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A recipe for abuse
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2009
- Pagination:
- 5p.
- Place of publication:
- Edinburgh
Findings and recommendations are presented from the investigation into the care and treatment of residents of a Supported Landlord Scheme. 'Supported Landlord Schemes' are forms of housing for people who need some extra help and support. The report found that it is a matter of major concern that vulnerable people with learning disabilities were living: in an unregistered service, in the care of people who were not approved providers and without proper care management in a place where there was a known culture of restriction and punishment.
Your guide to transition
- Author:
- MENCAP
- Publisher:
- Mencap
- Publication year:
- 2009
- Pagination:
- 37p.
- Place of publication:
- London
The term ‘transition’ is used to describe the process of moving from childhood into adult life. It describes the changes in services when a child becomes an adult. This guide gives information and advice to parents and carers of children with learning disabilities on the transition process, including transition plans and reviews, moving to adult services, education and employment, money and benefits, housing, leisure and friends and relationships.
Barriers to using personalised technology with people with learning difficulties
- Authors:
- BARNARD Steve, BEYER Stephen
- Journal article citation:
- Journal of Assistive Technologies, 3(3), September 2009, pp.50-57.
- Publisher:
- Emerald
The TATE (Through Assistive Technology to Employment), project demonstrated the potential of assistive technology for people with learning difficulties; in particular a number of areas where personalised technology is appropriate. These included more accessible forms of information, more creativity in helping people to try out and use technology, increased co-ordination between personalised technology providers and social care provider staff, a greater need for an ethical framework to guide installation and delivery, greater emphasis on the impact of staff changes on client social isolation and management of workforce expectation of change due to technology. A number of case studies supported these findings. The barriers to effective use of personalised technology were found to include lack of understanding of technology among statutory and voluntary social care providers, amounting in some cases to positive resistance, funding problems in the sense of confusion as to who should fund which aspects, the ethical questions caused partly by the involvement of manufacturers of the equipment , the need for provider leadership and good practice in understanding funding streams, capital and revenue cost implications, staff roles and responsibilities, and working with and understanding other stakeholder agencies, a need for workforce training at various levels, lack of comprehensive policy (for example the UK having only recently ratified the UN Convention on Disability Rights), and lack of experience of personal budget use to provide personalised technology.
Sexual offending theories and offenders with intellectual disabilities
- Authors:
- KEELING Jenny A., ROSE John L., BEECH Anthony R.
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 22(5), September 2009, pp.468-476.
- Publisher:
- Wiley
A number of theories developed for mainstream sex offenders and their application to sexual offenders with an intellectual disability are discussed. Three levels of theory are discussed. These include multifactor theories, single-factor theories associated with socio-affective functioning and an offence process theory, the self-regulation model of relapse prevention. Finally, a recent theoretical development called the 'integrated theory of sexual offending' (ITSO) is discussed and applied to sexual offenders with intellectual disabilities. This theory combines theories from all three levels in an effort to provide a comprehensive explanation of the aetiology and maintenance of sexual offending.
Starting a new job: the social and emotional experience of people with intellectual disabilities
- Authors:
- JAHODA Andrew, et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 22(5), September 2009, pp.421-425.
- Publisher:
- Wiley
Thirty-five individuals with mild to borderline intellectual disabilities were recruited from supported employment agencies in Scotland. The participants were interviewed around the time of starting their jobs, and again 9-12 months later. The content analyses of the semi-structured interviews indicated that the participants perceived continuing benefits from entering mainstream employment, including more purposeful lives and increased social status. However, over the follow-up period the participants reported few social opportunities that extended beyond the workplace, and an anxiety about their competence to meet employers' demands remained a concern for some. The discussion addresses the importance of understanding work in relation to the participants' wider lives, along with the longer-term role for supported employment agencies to help people achieve their social and emotional goals in a vocational context.
The prevalence and soverity of physical mobility limitations in older adults with intellectual disabilities
- Authors:
- CLEVER Shaun, OUELLETTE-KUNTZ Helene, HUNTER Duncan
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 22(5), September 2009, pp.477-486.
