Teaching caregivers to respond safely during agitated states before aggression using simulation training.

Abstract

Individuals who engage in aggression often display precursors or agitated behavior first, and it is important for caregivers to learn how to minimize risk of injury in the event that aggression were to occur. In this study, behavioral skills training was used to teach 4 caregivers of children who engage in aggression to position their body safely and prevent access to dangerous items during agitated states. Confederates were used during all baseline, training, and posttraining sessions to maintain consistency and the safety of the caregivers. All caregivers quickly learned to use these safety skills during agitated periods but not during calm periods with minimal between-session feedback regarding correct responding.