Search results for ‘Subject term:"learning disabilities"’ Sort:
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Worth target for a Wanless
- Author:
- HONOUR Heather
- Journal article citation:
- Community Care, 9.8.07, 2007, pp.30-31.
- Publisher:
- Reed Business Information
As demand for services for people with learning disabilities grows and suitable services fail to keep pace, the author looks at how a Wanless-style review in the area could be useful.
The experiences of staff taking on the role of lay therapist in a group-based cognitive behavioural therapy anger management intervention for people with intellectual disabilities
- Authors:
- STIMPSON Aimée, et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 26(1), 2013, pp.63-70.
- Publisher:
- Wiley
This study forms part of a wider research trial aiming to evaluate the effectiveness of a manualised cognitive behavioural therapy (CBT) anger management intervention delivered to people with intellectual disabilities by staff in a day service setting. The aim of this study was to explore the experience of staff with regard to their role as ‘lay therapists’ facilitating CBT groups. The staff were trained and supervised by clinical psychologists. Two ‘lay therapists’ facilitated each of the groups without the presence of the clinical psychologist. Nine ‘lay therapists’ were interviewed 2–6 weeks after the last group session. Their experiences were explored by means of interpretative phenomenological analysis (IPA). Several key themes emerged from the interview data: hopes and fears; having a framework; making it work; observing progress; ingredients of success; the therapist role; and taking the group forward. The findings indicate that, although the therapist role had initially appeared daunting, the participants' experiences were perceived as positive for themselves, the service users, as well as the relevant organisation.
Spot the difference
- Author:
- PENWARDEN Adam
- Journal article citation:
- Learning Disability Today, April 2011, pp.20-21.
- Publisher:
- Pavilion
- Place of publication:
- Hove
A brief overview of the aims of SPOT, a support planning outcomes tool, being developed by Turning Point to measure outcomes in learning disability services is provided. The tool is designed to help staff ensure that a service user's needs, wishes and goals and progress can be documented and evidence from the beginning.
Staff training in the mental health needs of people with learning disabilities in the UK
- Authors:
- WOODWARD Peter, HALLS Sarah
- Journal article citation:
- Advances in Mental Health and Learning Disabilities, 3(2), June 2009, pp.15-19.
- Publisher:
- Emerald
This paper gives a general overview of some of the factors involved in the training and knowledge of learning disabilities staff relating to mental health. Early indications from research have shown that training may be effective as a way of addressing these problems, but further research and clear guidance on best practice in implementing staff training are needed in this important area.
Head's report: could do better
- Author:
- WILLIAMS Jo
- Journal article citation:
- Community Care, 4.9.08, 2008, p.28.
- Publisher:
- Reed Business Information
The current chief executive if Mencap looks back at achievements in learning disabilities during her tenure, but highlights gaps in funding and human rights.
Value for many
- Author:
- GOULD Mark
- Journal article citation:
- Health Service Journal, 7.2.08, 2008, pp.24-26.
- Publisher:
- Emap Healthcare
The Valuing People Now consultation on learning disability services seeks to help most service users to live in the community, while increasing monitoring and support. This article looks at some of the proposed changes, including the transfer of service commissioning to social services and the replacement of campus-style accommodation with community-based services.
We matter too
- Author:
- LEARNER Sue
- Journal article citation:
- Children Now, 15.6.05, 2005, pp.22-23.
- Publisher:
- Haymarket
Examines the positive impact the Caverstede Early Years Centre in Petersborough has had on disabled children. Inclusive childcare is noted to be the success of the centre that strives to help children of mixed disabilities; autism, Down's Syndrome, hearing and sight impairments, language and communication disorders and behavioural problems among them.
The palliative care needs of adults with intellectual disabilities and their access to palliative care services: a systematic review
- Authors:
- ADAM Emily, et al
- Journal article citation:
- Palliative Medicine, 34(8), 2020, pp.1006-1018.
