Two separate meta-analyses were conducted to examine (1) the effects of training programs on the behaviour of direct care staff working with clients with ID who present challenging behaviour problems ...(predominantly aggressive and violent behaviour), and (2) the effects of staff training on the challenging behaviour of their clients with ID. A 3-level random effects model was used for both meta-analyses to account for both within and between study variance. Results showed that staff training was moderately effective in changing staff behaviour, but no convincing evidence was found for an effect on the reduction of challenging behaviour of persons with ID. The type, content and goal of training did not moderate the effects of staff training, whereas sample and study characteristics (e.g., sex participant or year of publication) did. The way a training program is delivered to staff may be much more important than characteristics of a training.
•Staff training for challenging behaviour of clients with ID changes staff behaviour.•No evidence that staff training changes challenging behaviour of clients with ID.•Sample and study characteristics moderated the effects of staff training.
Personalization is an important strategy for enhancing the effectiveness of treatment that is aimed at reducing the risk of child maltreatment. In recent years, a growing body of research has ...appeared on how child protection can benefit from the principles of the Risk-Need-Responsivity model, but no attention has yet been paid to the implementation of the responsivity principle in child protection. Put simply, this principle states that treatment must be tailored to individual characteristics of clients to optimize its effectiveness. This study was the first to address how the responsivity principle can be of value in child protection. First, a systematic review of responsivity factors in forensic care was performed. Second, the relevance of applying each factor in child protection was examined through interviews with clinical professionals working in the field, who also provided suggestions on how treatment can be tailored to each of these factors. This resulted in an overview of seven responsivity factors all related to caregiver characteristics: problem denial, motivation to cooperate with treatment, psychological problems, cognitive abilities, cultural background, practical barriers such as financial problems and social support, and barriers to specific treatment types such as group therapy. Implications and recommendations for strengthening clinical practice are discussed.
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