MINORITY PREDOCTORAL FELLOWSHIP PROGRAM

本研究的具体目的是试图开发一种有效的系统来监测精神药物对发育障碍患者的不良副作用，并评估使用该系统是否比目前直接护理人员报告的不良副作用和精神病医生或处方医生可能改变的药物处方产生更可靠的报告。参与者将包括被正式诊断为智力迟钝的成年人，目前正在接受精神药物治疗，并生活在需要24小时监督的社区集体家庭环境中。在多基线设计中，对不同群体家庭环境的评估将同时进行（通过在不同时间将干预措施引入不同的基线来证明效果）。每个家庭提供的电脑将有一个程序，提供每周使用的干预。该项目将向直接护理人员提出“是”和“否”的问题，并对潜在的副作用以及攻击、自残行为和财产破坏等目标行为进行评分。数据将总结为每周报告的不良副作用的数量、类别和严重程度，以及药物类型、剂量和数量的变化。

The specific aim of this study is to attempt to develop an efficient system for monitoring adverse side effects of psychotropic medication on people with developmental disabilities and to evaluate if use of this system results in more reliable reports than what is currently reported of adverse side effects by direct-care staff and possible changes in the prescription of medication by a psychiatrist or prescribing physician. Participants will include adults with the formal diagnosis of mental retardation and are currently receiving psychotropic medication and are living in group home settings in the community requiring supervision 24 hours a day. An evaluation across different group home settings will occur simultaneously in a multiple baseline design (effects are demonstrated by introducing the intervention to different baselines at different time ). Computers provided in each home will have a program that provides the intervention to be used weekly. The program will be designed to present "Yes" and "No" questions and rating scales to direct-care staff about potential side effects as well as target behaviors such as aggression, self-injurious behavior, and property destruction. Data will be summarized as number, class and severity of adverse side effects reported weekly and changes in medication type, dose, and number.