Search results for ‘Subject term:"learning disabilities"’ Sort:
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From long-stay hospitals to community care: reconstructing the narratives of people with learning disabilities
- Authors:
- LEARNING Brian, ADDERLEY Hope
- Journal article citation:
- British Journal of Learning Disabilities, 44(2), 2016, pp.167-171.
- Publisher:
- Wiley
Raymond, a 62 year old gentleman diagnosed with severe and profound learning disabilities, autistic spectrum disorder and severe challenging behaviour, who had lived in long stay campus-based hospital accommodation for 46 years was supported to move to a community project developed to support people to live in their own bespoke flat. This narrative case study describes the journey that Raymond took from institutionalised care to community life. (Publisher abstract)
Does supported living work for people with severe intellectual disabilities?
- Authors:
- MARLOW Elizabeth, WALKER Nina
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 9(6), 2015, pp.338-351.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to look at whether a move to a supported living model of care from traditional residential group homes could improve the quality of life for those with a severe intellectual disability and other challenging needs. Design/methodology/approach: Six men with severe intellectual disabilities moved from two residential homes into new-build individual flats. Their quality of life was measured using a battery of assessments looking at; environment, relationships, community participation, interactions, mood interest and pleasure, activities, physical health and challenging behaviour. These measures were taken before the move, immediately after and six months after the move. The views of staff and family carers were also assessed at each stage. Findings: The move had a positive effect on the tenants in that it caused an improvement in their mood and a decrease in their challenging behaviours. Further improvements could be made in the tenant’s quality of life by introducing more activities. The initial concerns of family members about the move decreased over time. However staff found the changes to their working practices stressful. Research limitations/implications: The study was a small scale one because of the small number of tenants. The tenants were unable to express their own views because of their limited communication abilities so a combination of direct observation and indirect measures were used. Practical implications: In the light of the Winterbourne view report by Stephen Bubb this study looks at the impact on quality of life of a move to supported living for a group of people with complex and challenging needs who might otherwise be placed in an out of borough placement similar to Winterbourne view. Social implications: The study also looks at the impact of such a move on the family members of the individuals and on the staff who had to change their working practices to adapt to both a new working environment and model of care. Originality/value: This study also looks at the impact of a model of supported living for people with severe intellectual disabilities and complex needs rather than those with mild intellectual disabilities. This is particularly important in the post Winterbourne view climate when the authors need to look carefully at positive alternative models of care for these individuals. (Publisher abstract)
Back in the community
- Author:
- MURISON Sanchi
- Journal article citation:
- Learning Disability Today, October 2011, pp.34-35.
- Publisher:
- Pavilion
- Place of publication:
- Hove
This article describes the journey from chemical and physical restraint to community living for Jason, a 29 year old man with a diagnosis of autism spectrum disorder and moderate learning disability. In 2009, Jason was sectioned and remained in an assessment and treatment centre where he was managed using physical restraint and frequent sedative medication with serious side-effects. This changed in 2010 when Jason moved into a flat in Wolverhampton supported by not-for-profit autism and learning disability support provider Dimensions. The flat is in a purpose-built block for people with autism specifically engineered to create a low arousal environment to meet their sensory needs and to encourage independent living. The Dimensions behaviour support team comprises behaviour analysts whose role is to help individuals with autism to achieve their goals. The article describes the improvements to Jason’s quality of life and his increased involvement in the community using this care approach.
Falling through the net
- Author:
- PITT Vern
- Journal article citation:
- Community Care, 23.6.11, 2011, pp.22-24.
- Publisher:
- Reed Business Information
In light of Panorama's investigation of abuse at the private hospital Winterbourne View, this article discusses why people with learning disabilities are still placed in hospitals despite agreement from experts that this often not the best option. Poor commissioning, funding and barriers to providing alternatives are highlighted. Expert Jim Mansell also sets out an eight-part plan for preventing abuse in services for people with learning disabilities and challenging behaviour.
Commentary on 'Supporting people with complex mental health needs to get a life: the role of the Supported Living Outreach Team'
- Author:
- COOPER Vivien
- Journal article citation:
- Tizard Learning Disability Review, 14(1), February 2009, pp.40-42.
