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Home visits: a reflection on family contact in a specialist forensic intellectual disability service
- Authors:
- CHESHIRE Lucinda, et al
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 9(4), 2015, pp.186-195.
- Publisher:
- Emerald
Purpose: There is little published literature about the number of home visits provided to patients within forensic intellectual disability units, and there is no published data on variables that affect home visits. There is a need for a baseline audit that can formulate standards for future practice. The paper aims to discuss these issues. Design/methodology/approach: This paper describes the home visit programme within a forensic intellectual disability service, and a baseline audit of the programme. The audit measured the number of home visits, any factors that adversely affect home visits, and the extent of family contact. The authors propose audit standards for evaluation of good practice in this area. Findings: The audit involved 63 patients over a one-year period. In total, 81 per cent of patients had some form of family contact and 54 per cent of patients at least one home visit. However, 19 per cent of patients had no contact with their family due to a variety of reasons. There were no significant differences in the number of home visits between men and women, patients on civil vs criminal sections or those treated “within area” or “out of area”. Patients in rehabilitation wards had significantly more visits than those in low or medium secure. Originality/value: Conventional wisdom is that reduced family contact is the direct result of patients being placed “out of area”. The results of this audit suggest that, at least in this group, the reasons may be much more nuanced and that the current definition of “out of area” has to be improved to incorporate the actual distance between the patient’s current family home and the service. Audit standards have been proposed to monitor family contact and home visits. Future work should focus on the relationship between family contact and treatment outcomes. (Publisher abstract)
Guide to mental health for families and carers of people with intellectual disabilities
- Authors:
- HOLT Geraldine, et al
- Publisher:
- Jessica Kingsley
- Publication year:
- 2004
- Pagination:
- 240p.,bibliog.
- Place of publication:
- London
This guide outlines a range of signs and symptoms of mental health problems that can affect people with intellectual disabilities. The guide explains why mental health problems develop, and advises on what can be done to help people with intellectual disabilities and carers themselves. With chapters on specific disabilities such as autism and epilepsy, the authors cover topics such as: treatment and interventions for mental health problems; getting the best services and understanding policy around mental health and intellectual disabilities; legal issues, for example, what it means to ‘give consent’ ; and carers’ needs and support for carers.
Difference and choice: exploring prenatal testing and the use of genetic information with people with learning difficulties
- Authors:
- WARD Linda, HOWARTH Joyce, RODGERS Jackie
- Journal article citation:
- British Journal of Learning Disabilities, 30(2), June 2002, pp.50-55.
- Publisher:
- Wiley
Developments in genetics have huge implications for disabled people (including people with learning difficulties) and their families. There is a potential for greater understanding of - and ultimately, perhaps, treatments for - serious conditions like cystic fibrosis and sickle cell anaemia, but there are also concerns about the negative implications, including the potential for discrimination in insurance and employment. This present article describes two workshops that explained the use of prenatal testing and genetic information to inform choices in pregnancy to people with learning difficulties, and then explores the issues with them and the contribution subsequently made by these people.
Bringing up a challenging child at home: when love is not enough
- Author:
- GREGORY Jane
- Publisher:
- Jessica Kingsley
- Publication year:
- 2000
- Pagination:
- 188p.,list of orgs.,bibliog.
- Place of publication:
- London
The author describes bringing up her daughter, now aged eleven, who has learning difficulties, mental health problems and challenging behaviour. She relates her struggles to cope with her daughters difficult behaviour, the effects on the rest of the family, and her attempts to understand the reasons behind it. Offering practical advice for other parents, she explains how she got the right support and effective treatment. Her story provides professionals as well as parents with a unique insight into what it is like to bring up a complex and challenging child.
Challenging behaviour
- Author:
- SLEVIN Eamonn
- Journal article citation:
- Mental Health Care, 2(7), March 1999, pp.242-245.
- Publisher:
- Pavilion
Reviews the management of challenging behaviour in people with learning disabilities.
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.
Autism, families and the behaviourist intensive approach
- Author:
- RANDALL Pete
- Journal article citation:
- Behavioural Social Work Review, 16(2), September 1995, pp.7-16.
- Publisher:
- Cognitive Behavioural Social Work Group
The parents of children with autism are rightly making demands for services and information from social workers and other professionals. Many are aware of the research and practice findings that support the use of behavioural techniques with such children and they want to learn more. Encouraged by parents in America some are particularly interested in the well marketed interventions from the country. One of the most popular is the behaviourist Intensive Approach of Lovas which this paper describes and reviews.
Prevalence and correlates of behavioral and psychiatric symptoms in community-dwelling elders with dementia or mild cognitive impairment: the Memory and Medical Care Study
- Authors:
- CHAN Ding-Cheng, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 18(2), February 2003, pp.174-182.
- Publisher:
- Wiley
Little is known about the prevalence and correlates of behavioral and psychiatric symptoms of dementia in community-dwelling elders with dementia or mild cognitive impairment (MCI). Compared to dementia subjects, those classified as MCI had a lower prevalence of any symptoms (psychosis, depression, or agitation), and of agitation. Symptoms of psychosis and depression also were less prevalent, even though differences did not reach statistical significance. In the dementia group symptoms were associated with a report of a physician's diagnosis of dementia, greater functional impairment, and a knowledgeable informants (KI) who was a child/child-in-law. In those with MCI, symptoms were correlated with being white, greater functional impairment, and a younger, less educated, KI. Psychiatric and behavioral symptoms were common in community-residing elders with cognitive impairment, but their prevalence and correlates differed by study classification as having dementia or MCI. Identifying and treating these symptoms may benefit patients with cognitive impairment and their families.
Knowledge and perceptions of child-care social workers about ADHD
- Authors:
- PENTECOST David,R, WOOD Neil
- Journal article citation:
- British Journal of Social Work, 32(7), October 2002, pp.931-943.
- Publisher:
- Oxford University Press
Four hundred and forty social work practitioners for children, including those of Guardian ad Litem status, were surveyed regarding their knowledge and perceptions concerning attention deficit hyperactivity disorder (ADHD). Questionnaires were distributed to the social workers via managers in seven boroughs in the south-east of England. The majority of practitioners in the sample were able to correctly identify the key diagnostic criteria closely associated with the condition. Over a third of respondents were unsure of the appropriateness of treatment with stimulant medication while the large majority felt that psychosocial interventions involving the families were appropriate. Length of post-qualifying experience was found to be a crucial variable influencing both knowledge about ADHD and the preferences for interventions for the condition. Less than three out of ten practitioners regarded it as important to involve the Children with Disabilities Teams (CDTs) in such cases and a similar proportion were unaware of local resources that may support these children and their families.
The Team around the child: multi-agency service coordination for children with complex needs and their families; a manual for service development
- Author:
- LIMBRICK Peter
- Publisher:
- Interconnections
- Publication year:
- 2001
- Pagination:
- 39p.bibliog.
- Place of publication:
- Manchester
The increasing number of children who have multiple and complex disabilities has highlighted the need for new systems of service provision in which health, education and social services and the voluntary sector join together to offer the child and the family a coordinated approach. Although this need is recognised by all tiers of government the call for coordination needs to be accompanied by more practical suggestions as to how to achieve it.