Buongiorno, 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. Cordialmente, Mauro Leoni https://link.springer.com/journal/41252 The Reduction of Mechanical Restraints and PRN Medication in 400 Persons with Neurodevelopmental Disorders: an Analysis of 11 Years Process in 23 Italian Residential Settings Mauro Leoni & Roberto Cavagnola & Giuseppe Chiodelli & Serafino Corti & Francesco Fioriti & Maria Laura Galli & Giovanni Michelini & Giovanni Miselli & Michela Uberti Abstract Contrary to public policy and research expectations, restrictive behavior practices continue to be used with individuals with intellectual disabilities. This paper reports the effects of a multi-component service package for a residential service for over 400 adults with intellectual disabilities and challenging behavior. Over an 11-year period, there was a large and near elimination of mechanical restraints and pro re nata medications and a decrease in staff working days missed because of resident aggression, despite an increase in the complexity of resident needs. This study demonstrates that large-scale, long-term reduction of restrictive behavior management practices is possible using a multi-component organizational reform package. Keywords: Mechanical restraint . Pro re natas . Intellectual disability . Autism . Medication managemen . Staff training -- Mauro Leoni, PhD Dirigente sanitario Psicologo, Psicoterapeuta Analista del comportamento -- Mauro Leoni, PhD Dirigente sanitario Psicologo, Psicoterapeuta Analista del comportamento