Search results for ‘Subject term:"learning disabilities"’ Sort:
Results 1 - 9 of 9
Management of aggression care plans in a forensic intellectual disability service: a ten-year progress update
- Authors:
- KITCHEN David, THOMAS Cathy, CHESTER Verity
- Journal article citation:
- Journal of Intellectual Disabilities and Offending Behaviour, 5(2), 2014, pp.88-96.
- Publisher:
- Emerald
Purpose: Standardised approaches to the management of aggression and violence are critical for all stakeholders of intellectual disability services. The purpose of this paper is to describe the Management of Aggression Care Plan (MoACP). The care plan aims to reduce levels of restrictive interventions, to ensure any interventions relative to aggression and violence are the least restrictive possible, and to promote adaptive behaviours and support life enriching opportunities, in a manner which is personalised to the unique profiles of every patient. Design/methodology/approach: The MoACP was first described by Thomas et al. (2005). This paper describes the rationale, theoretical basis, structure and benefits of the care plan, and provides details of revisions made to the plan in response to evidence-based practice recommendations. Findings: The value of implementing a structured approach to the care planning of management of aggression and violence, in reducing the frequency and impact of restrictive practices, and promoting life enriching opportunities is described. Practical implications: The paper describes a number of practical features of the care plan which most support its continued effectiveness, including patient involvement, individual patient focused training, and audit. Originality/value: Although many services undertake localised approaches to the care planning of management of violence and aggression in forensic intellectual disability services, few have been described in the published literature. (Publisher abstract)
Self-injurious behaviour, non-interventionism and practitioners’ needs: implications for training and managerial support
- Author:
- NTINAS Konstantinos M.
- Journal article citation:
- Journal of Intellectual Disabilities, 18(3), 2014, pp.238-248.
- Publisher:
- Sage
- Place of publication:
- London
This article critical analyses the literature concerning the factors that lead to non-interventionism towards self-injurious behaviour (SIB) in the field of intellectual disability and makes recommendations for the development of practice. It emerges that the limited behaviour analytic skills of practitioners impede the implementation of behavioural interventions and allow SIB to persist. The implications for the development of in-service training and managerial support that would disseminate the implementation of behavioural interventions are briefly discussed. (Edited publisher abstract)
Positive approaches to understanding and managing risk: a workbook to support the mandatory units of the Certificates in Working with People who have Learning Disabilities
- Author:
- BRADLEY Alice
- Publisher:
- British Institute of Learning Disabilities
- Publication year:
- 2002
- Pagination:
- 75p.
- Place of publication:
- Plymouth
Includes legal obligations and rights on the part of carers to take risks in managing challenging behaviour and other problems. The book outlines policies and procedures for service providers, ethical and legal issues around physical intervention, and positive management techniques.
Natural therapeutic holding
- Author:
- STIRLING Christopher
- Journal article citation:
- Nursing Times, 20.1.99, 1999, pp.55-57.
- Publisher:
- Nursing Times
Considers an alternative to control and restraint in the management of violence for people with learning disabilities.
The use of natural therapeutic holding as a non-aversive physical intervention in the management of violence
- Author:
- STIRLING Christopher
- Journal article citation:
- British Journal of Learning Disabilities, 26(3), 1998, pp.105-109.
- Publisher:
- Wiley
Whilst it is currently recognised and acknowledged that the use of physical interventions in the management of aggression and violence is appropriate in some circumstances, the aims, values and application of such approaches have come under closer scrutiny in recent years. It is now accepted that any physical intervention must be non-aversive in application and be considered as part of an overall programme which emphasises the development of positive alternative behaviours other than violence. Developments in risk management have placed agreed onus on professionals to develop specific intervention programmes which not only consider the risks presented by the client, but also consider the risk associated with the interventions used. This article discusses National Therapeutic Holding which, the author argues, addresses these issues and provides not only some answers to the professional, legal and ethical debates, but also equips carers with a set of interactive and responsive skills which can be used therapeutically.
A survey of referrals to specialist services for people with learning disabilities who have a dual diagnosis or challenging behaviour
- Authors:
- ALLEN David, KERR Mike
- Journal article citation:
- British Journal of Learning Disabilities, 22(4), December 1994, pp.144-147.
- Publisher:
- Wiley
There exists, as yet, no proven service model for people with learning difficulties who are difficult to serve in community settings. This paper describes an initial survey of referrals to separate services for people with a dual diagnosis or behavioural challenges using a structured rating scale. Few significant differences were evident between the populations using the two services, and those which were found related more to the severity of management problems rather than diagnostic criteria. It is suggested that planners and clinicians should avoid producing overlapping services and concentrate instead on unified multidisciplinary assessment and intervention.
Sexuality and personal relationships for people with learning disabilities: a framework for assessment and intervention
- Authors:
- COLLINS G.J., COZENS D.
- Journal article citation:
- Journal of Learning Disabilities for Nursing Health and Social Care, 3(3), 1999, pp.130-135.
Sexuality and personal relationships still present many challenges to those working to provide valued lifestyles for people with learning disabilities. However, the focus of much recent work has been on a risk management theme rather than promoting sexuality as a positive, valued experience. This paper presents a simple framework for understanding issues about relationships and sexuality and describes the development of an assessment package for identifying key areas in which to promote positive changes. The framework considers issues about relationships in three areas: skills knowledge and opportunities. Practical examples are used to illustrate its utility.
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.
Child abuse and neglect: a clinician's handbook
- Authors:
- HOBBS Christopher, HANKS Helga, WYNNE Jane M
- Publisher:
- Churchill Livingstone
- Publication year:
- 1993
- Pagination:
- 384p.,illus.,bibliogs.
- Place of publication:
- Edinburgh
Provides a practical account of clinical signs, differential diagnosis and management of child abuse and neglect. Gives a historical perspective and goes on to look at: failure to thrive; physical abuse; burns and scalds; neglect; emotional maltreatment; sexual abuse; fetal problems; poisoning, suffocation and Munchausen syndrome by proxy; other forms of child abuse; the management of child abuse; psychological intervention and treatment; legal aspects; and fatal child abuse.