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An evaluation of a behavioural support team for adults with a learning disability and behaviours that challenge from a multi-agency perspective
- Authors:
- CHRISTOPHER Rose, HORSLEY Sarah
- Journal article citation:
- British Journal of Learning Disabilities, 44(3), 2016, p.194–203.
- Publisher:
- Wiley
The Dudley Behavioural Support Team (BST) was set up based on Positive Behavioural Support (PBS) principles to support individuals with behaviours that challenge. The Winterbourne Review emphasises the importance of developing high-quality specialist community services and the Ensuring Quality Services (Local Government Association & NHS England, Ensuring quality services, London, 2014) document was released to guide the commissioning of such services. The document sets out standards and guidance for those supporting individuals with behaviour that challenges. This evaluation aimed to investigate whether the BST meets the guidance set out in Ensuring Quality Services from the perspective of other services. A questionnaire was developed to collect data from 19 staff members from services with experience of working with the BST, to address the points raised in Ensuring Quality Services. The quantitative results indicated that the BST are meeting the guidance to a high standard and qualitative data suggested this is achieved through a focus on joint working and a fluid, flexible approach. In conclusion, the BST appears to be a valuable resource from the perspective of services working with them to support individuals with behaviours that challenge. (Publisher abstract)
Mental health services for adults with intellectual disability: strategies and solutions
- Editors:
- BOURAS Nick, HOLT Geraldine, (eds.)
- Publisher:
- Psychology Press
- Publication year:
- 2010
- Pagination:
- 168p.
- Place of publication:
- Hove
This book considers the evolution of mental health services over the past three decades to meet the needs of people with intellectual disability, from early deinstitutionalisation plans to the implementation of community care 25 years later. It focuses on the ways that theories and policies have been applied to clinical practice, and examines the shortcomings of the services provided. The authors and international contributors, all with longstanding expertise in the fields of mental health and intellectual disability, present the strategies and solutions for a for the wide array of interdisciplinary professionals using current evidence-based practice as how people with intellectual disability can be best cared for in clinical settings. Chapters cover topics including: the association between psychopathology and intellectual disability; international perspectives; neuroimaging and genetic syndromes; training professionals, families and support workers.
Satisfaction with an adult learning disability community support team
- Authors:
- WITTS Paul, GIBSON K. Beatrice
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 10(1), 1997, pp.41-47.
- Publisher:
- Wiley
Evaluates a multidisciplinary NHS Trust community support team for adults with an intellectual disability in terms of carers, referrer and client satisfaction. High levels of satisfaction were reported by all three groups. Areas of possible improvement suggested by carers and referrers included the provision of more information regarding the team's role and more written information to carers and referrers for referred cases. Clients wanted team members to improve their time management skills and to be more involved themselves in discussions and decisions regarding the intervention they received from the team. Possible modifications of the measures are discussed along with suggestions for future research.
Getting unstuck along the clinical pathway: an integrated multi-agency approach
- Authors:
- RICHARDS Luci, UCHENDU Nwamaka, O'HARA Jean
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 8(3), 2014, pp.192-196.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to highlight how the management of an adult with intellectual disabilities and complex medical conditions by a multi-disciplinary and multi-agency team approach across a clinical pathway (primary, secondary and tertiary care, health, social and third sector agencies) can be used to improve the person's physical and mental health outcome. Design/methodology/approach: Literature review and case report in which the paper describes the presentation of the patient with multiple complex physical health conditions, mild intellectual disability and challenging behaviour and description of the management process and the observed outcome. Findings: The patient required input from the multi-disciplinary community intellectual disabilities team and multi-agency team including social services and community support team, admission to a specialist intellectual disabilities ward to optimise her management. She improved relatively well and was discharged to the community. On discharge she continued to receive ongoing psychiatric, psychological and community psychiatric nurse input and maintains the sustained improvement in her mental health. She no longer displays risky or challenging behaviour, her mood has improved and there is no self-harm ideation. She remains anxious at times, however, her symptoms are much improved and do not affect her daily functioning. Originality/value: This case highlights the profound and enduring psychiatric and behavioural sequelae following brain malignancy and treatment and how essential a multi-disciplinary and multi-agency approach is in the successful management of complex issues. Her symptoms appeared relatively treatment resistant until she had a specialist inpatient admission. This case study also demonstrates the strengths and advantages of having specialist care pathway for such complex presentations, allowing for integrated community, secondary and tertiary care, and for the care system to work together in a coordinated and managed way. (Publisher abstract)
Protection tops agenda
- Author:
- VALIOS Natalie
- Journal article citation:
- Community Care, 23.9.99, 1999, p.12.
- Publisher:
- Reed Business Information
The government's consultation document on a multi-agency strategy to tackle the abuse of vulnerable adults has been broadly welcomed. Reports on what it will mean to social services.
Social work practice and intellectual disability
- Authors:
- BIGBY Christine, FRAWLEY Patsie
- Publisher:
- Palgrave Macmillan
- Publication year:
- 2010
- Pagination:
- 238p., bibliog.
- Place of publication:
- Basingstoke
Provides an understanding of the knowledge, values and skills required for effective practice in the field of learning disability and the opportunity for multidisciplinary collaboration for social change. The book focuses on adults with learning disabilities and their families. Topics include: the changing definitions of learning disability; theory and practice of working with adults with learning disabilities and their families; assessment, planning, monitoring and review; social inclusion and participation. Includes numerous case studies and discussion points.
Communication skills and adults with learning disabilities: eliminating professional myopia
- Author:
- van der GAGG Anna
- Journal article citation:
- British Journal of Learning Disabilities, 26(3), 1998, pp.88-93.
- Publisher:
- Wiley
Effective communication is of crucial relevance to the quality of life of individuals with learning disabilities. Discusses the development of communication skills, outlining the essential components of a strategy for communication development. Highlights the importance of a multi-disciplinary approach to addressing the communication needs of adults with learning disabilities and stresses the need for agreed standards and procedures; careful co-ordination between health and social service agencies, and on-going monitoring of service provision. Recommends that progressive services incorporate an agreed strategy on how to build communication skills for all services users, in the same way that strategies on housing or employment might be formulated.
'All in this together': an evaluation of joint training on the abuse of adults with learning disabilities
- Author:
- STEIN June
- Journal article citation:
- Health and Social Care in the Community, 3(4), July 1995, pp.205-214.
- Publisher:
- Wiley
Reports on planning and delivering a multi-agency training programme on the abuse of adults with learning disabilities as part of an ongoing programme of research and development into the sexual abuse of adults with learning disabilities.
Social services: achievement and challenge; presented to Parliament by the Secretary of State for Health by Command of Her Majesty, March 1997
- Authors:
- GREAT BRITAIN. Department of Health, GREAT BRITAIN. Welsh Office
- Publisher:
- Stationery Office
- Publication year:
- 1997
- Pagination:
- 39p.
- Place of publication:
- London
Government White Paper on the future of social services.