Search results for ‘Subject term:"learning disabilities"’ Sort:
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Leading the resettlement of adults with profound learning difficulties from hospital accommodation to supported housing in the community
- Authors:
- ELLIS Roger, HOGARD Elaine Sylvia, SINES David
- Journal article citation:
- International Journal of Leadership in Public Services, 10(1), 2014, pp.31-43.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to provide an analytical description of the leadership provided by an official identified as “P” in the resettlement of adults with profound learning difficulties from hospital care to supported housing in the community. His story, presented as a case study, is contextualised in the history of the resettlement and its policy context, and in the evaluation of the resettlement. Design/methodology/approach: This is a case study of the leadership activities and style of an individual based on evidence from a series of interviews; documentary evidence; and the results of a formal evaluation. Findings : The leadership was highly effective in achieving a resettlement which had to overcome numerous hurdles and which achieved externally evaluated outcomes in improving the quality of life of the service users concerned. Research limitations/implications: This is a case study of an individual with the attendant difficulties of scientific generalisation. The achievements of the individual in terms of outcomes were evaluated through the use of valid and reliable measures. Practical implications – The descriptions of leadership behaviour and style and the obstacle overcome should be illuminating to those facing comparable management challenges. Originality/value – This would be the only case study in the literature of leadership in this area. The evaluation which measures its success is also unique. (Edited publisher abstract)
Reactive attachment disorder symptoms in adults with intellectual disabilities
- Authors:
- MINNIS Helen, FLEMING Gail, COOPER Sally-Ann
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 23(4), July 2010, pp.398-403.
- Publisher:
- Wiley
Unusual social behaviours such as disinhibited, overfriendly or, conversely, withdrawn hypervigilant behaviours are core symptoms of Reactive Attachment Disorder (RAD). Studies with children suggest that RAD is associated with pathogenic early care. Little is known about RAD in adults with intellectual disabilities, many of whom experience adversity and abuse in early life. This study investigated whether RAD symptoms occur in this population, and explored whether hypothesised risk factors are associated with higher RAD symptom scores. The participants were 50 adults with intellectual disabilities residing in long-stay hospitals. The participants and their carers participated in a questionnaire survey of RAD symptoms, childhood experiences, and disabilities. The results demonstrated that RAD symptoms were present in this sample, and symptom scores were independently associated with early childhood adversity, diminished with age, but were not associated with cognitive ability, gender, other disabilities, or number of childhood years in institutional care. The paper concludes that, as with children with RAD, it is possible that some maltreated adults with intellectual disabilities fail to develop stranger anxiety by the usual developmental age, but these symptoms reduce in adult life after decades of further development.
Moving story
- Author:
- WRIGHT Colin
- Journal article citation:
- Health Service Journal, 10.2.00, 2000, pp.14-15.
- Publisher:
- Emap Healthcare
Reports on how plans to close a long-stay hospital and send patients with learning disabilities home to live with healthcare staff have sparked vociferous criticism from unions and politicians in Scotland.
Development and Introduction of “Communication Passport” in an adult inpatient psychiatric unit for persons with intellectual disabilities: a brief report from Singapore
- Authors:
- SAJITH Sreedharan Geetha, TEO Yafen, LING Candice Sarah
- Journal article citation:
- Journal of Policy and Practice in Intellectual Disabilities, 15(2), 2018, pp.166-170.
