Search results for ‘Subject term:"learning disabilities"’ Sort:
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Flexible assertive community treatment for individuals with mild intellectual disability or borderline intellectual functioning: client variables associated with treatment outcome
- Authors:
- NEIJMEIJER Laura, et al
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 14(6), 2020, pp.199-212.
- Publisher:
- Emerald
Purpose: Recent research on flexible assertive community treatment (FACT) for individuals with mild intellectual disabilities (MID) or borderline intellectual functioning (BIF) has shown positive results. This paper aims to identify which client variables are associated with treatment outcome of FACT. Design/methodology/approach: Analyses were performed on assessments made during a six-year longitudinal study in The Netherlands. Data comprised assessments of 281 clients with at least 2 measurements. Treatment outcome was measured by the learning disability version of the Health of the Nation Outcomes Scales. Demographic variables and dynamic risk variables of the short version of the Dynamic Risk Outcome Scales were selected as potential predictor variables of outcome. Data were analysed using linear mixed models. Findings: Limited awareness of the need for treatment, limited treatment motivation and cooperation, limited social skills, impulsivity and substance abuse were significantly associated with worse treatment outcome. None of the demographic variables influenced treatment outcome significantly, and neither did intelligence quotient or having a judicial or civil measure. Research limitations/implications: Because of the observational design, no causal inferences can be drawn. Practical implications: This study produces guidelines regarding nature and scope of the treatment supply and the competences of professionals working in FACT MID/BIF teams. Originality/value: This paper encourages other countries to make assertive outreach available for people with MID/BIF on a larger scale, taking into account the acquired insights. (Edited publisher abstract)
Art therapy and learning disability
- Author:
- KUCZAJ Ed
- Journal article citation:
- Mencap News, 45, June 1994, pp.12-13.
Describes how art therapy can help people with learning disabilities.
Physiotherapy in learning disability
- Author:
- FRASER Rita
- Journal article citation:
- Mencap News, 45, June 1994, pp.4-5.
Shows how physiotherapy can be used with people with learning difficulties.
A multi-sensory experience
- Author:
- AYRES Mike
- Journal article citation:
- Access by Design, 64, May 1994, pp.9-11.
- Publisher:
- Centre for Accessible Environments
Describes the theory and practice of multi-sensory environments such as snoezelen rooms for people with special needs.
Snoezelen - your questions answered?
- Author:
- CAVET Judith
- Journal article citation:
- Community Living, 7(3), January 1994, p.26.
- Publisher:
- Hexagon Publishing
Looks at the background to the development of multi-sensory environments such as snoezelen. Provides a checklist of other options which should be looked at first.
Non-aversive and mildly aversive procedures for reducing problem behaviours in people with developmental disorders: a review
- Authors:
- LANCIONI Giulio E., HOOGEVEEN Frans
- Journal article citation:
- Mental Handicap Research, 3(2), 1990, pp.137-160.
- Publisher:
- BIMH Publications
During the last few years, great concern has been expressed about the use of aversive procedures for reducing deviant behaviours in people with developmental disorders. Given this situation, the role of non-aversive and mildly aversive procedures has become increasingly relevant. Reviews such procedures with regard to their outcomes, the characteristics of people treatment, and the deviant behaviours involved, based on studies published during the last 15 years.
Dog phobia in people with mental handicaps : anxiety management training and exposure treatments
- Authors:
- LINDSAY William R., et al
- Journal article citation:
- Mental Handicap Research, 1(1), 1988, pp.39-48.
- Publisher:
- BIMH Publications
An evaluation of outcomes for service users with an intellectual disability admitted to an assessment and treatment unit
- Authors:
- DAVIES Bronwen, JOSHAM Scarlett, FRANCIS Nicky
- Journal article citation:
- Journal of Intellectual Disabilities, 25(4), 2021, pp.441-448.
- Publisher:
- Sage
- Place of publication:
- London
This service evaluation comprised pre- and post measures with service users and their carers on admission to and discharge from an assessment and treatment (A&T) unit. The Behaviour Problems Inventory (BPI), Psychiatric Assessment Scale for Adults with Developmental Disabilities Checklist–Revised (PASSAD) and World Health Organisations Quality of Life Scale (WHO-QOL 8; adapted for people with intellectual disabilities) were used to evaluate outcomes of their admission to the unit. Significant improvements were found after admission in relation to behaviour that challenges (measured by the BPI), mental health symptoms (measured by the PASSAD) and quality of life (measured by the WHO-QOL). The importance of completing outcome measures as feedback for the service user, team and wider service managers are discussed, but also in this political context when the role of A&T units are being questioned, the importance of showing good practice and clinical outcomes for individuals. (Edited publisher abstract)
Is EMDR an effective treatment for people diagnosed with both intellectual disability and post-traumatic stress disorder?
- Author:
- GILDERTHORP Rosanna C.
- Journal article citation:
- Journal of Intellectual Disabilities, 19(1), 2015, pp.58-68.
- Publisher:
- Sage
- Place of publication:
- London
This study aimed to critically review all studies that have set out to evaluate the use of eye movement desensitization and reprocessing (EMDR) for people diagnosed with both intellectual disability (ID) and post-traumatic stress disorder (PTSD). Searches of the online databases Psych Info, The Cochrane Database of Systematic Reviews, The Cochrane Database of Randomized Control Trials, CINAHL, ASSIA and Medline were conducted. Five studies are described and evaluated. Key positive points include the high clinical salience of the studies and their high external validity. Several common methodological criticisms are highlighted, however, including difficulty in the definition of the terms ID and PTSD, lack of control in design and a lack of consideration of ethical implications. Overall, the articles reviewed indicate cause for cautious optimism about the utility of EMDR with this population. The clinical and research implications of this review are discussed. (Publisher abstract)
The Good Thinking! course — developing a group-based treatment for people with learning disabilities who are at risk of offending
- Authors:
- GOODMAN Wendy, et al
- Journal article citation:
- Journal of Learning Disabilities and Offending Behaviour, 2(3), 2011, pp.114-121.
- Publisher:
- Emerald
Offender treatment programmes are often inaccessible to those with learning disabilities, which may mean those convicted of offences may receive no offender treatment. This paper describes the development of the “Good Thinking!” course, a group-based offender treatment programme designed to help address this need. It aims to inform and encourage clinicians and commissioners working in this field to increase the availability of specialist community-based treatments for offenders who have learning disabilities. The course comprises 23 two-hour sessions run once a week in a community setting. Based on the premise that people who commit offences are often trying to meet ordinary life goals through anti-social means, it aims to help participants identify and understand their goals, develop the social skills necessary, and teaches a problem-solving strategy for more complex problems. A description of the course and a case study are provided. However, to date, insufficient data have been produced to enable a formal evaluation of the effectiveness of the course.