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An evaluation of the implementation of Safewards on an assessment and treatment unit for people with an intellectual disability
- Authors:
- DAVIES Bronwen, et al
- Journal article citation:
- Journal of Intellectual Disabilities, 25(3), 2021, pp.357-369.
- Publisher:
- Sage
- Place of publication:
- London
This study evaluates the implementation of Safewards on an assessment and treatment unit (ATU) for people with an intellectual disability. There are no previous studies evaluating this model in this context and previous research has focused largely on acute mental health services. The ‘Patient–Staff Conflict Shift Report’ was used at baseline for 1 month and 1 year later, after all the interventions had been implemented, to evaluate the impact of Safewards. Significant reductions were found in conflict and containment measures used within the service after the implementation of Safewards. Staff who led on the interventions were also asked to give feedback on their experiences, the challenges they faced and how they would like to move forward. Safewards was generally seen as a positive approach by the team. Limitations of this study are highlighted and suggestions for future research are made. (Edited publisher abstract)
Therapeutic environment of secure units: a feasibility study of the interactions between people working and accessing a secure unit for people with learning disabilities
- Author:
- TURNER J.M.
- Journal article citation:
- Journal of Learning Disabilities for Nursing Health and Social Care, 2(3), September 1998, pp.150-162.
Discusses the results a feasibility study which aimed to develop a reliable and valid measure to assess the types of therapeutic interactions between people working and accessing a secure unit for people with a learning disability.
Effectiveness of an occupational therapy programme based on sensory integration theory for adults with severe learning disabilities
- Authors:
- SOPER Gill, THORLEY Cathy R.
- Journal article citation:
- British Journal of Occupational Therapy, 59(10), October 1996, pp.475-482.
- Publisher:
- Sage
This article reports on the first year of a research study which set out to evaluate the effectiveness of an occupational therapy approach based on the principles of sensory integration (SI) theory and treatment.
Community care for people with challenging behaviours and mild learning disability: an evaluation of an assessment and treatment unit
- Authors:
- GASKELL George, DOCKRELL Julie, REHMAN Hamid
- Journal article citation:
- British Journal of Clinical Psychology, 34(3), September 1995, pp.383-395.
- Publisher:
- Wiley
Reports on a three-year evaluation of the Mental Impairment Evaluation and Treatment Service (MIETS). MIETS, a hospital-based unit, seeks to prepare clients with a mild learning disability and challenging behaviours for resettlement in the community. The evaluation focuses on the progress of 34 clients from preadmission to six months post-discharge. Concludes that community care is a viable option for people with challenging behaviour; without the specialist inputs of MIETS few of the clients would have achieved community placements, but questions are raised about the length of admission.
Evaluating the effects of multisystemic therapy for adolescents with intellectual disabilities and antisocial or delinquent behaviour and their parents
- Authors:
- BLANKESTEIN Annemarieke, et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 32(3), 2019, pp.575-590.
- Publisher:
- Wiley
Background: An adaptation of multisystemic therapy (MST) was piloted to find out whether it would yield better outcomes than standard MST in families where the adolescent not only shows antisocial or delinquent behaviour, but also has an intellectual disability. Method: To establish the comparative effectiveness of MST‐ID (n = 55) versus standard MST (n = 73), treatment outcomes were compared at the end of treatment and at 6‐month follow‐up. Pre‐treatment differences were controlled for using the propensity score method. Results: Multisystemic therapy‐ID resulted in reduced police contact and reduced rule breaking behaviour that lasted up to 6 months post‐treatment. Compared to standard MST, MST‐ID more frequently resulted in improvements in parenting skills, family relations, social support, involvement with pro‐social peers and sustained positive behavioural changes. At follow‐up, more adolescents who had received MST‐ID were still living at home. Conclusions: These results support further development of and research into the MST‐ID adaptation. (Edited publisher abstract)
Advanced group treatment for developmentally disabled adults with social skill deficits
- Authors:
- HALL James A., et al
- Journal article citation:
- Research on Social Work Practice, 10(3), May 2000, pp.301-326.
- Publisher:
- Sage
This social work research evaluates the effectiveness of an advanced, experimental treatment programme for improving social skills with 6 developmentally disabled adults in a vocational training project in the USA. The effectiveness of the group treatment programme was evaluated using multiple baseline designs replicated for 6 participants across six social skills. The intervention was developed in a previous study, and the skills were selected using a needs assessment. The results only partially support the effectiveness of the group treatment programme. Possible explanations for this conclusion are given, and clinical implications for social workers are discussed.
Social work assessment of adaptive functioning using the Vineland Adaptive Behavior Scales: issues of reliability and validity
- Authors:
- CABRERA Peter M., GRIMES-GAA Lucienne, THYER Bruce A.
- Journal article citation:
- Journal of Human Behavior in the Social Environment, 2(4), 1999, pp.33-50.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The assessment of client adaptive functioning is often an important component of a comprehensive social work evaluation. The Vineland Adaptive Behaviour Scales (VABS) are the most commonly used quantitative measures of adaptive functioning for clients meeting the criteria for a wider range of disorders in the USA. Reviews the development of the VABS and current knowledge pertaining to the instrument's reliability and validity. Concludes that the ability to administer and interpret the VABS is an important skill for clinical social workers to acquire.
Towards an environmental perspective on intervention for problem sexual behaviour in people with an intellectual disability
- Author:
- O'CONNOR Wendy
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 10(2), 1997, pp.159-175.
- Publisher:
- Wiley
Describes the evolution of intervention for people with an intellectual disability who have problem sexual behaviour in Australia. Accepted treatments for non-disabled sexual offenders are now being applied to offenders with a disability. Finds that intervention should be broad-based and individualised and attend to deviant sexual preference, patterns of offending behaviour and the environmental context of the behaviour. There is a need for controlled studies to isolate the effects of individual components in multi-component interventions.
Promoting the healthy functioning of young children with developmental disabilities, and their families
- Author:
- MOORE Timothy G.
- Journal article citation:
- Family Matters, 44, Winter 1996, pp.20-25.
- Publisher:
- Australian Institute of Family Studies
Outlines the scope of early intervention services in Australia to young children with developmental disabilities, and their families. Discussion centres on how these support services have evolved and how they achieve change. Research findings regarding the effectiveness of services and outcomes for families are presented, and critical factors involved in successful family intervention are identified.
A review of DRO: the influence of the degree of intellectual disability and the frequency of the target behaviour
- Author:
- WHITAKER Simon
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 9(1), 1996, pp.61-79.
- Publisher:
- Wiley
A review of the use of Differential Reinforcement of Other Behaviours (DRO) showed that the majority of people had target behaviour with an initial frequency of greater than once a minute. It is suggested that DRO may not be as effective with lower frequency target behaviours and recommendations are made as to how its effectiveness might be increased.