- Publisher:
- Wiley
Persons with intellectual disabilities may present with multiple and complex needs including communication difficulties which may contribute to their challenging behaviours. Having a holistic account of each individual in terms of his or her needs, likes, and dislikes and behavioural issues may help to prevent communication breakdown between the persons with intellectual disabilities and caregivers which may in turn improve their quality of life and reduce their challenging behaviours. Communication passport is a practical and person‐centred document providing a special and efficient way of sorting and presenting important and complex information about the person into an accessible manner. The development and introduction of communication passports in an acute inpatient unit for adults with intellectual disabilities at the Institute of Mental Health, a tertiary psychiatric hospital in Singapore, is described. The study team developed a communication passport through literature review, focus group discussions and liaison with caregivers and patients with intellectual disabilities. After an initial pilot for 6 months, improvements were made in the content and presentation. It was designed in such a way that useful information about the patient's personal and communication needs as well as behavioural problems and interventions were easily passed on to the community caregivers at the point of patient's discharge from the hospital. The final format of the communication passport consisted of a 12‐page document encompassing multiple aspects including communication and behavioural profile. Our work may provide the necessary framework and directions in developing communication passports for services providers caring for people with intellectual disabilities. (Edited publisher abstract)
Adult - hospital CTR (non secure). Workbook 2: Care and Treatment Review (CTR): key lines of enquiry
- Author:
- NHS ENGLAND
- Publisher:
- NHS England
- Publication year:
- 2017
- Pagination:
- 23
- Place of publication:
- London
A workbook for panel members to record their findings during a Care and Treatment Review (CTR) for adults with autism or learning disabilities in a non-secure hospital setting, including assessment and treatment units. The workbook is based on the key lines of enquiry (KLOE) and shows what sort of questions to ask and where to find evidence. It also provides space to record findings and to record what you think if the person’s quality of care overall for each KLOE. The KLOEs, are: Does the person need to be in hospital?; Is the person receiving the right care and treatment?; Is the person involved in their care and treatment?; Are the person’s health needs known and met?; Is the use of any medicine appropriate and safe?; Is there a clear, safe and proportionate approach to the way risk is assessed or managed?; Is there active planning for the future and for discharge?; and Are family and carers being listened to and involved? It will also help with deciding what goes into the CTR report. It is one of a series of 6 workbooks, which each cover different types of CTR and Care, Education and Treatment Review panels. (Edited publisher abstract)
Continence promoting in adults with learning disabilities
- Authors:
- BRADLEY Mary, FERRIS Wendy, BARR Owen
- Journal article citation:
- Nursing Times, 27.9.95, 1995, pp.38-39.
- Publisher:
- Nursing Times
Helping to reduce rates of incontinence among people with severe learning disabilities can have profound effects on their self-esteem and on unit running costs. Describes a hospital-based continence promotion programme for people with severe learning disabilities using a behavioural approach.
Review of restraint, prolonged seclusion and segregation for people with a mental health problem, a learning disability or autism: interim report
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2019
- Pagination:
- 43
- Place of publication:
- Newcastle upon Tyne
Interim findings from a review of the use of restrictive interventions in places that provide care for people with mental health problems, a learning disability and/or autism. The review focuses on the experiences of 39 people in segregation on a learning disability ward or a mental health ward for children and young people. It also draws on information from a request sent to 92 registered providers of services for people with a mental health problem, a learning disability and or autism. The report describes emerging themes about the pathway that these people have followed, their current care and treatment and what prevents them from leaving hospital. The findings show that: a high proportion of people in segregation had autism; some of the wards did not have a built environment that was suitable for people with autism; many staff lacked the necessary training and skills; and several people visited were not receiving high quality care and treatment. In the case of 26 of the 39 people, staff had stopped attempting to reintegrate them back onto the main ward, usually due to concerns about violence and aggression. Some people were also experiencing delayed discharge from hospital due to there being no suitable package of care available in a non-hospital setting. The report makes a number of recommendations for the health and care system. They include for the care, safeguarding and discharge plan of every person with learning disabilities or autism held in segregation be examined, as well as that of children detained on mental health wards. (Edited publisher abstract)
One and two year outcomes for adults with learning disabilities discharged to the community
- Authors:
- DONNELLY M, et al
- Journal article citation:
- British Journal of Psychiatry, 168, May 1996, pp.598-606.
- Publisher:
- Cambridge University Press
Looks at a study which assessed long-stay patients with learning disabilities in hospital and 12 and 24 months after discharge in Northern Ireland, to examine the effects of relocation. Results found that there was little or no change in people's low pre-discharge skill levels. There were also few changes in the pattern of activities or the social networks of people 12 months later. Little or no further change in outcomes was reported 24 months after discharge. Concludes that the implementation of the deinstitutionalisation policy in Northern Ireland has been limited by the predominance of residential and nursing homes and the lack of 'ordinary' accommodation. Argues that there is a need for purchasers and providers to give more attention to the ways in which the principles of normalisation could be incorporated in the process of contracting and delivering services.