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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.
Guidance for commissioners of mental health services for people with learning disabilities
- Author:
- JOINT COMMISSIONING PANEL FOR MENTAL HEALTH
- Publisher:
- Joint Commissioning Panel for Mental Health
- Publication year:
- 2013
- Pagination:
- 24
- Place of publication:
- London
The Joint Commissioning Panel for Mental Health (JCP-MH) is a new collaboration co-chaired by the Royal College of General Practitioners and the Royal College of Psychiatrists, which brings together leading organisations and individuals with an interest in commissioning for mental health and learning disabilities. This guide is about the commissioning of mental health services for people with learning disabilities, enabling them to live full and rewarding lives as part of their local communities. It is aimed at all commissioners responsible for mental health services for people with learning disabilities, including young people in transition to adulthood; it will also be helpful for providers of mental health services and for family carers. The guide describes what we know about mental health services for adults with learning disabilities, and what effective and accessible services look like based on current policy, the law and best practice. While it does make reference to autistic spectrum disorders and ‘behaviours that challenge’ (which people with learning disabilities who have mental health problems may also experience), the primary focus is on people with learning disabilities who have mental health problems. (Edited publisher abstract)
Referral patterns to a mental health of intellectual disability team
- Authors:
- AJAZ Ali, EYEOYIBO Mo
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 5(3), 2011, pp.24-29.
- Publisher:
- Emerald
Noting that people with an intellectual disability are at an increased risk of developing mental illness, this study examined the patterns of referral to a mental health team for adults with an intellectual disability to identify areas for improvement of service provision. It used data from the mental health of intellectual disability team in Dartford, Kent, which was formed in 2008 and comprises doctors, psychologists and specialist community intellectual disability nurses. All new referrals over a 12 month period from June 2008 were examined. The article describes the study methods and results, including source of referrals, eligible cases, referral outcomes and time taken for assessments to occur. 50 patients were referred in total, with the primary source being GPs (58%). Referrals were considered by the clinical team and 40% of all referrals were deemed to be inappropriate. The reason for referral was mainly concerns about mental health (56%) and challenging behaviour (28%). The majority of appropriate referrals were assessed within a 2 to 4 week period. The authors conclude that the findings identify areas of focus for closer liaison with colleagues to improve the quality of referrals and reduce the demands placed on the service.
Development of services for people with learning disabilities or mental illness in England
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2010
- Pagination:
- 13p.
- Place of publication:
- London
This is the 14th report on the development of services for people with learning disabilities or mental illness in England, and highlights developments since 2003. It covers legislation, including the Mental Health Act 2007, secure services, access to psychological therapies, personality disorder, stigma and discrimination, inequalities, services for asylum seekers and refugees, the Care Programme Approach, suicide prevention, the workforce, funding, learning disabilities, and the Valuing Employment Now strategy.
Working with an interpreter: toolkit: improving communication for people who use mental health and learning disability services in Scotland
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2006
- Pagination:
- 42p.
- Place of publication:
- Edinburgh
Practical advice and guidance is provided for people who need to use, or who provide, interpreting or translation services in a mental health setting, such as a meeting with a psychiatric nurse in hospital or in someone’s home. The first section is aimed at mental health practitioner or interviewers, and comprises: detailed guidance and information for every stage of working with an interpreter; and a checklist designed to help achieve the most out of working with an interpreter and to guide if things go wrong. The second section is aimed at users of mental health and learning disability services and advises: how to use a professional interpreter; rights before, during and after an interview with an interpreter; and how to complain. The final part is aimed at interpreters and highlights: ethical issues that need to be considered; and practical advice and guidance for interpreting during an interview.
Inter-relationships between hearing impairment, learning disability services and mental health: are learning disability services 'deaf' to hearing impairments?
- Authors:
- MILLER Helen, KIANI Reza
- Journal article citation:
- Advances in Mental Health and Learning Disabilities, 2(2), June 2008, pp.25-30.
- Publisher:
- Emerald
This article aims to provide practical guidance on assessment and management of hearing impairment in people with learning disabilities by offering a narrative review of available literature on gaps in service delivery.