- Publisher:
- Emerald
The author identifies key factors that have contributed to the success of the Supported Living Outreach Team and discusses the importance of others learning from its success.
Implementation and evaluation of active support
- Authors:
- BRADSHAW Jill, et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 17(3), September 2004, pp.139-148.
- Publisher:
- Wiley
Active support was implemented in three community houses (active support houses), with 11 service users with severe learning disabilities. This was evaluated with reference to changes in levels of engagement, challenging behaviour (major and minor) and staff contact, measured against three comparison services (non-active support houses). All measures increased for the active support houses. Significant increases in activity levels were found in one house. Statistically significant increases in activity and minor challenging behaviour were also found when all active support houses were compared with all non-active support houses. In the non-active support houses, all measures decreased, with the exception of mean level of staff contact in one house. Unlike previous research findings, those service users who were less able did not receive comparatively more support from staff post-training and changes appeared unrelated to staff contact.
Transforming care: supporting people with learning disabilites, autism and challenging behaviour to live happily in their local community
- Author:
- UNITED RESPONSE
- Publisher:
- United Response
- Publication year:
- 2014
- Pagination:
- 12
- Place of publication:
- London
This resource seeks to make the move from long stay institutions and Assessment and Treatment Units to community settings more successful for people with learning disabilities and autism. It provides detail on supporting people with complex needs and challenging behaviour, giving information on how to help them live happily in their local community. The document highlights the role of Active Support in helping people engage in activities and relationships and shows how it is essential in underpinning Positive Behaviour Support. The document is illustrated with examples and case studies. (Edited publisher abstract)
Supporting people with intellectual disabilities who challenge or who are ageing: a rapid review of evidence
- Authors:
- SLEVIN Eamonn, et al
- Publisher:
- University of Ulster
- Publication year:
- 2011
- Pagination:
- 204p., bibliog.
- Place of publication:
- Belfast
Based on a conservative estimate, 2228 people with an intellectual disability (ID) in Northern Ireland, 958 children and 1270 adults, are likely to have behaviours that challenge others. These people require significant input from services to maintain them in their own home. This report provides a review of literature in order to inform practice with 2 groups of people with IDs. The aim is to identify the supports that are required for these client populations to enable them to live in their own homes as far as is possible and to live dignified meaningful lives. Firstly, the review considers the evidence in relation to people with an ID who challenge and may have comorbid mental health problems. For this group the review considers: supporting living; day opportunities; family support; and other interventions or services that have an evidence-base applicable across settings. Secondly, the review looks at the evidence in relation to people with ID who are reaching old age and in many cases are being cared for by older caregiving family members. This is a new area of research, since more people with ID are now living into old age. For this group the review focuses on: health; aging in place; succession planning; formal service provision; and use of mainstream services. Recommendations are made in relation to practice, education and future research focused on clients, family caregivers and formal service providers.
Supporting people with complex mental health needs to get a life! The role of the Supported Living Outreach Team
- Authors:
- AYRES Martin, ROY Ashok
- Journal article citation:
- Tizard Learning Disability Review, 14(1), February 2009, pp.29-39.
- Publisher:
- Emerald
This paper reports on the development and service delivery of the Supported Living Outreach Team for people with severe psychiatric, behavioural and forensic needs in a city with a population of 1.1 million. The authors discuss the reasons why the team was formed, and the partnerships it has formed with local housing and care providers in order to enable people with very complex needs to lead ordinary lives in their local communities. The pathway of team involvement is described, starting with the initial assessment, setting up and monitoring of new schemes, through to discharge. Also described are the measures the team uses to monitor its effectiveness, the benefits the team has brought to the service, and the hurdles and barriers it has had to overcome on its journey to support people with complex needs to live safely in their local communities.
Ten years of providing intensive support services for people with learning disabilities and challenging behaviour: a brief service description and review
- Author:
- TOOGOOD Sandy
- Journal article citation:
- Tizard Learning Disability Review, 5(3), August 2000, pp.14 -22.
- Publisher:
- Emerald
This article describes the development of a specialist peripatetic support service for people with learning disabilities whose behaviour is challenging. It addresses service goals, working methods and development objectives, reviews selected aspects of service process and client outcome, and comments on the impact of changing demand on the service environment.