Search results for ‘Subject term:"learning disabilities"’ Sort:
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An examination of the relationship between staff behaviour and stress levels in residential care
- Authors:
- ROSE John, MULLAN Ellen, FLETCHER Ben
- Journal article citation:
- Mental Handicap Research, 7(4), 1995, pp.312-327.
- Publisher:
- BIMH Publications
Examines the relationship between levels of stress and the observed performance at work of direct care staff in one community unit and two group homes for people with learning disabilities. Staff were given a questionnaire which measured their levels of stress and factors which they perceived could have influenced them. Staff were also observed in detail at work and asked to report on levels of stress during these observation periods. No significant differences in levels of stress were found between the staff in group homes and community units. There was greater staff/resident interaction in the group homes, suggesting that quality improvements in residential environments can be achieved without affecting staff stress. A number of factors, particularly relationships with other staff and management, are discussed as of vital importance in influencing stress levels.
Stress and staff in residential settings: the move from hospital to the community
- Author:
- ROSE John
- Journal article citation:
- Mental Handicap Research, 6(4), 1993, pp.312-332.
- Publisher:
- BIMH Publications
Describes a survey of direct care staff in three types of residential accommodation for people with learning disabilities. These were a hospital, community units and group homes. A questionnaire collected data upon each individual's background characteristics, the types of demands, supports and constraints they perceived themselves to be under, and the amount of strain (stress) felt by each person. Results indicate that the hospital and group home staff reported similar, relatively high levels of strain. However, the community unit group reported significantly lower levels. The complex relationship between perceived demands, supports and constraints with strain is discussed. Care needs to be taken in interpreting the data when relating it to the quality of service the resident receives, as no link has yet been shown between this and staff wellbeing. The problems of generalisation are also considered. However, some recommendations are made for further investigation and possible action.
Changing staff attitudes to the sexuality of people with mental handicaps: an evaluative comparison of one and three day workshops
- Authors:
- ROSE John, HOLMES Sophie
- Journal article citation:
- Mental Handicap Research, 4(1), 1991, pp.67-79.
- Publisher:
- BIMH Publications
A systematic review of the knowledge, attitudes and perceptions of health and social care professionals towards people with learning disabilities and mental health problems
- Authors:
- EE Jonathan, KROESE Biza Stenfert, ROSE John
- Journal article citation:
- British Journal of Learning Disabilities, early cite 25 June 2021,
- Publisher:
- Wiley
Background: People with learning disabilities have poorer access to mental health services. It is important for health and social care professionals to have adequate knowledge and skills combined with positive attitudes to work with this population. This review focuses on the knowledge, attitudes and perceptions of health and social care professionals who provide mental health services to people with learning disabilities. Method: A systematic literature search was carried out to identify quantitative studies published in the English language between 2006 and 2020. Results: Thirteen studies were identified that met the inclusion criteria. The studies identified a lack of knowledge and competency among health and social care professionals to address the mental health needs of people with learning disabilities. Health and social care professionals in these studies viewed people with learning disabilities are more vulnerable and suggested specialist mental health services to cater to their specific mental health needs. Conclusions: Health and social care professionals appear to hold negative views of people with learning disabilities, which adversely influences their willingness to work with them. It is recommended that health and social care professionals receive more training opportunities to increase their skills and develop confidence in providing services to this population. (Edited publisher abstract)
Men with intellectual disabilities and sexual offending histories: an exploration of their experiences of living within a secure hospital setting
- Authors:
- HEPPELL Stacey, ROSE John
- Journal article citation:
- Journal of Intellectual Disabilities and Offending Behaviour, 12(2), 2021, pp.84-97.
- Publisher:
- Emerald
Purpose: There is a national drive to transform services for individuals with intellectual disabilities (ID), to provide care within the community rather than hospital settings. However, there are limited community provisions for those with more complex care needs such as sexual offending. There has been limited research focussing on this client group’s experiences of inpatient services and the treatment they have received from their own perspective. This study aims to explore their experiences of living in a secure service focussing on treatment for sex offences. Design/methodology/approach: In total, 10 men with ID and sexual offending histories took part in an interview designed to explore their experiences of living within a secure hospital setting. The data were analysed using thematic analysis. Findings: Three key themes relating to the participants’ experiences within the hospital were identified. These were, namely, “hospital environment”, “personal journey through secure services” and “closeness to home”. Practical implications: Men’s experiences at a secure hospital were generally positive in terms of a supportive staff approach. Difficulties existed around the hospital organisation affecting the support they received. Originality/value: Some participants experienced a struggle to become more independent and move to less restrictive environments due to their perceived risk levels. Some participants found being away from home to be hard and longed to be closer to their families. Around half of the participants did not want to live near their hometown due to family difficulties, negative peer influences or fears of consequences for their sexual offending. Implications for community service planning are considered. (Edited publisher abstract)
A preliminary exploration of the Challenging Behaviour Perception Questionnaire: a measure of parental cognitions about challenging behaviour
- Authors:
- ROSE John, NELSON Lisa
- Journal article citation:
- Journal of Intellectual and Developmental Disability, 43(2), 2018, pp.223-231.
