Search results for ‘Subject term:"learning disabilities"’ Sort:
Results 1 - 6 of 6
Impact of care pathway-based approach on outcomes in a specialist intellectual disability inpatient unit
- Authors:
- DEVAPRIAM John, et al
- Journal article citation:
- Journal of Intellectual Disabilities, 18(3), 2014, pp.211-220.
- Publisher:
- Sage
- Place of publication:
- London
Specialist intellectual disability inpatient units have come under increased scrutiny, leading to questions about the quality of service provision in this sector. A care pathway-based approach was implemented in such a unit and its impact on outcome variables was measured. The care pathway-based approach resulted in the turnover of more patients, increased capacity for admissions to the unit, reduced lengths of stay in hospital, timely assessments and treatments, which resulted in better outcomes in patients. Care pathway-based approach to service provision provides not only better outcomes in patients but also a reliable way of ensuring true multi-agency working and accountability. If used widely, it can reduce the variability in the quality of current service provision. (Publisher abstract)
Going into hospital
- Authors:
- SPEAKUP SELF ADVOCACY, BUBBLE MEDIA
- Publisher:
- Speakup Self Advocacy
- Publication year:
- 2006
- Pagination:
- DVD
- Place of publication:
- Rotherham
This film is all about going into hospital. It shows what happens, if service users go into hospital and aims to make them less worried about it.
Rapid risk assessment in acute hospital for patients with intellectual disabilities
- Authors:
- READ Stevie, JOHNSON Tristan
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 6(6), 2012, pp.321-322.
- Publisher:
- Emerald
People with intellectual disabilities have been shown to be at significantly higher risk, compared to the rest of the population, for adverse events happening to them in hospital. The authors share the outcomes from a patient safety project conducted in an acute hospital in England by the Trust's intellectual disabilities team. A project structure was used, supported by the Trust patient safety team through association with the National Institute for Innovation and Improvement: leading improvement in patient safety (LIPS) programme. The aim of the project was to bring together the current evidence, to understand the risk issues for this group and develop a robust risk assessment tool that could be embedded into the care processes in acute hospitals. A six month pilot concluded that a short assessment in a familiar format was more likely to be used by nurses. Risk assessment on its own did not deliver better and safer care. It must be accompanied by a series of clear, evidence based actions which used together ensure the patients' total safety and care needs are met. This tool is used throughout the Trust and in a number of other hospitals across the eastern region. Its use has contributed to reducing length of stay and improving health outcomes.
Development and implementation of a discharge pathway protocol for detained offenders with intellectual disabilities
- Authors:
- TAYLOR John L., et al
- Journal article citation:
- Journal of Intellectual Disabilities and Offending Behaviour, 8(3), 2017, pp.144-154.
- Publisher:
- Emerald
Purpose: Building the Right Support, a national plan for people with intellectual disabilities (ID) in England aims to avoid lengthy stays in hospital for such people. Discharge planning is understood to be helpful in facilitating successful transition from hospital to community services, however, there is little guidance available to help those working with detained patients with ID and offending histories to consider how to affect safe and effective discharges. The paper aims to discuss these issues. Design/methodology/approach: In this paper, the development and implementation of a multi-faceted and systemic approach to discharge preparation and planning is described. The impact of this intervention on a range of outcomes was assessed and the views of stakeholders on the process were sought. Findings: Initial outcome data provide support for the effectiveness of this intervention in terms of increased rates of discharge, reduced lengths of stay and low readmission rates. Stakeholders viewed the intervention as positive and beneficial in achieving timely discharge and effective post-discharge support. Practical implications: People with ID are more likely to be detained in hospital and spend more time in hospital following admission. A planned, coordinated and well managed approach to discharge planning can be helpful in facilitating timely and successful discharges with low risks of readmission. Originality/value: This is the first attempt to describe and evaluate a discharge planning intervention for detained offenders with ID. The intervention described appears to be a promising approach but further evaluation across a range of service settings is required. (Publisher abstract)
The use of seclusion and emergency medication in a hospital for people with learning disability
- Authors:
- RANGECROFT M.E.H., TYRER S.P., BERNEY T.P.
- Journal article citation:
- British Journal of Psychiatry, 170, March 1997, pp.273-277.
- Publisher:
- Cambridge University Press
The management of disturbed behaviour in facilities for those with learning disabilities involves a spectrum of approaches including the prescription of emergency medication, restraint and seclusion. The use of these techniques has recently come under close scrutiny. All incidents requiring emergency medication or seclusion that occurred in a large hospital for those with learning disabilities were studied over a six-month period. The precipitating factors, course and outcome of those who had received emergency medication or seclusion were then examined. Concludes that despite concerns about the use of seclusion, the results of this survey suggest that procedures that remove the patients from the environment contributing to the disturbance may have certain advantages in this population.
Training and developing staff in general hospitals: intellectual disability liaison nurses and the RAID model
- Author:
- WALSH Nick
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 8(6), 2014, pp.390-398.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to address the serious problems that people with intellectual disability face in getting their healthcare needs met in general hospitals by improving the training of general hospital staff. Design/methodology/approach: Review of recent developments in models of service provision including the development of intellectual disability liaison nurses and the RAID model in liaison psychiatry. Findings: There is much scope for intellectual disability liaison nurses and liaison psychiatry services to work together in staff training in general hospitals. There is a clear strategic role for both services in convincing the management of general hospitals to implement such training using economic and quality arguments. Originality/value: The authors suggest a new model of working to improve the healthcare outcomes of people with intellectual disabilities through effective training of staff in general hospitals. (Publisher abstract)