Search results for ‘Subject term:"learning disabilities"’ Sort:
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Exploring the incidence, risk factors, nature and monitoring of adult protection alerts
- Authors:
- CAMBRIDGE Paul, et al
- Publisher:
- University of Kent. Tizard Centre
- Publication year:
- 2006
- Pagination:
- 78p., bibliog.
- Place of publication:
- Canterbury
Older people dominate the abuse landscape. Those at greatest risk of abuse are older women, those living in a care home and those who have a long term illness (probably particularly dementia). Some sub-groups are also at risk of abuse from relatives and carers, especially those who co-abuse and those who are highly dependent on their relatives for help or support. Older people with mental health needs were most likely to be referred for multiple types of abuse. People with learning disabilities are much more likely than those in other client groups to have alerts raised about sexual abuse. Where people live determines the characteristics of abuse. The project found a link between location or setting, perpetrator and type of abuse. If a person lives in a care home they are more likely to be abused by a member of staff and experience institutional abuse or neglect; people with learning disabilities may experience sexual abuse. Those living in a domestic setting with others, primarily relatives, tend to be at risk of financial, physical or psychological abuse. Older people living alone are particularly vulnerable to financial abuse by family members or, to a lesser extent, care workers. Out of area clients are different. People from out-of-area, the majority with learning disabilities, tend to experience more multiple abuse and more neglect and discriminatory abuse than within area clients. However, they also appear to receive more robust and effective responses to adult protection alerts. Presence of an adult protection coordinator makes a difference. More adult protection alerts were generated by districts where adult protection coordinators were in place than where they were not. This is not surprising since one of the criteria for deploying adult protection coordinators was the workload in each district. Cases in districts with coordinators were more likely to result in increased monitoring, post-abuse work with the victim and with a vulnerable perpetrator and less likely to result in no further action.
Person centred planning and care management with people with learning disabilities
- Editors:
- CAMBRIDGE Paul, CARNABY Steven (eds.)
- Publisher:
- Jessica Kingsley
- Publication year:
- 2005
- Pagination:
- 240p.
- Place of publication:
- London
This timely book provides a reflective analysis of person centred planning for people with learning disabilities, complementing policy initiatives that focus on individualised planning and service user involvement. Drawing on practical experience and research findings, the contributors explore policy and practice issues, including: advocacy and empowerment; risk management and adult protection; inter-agency and inter-professional working ethnicity and culture; and de-institutionalisation.Case studies illustrate best practice in person centred planning, and the authors offer a rich variety of ideas for increasing the participation, self-esteem and quality of life of people with learning disabilities.
Responding to masturbation in supporting sexuality and challenging behaviour in services for people with learning disabilities: a practice and research overview
- Authors:
- CAMBRIDGE Paul, CARNABY Steve, McCARTHY Michele
- Journal article citation:
- Journal of Learning Disabilities, 7(3), September 2003, pp.251-266.
- Publisher:
- Sage
Masturbation is frequently referenced as a key issue for supporting the sexuality of people with learning disabilities, yet the subject has received little attention in the professional and academic literature. This article provides an overview of masturbation in relation to service responses and user support in sexuality work in learning disability more widely, drawing in evidence and experience from sex education, clinical work and staff training. Issues such as gender, sexuality, culture and consent are addressed and some of the commonly held myths and assumptions about sexuality and masturbation are challenged. The discussion and related suggestions are designed to be of value to service managers and practitioners, particularly those involved in sexuality work and one-to-one support.
The HIV testing of a man with learning disabilities: informed consent confidentiality and policy
- Author:
- CAMBRIDGE Paul
- Journal article citation:
- Journal of Adult Protection, 3(4), November 2001, pp.23-28.
- Publisher:
- Emerald
Explores the issues of informed consent, confidentiality, disclosure, policy and the wider consequences of HIV testing are issues in relation to a man with learning disabilities who tested positive for HIV. Summarises and identifies the events and outcomes for policy and practice in HIV risk management and adult protection in services for people with learning disabilities.
A personal touch: managing the risks of abuse during intimate and personal care
- Authors:
- CAMBRIDGE Paul, CARNABY Steve
- Journal article citation:
- Journal of Adult Protection, 2(4), November 2000, pp.4-16.
- Publisher:
- Emerald
This paper identifies considerations for managing the risks of abuse during intimate and personal care for people with learning disabilities and complex needs. Drawing on insights gleaned from research involving interviews with staff, policies and procedures in specialist day and residential services, and the development of a staff training resource, the paper identifies a framework for adult protection practice in this critical area of support.
Reconstructing the sexuality of men with learning disabilities: empirical evidence and theoretical interpretations of need
- Authors:
- CAMBRIDGE Paul, MELLAN Bryan
- Journal article citation:
- Disability and Society, 15(2), March 2000, pp.293-311.
- Publisher:
- Taylor and Francis
Research and practice in sexuality and learning disability has directly and indirectly highlighted the pathological sexual behaviour of men with learning disabilities, particularly their abuse and exploitation of women with learning disabilities, and relatively high HIV risk sexual behaviour with men without learning disabilities. It is consequently argued that there has been a relative neglect of their wider sexuality and sexual needs. This paper reconstructs this wider agenda, drawing on empirical evidence and theoretical interpretations of need from research and sex education in support of the observations made. In identifying a range of key issues for sexuality work with men with learning disabilities and arguing that they require greater recognition and attention, the paper also provides pointers for informing such work and for responding more widely.
Using 'best value' in purchasing and providing services for people with learning disabilities
- Author:
- CAMBRIDGE Paul
- Journal article citation:
- British Journal of Learning Disabilities, 28(1), March 2000, pp.31-37.
- Publisher:
- Wiley
This paper draws on evidence from research and service development to explore the problems and potentials of Best Value in services for people with learning disabilities, and to identify review and action points for managing its implementation.
The physical abuse of people with learning disabilities and challenging behaviours: lessons for commissioners and providers
- Author:
- CAMBRIDGE Paul
- Journal article citation:
- Tizard Learning Disability Review, 3(1), January 1998, pp.18-26.
- Publisher:
- Emerald
This article describes the circumstances surrounding the physical abuse of persons with learning disabilities and challenging behaviours in a residential service and the findings of a related inquiry. The findings are used to identify the signs and signals associated with a culture of abuse, of use to commissioners and providers for helping detect abusive services and for adults protection more widely.
Developing and implementing sexuality policy for a learning disability provider service
- Author:
- CAMBRIDGE Paul
- Journal article citation:
- Health and Social Care in the Community, 5(4), July 1997, pp.227-236.
- Publisher:
- Wiley
Discusses a case study of the development of a sexuality policy for a learning disability service, identifies key considerations for the development process and examines the wider implications for the service. The operational, management and practice issues that emerged as a result of the intervention and the ways in which they were resolved are described. These issues include the different interests at stake and the incorporation of the views and experiences of users, parents and direct support staff. A model for policy development, including pointers for the management of sexuality and for practice intervention is provided.
At whose risk? Priorities and conflicts for policy development in HIV and intellectual disability
- Author:
- CAMBRIDGE Paul
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 10(2), 1997, pp.83-104.
- Publisher:
- Wiley
Identifies considerations for HIV policy in services for people with intellectual disabilities and suggests standards for best practice. Evidence from research, policy development and training is examined to inform arguments about the nature, location and management of HIV risk with service and user case studies used to illustrate argument. Priorities for policy are offered and conflicts between the rights and responsibilities of individuals are explored, with discussion centred on the re-homosexualisation of HIV. Also identifies key related considerations such as legal and moral questions, policy principles and the need for coordination.