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Clouded judgement
- Author:
- McMILLAN Ian A.
- Journal article citation:
- Learning Disability Today, 9(7), October 2009, pp.14-16.
- Publisher:
- Pavilion
- Place of publication:
- Hove
This article considers the debate around how far staff should go when it comes to encouraging clients to stop smoking. The government is increasingly funding national smoking awareness campaigns, and banning smoking in many public places, and while many members of the public have stopped smoking, there has been little change with those with mental health problems, with about 40% continuing to smoke, compared to the national average of 25%. As for people with learning disabilities, a recent study showed that only 1.9% smoked, and, considering many of those had lived in institutions all their lives, must have been introduced to smoking by staff, where 27% have been shown to smoke. The author suggests the social nature of smoking may perhaps explain why some people with learning disabilities smoke.
Service user views of long-term individual psychodynamic psychotherapy
- Authors:
- MERRIMAN Charlotte, BEAIL Nigel
- Journal article citation:
- Advances in Mental Health and Learning Disabilities, 3(2), June 2009, pp.42-47.
- Publisher:
- Emerald
Long-term psychodynamic psychotherapy is a costly service to provide, but many clinicians believe it is of benefit for people who have learning disabilities and psychological problems. There is also now some evidence for its effectiveness. However, the views of recipients is unknown. In this study, recipients of more than two years of psychodynamic psychotherapy were interviewed about their experiences and views. Themes emerged about the referral process, the experience and the outcome. Areas of strength were identified, as well as areas for improvement. The findings concur with previous findings on group therapy and help inform current and future provision of long-term psychodynamic psychotherapy.
Mental health services for people with a learning disability
- Author:
- CUMELLA Stuart
- Journal article citation:
- Advances in Mental Health and Learning Disabilities, 3(2), June 2009, pp.8-14.
- Publisher:
- Emerald
Many parts of the world are developing specialist mental health services for people with a learning disability. Government policy in England appears to favour a move in the opposite direction. The general aims of mental health services for people with a learning disability are indeed similar to those of the rest of the population, but distinctive clinical skills are required to assess, treat and support effectively people with a learning disability who have mental health and/or behavioural problems. It is argued that there is therefore a need for specialist services to meet the needs of this population, which should include acute admission facilities, outreach services in the community and long-term support.
A short history of psychodynamic psychotherapy for people with learning disabilities
- Author:
- O’DRISCOLL David
- Journal article citation:
- Advances in Mental Health and Learning Disabilities, 3(4), December 2009, pp.4-9.
- Publisher:
- Emerald
Since the 1980’s, individual psychodynamic psychotherapy for people with learning disabilities has been more readily available. Though numerous case studies and reports of effectiveness have been published, little is known about the history of psychodynamic psychotherapy. This paper, a historical account of this valuable treatment, discusses some of the clinicians’ case reports, views and conclusions. Examining the reasons why this treatment initially failed to be developed, ranging from widespread therapeutic pessimism to inability in the therapist to process the ‘disability transference’, this paper outlines the various British contributions before and after the ground-breaking work of Valerie Sinason, whose 1992 book is still the most he most influential contribution. First looking at the ‘early ideas and practice’ of treatments destined to become psychodynamic psychotherapy, the author goes on to look at the ‘growing confidence’ within the community, the ‘breakthrough at Tavistock’, and examines the ‘sources of resistance’ which still persist.
Psychosocial factors affecting adults with intellectual disabilities with psychiatric disorders in Cali, Colombia
- Authors:
- VERDUGO Miguel Angel, et al
- Journal article citation:
- Journal of Policy and Practice in Intellectual Disabilities, 6(3), September 2009, pp.173-179.
- Publisher:
- Wiley
The objective of this study was to describe the psychosocial factors associated with the comorbidity between intellectual disability (ID) and psychiatric disorder of adults in the city of Cali, Colombia. Subjects were 50 dyads consisting of a carer and a person with ID. The Caregivers Questionnaire and the Integral Quality of Life Scale were adapted for use in the study. The analysis of information was based on three factors: person, family, and society. In the case of the personal factor, an adequate level of physical well-being and a good level of self-care were found in more than 60% of the adults with dual diagnosis, good adherence to treatment in 82%, and medium satisfaction in the individual-context relationship in 54%. With regard to the family factor, a high level of satisfaction of needs (84%) was found. Good family functioning was observed in 86%, while family participation in rehabilitation was reported to be between moderate and deficient in 60% of the cases. With respect to the social factor, cases of support between moderate and deficient were found in 68%, and a regular inclusion was observed in 48%. The authors conclude that the family functioning aspect appeared as the major protective factor, while the inclusion and social support were shown as the main risk factors.
'How to' guide: how to support young people with learning disabilities and mental health issues
- Author:
- DAVIES Jill
- Publisher:
- National Transition Support Team
- Publication year:
- 2009
- Pagination:
- 14p., bibliog.
- Place of publication:
- London
This is a guide aimed at strategic managers and other professionals who come into contact with children and young people with learning disabilities. The guide describes common mental health issues experienced, the key issues and barriers to support for this group, current policy and legislation, and practical ideas in providing support. The guide is supported with four short case studies. A listing of useful websites and resources are included.
Lord Bradley's report on people with mental health problems or learning disabilities in the criminal justice system: the government's response
- Author:
- GREAT BRITAIN. Ministry of Justice
- Publisher:
- Great Britain. Ministry of Justice
- Publication year:
- 2009
- Pagination:
- 29p.
- Place of publication:
- London
This response begins with a long introduction detailing the matters considered. A grid gives Bradley's recommendations, their status (accepted, accepted in principle or under review) and proposed action.
Green light for mental health in Hampshire
- Authors:
- EASTWOOD J., et al
- Journal article citation:
- Advances in Mental Health and Learning Disabilities, 3(2), June 2009, pp.3-7.
- Publisher:
- Emerald
Green Light was developed to enable service providers to implement the National Service Framework for Mental Health (NSF MH), and asks how good your mental health services are for people with a learning disability. A multi-agency user and carer project in Hampshire has evaluated and improved the quality of existing service provision for adults with learning disabilities who also have a mental health problem.
It's our mental health!
- Authors:
- TUESDAY GROUP, BEAT THE BLUES GROUP
- Journal article citation:
- Advances in Mental Health and Learning Disabilities, 3(2), June 2009, pp.40-41.
- Publisher:
- Emerald
Two mental health groups for people with learning disabilities, 'Beat the Blues' and 'The Tuesday Group', describe their work. The groups provide key points about what staff should be good at and what staff should know.
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.