Search results for ‘Subject term:"learning disabilities"’ Sort:
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The end of an institution?
- Author:
- SMITH Simon
- Journal article citation:
- Soundtrack, 9, February 1997, p.4.
- Publisher:
- National Development Team
Ely Hospital has been subject to a public enquiry which revealed widespread abuse and neglect of people with learning disabilities. The author looks towards the future, and towards the hospital's closure.
“LEARN”ing what is important to children and young people with intellectual disabilities when they are in hospital
- Authors:
- OULTON K., SELL D., GIBSON F.
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 31(5), 2018, pp.792-803.
- Publisher:
- Wiley
Background: The need to review health service provision for children and young people (CYP) with disabilities and their families in the United Kingdom has been expressed in multiple reports: the most consistent message being that services need to be tailored to meet their individual needs. Our aim was to understand the hospital‐related needs and experiences of CYP with intellectual disabilities. Method: An ethnographic study of a neurosciences ward and outpatient department was conducted within a paediatric tertiary hospital setting. Results: Five themes, developed using the acronym LEARN, explained what is important to CYP with intellectual disabilities in hospital: (i) little things make the biggest difference, (ii) eliminate unnecessary waiting, (iii) avoid boredom, (iv) routine and home comforts are key and (v) never assume. Conclusions: It is imperative that the present authors continue to challenge the idea that it is acceptable to exclude CYP with intellectual disabilities from research because of their inability to participate. (Edited publisher abstract)
The nurse who eases child fears
- Author:
- OXTOBY Kathy
- Journal article citation:
- Nursing Times, 14.08.07, 2007, pp.20-21.
- Publisher:
- Nursing Times
An Essex nurse is helping to remove the fear of hospital among children who have learning disabilities. This article reports on this education scheme helps put those with a learning disability, complex or special needs at ease before they go to hospital
The Fred Martin project: problems solved and lessons learned
- Author:
- LINDSAY Meg
- Publisher:
- Barnardo's
- Publication year:
- 1989
- Pagination:
- 72p.
- Place of publication:
- Edinburgh
One of a series of booklets focusing on the work of the Fred Martin Project, which is concerned with transferring children and young people from long-stay mental handicap hospitals into secure placements in the community. Looks at the halfway stage of the project, what has been achieved, methods used, problems encountered, and solutions to problems.
Experience of children and young people cared for in mental health, learning disability and autism inpatient settings
- Author:
- NATIONAL INSTITUTE FOR HEALTH RESEARCH
- Publisher:
- National Institute for Health Research
- Publication year:
- 2021
- Place of publication:
- London
This themed review explores the experience of young people with mental health problems, learning disability or autism in specialist inpatient mental health care. A young person may require admission if their disorder means that they are at high risk of self-harm or pose a risk to others. They may also be admitted if they need more intensive treatment and assessment than is possible in a community setting. This Themed Review does not cover young people's experience of inpatient paediatric care (for physical needs) or issues such as inappropriate admission to adult mental health services. Overall, we identify four key influences on how children and young people experience inpatient care. These are drawn from the research evidence base, but also from the experiential evidence provided by children, young people and their parents. The four themes are: quality of relationships; normality; use of restrictive practices; expectations and outcomes. The review identifies three key action points to address this significant area of need; recognise the interdependence of experience, treatment outcomes, and other factors; promote timely identification and action to address unmet needs; and equip staff with the resources, capacity and authority to improve experience. (Edited publisher abstract)
Youth detention: solitary confinement and restraint: nineteenth report of session 2017-19
- Author:
- GREAT BRITAIN. House of Lords, House of Commons. Joint Committee on Human Rights
- Publisher:
- House of Commons
- Publication year:
- 2019
- Pagination:
- 45
- Place of publication:
- London
A report of an inquiry into the use of restraint and separation of children in detention in the UK and whether these practices are subject to appropriate limits and effective safeguards. The inquiry considered both restraint of children detained in detained in hospitals for therapeutic care and those detained in custody due to criminal convictions. The Committee heard evidence from children, their parents, and professionals that restraint and separation are harmful to children, and cause physical distress and psychological harm. Data also shows that children are restrained too often, with rates of restraint and separation even higher for Black, Asian and minority ethnic (BAME) children. This is partly due to insufficient staffing levels, insufficient staff training and inappropriate facilities. Data collection for all forms of restraint and separation in hospitals and custody also needs to be improvement. The Committee's recommendations include: a ban on the use of pain inducing techniques and solitary confinement of children in detention; improved data collection; and an improvement in the complaints and resolution process. (Edited publisher abstract)
Child or young person: hospital CETR (non-secure). Workbook 5: Care, Education and Treatment Review (CETR): key lines of enquiry
- Author:
- NHS ENGLAND
- Publisher:
- NHS England
- Publication year:
- 2017
- Pagination:
- 25
- Place of publication:
- London
A workbook for panel members to record their findings during a Care, Education and Treatment Review (CETR) for children and young people with autism or learning disabilities in a non-secure hospital setting. 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 key lines of enquiry are: Does the child or young person need to be in hospital; Is the child/young person getting the right care, education and treatment; Is the child/young person involved in their care, education and treatment; Are the child/young person’s health needs known and met? Is there a clear, safe and proportionate approach to the way risk is assessed or managed? Are any autism needs known and met?; Is there active planning for the future and for discharge with clear ownership?; Are family and carers being listened to and involved?; Are the child/young person’s rights and freedoms being protected and upheld?; and Is enough attention being given to the particular needs of the child or young person? 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 Care and Treatment Review (CTR) and CETR panels. (Edited publisher abstract)
Attitudes of healthcare staff in the treatment of children and adolescents with intellectual disability: a brief report
- Author:
- ONG Natalie
- Journal article citation:
- Journal of Intellectual and Developmental Disability, 42(3), 2017, pp.295-300.
- Publisher:
- Taylor and Francis
Background: Children with an intellectual disability (ID) have complex health needs that extend beyond the expected cognitive deficits, affecting a myriad of developmental domains. These children frequently receive inadequate health care such that their needs remain poorly managed. Methods: Staff from the Sydney Children’s Hospital Network (N = 160) completed a survey on attitudes, experiences, and training satisfaction when working with patients with ID. The 48-question needs analysis survey was distributed electronically to staff from a variety of disciplines and experience levels. Results: Although staff considered themselves broadly competent in caring for children with ID, they were less confident in specific skills, such as managing associated challenging behaviours in the clinic. As confidence in skills such as these decreased, the desire for further training increased. (Publisher abstract)
Progress in bringing mentally handicapped children out of hospital
- Author:
- ALLEN Peter
- Publisher:
- King's Fund Centre
- Publication year:
- 1987
- Pagination:
- 36p.
- Place of publication:
- London
Looks at the 1983 Children's Initiative which reduced the number of mentally handicapped children in long-stay hospitals. Reports on various aspects of schemes including life-planning, developing community relations, and staff support.
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)