- Publisher:
- Wiley
A proxy-response telephone survey was conducted to establish the prevalence and severity of mobility limitations among adults with intellectual disabilities, aged 45 years and over, using validated instruments to quantify mobility in a representative population-based sample. Surveys were completed for 128 people in Ontario, Canada. Mobility limitations were common, but the prevalence varied depending on the definition of mobility limitation. The prevalence of limitations was greater among females than males, but no clear age trend was seen.
Tackling indifference: healthcare services for people with learning disabilities: national overview report - December 2009
- Author:
- NHS Quality Improvement Scotland
- Publisher:
- NHS Quality Improvement Scotland
- Publication year:
- 2009
- Pagination:
- 43p.
- Place of publication:
- Edinburgh
NHS Quality Improvement Scotland (NHS QIS) wrote quality indicators for services for children and adults with learning disabilities. The quality indicators are used to check how well health services are meeting people’s needs. During 2008–2009 NHS QIS looked at services for children and adults with learning disabilities in Scotland to find out what was working well and what could be better. The review teams found lots of examples of new and helpful projects. They also found that services for people with learning disabilities and their carers are improving. But there are areas that need to be better. Recommendations are listed.
Supporting information for tackling indifference: healthcare services for people with learning disabilities
- Author:
- NHS Quality Improvement Scotland
- Publisher:
- NHS Quality Improvement Scotland
- Publication year:
- 2009
- Pagination:
- 98p.
- Place of publication:
- Edinburgh
NHS Quality Improvement Scotland (NHS QIS) has reviewed access to general health services for people with learning disabilities and NHS QIS have travelled around Scotland to get a full understanding of the services and arrangements in place. NHS QIS have done this in partnership with people with learning disabilities and their carers, and with health and social care professionals which has added further richness to the findings. This review was wide ranging and there were many examples of innovative and effective practice. Some of these are recorded in Section 9 of this report. There is evidence that services are improving for people with learning disabilities and their carers and the report also identified areas where further improvement can be made. Recommendations are made in full in Section 6 of the report. Findings are in three key areas: awareness and implementation of the key Acts, particularly AWIA and DDA as they both support assessing individual need and improving communication across services, access to general health services, scheduled and out-of-hours (this also includes health promotion and improvement), and effective joined up working both across and within services which is critical to the delivery of safe, effective care. The ‘join’ between services should be invisible to individuals.
Enhancing capacity to make sexuality-related decisions in people with an intellectual disability
- Authors:
- DUKES E., McGUIRE B.E.
- Journal article citation:
- Journal of Intellectual Disability Research, 53(8), August 2009, pp.727-734.
- Publisher:
- Wiley
An intervention was applied to the area of sexual knowledge in order to determine if capacity for people with learning disabilities to make sexuality-related decisions could be improved. The study adopted a single subject design using multiple baseline method with four adults with a moderate intellectual disability. The intervention consisted of individually tailored sex education. Treatment was offered to each participant twice weekly for a 10-week period on a one-to-one basis. The Sexual Consent and Education Assessment was used for measurement purposes. The SCEA K-Scale (knowledge) and the S-Scale (safety practices) were administered weekly throughout the baseline, treatment and post-treatment phases of the study. Staff concerns were also assessed using the SCEA Inappropriate Sexual Behaviour Scale. All four participants improved their decision-making capacity in all targeted areas as measured by improvements in K-Scale and S-Scale scores. Staff concerns were not increased as indicated by results on the Inappropriate Sexual Behaviour Scale. Six-month follow-up data for three of the participants showed maintenance of scores on the S-Scale and some decay in scores on the K-Scale from post-intervention performance.
Factors that influence outcomes for clients with an intellectual disability
- Author:
- RAFFENSBERGER Marilyn K.
- Journal article citation:
- British Journal of Guidance and Counselling, 37(4), November 2009, pp.495-509.
- Publisher:
- Taylor and Francis
Is counselling effective for clients with an intellectual disability? Practitioners question not only the ability of these clients to derive benefit from counselling but also their own ability to provide an effective service. However, this simplistic binary question does not do justice to the complexities of either the counselling process or the lives of those with an intellectual disability. A more useful question would be, 'What factors influence the counselling outcomes of these clients?' This review invites practitioners to refrain from questioning abilities, but rather to reflect on their practice in light of this latter question. Researchers are invited to broaden the scope of their enquiry to further assist practitioners' reflections.