Search results for ‘Subject term:"learning disabilities"’ Sort:
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Issues and dilemmas for learning disability community psychiatric services
- Authors:
- HOLLINS Sheila, COURTENAY Ken
- Journal article citation:
- Mental Health Review, 5(2), June 2000, pp.26-29.
- Publisher:
- Pier Professional
Highlights the additional problems facing those working in learning disability community mental health services.
Bereavement and grief in adults with learning disabilities
- Authors:
- HOLLINS Sheila, ESTERHUYZEN Alexander
- Journal article citation:
- British Journal of Psychiatry, 170, June 1997, pp.497-501.
- Publisher:
- Cambridge University Press
Reports the results of the first systematic study of the reaction of people with learning disabilities to bereavement. The study used a semi-structured bereavement questionnaire along with the Aberrant Behaviour Checklist (ABC), the Psychopathology Instrument for Mentally Retarded Adults (PIMRA) and the Life Events Checklist. Results found significant differences between bereaved and non-bereaved samples. The study also found that staff and carers did not usually attribute behaviour problems to the bereavement and its concomitant life events, nor was there a recognition of psychopathology due to bereavement. Concludes that the impact in terms of psychiatric and behavioural morbidity of loss of a parent, with its concomitant life events, in adults with learning disabilities has been underestimated.
Thematic review of the Independent Care (Education) and Treatment Reviews
- Author:
- HOLLINS Sheila
- Publisher:
- Great Britain. Department of Health and Social Care
- Publication year:
- 2021
- Place of publication:
- London
This thematic review highlights common themes and findings from detailed analysis of 26 (a third) of the 77 IC(E)TRs to derive thematic learning and identify the common concerns and issues relating to the care and treatment of people with learning disabilities and/or autism in long-term segregation (LTS). The analysis reveals that some individuals who had their cases reviewed were placed in segregation in order to cater to individual needs (for example to experience less noise or overstimulation). For most, however, segregation was being used in response to challenging behaviour in the absence of the right therapeutic care and environment. Some hospitals attempted to create a more ‘home like’ environment by adapting a room or suite of rooms in a part of the hospital, with nearly half of the 26 cases in the sample being segregated in this way. While the other half ranged from more ‘acceptable’ single rooms to high security environments, some without facilities or comfort, including some bare cells with hatches for surveillance, communication and to deliver food. In this review the findings, aims, actions and recommendations are separated into 7 improvement areas. These are: to improve substantially the quality of diagnosis, treatment and care in hospitals; to commission, skilled, safe, kind and appropriate person-centred support; to ensure there is accountability for action particularly by commissioners; to listen to patients and families, put them at the centre of care planning and ensure skilled and appropriate representation or advocacy; to make money work; to continue to provide oversight and independent scrutiny; other areas or findings. (Edited publisher abstract)
A new kind of trainer: how to develop the training role for people with learning disabilities
- Authors:
- OWEN Katherine, BUTLER Gary, HOLLINS Sheila
- Publishers:
- Gaskell, St. George's Hospital Medical School
- Publication year:
- 2004
- Pagination:
- 63p.
- Place of publication:
- London
This book tells the story of a service user (with a learning disability) through each stage of obtaining his job as a training adviser at a Medical School, what the job involves, and shows how he continues to develop in the role. There is an increasing expectation that service users will be involved in preparing health and social care professionals to work with people with learning disabilities, following a recommendation in the Valuing People Government White Paper. This book provides an introduction and guide for both service users and employers. It is based on more than 10 years experience of employing people with learning disabilities as training advisors in a Medical School to train staff and students. It will assist service users with both how to find a job initially, providing accessible materials which are easy to understand, and in developing their role as trainers. It will also assist organisations (particularly universities and colleges) by providing good practice guidance together with many pointers about preparing a disability friendly environment that will help them to employ users with learning disabilities as trainers.
