Search results for ‘Subject term:"learning disabilities"’ Sort:
Results 11 - 20 of 26
How do women with an intellectual disability experience the support of a Doula during their pregnancy, childbirth and after the birth of their child?
- Authors:
- McGARRY Alison, KROESE Biza Stenfert, COX Rachel
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 29(1), 2016, pp.21-33.
- Publisher:
- Wiley
Background: The aim of this study was to gain insight into the experiences of parents with an intellectual disability who received support from Doulas during pregnancy, birth and following the birth of their child. In addition, the experiences of the Doulas who provided the support were investigated. Materials and Methods: Four women with an intellectual disability who received Doula support were interviewed before and after the birth of their child. Three Doulas were interviewed after the birth about their experiences of supporting women with an intellectual disability. Results: Interview transcripts were analysed using Interpretive Phenomenological Analysis (IPA). Themes were identified from each interview, before an overall analysis of themes from each support phase was undertaken. Conclusions: Pre-natally, the Doula was considered helpful and a reliable source of information about pregnancy. Each mother perceived Doula support as a means of keeping her child in her care. Post-natally, mothers described a trusting relationship with their Doula, who enabled them to make informed choices. Doulas described how they adapted their work to meet the needs of parents with intellectual disability. Being involved in Child Protection procedures was perceived as stressful and challenging. (Edited publisher abstract)
A review of literature exploring the possible causes of abuse and neglect in adult residential care
- Authors:
- HUTCHISON Andrew, KROESE Biza Stenfert
- Journal article citation:
- Journal of Adult Protection, 17(4), 2015, pp.216-233.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to present a systematic review of empirical research, which explores possible causal and risk factors linked to abuse or neglect in residential care facilities. Design/methodology/approach: Electronic database searches were conducted to identify and synthesise studies reporting on empirical research aimed at exploring causal and/or risk factors associated with abuse or neglect in adult residential care services. Sample characteristics, design characteristics and outcome data were extracted from each paper. This information was then collated and summarised. Each study was evaluated using Sale and Brazil’s (2004), cross-paradigm framework of trustworthiness and rigour. Findings: In all, 17 papers, reporting on 15 separate research studies, met the inclusion criteria for this review. Results revealed that research in this area has utilised a diverse range of methodological approaches to explore abuse and/or neglect within the context of residential services for older adults and adults with learning disabilities. Possible causal and risk factors identified were separated into those that operated at a cultural or organisational/environmental level and those that operated at an individual or interpersonal level. Originality/value: While there are limitations associated with presenting a review of such a diverse group of studies, this paper presents a valuable synthesis of the empirically derived causal and risk factors linked to the abuse and neglect of adults in care. Additionally, readers are able to obtain a comprehensive overview of the quality of empirical research in this area. Finally, a number of applied implications and future research directions are highlighted, which may contribute to the development of further research and ultimately to improvements in residential care standards and a reduction in future instances of abuse and neglect.
Solicitors’ experiences of representing parents with intellectual disabilities in care proceedings: attitudes, influence and legal processes
- Authors:
- COX Rachel, KROESE Biza Stenfert, EVANS Roger
- Journal article citation:
- Disability and Society, 30(2), 2015, pp.284-298.
- Publisher:
- Taylor and Francis
This paper reports on an exploratory study of the role of solicitors acting for parents with intellectual disabilities (ID) in public law proceedings. The paper draws on in-depth interviews with 11 solicitors and a subsequent focus group in which the interview findings were presented and reflected on by six of the eleven participants. Two of the five themes that emerged will be discussed here. They are entitled ‘Attitudes and Influence’ and ‘Legal Processes’ and concern the attitudes and influence of those involved in assessing, supporting and representing parents with ID and the care proceedings processes encountered by parents with ID. (Publisher abstract)
Solicitor's experiences of representing parents with learning disabilities in care proceedings: altering practice and coping with stress
- Authors:
- COX Rachel, EVANS Roger, KROESE Biza Stenfert
- Journal article citation:
- Family Law, 44, July 2014, pp.1017-121.
- Publisher:
- Jordan
In the UK parents with learning disabilities are over represented in public law care proceedings and are at a much higher risk of having their children placed outside the birth family. This article outlines possible reasons for this and the impact on solicitors who represent parents with learning disabilities. (Edited publisher abstract)
Staff expectations and views of cognitive behaviour therapy (CBT) for adults with intellectual disabilities
- Authors:
- KROESE Biza Stenfert, et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 27(2), 2014, pp.145-153.
