Reducing challenging behavior through structured therapeutic intervention in the controlled multi-sensory environment (Snoezelen). Ten case studies

International Journal on Disability and Human Development

Volumn 8, Issue 4, 2009, Pages 377-392

  Lotan, Meir ^a,b,c   Gold, Christian ^d   Yalon Chamovitz, Shira ^e  

^a Zvi Quittman Residential Center   (Israel)

^b ARIEL UNIVERSITY   (Israel)

^c DIVISION FOR INTELLECTUAL AND DEVELOPMENTAL DISABILITIES   (Israel)

^d UNIVERSITY OF BERGEN   (Norway)

^e ONO ACADEMIC COLLEGE   (Israel)

Author keywords

Challenging behavior; developmental disability; intellectual disability; multi sensory environment; Snoezelen; therapeutic Snoezelen intervention

Indexed keywords

ADULT; AGED; ARTICLE; BEHAVIOR CONTROL; BEHAVIOR DISORDER; BEHAVIOR THERAPY; CLINICAL ARTICLE; CLINICAL TRIAL; COGNITIVE DEFECT; DEVELOPMENTAL DISORDER; ENVIRONMENTAL FACTOR; FEMALE; FRAGILE X SYNDROME; HAPPY PUPPET SYNDROME; HEALTH CARE FACILITY; HEALTH CARE QUALITY; HUMAN; INTELLECTUAL IMPAIRMENT; LUPUS VULGARIS; MALE; MASSAGE; MULTISENSORY ENVIRONMENT; MUSIC THERAPY; POPULATION RESEARCH; QUANTITATIVE STUDY; RELAXATION TRAINING; SNOEZELEN INTERVENTION; TREATMENT OUTCOME;

EID: 75149140635     PISSN: 21911231     EISSN: 21910367     Source Type: Journal    
DOI: 10.1515/IJDHD.2009.8.4.377     Document Type: Article

References (49)

