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Is concept-mapping an effective method of introducing complex interventions into intellectual disability services?
- Authors:
- SJOUKES L., HARTELOH M., EVENHUIS H.M.
- Journal article citation:
- Journal of Policy and Practice in Intellectual Disabilities, 3(2), June 2006, pp.133-135.
- Publisher:
- Wiley
As many adults with intellectual disability (ID) have an increased risk of low vision, ID service providers should play an active role in vision rehabilitation. However, low vision rehabilitation is a new and complex intervention for many providers in this field. To increase awareness of vision rehabilitation, it was proposed that the process of concept-mapping be tested to see whether it would lead to increased acceptance of vision rehabilitation. In this test, the use of concept-mapping appeared to be a satisfactory method for increasing awareness of professionals and middle managers of the complexity of vision rehabilitation, but it was found that it can only be useful for change if connected to a strategic decision by top management and the adoption of an action plan by the service provider.
Rehabilitation of low vision in adults with intellectual disabilities: the influence of staff
- Authors:
- SJOUKES Liesbeth, et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 23(2), March 2010, pp.186-191.
- Publisher:
- Wiley
Research in the Netherlands has shown that the risk of visual impairment and blindness is ten times higher for adults with intellectual disabilities aged 18 and over than in the general population for adults aged 55 and over. This study explores to what extent carers act on treatment advice for low vision in intellectual disability services and how this relates to their familiarity with the advice. The authors followed 60 adults with a recent diagnosis of low vision during 12 months after their individual intervention advice. Questionnaire scores of carers’ familiarity with and appreciation of the advice and the quality of implementation were analysed. Familiarity with the advice was reasonable or good in 41 cases, appreciation was positive in 34 cases, and implementation was reasonable to complete in 20 cases. Familiarity, appreciation and implementation were not significantly related to severity of intellectual disability or severity of visual impairment, and implementation was positively correlated with familiarity but not with appreciation. The authors concluded that it is important to keep professional carers knowledgeable and informed to improve the quality of low vision rehabilitation.
Establishing a work-based learning programme: vocational rehabilitation in a forensic learning disability setting
- Authors:
- SMITH Andy, et al
- Journal article citation:
- British Journal of Occupational Therapy, 73(9), September 2010, pp.431-436.
- Publisher:
- Sage
This article presents a brief account of a work-based educational programme designed for patients within a forensic learning disability service, designed to promote employment within the community. A discussion is provided of the three partners involved and the working relationship between the hospital, the workplace and the further education college. As a vocational rehabilitation programme, it is important to consider the context of a work placement. The article provides a description of the current developments in the qualification structure at entry level and the progress of a pilot group. Views were sought from the patient group about their involvement in the programme and the advantages of collaborative work are stated, with the joint delivery by an occupational therapy student, a teacher and the nursing team. The authors suggest that this article could be expanded on, with the application of an assessment tool to provide a quantitative analysis of the impact of the programme. It is the intention that the descriptive elements of the paper will inform other practitioners and contribute to a model of good practice.