{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T07:24:56Z","timestamp":1786951496478,"version":"build-2736575974"},"reference-count":76,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,16]],"date-time":"2026-08-16T00:00:00Z","timestamp":1786838400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,8,16]],"date-time":"2026-08-16T00:00:00Z","timestamp":1786838400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000155","name":"Social Sciences and Humanities Research Council of Canada","doi-asserted-by":"publisher","award":["872\u20102022\u20101016"],"award-info":[{"award-number":["872\u20102022\u20101016"]}],"id":[{"id":"10.13039\/501100000155","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J intellect Disabil Res"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Aggressive behaviour in formal care settings for persons with intellectual disability or autistic adults poses significant challenges. Individual\u2010level interventions have shown limited efficacy, highlighting the need to explore organisational and systemic approaches. However, research remains scarce on how organisational and managerial practices affect aggressive behaviours in care settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This project aimed to review service organisation and managerial practices affecting aggression towards others and objects in adults with intellectual disability or autism in formal care settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic scoping review was conducted, focusing on the concepts of \u201cIntellectual Disability\/Autism Spectrum Disorder,\u201d \u201cAggressive Behaviour,\u201d and \u201cCare Organisation\u201d. Academic databases (CINAHL, EMBASE, PsycINFO and Medline) and grey literature sources (Google Scholar, government sites) were searched for studies published between 1994 and 2023 in English and French. Selected articles were categorised by intervention type and a narrative synthesis was conducted for each category.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>Of 4426 references, 12 publications were selected for narrative synthesis. The following interventions demonstrated positive effects on the frequency and severity of aggressive behaviour in formal care settings: enhanced services and revised care pathways, improved provider accountability, staff support and more livable, homelike physical environments. No effect was found for case grouping.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Interventions addressing organisational and managerial practices may help reduce aggressive behaviour in formal care settings. Ecological models of health may guide the efforts of decision\u2010makers and practitioners in this endeavour.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jir.70157","type":"journal-article","created":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T06:45:39Z","timestamp":1786949139000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effects of Organisational and Managerial Interventions in Formal Care Settings on Aggressive Behaviour in Adults With Intellectual Disability or Autistic Adults. A Systematic Scoping Review"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7083-7250","authenticated-orcid":false,"given":"Yuliya","family":"Bodryzlova","sequence":"first","affiliation":[{"name":"Institut national de psychiatrie l\u00e9gale Philippe\u2010Pinel  Montreal Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8630-2752","authenticated-orcid":false,"given":"Ashley J.","family":"Lemieux","sequence":"additional","affiliation":[{"name":"Institut national de psychiatrie l\u00e9gale Philippe\u2010Pinel  Montreal Canada"},{"name":"Department of Sexology Universit\u00e9 du Qu\u00e9bec \u00e0 Montr\u00e9al  Montreal Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evelyne","family":"Robert Berger","sequence":"additional","affiliation":[{"name":"Sant\u00e9 Qu\u00e9bec Mauricie\u2010et\u2010du\u2010Centre\u2010du\u2010Qu\u00e9bec \u2013 Universitaire  Trois\u2010Rivi\u00e8res Canada"},{"name":"Institut universitaire en d\u00e9ficience intellectuelle et en trouble du spectre de l'autisme  Trois\u2010Rivi\u00e8res Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie\u2010Jo\u00eblle","family":"Braconnier","sequence":"additional","affiliation":[{"name":"Sant\u00e9 Qu\u00e9bec Mauricie\u2010et\u2010du\u2010Centre\u2010du\u2010Qu\u00e9bec \u2013 Universitaire  Trois\u2010Rivi\u00e8res Canada"},{"name":"Institut universitaire en d\u00e9ficience intellectuelle et en trouble du spectre de l'autisme  Trois\u2010Rivi\u00e8res Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Genevi\u00e8ve","family":"Pinard","sequence":"additional","affiliation":[{"name":"Sant\u00e9 Qu\u00e9bec Mauricie\u2010et\u2010du\u2010Centre\u2010du\u2010Qu\u00e9bec \u2013 Universitaire  Trois\u2010Rivi\u00e8res Canada"},{"name":"Institut universitaire en d\u00e9ficience intellectuelle et en trouble du spectre de l'autisme  Trois\u2010Rivi\u00e8res Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2122-1358","authenticated-orcid":false,"given":"Diane","family":"Morin","sequence":"additional","affiliation":[{"name":"D\u00e9partement de Psychologie \u2010 Titulaire Chaire de d\u00e9ficience Intellectuelle et Troubles du Comportement Universit\u00e9 du Qu\u00e9bec \u00e0 Montr\u00e9al  Montreal Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0571-8890","authenticated-orcid":false,"given":"Anne G.","family":"Crocker","sequence":"additional","affiliation":[{"name":"Institut national de psychiatrie l\u00e9gale Philippe\u2010Pinel  Montreal Canada"},{"name":"Department of Psychiatry &amp; Addictions Universit\u00e9 de Montr\u00e9al  Montreal Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,16]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/713802182"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1108\/AMHID-02-2015-0011"},{"key":"e_1_2_11_4_1","volume-title":"Aberrant Behavior Checklist Manual","author":"Aman M. 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