- Publisher:
- Wiley
Background: The role of support workers and other professionals in the psychotherapeutic process has been commented upon but not as yet been systematically investigated. Method: To explore their views and expectations of cognitive behaviour therapy (CBT) for adults with intellectual disabilities, eleven paid support workers and professionals were recruited and interviewed before the CBT sessions commenced for their service users and nine took part in the second interview that took place after nine sessions. Results: Thematic Analysis of the interview transcripts indicates that staff members do not perceive CBT as a long-term solution for psychological problems have little knowledge of CBT and do not feel included in the process. Nevertheless, after nine sessions, most participants reported improved psychological well-being for their service users and expressed a wish for longer-term involvement of the therapist. Conclusions: The results suggest that for CBT to be effective in the longer term, the therapist is required to consider a wider systemic approach including staff training and supervision, staff and management consultancy and creating a delicate balance between confidentiality and sharing the psychological formulation with ‘significant others’ to ensure maintenance and generalisation of improved psychological well-being. (Publisher abstract)
Service users and staff from secure intellectual disability settings: views on three physical restraint procedures
- Authors:
- JONES Peter, KROESE Biza Stenfert
- Journal article citation:
- Journal of Intellectual Disabilities, 12(3), September 2008, pp.229-237.
- Publisher:
- Sage
- Place of publication:
- London
The appropriateness of and justification for physical restraint procedures in intellectual disabilities settings is an emotive issue. It creates a number of ethical dilemmas for nursing staff. This article examines the views of service users and nursing staff from secure residential facilities where restraint is used frequently. Both groups were asked to rate three videotaped restraint procedures for their acceptability. There were no significant differences between the two groups in the acceptability ratings of the methods of restraint. Service users were then interviewed about their restraint experiences. They reported feeling very angry, sad, stressed and confused and not at all happy or relaxed when being restrained. Scores indicated that participants were significantly happier and less stressed after restraint than during restraint.
Treating chronic nightmares of sexual assault survivors with an intellectual disability - two descriptive case studies
- Authors:
- KROESE Biza Stenfert, THOMAS Gail
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 19(1), March 2006, pp.75-80.
- Publisher:
- Wiley
Imagery rehearsal therapy for people who suffer from recurring nightmares has been shown to be a successful intervention. Very little research has been conducted on post-traumatic nightmare sufferers with learning disabilities. This paper presents two case studies to illustrate the application of an adapted form of imagery rehearsal therapy to adults with learning disabilities. Both descriptive cases indicated that the intervention resulted in significant reductions in distress because of nightmares and provided some evidence that these positive results were generalized into waking life. As a short and simple method, imagery rehearsal therapy appears to be very suitable for people with learning disabilities.
An investigation of students' with mild learning disabilities reactions to participating in sexuality research
- Authors:
- THOMAS Gail, KROESE Biza Stenfert
- Journal article citation:
- British Journal of Learning Disabilities, 33(3), September 2005, pp.113-119.
- Publisher:
- Wiley
This study investigates 35 students' with mild learning disabilities reactions to participating in a research project exploring their sexual knowledge, attitudes and behaviour. Students completed an informed consent procedure prior to their participation in the sexuality research and all were interviewed using a confidential interview procedure. During the research interviews, each student's reaction to participation was observed and recorded by their interviewer. Following the interviews, each student's reaction to participation was observed and recorded by their college tutor. Researchers observed that although some students were embarrassed discussing certain sexual topics, none chose to stop their interviews when invited. Ten students requested additional information from their interviewers about the issues discussed. Tutors reported that no students appeared anxious or distressed following their interviews and that no inappropriate sexualized behaviour, or talk, were observed. Tutors also reported that several students appeared to have been positively affected by their participation. No tutors expressed concern about their students participating in similar research in the future. It is concluded that a number of methodological and participant factors may have accounted for the positive outcomes reported. The implications of these findings and recommendations for future research are discussed.
Consent to psychological research by people with an intellectual disability
- Authors:
- ARSCOTT Katy, DAGNAN Dave, KROESE Biza Stenfert
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 11(1), 1998, pp.77-83.
- Publisher:
- Wiley
Investigates the ability of people with an intellectual disability to consent to psychological research. The criteria employed were based on the three elements of informed consent: information, competence and voluntariness. Results found people appeared to understand the nature of the research, but had a limited understanding of the risks and benefits involved or of their right to refuse to participate or to drop out of the study. Concludes that researchers must carefully assess the ability of people with an intellectual disability to consent before recruiting them to research studies and must be aware of the potential for this client group to agree to participate without fully understanding the implications.
Staff's attitudes and working conditions in community-based group homes of people with mental handicaps
- Authors:
- KROESE Biza Stenfert, FLEMING Ian
- Journal article citation:
- Mental Handicap Research, 5(1), 1992, pp.82-91.
- Publisher:
- BIMH Publications
Survey based on a questionnaire showed considerable job satisfaction particularly in the areas of teaching clients and outings with clients, as well as some stress.