Investigating staff knowledge and attitudes towards working with adults with learning disabilities and mental health problems
- Authors:
- ROSE Nikki, O'BRIEN Alex, ROSE John
- Journal article citation:
- Advances in Mental Health and Learning Disabilities, 1(3), September 2007, pp.52-59.
- Publisher:
- Emerald
Government policy in the UK suggests a shift in service provision so that the treatment of people with a learning disability who have mental health problems should be undertaken by mainstream mental health services rather than specialist learning disability services. Staff members from both specialist and mainstream services took part in a series of focus groups to discuss their experiences and attitudes about working with this group of people. Findings form the study suggest that staff with mainstream services currently feel that they are inadequately trained to deal with the often complex mental health needs of this group. Conversely, staff in learning disability services expressed concern about loosing their specialist skills in generic services. The implications of the themes are raised are discussed, particularly in relation to future service provision.
Service provision for people with learning disabilities and psychiatric disorders in Northern Ireland
- Author:
- TAGGART Laurence
- Journal article citation:
- Advances in Mental Health and Learning Disabilities, 1(1), March 2007, pp.18-21.
- Publisher:
- Emerald
This article provides an overview of service provision for people with learning disabilities and psychiatric disorders in Northern Ireland. The first part of the article briefly describes how learning disability services are structured, and highlights how service provision across Northern Ireland is set to dramatically change as a result of Equal Lives (Department of Health, Social Services and Public Safety, 2005) and overall healthcare modernisation. Secondly, the article explores the prevalence rates of psychiatric disorders in people with learning disabilities in light of recent Northern Irish studies. Third, a review of current psychiatric service provision is provided, this is followed by an examination of recent hospital and community developments. Finally, the article describes some educational and research developments that have focused on the mental health of people with learning disabilities.
The extension of a set of needs-led mental health clusters to accommodate people accessing UK intellectual disability health services
- Authors:
- PAINTER Jon, et al
- Journal article citation:
- Journal of Mental Health, 27(2), 2018, pp.103-111.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Background: A development of a needs-led mental health classification system based on the Health of the National Outcome Scales (HoNOS) has previously been developed. Aims: To extend the needs-based mental health (MH) clusters to accommodate the additional needs of people accessing UK intellectual disabilities health services. Method: Hierarchical cluster analysis was performed on assessment data from 18 National Health Service (NHS) provider organisations. The statistical results were clinically shaped through multi-disciplinary workshops. The resulting clusters were combined with six independently rated measures for a second data collection exercise. Based on these data, refinements were made before performing internal and external validity checks.Results: Eight additional clusters for people with health needs associated with their intellectual disabilities were produced. Three described primarily physical health (PH) needs, four described needs arising from behaviours which challenged (with/without autism) whilst one described people with generally low needs. Together, these covered 83.4% of cases with only a 10% overlap. The clusters were replicable and had clinical utility and validity. Conclusions: It was possible to extend the needs-led mental health classification system to capture the additional needs of people accessing UK intellectual disability services. (Edited publisher abstract)
Gender issues for people with intellectual disabilities and mental health problems: asking what service users and staff think
- Author:
- KROESE Biza Stenfert
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 7(4), 2013, pp.181-190.
- Publisher:
- Emerald
The current qualitative study aims to investigate service users’, support staff's and community team members’ views of gender differences in cause and presentation of mental health problems, whether current services respond differently to men and women with mental health problems and areas in which services can become more gender sensitive. Two focus groups were conducted with service users with intellectual disabilities and mental health problems in addition to two focus groups with a variety of staff. Subsequently, individual interviews were conducted with both male and female staff members employed in residential and community intellectual disability services. The number of participants totalled 54 (16 service users and 38 staff). Thematic analysis was adopted in order to identify dominant themes in the discourse of these stakeholder groups. The analysis produced a number of themes which include: compliance versus challenge; vulnerability; expression of emotion; gender equality; same sex support; caring qualities; and boundaries. A number of suggestions for improving services are discussed in the context of the current findings. (Publisher abstract)