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The development of a new integrated mental health service for people with learning disabilities
- Authors:
- HALL Ian, et al
- Journal article citation:
- British Journal of Learning Disabilities, 34(2), June 2006, pp.82-87.
- Publisher:
- Wiley
It is now well recognized that people with learning disabilities experience the full range of psychiatric disorders. Public policy in the United Kingdom advocates that people with learning disabilities should access mainstream mental health services. The authors discuss the challenges this policy presents, and then describe the processes they went through to set up a service that properly enabled such access. They describe the service model in some detail, then reflect on overcoming barriers to implementation, and how we maintain the service model. Finally some lessons for future service development initiatives are highlighted.
Secure inpatient services for people with intellectual disability: lessons from developing a new service
- Authors:
- HALL Ian, YACOUB Evan, YUSUFI Babur
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 4(4), December 2010, pp.15-24.
- Publisher:
- Emerald
Secure inpatient services for people with intellectual disability are provided in a piecemeal way, often without strategic commissioning. Such people are often placed in remote and costly units because suitable local facilities do not exist. This article describes the development of a new secure inpatient service led by the local NHS foundation trust for men with intellectual disability who often had substantial additional mental health needs. In particular, the article describes the needs assessment of 27 people using specialist inpatient services who originated from the local service area, which comprised 4 inner London boroughs. Consulting with all stakeholders was found to be essential, with the service user and family perspectives particularly helpful. The finding of this service development project were: that foundation trusts that are able to develop services at financial risk, before contracts are signed, enabled development to take place at a faster pace; good relationships with community teams are essential, as is true integration with mainstream forensic services; and maintaining a relationship with commissioners was a particularly challenging aspect, perhaps because the development was provider-led. Despite these challenges, the new service has enabled many people with intellectual disability with very high needs to be supported much nearer to home.
Making care programme approach meetings more accessible and person-centred for people with learning disabilities
- Authors:
- HALL Ian, et al
- Journal article citation:
- Advances in Mental Health and Learning Disabilities, 3(1), March 2009, pp.23-29.
- Publisher:
- Emerald
The care programme approach (CPA) is an important part of supporting people with mental health problems in the community and has been applied with variable success in services for people with learning disabilities. Investigation into service users' understanding of the CPA has been limited. This study employed multiple methodologies to explore what service users with learning disabilities and additional mental health problems thought about the CPA process, and what their understanding of it was. The authors used the findings to work with other professionals to adapt the meetings in a way that was accessible and inclusive. This work was included in the service communication plan and produced guidance for care co-ordinators and materials to be used at the meetings. The guidance and materials can be used by any service and will be available online.
Challenges in accessing local services for a person with complex mental health needs: a network approach
- Authors:
- HASSIOTIS Angela, PARKES Charles, HALL Ian
- Journal article citation:
- Advances in Mental Health and Learning Disabilities, 1(1), March 2007, pp.42-44.
- Publisher:
- Emerald
This case study of a women with moderate learning disabilities, autistic traits and bipolar affective disorder illustrates the challenges of supporting people with learning disabilities in community settings during and acute episode of mental illness. She was admitted to a generic in-patient psychiatric service, and the way in which her links with her home and community were maintained are described. The difficulty of transferring and maintaining behavioural guidelines form the in-patient to a community setting are discussed. The delay in effecting a discharge necessitated her admission to a specialist unit for people with learning disabilities outside the local areas. The possible reasons and solutions for this scenario are debated.