- Publisher:
- Hodder Arnold
Background:: There is evidence that people with intellectual disabilities experience healthcare inequalities, including access to specialist palliative care, but to date, there has not been a systematic review of empirical evidence. Aim: To identify the palliative care needs of adults with intellectual disabilities and the barriers and facilitators they face in accessing palliative care. Design: Systematic review using a narrative synthesis approach (International prospective register of systematic reviews (PROSPERO) registration number: CRD42019138974). Data sources: Five databases were searched in June 2019 (MEDLINE, Embase, PsycINFO, the Cochrane library and CINAHL) along with hand searches and a search of the grey literature. All study designs were included. Results: A total of 52 studies were identified, all of which were conducted in high-income countries, the majority in the United Kingdom (n = 28). From a total of 2970 participants across all studies, only 1% were people with intellectual disabilities and 1.3% were family members; the majority (97%) were health/social care professionals. Identified needs included physical needs, psychosocial and spiritual needs, and information and communication needs. Barriers and facilitators were associated with education (e.g. staff knowledge, training and experience), communication (e.g. staff skill in assessing and addressing needs of people with communication difficulties), collaboration (e.g. importance of sustained multidisciplinary approach) and health and social care delivery (e.g. staffing levels, funding and management support). Conclusion: This review highlights the specific problems in providing equitable palliative care for adults with intellectual disabilities, but there is a lack of research into strategies to improve practice. This should be prioritised using methods that include people with intellectual disabilities and families. (Edited publisher abstract)
A pragmatic mixed-methods review of changing “case-complexity” of referrals to an intensive support service
- Authors:
- CLIFFORD Adam, KEMP Francesca Georgina
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 14(4), 2020, pp.111-124.
- Publisher:
- Emerald
“Case-complexity” is a widely used but under-explored concept across health and social care. A region’s Intensive Support Teams (ISTs) had been reporting an increase in “case-complexity”, but had not tested this hypothesis against data. This study aims to investigate this question through a pragmatic mixed-methods approach as part of a wider service evaluation. Design/methodology/approach: Health of the Nation Outcome Scales for People with Learning Disabilities (HoNOS-LD) scores were used (n = 1,766) to estimate average “case-complexity” of referrals over an eight-year sample period. Two focus groups for IST staff (n = 18) explored why “case-complexity” appears to be increasing. Participant perspectives were subjected to thematic analysis. Findings: Average HoNOS-LD scores have steadily increased over the sample period, suggestive of increasing “case-complexity”. Focus groups identified three broad themes to potentially explain the increased complexity: effects of Transforming Care; people’s changing and unchanging support systems; and issues related to mild and borderline intellectual disability. Many perspectives are grounded in or supported by evidence. Research limitations/implications: Implications and limitations of findings are discussed, including areas for further consideration and research. The well-designed “short-cut” is promoted as a strategy for busy professionals in need of practice-based evidence but with limited research time and resources. Originality/value: The findings and discussion will be of value to anyone involved in the design, commissioning and delivery of mental health and challenging behaviour services to people with intellectual and developmental disabilities (IDD) under Transforming Care. Study methodology is easily replicable to build broader picture about “case-complexity” among UK’s IDD population. (Edited publisher abstract)
Social climate and aggression in IDD services
- Authors:
- ROBINSON Joanne Emma, CRAIG Leam A.
- Journal article citation:
- Journal of Intellectual Disabilities and Offending Behaviour, 10(1), 2019, pp.8-18.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to adapt a social climate measure for use within a forensic intellectual and developmental disabilities (IDD) service and examine perceptions of social climate and the links with patient aggression across three levels of security. Design/methodology/approach: Four staff participated in a focus group to discuss how the Essen Climate Evaluation Schema (EssenCES) could be adapted for IDD patients. Subsequently, a pilot study with three patients highlighted some difficulties in administering the adapted measure. Alterations in the administration of the measure were implemented with a further ten patients residing across three levels of security. The EssenCES was adapted to include more visual prompts to assist in the patients’ completion of the measure. The frequency of aggressive incidents in each of the three settings was also collated. Findings: Statistical analysis revealed a non-significant trend where positive social climate ratings increased as the security level decreased. There was a significant difference in the frequency of aggressive incidents across the three levels of security; however, there were no significant relationships found between the questionnaire ratings and the frequency of incidents. Research limitations/implications: The results lacked statistical power due to the low number of participants. Further studies with adapted social climate measures need to be conducted to assess the implications of social climate on individuals with IDD in secure forensic services. Originality/value: The study adapted and piloted a social climate measure for individuals in a forensic IDD service. (Edited publisher abstract)