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Mental Capacity Act 2005, Deprivation of Liberty Safeguards Assessments (England): annual report, 2012/13
- Author:
- HEALTH AND SOCIAL CARE INFORMATION CENTRE
- Publisher:
- Health and Social Care Information Centre
- Publication year:
- 2013
- Pagination:
- 30
- Place of publication:
- Leeds
This fourth annual report provides information on the use of the Mental Capacity Act Deprivation of Liberty Safeguards (MCA DoLS) legislation in England from 1 April 2012 to 31 March 2013. The report also refers to recent Care Quality Commission (CQC) DoLS monitoring. Key findings highlight a year-on-year increase in applications for deprivation of liberty under (DoLS); over half of DoLS applications during 2012/13 were granted; the majority of applications were completed on behalf of people with mental heath conditions (71%), with dementia accounting for more than half of all applications made (53%). (Edited publisher abstract)
Support workers' knowledge about dementia: a vignette study
- Authors:
- HERRON Daniel L., PRIEST Helena M.
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 7(1), 2013, pp.27-39.
- Publisher:
- Emerald
Because of the relationships they build, support workers can play a vital role in recognising and attending to the mental health needs of service users with intellectual disabilities. However, many lack the knowledge, skills and confidence to identify and respond appropriately. This paper focuses on the mental health of older people with intellectual disabilities. Fourteen support workers, working in one UK county, completed a questionnaire in which three vignettes presented progressively worsening indicators of dementia in an older person with intellectual disabilities. Participants explained what they thought was happening and what action they would take. Few of the participants had any mental health training, and only one in relation to older people. They were generally poor at judging early and intermediate indicators of dementia, sometimes attributing these to changes in routine or difficulty in communicating needs. The support workers were able to identify more overt later signs but believed these advanced indicators to be the onset of dementia. Proposed action was however appropriate, for example observation and referral. Abuse was often considered as a causal factor. The authors believe that their findings demonstrate the need for training in the mental health needs of older people, in particular, the general and specific indicators and expected trajectory of dementia in this population.
Making reasonable adjusments to dementia services for people with learning disabilities
- Authors:
- KENNEY Amanda, IMPROVING HEALTH AND LIVES: LEARNING DISABILITIES OBSERVATORY
- Publisher:
- Improving Health and Lives: Learning Disabilities Observatory
- Publication year:
- 2013
- Pagination:
- 25
- Place of publication:
- London
'Making reasonable adjusments to dementia services for people with learning disabilities' is part of a series of reports produced by IHaL which focus on reasonable adjustments to mainstream services, so that they meet the needs of people with learning disabilities. The report is a provides sources of evidence, research, policy and guidance, resources, and case studies and good practice examples. It can be used by people with learning disabilities (there is an easy read summary at the start of the report), carers, commissioners, providers, public health leads, and advocacy services, to improve dementia services for people with learning disabilities. (Edited publisher abstract)
Guidelines for structuring community care and supports for people with intellectual disabilities affected by dementia
- Authors:
- JOKINEN Nancy, et al
- Journal article citation:
- Journal of Policy and Practice in Intellectual Disabilities, 10(1), 2013, pp.1-224.
- Publisher:
- Wiley
To assist families and organizations in their planning for extended care that accompanies the diagnosis of dementia, the National Task Group on Intellectual Disabilities and Dementia Practices (NTG) in the United States adopted a set of practice guidelines covering the period from when suspicions are aroused to when care ends with eventual death. This article provides an overview of the guidelines, which are drawn from the research literature as well as clinical experiences and demonstrated best practices. To enable the development of the most appropriate and useful services and care management for adults with intellectual disabilities affected by dementia, the NTG adopted the staging model. The staging model follows the flow from a prediagnosis stage when early recognition of symptoms associated with cognitive decline are recognized through to early, mid, and late stages of dementia, and characterizes the expected changes in behaviour and function. The guidelines cite the application of the NTG-Early Detection Screen for Dementia as a first step in documenting early signs of cognitive and functional changes among people with intellectual disabilities. The guidelines also provide information on nonpharmacological options for providing community care for persons affected by dementia as well as commentary on abuse, financial, managing choice and liability, medication, and nutritional issues. (Edited publisher abstract)