1. Emerson E, Kiernan C, Alborz A, Reeves D, Mason H, Swarbrick R, et al. The prevalence of challenging behaviors: a total population study. Res Dev Disabil 2001;22(1):77–93.
2. Meyer LH, Evans IM. Non-avcrsive intervention for behavior problems: A manual for home and community. Baltimore: Paul H Brookes, 1989.
3. Ward KM. Trigler JS, Pfeiffer KT. Community services, issues, and service gaps for individuals with developmental disabilities who exhibit inappropriate sexual behaviors. Ment Retard 2001;39 (1):11–19.
4. Durand VM, Carr EG. Social influences on “self-stimulatory” behavior: Analysis and treatment application. J Appl Behav Anal 1987;20:1 19–32.
5. Intagliata J, Wilier B. Reinslitutionalization of mentally retarded persons successfully placed into family-care and group homes. Am J Mem Defic 1982;87(1):34–39.
6. Pagel S, Whitling C. Readmission to a state hospital for mentally retarded persons reasons for community placement failure. Ment Retard 1978; 16:25–28.
7. Sutter P. Environmental variables related to community placement failure in mentally retarded adults. Ment Retard 1980;18:189–191.
8. Bersani HA Jr., Heifetz LJ. Perceived stress and satisfaction of direct-care staff members in community residences for mentally retarded adults. Am J Ment Defic 1985;90(3):289–295.
9. Buckhalt JA, Marclietti A.Bearden LJ. Sources of stress and job satisfaction reported by direct care staff of large residential mental retardation facilities. Educ Train Ment Retard 1990;25:344–351.
10. Corrigan PW. Staff stressors at a developmental center and state hospital. Ment Retard 1993;31:234–238.
11. Hastings RP, Brown T. Coping strategics and the impact of challenging behaviors on special educators' burnout. Ment Retard 2002;40(2):148–156.
12. Chung MC, Corbett J, Cumella S. Relating staff burnout to clients challenging behaviors in people with learning difficulty: pilot study 2. Eur J Psychiatry 1995;10:155–165.
13. Hoefkens A, Allen D. Evaluation of a special behavior unit for people with mental handicaps and challenging behavior. J Ment Defic Res 1990;34: 213–228.
14. Newman I., Emerson E. Specialized treatment units for people with challenging behaviors. Ment Handicap 1991;19(3):113–119.
15. Raynes, N. The less you've got, the less you get: Functional grouping, a case for concern. Ment Retard 1980;18:217–220.
16. Mitchell G, Hastings RP. Coping, burnout, and emotion in staff working in community services for people with challenging behaviors. Am J Ment Retard 2001;106(5):448–459.
17. Williams DE, Kirkpatrick-Sanchez S, Iwata BA. A comparison of shock intensity in the treatment of longstanding and severe self-injurious behavior. Res Dcv Disabil 1993;14(3):207–219.
18. Jacques N, Wilton K, Townsend M. Cooperative learning and social acceptance of children with mild intellectual disability. J Intellect Disabil Res 1998;42(Pt l):29–36.
19. Tsiouris JA, Cohen IL, Patti PJ, Korosh WM. Treatment of previously undiagnosed psychiatric disorders in persons with developmental disabilities decreased or eliminated self-injurious behavior. J Clin Psychiatry 2003;64(9):1081–1090.
20. Walker GR. Non-compliant behavior of people with mental retardation. Res Dev Disabil 1993;14(2):87-l05.
21. Sternberg L, Taylor RL. Babkie A. Correlates of interventions with self-injurious behavior. J Intellect Disabil Res 1994;38(pt5):475–485.
22. Kalra V, Seth R, Sapra S. Autism-experiences in a tertiary care hospital. Indian J Pediatr 2005;72 (3):227–230.
23. Matson JL, Dixon DR, Matson M.L. Assessing and treating aggression in children and adolcscenls with developmental disabilities: A 20-year overview. Educ Psychol 2005;25(2–3):15l-81.
24. Ashby M, Lindsay WR, Pithcaithly D, Broxholme S, Geelen N. Snoezelen: Its effects on concentration and responsiveness in people with profound multiple handicaps. Br J Occupat Ther 1995;53(7):303–307.
25. Kwok HW, To YF, Sung HF. The application of a multisensory Snoezelen room for people with learning disabilities-Hong Kong experience. Hong Kong Med J 2003;9(2):122–126.
26. Merrick J, Cahana C, Lotan M, Kandel I., Carmeli E. Snoezelen or controlled multisensory stimulation. Treatment aspects from Israel Scientific World Journal 2004;(4):307–314.
27. Verheul A, Hulsegge J. Snoezelen another world. Chesterfield: Rompa, 1987.
28. McKenzie C. Brightening the lives of elderly through Snoezelen. Elderly Care 1995;7(5):1.
29. Hutchinson R, Kewin J. Sensation and disability. Sensory environments for leisure, Snoezelen, education and therapy. Chesterfield: Rompa, 1994.
30. Hogg J, Cavet J, Lambe L, Smeddle M. The use of “Snoezelen” as multisensory stimulation with people with intellectual disabilities: AS review of the research. Res Dev Disabil 2001;22:353–372.
31. Lindsay WR, Pitcaithly D, Geelen N, Buntm L, Broxholme S, Ashby M. A comparison of the effects of four therapy procedures on concentration and responsiveness in people with profound learning disabilities. J Intellect Disabil Res 1997;41:201–207.
32. Kaplan H, Clopton M, Kaplan M, Messbauer L, McPherson K. Snoezelen multi-sensory environments: Task engagement and generalization. Res Dev Disabil 2006;27(4):443–455.
33. Cuvo AJ, May ME, Post TM. Effects of living room, Snoezelen room, and outdoor activities on stereotypic behaviour and engagement by adults with profound mental retardation. Res Dev Disabil 2001;2(3):183–204.
34. Lindsay WR, Black E, Broxholme S, Pitcaithly D, Hornsby N. Effects of four therapy procedures on communication in people with profound intellectual disabilities. J Appl Res Intellect Disabil 2001;14(2):110–119.
35. Houghton S, Douglas G, Brigg J, Langsford S, Powell L, West J, et al. An empirical evaluation of an interactive multi-sensory environment for children with disability. J Intellect Dev Disabil 1998;23(4):267–279.
36. Shapiro M, Parush S, Green M, Roth D. The efficacy of the ‘Snoezelen’ in the management of children with mental retardation who exhibit maladaptive behaviors. Br J Dev Disabil 1997;43:140–155.
37. Stadele ND, Malaney LA. The effects of a multisensory environment on negative behaviour and functional performance on individuals with autism. UW-La Crosse JUR 2001;4:211–218.
38. Withers PS, Ensum I. Successful treatment of severe self-injury incorporating the use of DRO, a Snoezelen room and orientation cues. Br J Learn Disabil 1995;23:164–167.
39. Lotan M, Burshtein S, Cahana C, Shapiro M. The multi-sensory environment as means to reduce maladaptive behaviors in individuals with cognitive impairment. Two case studies. Isr J Occup Ther 2004;13(1):H43-H56. [Hebrew]
40. Martin NT, Gaffan EA, Williams T. Behavioural effects of long-term multi-sensory stimulation. Br J Clin Psychol 1998;37(Pt 1):69–82.
41. Vlaskamp C, de Geeter KI, Huijsmans LM, Smit IH. Passive activities: The effectiveness of multi-sensory environments on the level of activity of individuals with profound multiple disabilities. J Appl Res Intellect Disabil 2003;16(2):135–143.
42. Nasser K, Cahana C, Kandel I, Kessel S, Merrick J. Snoezelen: Children with intellectual disability and working with the whole family. Scientific World Journal 2004;4:500–506.
43. Singh NN, Lancioni GE, Winton AS, Molina EJ, Sage M, Brown S, et al. Effects of Snoezelen room, activities of daily living skills training, and vocational skills training on aggression and self-injury by adults with mental retardation and mental illness. Res Dev Disabil 2004;25(3):285–293.
44. Hutchinson R, Haggar L. The development and evaluation of a Snoezelen leisure resource for people with severe multiple disability. In: Hutchinson R, Kewin J, eds. Sensations and disability; sensory environments for leisure, Snoezelen, education and therapy. Chesterfield: Rompa, 1994:18–48.
45. Long AP, Haig L. How do clients benefit from Snoezelen? An exploratory study. Br J Occupat Ther 1992;55:103–106.
46. Bunsen A. A study in the use and implications of the Snoezelen resource at Limington House School. In: Hutchinson R, Kewin J, eds. Sensations and disability. London: Rompa, 1994:138–145.
47. Lancioni GE, Cuvo M, O'Reilly MF. Snoezelen: an overview of research with people with developmental disabilities and dementia. Disabil Rehab 2002;24(4):175–184.
48. Verheul A. Snoezelen. A video conference held during the international Snoezelen conference. Herzelia, IL: Sharon Hotel, 2004.
49. Cahana C, Lotan, M. Beyond therapy-the added value of the multi-sensory environment (Snoezelen). In: Baum N, ed. Come to your senses. Toronto, ON: MukiBaum, 2005.