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Using medication to manage behaviour problems among adults with a learning disability: quick reference guide
- Authors:
- DEB Shoumitro, CLARKE David, UNWIN Gemma
- Publisher:
- University of Birmingham
- Publication year:
- 2006
- Pagination:
- 43p.
- Place of publication:
- Birmingham
This quick reference guide has been produced to provide advice to people who are considering prescribing medication to manage behaviour problems among adults (aged 18 years and over) with a learning disability. It does not consider in any detail the indications for choosing specific medication to manage behaviour problems among adults with a learning disability. Rather, it provides recommendations for clinical practice surrounding the use of medication to manage behaviour problems among adults with a learning disability. All relevant medication and related issues are considered. The guide is divided into the following sections: initiation of treatment (assessment, formulation, and treatment plan); monitoring of treatment; discontinuation of treatment; high-dose medication; poly-prescribing; intramuscular (IM) medication; rapid tranquilisation; as required (PRN) prescribing; communication and information sharing; interdisciplinary working; consent and capacity; and the referral pathway.
Meeting the challenge in Clwyd: the Intensive Support Team. Part 1
- Authors:
- TOOGOOD Sandy, et al
- Journal article citation:
- British Journal of Learning Disabilities, 22(1), 1994, pp.18-24.
- Publisher:
- Wiley
Describes the establishment of the Clwyd Intensive Support Team, their working definition of challenging behaviour, the development and operation of the Team, and the pattern of referrals over the last three years.
Challenges and responses: report of a seminar 16-17 march 1992, Park Hotel, Cardiff
- Author:
- GREAT BRITAIN. Welsh Office. All Wales Advisory Panel on the Development of Services for People with Mental Handicaps
- Publisher:
- Great Britain. Welsh Office
- Publication year:
- 1992
- Pagination:
- 56p.
- Place of publication:
- Cardiff
Report from a seminar on provision of services to people with learning difficulties, who also have challenging behaviour, mental illness or who offend.
Who’s challenging who?
- Authors:
- DAVIES Rhodri, HUTCHINSON Lisa
- Journal article citation:
- Llais, 103, Summer 2012, pp.9-11.
- Publisher:
- Learning Disability Wales
This article describes the work of “Who’s challenging who?”, an 18-month knowledge transfer partnership between Mencap Cymru and Bangor University. It aims to improve challenging behaviour services for people with a learning disability by improving staff attitudes and increasing empathy. The work was done with Claire Bowler and Martin Banks, two people who have previously displayed challenging behaviour. Martin and Claire helped to co-author and deliver a series of pilot training sessions to social and healthcare staff across Wales. The staff gained a notable change in attitudes and more empathy towards people with challenging behaviour. Encouragingly, over 75% of people on the sessions said that they thought training in this area was a good use of their time, and the same number said that they would apply what they learned in their jobs.
Screening for psychiatric disorders in a total population of adults with intellectual disability and challenging behaviour using the PAS-ADD checklist
- Authors:
- ALLEN David, et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 25(4), July 2012, pp.342-349.
- Publisher:
- Wiley
The nature of the relationship between psychiatric disorders and challenging behaviour in people with intellectual disabilities is the subject of debate; a picture that is confused by challenging behaviour itself sometimes being classified as a form of psychiatric disorder. The authors explore this relationship in a population sample of adults with challenging behaviour. More than 800 service settings in a defined geographical area in Wales were screened to identify individuals with challenging behaviour. Detailed behavioural data, Psychiatric Assessment Schedule for Adults with a Developmental Disability (PAS-ADD) checklist and Adaptive Behaviour Scale (Part 1) scores were collected for 76% of the 930 adults identified. Just under 17% of participants reached threshold scores on one on more subscales of the PAS-ADD checklist. There was some evidence of increasing behavioural severity being associated with increasing psychiatric symptoms but there were no associations between specific forms of challenging behaviour and individual symptoms. The authors conclude that these data support previous suggestions that it is unlikely that the majority of challenging behaviours in adults with intellectual disability are underpinned by psychiatric disorders.
