Using mealtimes to develop interpersonal social skills in people with severe mental handicaps

Abstract

A short experimental study was undertaken to investigate methods of developing social skills, in people with severe mental handicaps resident in hospital, which are practical, clinically effective, and result in maximum generalisation. It involved direct care staff using the simple training techniques of instruction and modelling in the natural setting of mealtimes. All the methods proved effective, especially modelling and instruction together, and at follow up some of the gains were maintained. The procedure was practical and cost effective. Differences in level of interaction between individual residents and between residents and staff were observed and the implications are discussed. Using mealtimes for social skills training will aid generalisation and may permanently improve the social environment. It will also provide opportunities to develop and practise all aspects of social skills. Other natural settings suitable for social skills training are suggested.