Search results for ‘Subject term:"learning disabilities"’ Sort:
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Sexual abuse in adulthood: ongoing risks for people with learning disabilities
- Authors:
- BROWN Hilary, TURK Vicky
- Journal article citation:
- Child Abuse Review, 3(1), March 1994, pp.26-35.
- Publisher:
- Wiley
Reports findings of a 3-year research programme into the sexual abuse of adults with learning disabilities. Inconsistent reporting to and by services can be seen in the results, including lack of agreed practice around consent to sexual activities between service users. Abuse is also perpetrated by staff, volunteers, family members and other known and trusted adults. Thus both definition and detection are important competencies for services to develop. Abuse reported was predominantly perpetrated by men on both women and men with learning disabilities, and the gender issues raised by tackling sexual abuse in unequal staff teams, with their male style of management and a female workforce, are considered.
Using the Mental Capacity Act in complex cases
- Authors:
- BROWN Hilary, MARCHANT Liz
- Journal article citation:
- Tizard Learning Disability Review, 18(2), 2013, pp.60-69.
- Publisher:
- Emerald
Purpose – The purpose of this paper is to explore the way that practitioners apply the 2005 Mental Capacity Act (MCA) in complex cases involving people with learning disabilities who cannot make some key decisions by themselves. Like many qualitative studies it began with a felt sense that practitioners were struggling to apply the clear framework set out in the Act to real life situations, and that some of the decisions they were faced with did not fit neatly into the linear, cognitive model of decision making set out in the MCA and its accompanying guidance. Design/methodology/approach – The study was conducted under the aegis of the Office of the Public Guardian (OPG) during 2010-2011. A number of “complex” cases were obtained from Social Services, Primary Care Trusts and other organisations and subjected to thematic analysis. The current paper focuses on the 16 cases that involved people with learning disabilities. Findings – A number of issues were identified that underlay the complexity of the cases examined. The cases drew attention, in particular, to the way in which practitioners were confronted with mounting concerns as opposed to single, discrete decisions, with the risk that decisions could be delayed until positive choices were much less available. Originality/value – The aim of the study was to support the use of the Act in these situations and to give practitioners confidence in applying its principles across a wide range of diverse circumstances. Although the original study specifically related to the English legislation, the factors that led people to consider a case “complex” would apply equally in other jurisdictions. The study also shed light on difficulties that arise when intervening in less formal ways. (Publisher abstract)
Monitoring adult protection referrals in 10 English local authorities
- Authors:
- BROWN Hilary, STEIN June
- Journal article citation:
- Journal of Adult Protection, 2(3), September 2000, pp.19-31.
- Publisher:
- Emerald
This paper reports the results of a study of the monitoring of adult protection referrals in 10 local authorities during six months in 1998.The information provides a useful window on the effectiveness of current policies and provides a baseline from which to anticipate the implications for workload and service planning of recent government guidance.
Adult protection: an overview of research and policy
- Authors:
- BROWN Hilary, KINGSTON Paul, WILSON Barry
- Journal article citation:
- Journal of Adult Protection, 1(1), August 1999, pp.6-16.
- Publisher:
- Emerald
This article considers the emergence of adult protection as a significant issue for health and welfare professionals. It presents a range of definitions and dilemmas alongside a comprehensive review of how abuse is manifested. A brief review of the latest research is followed by principles of good practice.
Implementing adult protection policies in Kent and East Sussex
- Authors:
- BROWN Hilary, STEIN June
- Journal article citation:
- Journal of Social Policy, 27(3), July 1998, pp.371-396.
- Publisher:
- Cambridge University Press
- Place of publication:
- Cambridge
Reports on the extent and nature of adult protection cases dealt with by two social services departments during a twelve month period in 1995-6, within the framework of newly revised generic policies on abuse of vulnerable adults. The two counties varied in the level of reporting documented and in the number of cases logged for individuals who fall within the main four groups of 'vulnerable adults' covered by the policies. Arguments for consistent reporting are set out and the tension which exists between formal and informal approaches to the subsequent investigation of abuse discussed with reference to American vulnerable adult statutes.
The ethics of research with men who have learning disabilities and abusive sexual behaviour: a minefield in a vacuum
- Authors:
- BROWN Hilary, THOMPSON David
- Journal article citation:
- Disability and Society, 12(5), November 1997, pp.695-707.
- Publisher:
- Taylor and Francis
In the wake of the recent awareness of the sexual abuse of people with learning disabilities is the recognition that a small number of men with learning disabilities are themselves sexually abusing. The need to understand the men's behaviour and provide effective responses is pressing yet the search for an ethical course of enquiry appears illusory. Explores in depth these dilemmas and describes the authors' attempts to resolve them as they attempted to devise a protocol for consent to involvement in a qualitative study of men with learning disabilities who sexually abuse.
HIV and learning disability
- Editors:
- CAMBRIDGE Paul, BROWN Hilary
- Publisher:
- British Institute of Learning Disabilities
- Publication year:
- 1997
- Pagination:
- 194p.,bibliogs.
- Place of publication:
- Kidderminster
Aims to provide essential reference material for people working in the field of HIV and learning disability. Includes chapters on: assessing and responding to local needs; facts about HIV transmission and treatment; HIV prevention and health promotion; a provider perspective; safer sex work with men with learning difficulties who have sex with men; HIV and heterosexual men; the role of therapy in sexual health; safer sex training for peer educators; sex education for students with severe learning difficulties; HIV, learning difficulties and the law; and policies and their contribution to coherent decision making.
Service responses to men with intellectual disabilities who have unacceptable or abusive sexual behaviours: the case against inaction
- Authors:
- BROWN Hilary, THOMPSON David
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 10(2), 1997, pp.176-197.
- Publisher:
- Wiley
Describes service responses to a small group of men with intellectual disabilities whose sexual behaviour was considered to be unacceptable or abusive. The data was gathered through a small-scale action research project using case studies to explore current practice and staff attitudes. Results found that service responses were hindered by unclear definitions of abusive sexual behaviour and inconsistent perceptions of risk. They were also characterised by poor coordination, lack of specific care-planning, failure to agree to appropriate additional supervisory measures and lack of clarity within and between agencies. Also found that complex ethical and advocacy issues remained unaddressed in these men's lives as did the necessity of protecting vulnerable people who might be potential victims of their behaviour.
Men with intellectual disabilities who sexually abuse: a review of the literature
- Authors:
- THOMPSON David, BROWN Hilary
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 10(2), 1997, pp.140-158.
- Publisher:
- Wiley
Trailing behind the recent acknowledgement of the high incidence of sexual abuse amongst people with intellectual disabilities is a recognition of men with intellectual disabilities as perpetrators of sexual abuse. This article reviews the North American, Australian and British literature published in this area. It demonstrates that both theoretical understandings and clinical interventions with men with intellectual disabilities are often discordant with wider perspectives of work with sexual abusers. The effect of this is shown to be common discriminatory practice received by men with intellectual disabilities which at times shows poor regard for their rights.
Towards better interviewing: a handbook for police officers and social workers on the sexual abuse of adults with learning disabilities
- Authors:
- BROWN Hilary, et al
- Publisher:
- Pavilion
- Publication year:
- 1996
- Pagination:
- 73p.,bibliog.
- Place of publication:
- Brighton
Handbook aimed at social workers and police officers who are investigating cases of sexual abuse of adults with learning difficulties. Provides a framework within which the two agencies can collaborate and describes good practice in conducting interviews with adults who are thought to have been abused, have witnessed abuse, or are alleged to have abused others.