Search results for ‘Subject term:"learning disabilities"’ Sort:
Results 1 - 10 of 10
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.
The Health Equalities Framework: embedding good practice: report from two workshops to support implementation
- Author:
- NATIONAL DEVELOPMENT TEAM FOR INCLUSION
- Publisher:
- National Development Team for Inclusion
- Publication year:
- 2014
- Pagination:
- 11
- Place of publication:
- Bath
Summarises the findings from two workshops for organisations and family carers who are using the Health Equalities Framework (HEF). The report examines how the HEF is being implemented, sets out the lessons learnt, and outlines current initiatives and potential developments. (Edited publisher abstract)
Stakeholders' views on measuring outcomes for people with learning disabilities
- Authors:
- YOUNG Anita F., CHESSON Rosemary A.
- Journal article citation:
- Health and Social Care in the Community, 14(1), January 2006, pp.17-25.
- Publisher:
- Wiley
This study aimed to discover views of managers and commissioners of services for people with learning disabilities in Scotland regarding (a) current approaches to service evaluation (as an indication of what is to be measured) and (b) healthcare outcome measurement. A postal questionnaire was used to survey 94 stakeholders from the NHS, Local Authorities, and non-statutory organisations across Scotland. Respondents' views were sought on current approaches to service evaluation within learning disabilities; outcome measurement; appropriateness of specified methods of measuring health outcomes; desired future methods of outcome measurement within learning disabilities; and service user involvement in care. A 77% (73/94) response rate to the questionnaire was achieved. Different methods of service evaluation were used by different stakeholders. Staff appraisal was the most frequently identified method (used by 85% of respondents). Specific outcome measures were used by 32% of respondents although there were differences of opinion as to what constitutes specific outcome measures. Overall there was strong support for goal-setting and reviewing (83%) and individualised outcome measures (75%) as appropriate methods for use with people with learning disabilities. The hypothetical question asking what outcome measures should be introduced for this client group had by far the lowest response rate (51/73). The overwhelming majority of all respondents, 68 (92%), reported user involvement in their service. Staff ambivalence to outcome measurement was evident in the research and respondents highlighted the complexity and multidimensional nature of outcomes for this service user group. Managers recognised that outcome measurement was expected but were uncertain how to go about it.
Treatment outcomes from forensic intellectual disability services: the perspectives of patients and their family/carers
- Authors:
- CHESTER Verity, GEACH Nicole, MORRISSEY Catrin
- Journal article citation:
- Journal of Intellectual Disabilities, 23(4), 2019, p.473–485.
- Publisher:
- Sage
- Place of publication:
- London
Introduction: Research investigating the treatment outcomes of forensic intellectual and developmental disability (FIDD) services has largely focused on the perspectives of clinicians and researchers. This study sought the perspectives of patients and family/carers on the outcomes important to them. Methods: Semi-structured consultation groups were conducted with patients in FIDD services (n = 21) and family carers (n = 6). Interview data were content analysed, and outcomes identified fell into three main domains (effectiveness, safety and patient experience). Results: The consultations identified outcome domains not considered in the published literature. Patients and carers also had differential perspectives on treatment outcomes commonly reported within literature. Illustrative quotes are used to evidence the domains. Discussion: This study is the first to investigate the outcomes of relevance to patients and their families. These views have been incorporated into an outcomes framework which will form the foundation of future prospective outcome studies. (Publisher abstract)
Case study illustrations of a psychological treatment pathway in a secure intellectual disability service
- Authors:
- HICKMAN Gareth, THRIFT Su, TAYLOR Chenelle
- Journal article citation:
- Journal of Intellectual Disabilities and Offending Behaviour, 9(2), 2018, pp.102-114.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to describe in detail the treatment pathway utilised in a male medium and low secure intellectual disability (ID) service. Over the preceding five years, service users have followed the outlined treatment pathway. The current paper offers case study material to illustrate the care pathway. Design/methodology/approach: The treatment pathway is described and two case examples are provided, illustrating participation in the pathway. Evaluative data are provided on length of hospitalisation, direction of pathway at discharge and risk reduction as assessed by the HCR-20, SVR-20 and HONOS Secure measures. Findings: The case examples provided document the assessment and treatment of two male offenders with ID, outlining their treatment pathways, subsequent reductions in assessed risk and their successful community discharge. Originality/value: A comprehensive treatment pathway is outlined together with the theoretical rationale, with illustrative case examples. (Edited publisher abstract)
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)
Transforming learning disability services in Wales
- Author:
- SOCIAL SERVICES IMPROVEMENT AGENCY
- Publisher:
- Social Services Improvement Agency
- Publication year:
- 2014
- Pagination:
- 32
- Place of publication:
- Cardiff
This report provides information on the Social Services Improvement Agency's Transforming learning disability services in Wales programme, the Opportunity Assessment model used in the programme, and the implications for the future of Learning Disability services in Wales. The programme was developed to help councils and their partner agencies to assess current learning disability provision and practice across Wales and identify a sustainable service model for the future. The 'Opportunity Assessment' approach which formed the basis of the programme involved a three-pronged approach to assessing provision based on: existing service data; commissioning and delivering strategies; and current practice using case files and engagement with practitioners. The report provides details of progress and outcomes of the programme and discusses the use of the "Progression" model which represents different levels of independence and dependence, and can be used for care and support planning. Examples of existing effective practice are also included. Recommendations include that the "Progression Model" should be adopted as the future model for learning disability services throughout Wales and that future work on the planning, commissioning and delivery of learning disability services in Wales should take an integrated approach across the NHS and local government. The report also notes that some of the local authorities and Health Boards who participated in the programme are beginning to see significant reductions in expenditure and positive results for people with a learning disability. (Edited publisher abstract)
Making a difference? Ten years of managing people with intellectual disability and forensic needs in the community
- Authors:
- DE VILLIERS Jana, DOYLE Michael
- Journal article citation:
- Journal of Intellectual Disabilities and Offending Behaviour, 6(3/4), 2015, pp.165-174.