A guide for advocates: supporting people with learning disabilities who are described as having challenging behaviour
- Author:
- CHALLENGING BEHAVIOUR FOUNDATION
- Publisher:
- Challenging Behaviour Foundation
- Publication year:
- 2010
- Pagination:
- 77p.
- Place of publication:
- Chatham
A practical guide providing key information about best practice in supporting people living with challenging behaviour in England and Wales. The resource is written for both professional advocates and family carers advocating on behalf of people with learning disabilities who are described as having challenging behaviour. The characteristics of good support are identified, with suggested questions for advocates to ask around personalisation, activities and opportunities, staff training and communication skills. The guide also looks at issues such as the use of medication, physical intervention, barriers and seclusion, sectioning under the mental health act and alleged offending. Key bullet points identify the issues that may be encountered, checklists and case studies and a charter for challenging behaviour are included.
Children in foster care with challenging behaviour in Wales (UK): key themes and issues for practice and research
- Authors:
- PITHOUSE Andrew, LOWE Kathy
- Journal article citation:
- Families in Society, 89(1), January 2008, pp.109-118.
- Publisher:
- The Alliance for Children and Families
Foster care in Wales (UK) engages frequently with children thought to present with challenging behaviour. It is essential we gain a deeper understanding of their behaviour in order to inform our thinking about how we provide support to children and carers. The paper presents key findings from research into a total population of fostered children in four neighbouring local authorities in South Wales who were considered to exhibit challenging behaviour. The paper examines children’s characteristics and key processes in fostering and in doing so, outlines the very different behaviours and difficulties associated with these children as perceived by carers. The article concludes with some reflection on the term ‘challenging behaviour’ and its sufficiency to account for difficulties in foster placements.
Touch Trust
- Author:
- AUBREY Charlotte
- Journal article citation:
- Llais, 84, Summer 2007, pp.18-21.
- Publisher:
- Learning Disability Wales
Touch Trust is a unique dance organisation which provides creative touch-based art of movement and dance programmes for children and adults with autism, challenging behaviour and multiple disabilities. This article looks at the work of the organisation.
The All Wales Learning Disability Strategy: current status and implications for people with current status and implications for people with mental health needs or severe challenging behaviour
- Authors:
- FELCE David, ALLEN David
- Journal article citation:
- Advances in Mental Health and Learning Disabilities, 1(1), March 2007, pp.33-36.
- Publisher:
- Emerald
This article briefly summarises the main Welsh policy principles that apply to all people with learning disabilities, including those with mental health needs or severe challenging behaviour. The authors briefly review progress in supporting people with complex behavioural needs, reflect on areas where development in practice has not lived up to policy rhetoric and also examine the consequences of this policy to practice gap. The authors then describe current barriers to further service development. Finally they suggest a number of changes that are necessary for the current inadequacies to be resolved.
Changing the face of challenging behaviour services: the Special Projects Team
- Authors:
- ALLEN David, et al
- Journal article citation:
- British Journal of Learning Disabilities, 34(4), December 2006, pp.237-242.
- Publisher:
- Wiley
The background to a unique initiative for people with challenging behaviour in Wales is described. The Special Projects Team (SPT) was established in the context of increasing knowledge of effective treatment responses, but lack of widespread expertise as well as growing crisis within challenging behaviour services. Unlike previous innovative approaches, the SPT is designed to focus on the development of new services and demonstration projects as well enhancing local knowledge through training and research, and encouraging collaborative developments by working with partners across agencies and across all sectors. The vision of the ideal multi-component, comprehensive, tiered system of support services is outlined, as are the project brief and principal objectives. Key activities in the initial years have encompassed resettlement, a major epidemiological and service mapping study, the development of the first of a series of accredited training courses, research reviews, and the establishment of formal links with other organizations, including the formation of the Unit for Development in Intellectual Disabilities. Aims for the next phases of the Team are highlighted.