Clinical effects of sexual abuse on people with learning disability: critical literature review
- Authors:
- SEQUEIRA Heather, HOLLINS Sheila
- Journal article citation:
- British Journal of Psychiatry, 182(1), January 2003, pp.13-19.
- Publisher:
- Cambridge University Press
There are few publications concerning the psychological reactions of people with learning disabilities to sexual abuse. Most significantly, there are no controlled studies and few which demonstrate a systematic approach to documenting the sequelae of trauma. literature search in peer-reviewed psychiatry, psychology, nursing and social care journals for the years 1974 to 2001 was conducted and 25 studies were reviewed. Several studies suggest that, following sexual abuse, people with learning disabilities may experience a range of psychopathology similar to that experienced by adults and children in the general population. However, because of methodological limitations, these results are not conclusive. Whether people with learning disabilities experience reactions to sexual abuse similar to the general population has yet to be explored by systematic research.
How far are people with learning disabilities involved in funeral rites?
- Authors:
- RAJI Oyenpeju, HOLLINS Sheila, DRINNAN Ange
- Journal article citation:
- British Journal of Learning Disabilities, 31(1), 2003, pp.42-45.
- Publisher:
- Wiley
Many referrals to specialist learning disability services follow bereavement and loss experiences. Research and clinical experience both suggest that people who have not been fully involved in funeral rituals have delayed and/or prolonged grief reactions. This study in a multicultural inner London borough examined local religious and cultural practices following bereavement of people with learning disabilities. Interviews were sought with funeral directors and representatives from six religious groups to build up a picture of local practice, resources and knowledge, particularly with regard to how people with learning disabilities are involved in the process. It was found that most of the local funeral directors had little direct experience of people with learning disabilities. The religious group representatives who were interviewed also spoke of a lack of involvement of people with learning disabilities. A pamphlet has been designed for funeral directors and religious groups to give to families or friends of people with learning disabilities who have been bereaved.
What is the future of the psychiatry of learning disability?
- Author:
- HOLLINS Sheila
- Journal article citation:
- Psychiatric Bulletin, 26(8), August 2002, pp.283-284.
- Publisher:
- Royal College of Psychiatrists
As the stigma associated with learning difficulties diminishes and public services become more inclusive psychiatrists must be aware of embracing those changes. The author concludes that the value of psychiatry lies in its clinical relevance,
Developmental psychiatry - insights from learning disability
- Author:
- HOLLINS Sheila
- Journal article citation:
- British Journal of Psychiatry, 177, September 2000, pp.201-206.
- Publisher:
- Cambridge University Press
This article aimed to review the speciality of the psychiatry of learning disability and how it is currently practised in the UK. Clinical, service, research and educational issues in learning disability psychiatry are reviewed and illustrated. Key issues which emerge in all four areas include the importance of communication skills, consultation with users and carers, professional education and partnership. The psychiatry of leaning disability is a complex, varied and stimulating branch of psychiatry with a strong developmental focus.
Psychotherapy, learning disabilities and trauma: new perspectives
- Authors:
- HOLLINS Sheila, SINASON Valerie
- Journal article citation:
- British Journal of Psychiatry, 176, January 2000, pp.32-36.
- Publisher:
- Cambridge University Press
Psychological therapies are rarely used in people with learning disabilities. Learning disability is often given as an exclusion criterion. This paper describes recent advances in understanding and practice within the learning disability field which have not received wider recognition within mainstream psychotherapy and psychiatry. The availability of different psychotherapeutic approaches is discussed.
Commentary: primary health care and health gain for people with a learning disability
- Author:
- HOLLINS Sheila
- Journal article citation:
- Tizard Learning Disability Review, 3(4), October 1998, pp.15-18.
- Publisher:
- Emerald
Comments on the article by Kerr on pages 6-14. Focuses in more detail on the situation in England following the White Paper, 'The New NHS - Modern and dependable' and the Green Paper, 'Our Healthier Nation.' Also compares the skills available in the UK with those in other parts of Europe, and questions whether new training and qualifications are needed to ensure equity and effectiveness for people with learning difficulties.