- Publisher:
- Taylor and Francis
Background: Although there has been interest in the influence of cognitions on the relationship between challenging behaviour and maternal wellbeing, there is an absence of measures to specifically examine parents’ perceptions of challenging behaviour. The psychometric properties of the Challenging Behaviour Perception Questionnaire (CBPQ; Williams, R. J., & Rose, J. L. [2007]. The development of a questionnaire to assess the perceptions of care staff towards people with intellectual disabilities who display challenging behaviour. Journal of Intellectual Disabilities, 11, 197–211) were investigated to assess its applicability to mothers. Method: Forty-six mothers of children and young adults with intellectual disability completed questionnaires regarding their child’s challenging behaviour, maternal cognitions, and stress. A subsample of participants completed the CBPQ 2 weeks later. Results: Examination of the psychometric properties of the CBPQ resulted in a 24-item measure with 6 subscales. Coefficients at subscale level ranged from .70 to .85 for internal reliability and .39 to .93 for test–retest reliability. Evidence of concurrent validity was also found. Conclusions: The CBPQ is a promising measure of perceptions of challenging behaviour and could be usefully employed in subsequent studies. (Publisher abstract)
Is there a relationship between role identity, work demands, and burnout in direct care staff working with individuals with intellectual disability?
- Authors:
- OUTAR Cara, ROSE John
- Journal article citation:
- Journal of Intellectual and Developmental Disability, 42(2), 2017, pp.123-130.
- Publisher:
- Taylor and Francis
Background The relationship between work demands and burnout is complex and it is likely that a number of different variables mediate this relationship. The study had 2 aims: first, to investigate whether there is a relationship between work demands and staff burnout, and, second, to explore whether role identity or self-determination mediates this relationship. Method Seventy staff completed measures examining burnout, role identity, self-determination, and work demands. Results A relationship was found between work demands and burnout. Relationships between personal accomplishment, and role identity and self-determination were found. A negative correlation was found between work demands and self-determination. Regression analyses demonstrated that role identity and self-determination did not mediate the relationship between work demands and burnout. Conclusion Role identity and self-determination were associated with personal accomplishment, which suggest that an individual’s view of their work-based role and role-relevant behaviours are important in relation to what they get out of their work. This has implications for training and the design of care roles. (Publisher abstract)
A sex offender treatment group for men with intellectual disabilities in a community setting
- Authors:
- ROSE John, et al
- Journal article citation:
- British Journal of Forensic Practice, 14(1), 2012, pp.21-28.
- Publisher:
- Emerald
This paper describes the development and initial evaluation of a sex offender treatment programme adapted for individuals with relatively severe intellectual disability in a community setting all of whom had no compulsion to attend. The aim was to motivate men with intellectual disability who had been involved in sexually inappropriate behaviour but may not have been charged to attend a fairly lengthy adapted community groupwork programme. The group was based on a cognitive behavioural model. So far the group has been run on two occasions and preliminary data on outcomes are discussed. Participants (n=12, average age 39.5 years) showed a reduction in attitudes consistent with offending, an increase in sexual knowledge, and a more external locus of control on completion of the group. One of the 12 men who attended was recorded as offending again within 18 months of group completion but three were able to move to less well supervised placements. The authors conclude that this style of treatment has some advantages over other models and may be more effective, but further research is required.
Does organizational climate impact upon burnout in staff who work with people with intellectual disabilities? A systematic review of the literature
- Authors:
- THOMPSON Lauren, ROSE John
- Journal article citation:
- Journal of Intellectual Disabilities, 15(3), September 2011, pp.177-193.
- Publisher:
- Sage
- Place of publication:
- London
This article reviews the literature regarding factors relating to organisational climate and burnout in staff working with people with intellectual disabilities. A systematic literature search was conducted for relevant articles from 1990 to 2010. The 21 selected articles broadly fell into 2 categories influenced by changes in the socio-political context and service provision for people with intellectual disabilities. The earlier studies appeared to capture changes that were happening as a result of the deinstitutionalisation process, both in the UK and abroad. As this process came to an end, the later studies appeared to reflect the impact of changes to service provision in terms of a greater emphasis on the interaction between the staff and their environment though the application of work-stress theory, including ‘person–environment fit’ and demand control. Overall, it was found that an organisational climate that has a better ‘person–environment’ fit promotes greater job satisfaction and reduced burnout.
Factors relating to staff attributions of control over challenging behaviour
- Authors:
- DILWORTH Jennifer A., PHILLIPS Neil, ROSE John
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 24(1), January 2011, pp.29-38.
- Publisher:
- Wiley
This study examined the elements that relate to staff attributions of control with respect to challenging behaviour and individual organisational factors. One hundred and thirty nine care staff and 43 managers completed measures to examine the relationship between staff attributions of control and client-related variables, staff-related variables and functioning of the organisation. Findings indicated that staff attributed challenging behaviour as being less under personal control if the organisation was of better quality. Staff attributions of control over challenging behaviours were lower if staff displayed positive attitudes towards the client, the physical and social environment was appropriate and the overall approach to delivering care seemed well-structured. With respect to specific topographies such as physically aggressive and self-injurious behaviour there were different profiles of causal attributions made. The authors concluded that interventions that seek to increase the helping behaviour of staff through manipulation of the attributions that they make must consider both individual factors and environmental factors.