Search results for ‘Subject term:"learning disabilities"’ Sort:
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Autonomy in relation to health among people with intellectual disability: a literature review
- Authors:
- WULLINK M., et al
- Journal article citation:
- Journal of Intellectual Disability Research, 53(9), September 2009, pp.816-826.
- Publisher:
- Wiley
Since the 1990s, individualisation, participation, normalisation and inclusion have been the main principles of care for people with intellectual disability. Autonomy has become an increasingly important issue. This review of the literature tried to answer the question: how do people with intellectual disabilities exercise autonomy in relation to health? Searches in Cochrane, Medline and PsycINFO were based on the following aspects of autonomy: self-determination, independence, self-regulation and self-realisation. Thirty-nine of 791 articles met our criteria, including 14 on self-determination, seven on independence, 15 on self-regulation and three on self-realisation. In spite of decades of promoting autonomy, the exercise of autonomy in relation to health has so far rarely been an issue in the literature.
Psychosocial factors affecting adults with intellectual disabilities with psychiatric disorders in Cali, Colombia
- Authors:
- VERDUGO Miguel Angel, et al
- Journal article citation:
- Journal of Policy and Practice in Intellectual Disabilities, 6(3), September 2009, pp.173-179.
- Publisher:
- Wiley
The objective of this study was to describe the psychosocial factors associated with the comorbidity between intellectual disability (ID) and psychiatric disorder of adults in the city of Cali, Colombia. Subjects were 50 dyads consisting of a carer and a person with ID. The Caregivers Questionnaire and the Integral Quality of Life Scale were adapted for use in the study. The analysis of information was based on three factors: person, family, and society. In the case of the personal factor, an adequate level of physical well-being and a good level of self-care were found in more than 60% of the adults with dual diagnosis, good adherence to treatment in 82%, and medium satisfaction in the individual-context relationship in 54%. With regard to the family factor, a high level of satisfaction of needs (84%) was found. Good family functioning was observed in 86%, while family participation in rehabilitation was reported to be between moderate and deficient in 60% of the cases. With respect to the social factor, cases of support between moderate and deficient were found in 68%, and a regular inclusion was observed in 48%. The authors conclude that the family functioning aspect appeared as the major protective factor, while the inclusion and social support were shown as the main risk factors.
Better access to primary healthcare for adults with learning disabilities: evaluation of a group programme to improve knowledge and skills
- Authors:
- WEBB Jenny, STANTON Melanie
- Journal article citation:
- British Journal of Learning Disabilities, 37(2), June 2009, pp.116-122.
- Publisher:
- Wiley
The health of people with learning disabilities is poor when compared with the general population but this difference is not reflected in higher rates of access to primary healthcare. This paper reports on a study undertaken to run and evaluate a 12-week programme to enable people with learning disabilities to better access primary healthcare. The importance of this research lies in the successful outcomes achieved, and in the distinctive properties of the programme, which used practice-based groups, and focussed on the development of health skills as well as health knowledge.
Children's delayed development and behavior problems: impact on mothers' perceived physical health across early childhood
- Authors:
- EISENHOWER Abbey Severance, BAKER Bruce L., BLANCHER Jan
- Journal article citation:
- Social Science and Medicine, 68(1), January 2009, pp.89-99.
- Publisher:
- Elsevier
Mothers of children with developmental delays may experience poorer psychological well-being than other mothers; however, little research has examined how delayed development in children might predict mothers' perceived physical well-being. Children with delayed development manifest heightened behaviour problems, which may negatively affect maternal well-being. The authors examined the associations between developmental delay and behaviour problems at child age 3 and mothers' self-perceived physical health at child ages 3, 4, and 5, in families of 218 children with and without developmental delays. The study sample comprised 218 families from central Pennsylvania and Southern California, USA who were recruited through community agencies that provide diagnostic and intervention services for individuals with development difficulties. Results found that mothers of children with delayed development at age 3 reported poorer concurrent and later physical health than mothers of children with typical development. Broadening the analyses to include not only child development status (delayed development versus typical development) but also child behaviour problems at age 3, only child behaviour problems and the interaction of development status and behaviour problems, but not development status itself, predicted maternal health. Early child behaviour problems contributed to later maternal health above and beyond early maternal health, suggesting a possible causal association between child behaviour problems and mothers' physical health. The relation between child behaviour problems and maternal health was moderated by mothers' parenting stress and mediated by depressive symptoms. Mothers of children with both delayed development and high behaviour problems are a particular risk group that may be especially in need of early intervention. Further research should examine the behavioural and biological pathways by which these child-related stressors influence mothers' physical health.
