavior management practices is possible using a multi-component organizational reform package.<o:p></o:p></span></p><p style='mso-margin-top-alt:4.5pt;margin-right:0cm;margin-bottom:4.5pt;margin-left:0cm'><span style='font-size:10.5pt;font-family:"inherit",serif;color:#1D2129'><o:p> </o:p></span></p><p style='mso-margin-top-alt:4.5pt;margin-right:0cm;margin-bottom:4.5pt;margin-left:0cm'><span style='font-size:10.5pt;font-family:"inherit",serif;color:#1D2129'>Keywords: Mechanical restraint . Pro re natas . Intellectual disability . Autism . Medication managemen . Staff training<o:p></o:p></span></p><p class=MsoNormal style='text-autospace:none'><span style='color:black'><o:p> </o:p></span></p><p class=MsoNormal style='text-autospace:none'><span style='font-size:10.0pt;color:black'> </span><span style='color:black'><o:p></o:p></span></p><p class=MsoNormal style='text-autospace:none'><span style='font-size:10.0pt;color:black'>-- </span><span style='color:black'><o:p></o:p></span></p><p class=MsoNormal style='text-autospace:none'><b><span style='font-size:10.0pt;font-family:"Cambria",serif;color:black'>Mauro Leoni, PhD</span></b><span style='color:black'><o:p></o:p></span></p><p class=MsoNormal style='text-autospace:none'><i><span style='font-size:10.0pt;font-family:"Cambria",serif;color:black'>Dirigente sanitario</span></i><span style='color:black'><o:p></o:p></span></p><p class=MsoNormal style='text-autospace:none'><i><span style='font-size:10.0pt;font-family:"Cambria",serif;color:black'>Psicologo, Psicoterapeuta</span></i><span style='color:black'><o:p></o:p></span></p><p class=MsoNormal><i><span style='font-size:10.0pt;font-family:"Cambria",serif;color:black'>Analista del comportamento</span></i> <o:p></o:p></p><p class=MsoNormal><span style='font-size:11.0pt'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt'><o:p> </o:p></span></p><p class=MsoNormal style='text-autospace:none'><span style='font-size:10.0pt;color:black;mso-fareast-language:IT'> </span><span style='color:black;mso-fareast-language:IT'><o:p></o:p></span></p><p class=MsoNormal style='text-autospace:none'><span style='font-size:10.0pt;color:black;mso-fareast-language:IT'> </span><span style='color:black;mso-fareast-language:IT'><o:p></o:p></span></p><p class=MsoNormal style='text-autospace:none'><span style='font-size:10.0pt;color:black;mso-fareast-language:IT'>-- </span><span style='color:black;mso-fareast-language:IT'><o:p></o:p></span></p><p class=MsoNormal style='text-autospace:none'><b><span style='font-size:10.0pt;font-family:"Cambria",serif;color:black;mso-fareast-language:IT'>Mauro Leoni, PhD</span></b><span style='color:black;mso-fareast-language:IT'><o:p></o:p></span></p><p class=MsoNormal style='text-autospace:none'><i><span style='font-size:10.0pt;font-family:"Cambria",serif;color:black;mso-fareast-language:IT'>Dirigente sanitario</span></i><span style='color:black;mso-fareast-language:IT'><o:p></o:p></span></p><p class=MsoNormal style='text-autospace:none'><i><span style='font-size:10.0pt;font-family:"Cambria",serif;color:black;mso-fareast-language:IT'>Psicologo, Psicoterapeuta</span></i><span style='color:black;mso-fareast-language:IT'><o:p></o:p></span></p><p class=MsoNormal><i><span style='font-size:10.0pt;font-family:"Cambria",serif;color:black;mso-fareast-language:IT'>Analista del comportamento</span></i><o:p></o:p></p></div></body></html>