Behaviorally challenging patients present a multitude of issues for clinical and non-clinical staff with whom they interact. Many of these patients have difficulty processing information, poor problem-solving and interpersonal skills and a history of maladaptive, self-destructive responses to stress. These patients tend to be chronically unsatisfied with care in any setting and are extremely high utilizers of staff time, energy and resources with very little return, often depleting the staff caring for them. When working with such patients there is a tendency to engage in non-productive, redundant efforts which do little or nothing to improve the member's situation and often can make it worse.
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