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Ethical issues of psychotropic medication for people with intellectual disabilities
- Authors:
- RAGHAVAN Raghu, PATEL Pradip
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 4(3), September 2010, pp.34-38.
- Publisher:
- Emerald
This paper details the importance of health professionals considering ethical and legal issues surrounding the prescription of psychotropic medications in the UK to people with learning disabilities. Sections entitled ‘decision-making processes’, ‘prescribing psychotropic medication in intellectual disability – clinical concerns’, ‘accessible information’, ‘covert administration’ and ‘good practice in prescribing psychotropic medication’ cover a wide range of ethical, legal, equality and human rights considerations which need taken into account in each individual case. The authors make mention of the English policy guidelines ‘Valuing People’ and ‘Valuing People Now’ (2001 and 2009), the Mental Capacity (England and Wales, 2005) and Adults with Incapacity (Scotland, 2000) Acts and the 2008 General Medical Council guidance on consent. They list nine guidelines for good practice in prescribing psychotropic drugs, including the use of multi-disciplinary, behaviour analysis, diagnosis and discussion of risks and benefits, especially when a patient in unable to understand and give informed consent, involvement of carers, monitoring and measurement of efficacy and side effects, prompt, controlled withdrawal if necessary, use of lowest, optimal doses and avoidance of frequent dose or drug changes and external auditing of clinical practice.
Developing the workforce: learning disability services in Trent: a report for South Yorkshire Education and Training Consortium/North Trent Workforce Development Confederation/East Midlands Workforce Development Confederation Trent; final draft report
- Authors:
- PICKERING Sharon, THOMPSON Jeanette
- Publisher:
- South Yorkshire Workforce Development Confederation
- Publication year:
- 2001
- Pagination:
- 111p.
- Place of publication:
- Sheffield
Currently learning disability services face a number of challenges for building a workforce that reflects the needs of people that use services. Workforce development must: start with the needs of people who use services, using ‘best information’ to inform the process; establish partnerships to ensure the success of workforce development; including all key stakeholders, families and carers at all stages of the process; and focus on outcomes. Good quality services are informed by the needs wants and expectations of those using the service and should: advocate the social model of disability, promoting choice and control; promote and value anti- discriminatory practice; reflect the multi-cultural nature of communities; pursue a multi disciplinary approach; promote evidence-based practice; provide local and flexible delivery; and · incorporate evaluation and review by the participants, employer organisation, people with a learning disability, their families and service commissioners.
Developing the workforce: learning disability services in Trent; supporting documents
- Authors:
- PICKERING Sharon, THOMPSON Jeanette
- Publisher:
- South Yorkshire Workforce Development Confederation
- Publication year:
- 2001
- Pagination:
- 99p.
- Place of publication:
- Sheffield
Currently learning disability services face a number of challenges for building a workforce that reflects the needs of people that use services. Workforce development must: start with the needs of people who use services, using ‘best information’ to inform the process; establish partnerships to ensure the success of workforce development; including all key stakeholders, families and carers at all stages of the process; and focus on outcomes. Good quality services are informed by the needs wants and expectations of those using the service and should: advocate the social model of disability, promoting choice and control; promote and value anti- discriminatory practice; reflect the multi-cultural nature of communities; pursue a multi disciplinary approach; promote evidence-based practice; provide local and flexible delivery; and · incorporate evaluation and review by the participants, employer organisation, people with a learning disability, their families and service commissioners.
Meeting the mental health needs of adults with a mild learning disability
- Author:
- ROYAL COLLEGE OF PSYCHIATRISTS
- Publisher:
- Royal College of Psychiatrists
- Publication year:
- 2003
- Pagination:
- 23p.
- Place of publication:
- London
It is generally recognised that people with learning disabilities have a higher rate of psychiatric disorder than the general population. 98% of people with a learning disability function in the range of mild learning disability. Principles of normalisation and Government policy in the UK state that wherever possible, people with learning disabilities should use mainstream mental health services. However, these lack the resources, skills and expertise to manage this group of patients. Although there are not many examples of good practice either in the UK or from around the world, intensive case management and collaborative systems of care appear to be beneficial for people with mild learning disabilities.
Joined up care: good practice in services for people with learning disabilities and mental health needs
- Author:
- KURTZ Zarrina
- Publisher:
- The Judith Trust
- Publication year:
- 1999
- Pagination:
- 58p.,bibliog.
- Place of publication:
- London
Report describing current services and projects that are working in ways that are multidisciplinary, preventative and innovative in their provision of services to people with learning difficulties and mental health needs.
Issues in the management of clients with the dual diagnosis of learning disability and mental illness
- Author:
- BARLOW C.
- Journal article citation:
- Journal of Learning Disabilities for Nursing Health and Social Care, 3(3), 1999, pp.159-162.
The dual diagnosis of learning disability and mental illness represents a significant challenge to health and social care practitioners and their existing practices. Currently this group has its service delivery undermined by inter-agency wrangling over responsibility for management and resource allocation. The key to resolving these problems lies in effective multi-agency collaboration. This paper examines the taxing problems of assessment, planning and intervention in this arena. It will offer examples of good practice from the Area Child Protection Committee model.
Planning for life: no.3; good practice in the independent sector; developing community services for people with complex multiple disabilities
- Author:
- GREAT BRITAIN. Department of Health. Social Services Inspectorate
- Publisher:
- Great Britain. Department of Health. Social Services Inspectorate
- Publication year:
- 1997
- Pagination:
- 4p.
- Place of publication:
- London
Letter accompanying paper focusing on services and good practice in the independent sector for people with complex multiple disabilities.
Planning for life: no.3; good practice in the independent sector; developing community services for people with complex multiple disabilities
- Authors:
- FIEDLER Barrie, ELLIS David
- Publisher:
- Great Britain. Department of Health. Social Services Inspectorate
- Publication year:
- 1997
- Pagination:
- 48p.
- Place of publication:
- London
Explores the contribution of independent sector organisations as providers of services for people with complex multiple disabilities. Aims to assist statutory and non-statutory agencies to develop appropriate quality community services for people with complex multiple disabilities by describing some examples of good practice in the independent sector and suggesting how good practice can be encouraged.
Planning for life 2
- Author:
- GREAT BRITAIN. Department of Health. Social Services Inspectorate
- Publisher:
- Great Britain. Department of Health. Social Services Inspectorate
- Publication year:
- 1996
- Pagination:
- 1p.
- Place of publication:
- London
Letter accompanying 'Planning for life: developing community services for people with complex multiple disabilities; no. 2: good practice in Manchester'.
Planning for life: developing community services for people with complex multiple disabilities; no.2; good practice in Manchester
- Author:
- GREAT BRITAIN. Department of Health. Social Services Inspectorate
- Publisher:
- Great Britain. Department of Health. Social Services Inspectorate
- Publication year:
- 1996
- Pagination:
- 24p.
- Place of publication:
- Manchester
Planning for life 1 called for examples of good practice in services for people with multiple disabilities. This report was submitted by the Joint Service in Manchester, run by the SSD and the local health trust. The services they provide are for people with learning difficulties as well as people with complex multiple disabilities.