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The therapeutic relationship in psychological therapy for individuals with learning disabilities: a review of existing literature
- Authors:
- JONES Rachel Ann, DONATI Mark
- Journal article citation:
- Advances in Mental Health and Learning Disabilities, 3(1), March 2009, pp.47-51.
- Publisher:
- Emerald
It has been suggested that over the last decade interest in and delivery of psychological therapy for people with learning disabilities have increased (Beail et al, 2005). While the literature continues to highlight the need for further evidence of its effectiveness (Willner, 2005) there is a general ‘swell of opinion’ that psychological therapy for individuals with learning disabilities is helpful (Mason, 2007). A component of psychological therapy that is generally considered to be universally important is the quality of the relationship between therapist and client (Clarkson, 2003). However, in the relatively new field of psychological therapies for people with learning disabilities, there remains a poor empirical and theoretical understanding of the role and potential complexities of the therapeutic relationship. The paper explores some of the existing literature in this field. It highlights the limited empirical evidence before exploring some of the common themes outlined so far in the clinical literature. The paper concludes with some suggestions for future research in this area.
Home enteral tube feeding for adults with a learning disability
- Authors:
- FAIRCLOUGH J., et al
- Publisher:
- British Dietetic Association
- Publication year:
- 2008
- Pagination:
- 66p., bibliog.
- Place of publication:
- Birmingham
This guidance is formulated as a 'consensus statement' intended to inform and support dieticians who care for adults with learning disabilities but who might lack specialist learning within this area. It is based on the results of a systematic review of literature on this topic and the views of a service users advisory group set up for this project. The guidance covers decision making and the role of consent, meeting the client's needs and relevant training and educational requirements. Where necessary it makes reference to government policy and professional regulations of which dieticians should be aware.
Should social care staff be Facebook friends with the people they support?
- Authors:
- BATES Peter, SMITH Sam, NISBET Robert
- Journal article citation:
- Journal of Adult Protection, 17(2), 2015, pp.88-98.
- Publisher:
- Emerald
Purpose: Local policies often prohibit care staff from online contact with the people they support. The purpose of this paper is to review the reasons put forward for this ban and seek explanations. Design/methodology/approach: The paper examines relevant literature on the use of social networking by disabled and nondisabled people. This paper offers a critique of common policies and justifications and poses a challenge to those who impose such regulations. Findings: The paper finds no support for current policies. Research limitations/implications: The authors found only a limited amount of research in this area, and research findings were not commonly utilised by policy makers. Practical implications: Policy makers and regulators need to take a more rigorous and person-centred approach to rule making in respect of social media. Social implications: A widespread ban on the use of social media in communications between staff and the people they support is exposed as paternalistic and exacerbating infantilisation and exclusion rather than seeing disabled people as digital citizens. Regulators and those with responsibilities for safeguarding need to adopt a more empowering and person-centred approach. Originality/value: This paper will only make a difference if regulators and those with responsibilities for safeguarding adopt a more empowering and person-centred approach rather than the fear-based blanket prohibitions that have applied to date. (Publisher abstract)
‘I hope he goes first’: exploring determinants of engagement in future planning for adults with a learning disability living with ageing parents. What are the issues?
- Author:
- BIBBY Rita
- Journal article citation:
- British Journal of Learning Disabilities, 41(2), 2013, pp.94-105.
- Publisher:
- Wiley
The key findings from a literature review on future planning for adults with a learning disability who live with older parents and carers are presented. It is suggested that the presence of a plan for the future, formulated at a time of stability and in advance of any crisis, may lead to improved outcomes for this next phase of life. However, the take-up rate for future planning remains poor. This literature review seeks to offer an explanation for this through identifying the barriers to future planning as experienced by people with a learning disability and their older carers. The evidence suggests that there are ten key barriers to engagement in future planning. Consideration is given to each of these in turn, and a common thread is identified, that of the quality of the relationships between the families and the professionals who they come into contact with. Gaps in the research are considered, and the need for further work identified to reflect the views of black and minority ethnic families and so-called hidden families who are not known to statutory services. Also highlighted is the lack of participation in the research of those people with more severe disabilities who use alternative methods of communication. (Edited publisher abstract)
Keeping it in the family? People with learning disabilities and families employing their own care and support workers. Findings from a scoping review of the literature
- Authors:
- MANTHORPE Jill, MORIARTY Jo, CORNES Michelle
- Journal article citation:
- Journal of Intellectual Disabilities, 15(3), September 2011, pp.195-207.
- Publisher:
- Sage
- Place of publication:
- London
The use of consumer-directed support in England is increasing through the use of personal budgets and direct payments. This article draws on the findings of a scoping review of the literature conducted in 2010 on employment relationships between adults with disabilities and the care or support workers they employ using public or private funds. This article focuses on the findings of the earlier review with regard to the people with learning disabilities and their family carers who employ care or support workers. The review identified a small number of studies that involved people with learning disabilities as respondents, although more relied on family carers as proxy respondents. The findings from these studies covered: recruitment and administration; employment of family members; training needs; the nature and content of employment relationships; and ending employment. The article observes that there is little information on the management and negotiations of employment relationships, particularly when family members step into paid roles. Messages from the review are provided for family carers, for people with learning disabilities and for care and support workers.