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<p class="MsoNormal"><span style="font-size:11.0pt;color:#1F497D">Grazie per l’attenzione.<o:p></o:p></span></p>
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<p class="MsoNormal"><b><span style="font-size:11.0pt;mso-fareast-language:IT">Da:</span></b><span style="font-size:11.0pt;mso-fareast-language:IT"> autismo-biologia [mailto:autismo-biologia-bounces@autismo33.it]
<b>Per conto di </b>Mauro Leoni<br>
<b>Inviato:</b> martedì 20 novembre 2018 08:21<br>
<b>A:</b> 'Autismo Biologia' <autismo-biologia@autismo33.it><br>
<b>Oggetto:</b> [autismo-biologia] Articolo sui servizi per persone con Disturbi del Neurosviluppo<o:p></o:p></span></p>
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<p class="MsoNormal"><o:p> </o:p></p>
<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;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;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;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;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;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;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;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;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;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>
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