Promoting physical well-being in mental health and learning disabilities: a training resource in reducing physical health inequalities
- Authors:
- BOLTON Anne, DWYER Tony, HARDCASTLE Mark
- Publisher:
- Pavilion
- Publication year:
- 2009
- Pagination:
- 130p., CD ROM
- Place of publication:
- Brighton
A pack designed to help practitioners plan, set up and run their own community healthy living group for people with mental health problems or learning disabilities. The resource was developed by the Slough Assertive Outreach Team, who drew on their experience of running a successful community healthly living group and Berkshire Healthcare NHS Foundation Trust. After placing the programme in context, the pack includes details how to carry out the training, 30 session plans and a section of accompanying resources. The pack includes handouts, facilitator guides, quizzes, healthy recipes, websites, physical exercises, relaxation and yoga exercises. The accompanying CD contains a healthy living folder; an exercise pack; resources and handouts; and additional information
Physical health in mental health: final report of a scoping group
- Author:
- ROYAL COLLEGE OF PSYCHIATRISTS
- Publisher:
- Royal College of Psychiatrists
- Publication year:
- 2009
- Pagination:
- 70p.
- Place of publication:
- London
This is the final report of a scoping group that aimed to explore a range of issues concerning the general health of people with mental health problems with a view to making recommendations to the Council of the Royal College of Psychiatrists. The report begins by introducing the scoping group, its key recommendations and an overview of physical health in mental health care. Part two looks at the physical health standards in place in four services: West London Mental Health Trust; psychiatry of intellectual disability; forensic psychiatric services; children and young people with mental health problems. Part three describes examples of interventions in physical healthcare. These include psychotropic prescribing; promoting healthy lifestyles in psychiatric services; an action plan to improve the physical health of patients in psychiatric services.
A healthy outlook?
- Author:
- HUNTER Mark
- Journal article citation:
- Learning Disability Today, 9(4), June 2009, pp.26-27.
- Publisher:
- Pavilion
- Place of publication:
- Hove
This article is about implementation of annual health checks for people with learning disabilities. While not yet mandatory, GPs are being offered extra payments to ensure that patients with learning disabilities receive an annual health check. Some of the difficulties with providing primary care to people with learning disabilities are discussed. GPs and practice staff need to make "reasonable adjustments" in terms of lowering thresholds for intervention and taking carers' concerns seriously. While there is no room for complacency examples of good practice continue to emerge. The article describes the use of health facilitators to aid communication in south Birmingham PCT and development of a local enhanced service, that includes annual health checks and health action plans, in Westminster.
Recognising fathers: a national survey of fathers who have children with learning disabilities
- Author:
- TOWERS Christine
- Publisher:
- Foundation for People with Learning Disabilities
- Publication year:
- 2009
- Pagination:
- 69p.
- Place of publication:
- London
This reports on results of a national survey of fathers who have children with learning disabilities’. It presents the findings from 251 fathers who completed a questionnaire. It highlights that current policies and practices often fail to acknowledge or support fathers in their role as carers and make recommendations to address the situation. Contents include: designing and analysing the survey; survey participants; involvement of fathers; impact on relationships with family and friends; support from family and friends; contact with services; impact on health; impact on paid employment; support with paid employments; recommendations. Appendix includes good practice guidance for practitioners.
My health: health action planning and health facilitation for people with a learning disability
- Authors:
- FRIENDLY INFORMATION, (Producer)
- Publisher:
- Friendly Information
- Publication year:
- 2009
- Place of publication:
- Rotherham
This DVD asks viewers to consider their physical health, mental health and aspects of their life style that contribute in good or bad ways to both of these. It advocates regular physical health checks and the creation of a personal health action plan as part of a personalised and joined up service. It also describes the role of 'health facilitators', who can be friends, relatives or another trusted individual, to act as a broker between health services and a person with learning disabilities. These services are explicitly connected to the UK government's Valuing People plan to improve the lives of people with learning disabilities, their families and carers.
Improving health, supporting justice: the national delivery plan of the Health and Criminal Justice Programme Board
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2009
- Pagination:
- 61p.
- Place of publication:
- London
This plan is published in response to the recommendations for improving the health and well-being of adult offenders in Lord Bradley’s 2009 review of people with mental health problems or learning disabilities in the criminal justice system in the United Kingdom. It accepts the direction proposed in the Bradley review and in combination with feedback from stakeholders given during the consultation ‘Improving health, supporting justice’ sets out a strategic framework of 5 objectives with timescales aimed for over the next 18 months. Delivering this plan in recessionary times means little scope for new resources and it concentrates on improving and re-focusing existing services across individual Primary Care Trust and criminal justice agencies and localities working in partnership, by adopting existing good practice, system reform to better working practices and the innovative skills of frontline staff. In addition this plan details several service specific priorities, for example for the Police and Crown Prosecution Services, the courts, prisons and probationary services and drugs and alcohol misuse services. Key deliverables, with timescales are listed throughout the text, which are referenced against the Bradley review recommendations, eighty two of which are annexed to this paper.