- Publisher:
- Emerald
Purpose: Nationally community services for patients with intellectual disability and forensic needs are limited, and research to guide service development for this patient group with highly complex needs is sparse. The purpose of this paper is to provide an overview of referrals to and case management by the multi-agency Fife Forensic Learning Disability Service (FFLDS), including demographic data, treatment, risk assessments and outcomes. Design/methodology/approach: All referrals received between 2004 and 2014 were reviewed to identify key demographic factors and to clarify the outcome of the referrals. Risks levels and presence of factors related to ongoing risk management were identified. For those accepted, final outcomes were noted. Findings: In total, 145 referrals were received by FFLDS between 1 January 2004 and 31 December 2014. Of these 117 were accepted for ongoing case management. In total 106 patients were discharged from FFLDS over the review period, with the vast majority remaining in community settings. Patients were overwhelmingly male, with an age range of 16-79 (mean age of 30). Approximately half of referrals were from criminal justice agencies, and sexual and violent offences predominated. Alcohol and/or illicit substance use was problematic in 49 per cent of patients. Research limitations/implications: FFLDS needs to consider building links with Drug and Alcohol Services, for assistance in developing expertise in managing problematic alcohol and/or illicit substance use. Links with professionals working with female offenders may increase the rate of referral of female patients. Originality/value: Policy and legal frameworks emphasise the need to manage people with learning disabilities and forensic needs in the least restrictive environment possible. This paper provides information on a cohort of forensic patients over a ten-year period, including characteristics and outcomes, to inform the evaluation of these frameworks and the planning of both community and in-patient services for this patient group. (Publisher abstract)
The Health Equalities Framework (HEF): an outcomes framework based on the determinants of health inequalities
- Author:
- ATKINSON Dave
- Publishers:
- National Development Team for Inclusion, Improving Health and Lives: Learning Disabilities Observatory
- Publication year:
- 2013
- Pagination:
- 125
- Place of publication:
- Bath
Provides a way for all specialist learning disability services to agree and measure outcomes with people with learning disabilities. The framework recognise five discernible determinants of the health inequalities commonly experienced by people with learning disabilities: social determinants, genetic and biological determinants, communication difficulties and reduced health literacy, personal health behaviour and lifestyle risks, deficiencies in access to and quality of health provision. Against each determinants the framework identifies and describes a set of indicators and assesses their impact. The document also includes: a commissioning guide, which places the HEF within the national commissioning context, and sets out other evidence and information sources that can be used to measure the impact of local services; a framework for identifying evidence based commissioning intentions and service priorities, to help commissioners summarise evidence of health inequalities locally, priorities for action, plans to reduce health inequalities, and evidence of change; the eHEF user manual, a Microsoft Excel-based tool that has been designed to support the framework; the Health Equalities Framework – a guide for family carers, which provides guidance for families who may wish to use the HEF independently of service providers/commissioners; and the HEF – an accessible guide for people with learning disabilities, who may wish to use the HEF to review their own situation. (Edited publisher abstract)
Commissioning services for people with a learning disability: good practice guidance
- Authors:
- NATIONAL COMMISSIONING BOARD, OXFORD BROOKES UNIVERSITY. Institute of Public Care
- Publisher:
- Oxford Brookes University. Institute of Public Care
- Publication year:
- 2017
- Pagination:
- 46
- Place of publication:
- Oxford
Good practice guidance developed to help Regional Partnership Boards in Wales to develop their own approaches to the integrated commissioning of services for people with a learning disability. The guidance will help commissioners to follow the principles in the Social Services and Well-being (Wales) Act 2014, in terms of helping individuals to lead an ordinary life with dignity, and co-producing appropriate solutions to help individuals to achieve the outcomes important to them. The guidance looks at the role of the strategic commissioner, how they can lead cultural change and how to commission ‘good lives’ through co-production approaches. It also explains how taking a whole systems, lifespan approach to positive behaviour support can reduce placement breakdown and prevent hospital admission. The guidance has been developed by the National Commissioning Board in partnership with the Institute for Public Care. (Edited publisher abstract)