Search results for ‘Subject term:"learning disabilities"’ Sort:
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The relationship between challenging behaviour and mental ill-health in people with intellectual disabilities: a review of current theories and evidence
- Author:
- ALLEN David
- Journal article citation:
- Journal of Intellectual Disabilities, 12(4), December 2008, pp.267-294.
- Publisher:
- Sage
- Place of publication:
- London
Challenging behaviours and problems of mental ill-health are common amongst people with intellectual disabilities. The article examines conceptual similarities and differences between these conditions, examines the data on comorbidity, and explores possible hypothetical relationships between behavioural and psychiatric disorder in this population. While there is little evidence at present to suggest that many of the challenging behaviours seen in people with intellectual disabilities are underpinned by problems of mental ill-health, only qualified conclusions are possible because of limitations in the quality and scope of existing research. A conceptual model for looking at the risk variables that may contribute to both conditions is suggested, and requirements for future research and current multi-disciplinary practice are outlined.
The origin and nature of institutional models
- Author:
- WOLFENSBERGER Wolf
- Publisher:
- Human Policy Press
- Publication year:
- 1975
- Pagination:
- 88p., tables, illus., bibliog.
- Place of publication:
- New York
A reprint of a Wolfensberger monograph from 1968, which offers a critique of the institutional model and an explanation of the ideologies and assumptions which have led to and justified institutional care.
Psychological assessment with people with learning disabilities and mental ill-health
- Author:
- DAGNAN Dave
- Journal article citation:
- Advances in Mental Health and Learning Disabilities, 2(4), December 2008, pp.4-8.
- Publisher:
- Emerald
This paper considers the process of psychological assessment for people with learning disabilities and mental ill-health. The paper will describe a formulation-driven approach with reference to a social-cognitive model of mental ill-health in people with learning disabilities. This process is illustrated with a brief case study of an assessment within this model.
Specialist versus generic models of psychiatry training and service provision for people with intellectual disabilities
- Authors:
- JESS Gillian, et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 21(1), March 2008, pp.183-193.
- Publisher:
- Wiley
Models of service provision and professional training differ between countries. This study aims to investigate a specialist intellectual disabilities model and a generic mental health model, specifically comparing psychiatrists’ knowledge and competencies, and service quality and accessibility in meeting the mental health needs of people with intellectual disabilities. Data were collected from consultant and trainee psychiatrists within a specialist intellectual disabilities model (UK) and a generic mental health model (Australia). The sample sizes were 294 (UK) and 205 (Australia). Statistically significant differences were found, with UK participants having positive views about the specialist intellectual disabilities service model they worked within, demonstrating flexible and accessible working practices and service provision, responsive to the range of mental health needs of the population with intellectual disabilities, and providing a wide range of treatments and supports. The UK participants were knowledgeable, well trained and confident in their work. They wanted to work with people with intellectual disabilities. In all of these areas, the converse was found from the Australian generic mental health service model. The specialist intellectual disabilities model of service provision and training has advantages over the generic mental health model.
Services for people with learning disabilities
- Author:
- LINDSEY Mary
- Journal article citation:
- Mental Health Review, 5(2), June 2000, pp.5-14.
- Publisher:
- Pier Professional
Looks at the services available for people with learning difficulties and mental health problems, and argues that generic services are often insufficient.
Reliability and validity of the CANDID: a needs assessment instrument for adults with learning disabilities and mental health problems
- Authors:
- XENITIDIS K., et al
- Journal article citation:
- British Journal of Psychiatry, 176, May 2000, pp.473-478.
- Publisher:
- Cambridge University Press
Although people with learning disabilities are more likely to develop mental health problems than their non-disabled counterparts, there is no widely accepted instrument for measuring needs in this group. This study aimed to develop the Camberwell Assessment of Need for Adults with Developmental and Intellectual Disabilities (CANDID) and investigate its validity and reliability.
Griffiths 'gets going'
- Author:
- HEGINBOTHAM C.
- Journal article citation:
- Social Services Insight, 21.3.89, 1989, p.17.
- Publisher:
- Reed Business Publishing
The NHS Review's proposals for acute hospitals moving to NHS Trust status could well be a model for services for the elderly, mentally ill and mentally handicapped in keeping with the Griffiths Report.
Supported decision making: experiences, approaches and preferences
- Authors:
- DAVIDSON Gavin, et al
- Publishers:
- Praxis Care, Mencap, Queens University Belfast
- Publication year:
- 2018
- Pagination:
- 72
- Place of publication:
- Belfast
This report presents the findings from research which explores how people are supported to make their own decisions. The report includes the results of a review of literature on supported decision making, including different approaches; a review of key guidance; and findings from interviews with 41 people with mental health problems and/ or intellectual disabilities carried out by peer researchers. The interviews provided an in-depth understanding of people’s experiences of support for decision making and their ideas on how decision making should be supported in the future. The research was funded by the Disability Research on Independent Living and Learning (DRILL) programme and was led by Praxis Care in partnership with Mencap NI and Queen’s University Belfast. The findings identified three things that participants felt make decision making harder: the type of decision; the role of other people; and what the outcome might be. Time was also identified as an important factor. In terms of support, people said they would like: practical support including more accessible information; emotional support including someone to talk to; and sometimes the options to choose from. The report makes a number of recommendations for how support for decision making should be provided but also specifically for how these findings might help to inform how the new support principle in the Mental Capacity Act (Northern Ireland) 2016 should be implemented in practice. (Edited publisher abstract)
Psychiatry and intellectual disabilities: navigating complexity and context
- Authors:
- JONES Jo, JEENKERI Kiran, CUTAJAR Peter
- Journal article citation:
- Journal of Mental Health Training Education and Practice, 12(4), 2017, pp.224-236.
- Publisher:
- Emerald
Purpose: The paper is a review, for the general adult mental health practitioner, of the issues to consider when managing a mental health presentation of a person with intellectual disability (PWID). The paper aims to discuss these issues. Design/methodology/approach: A neurodevelopmental model is outlined to assist practitioners in unravelling the wide range of potential factors relevant to intellectual disabilities (IDs). This includes an emphasis on complexity and interdisciplinary formulation within an individual’s context, and implications of the current policy changes. Findings: In practice, managing the mental health of PWID can be challenging within usual mainstream services; there is more to consider than is usual for the general population. Originality/value: The paper provides general mental health practitioners with a framework for a greater depth of understanding of the issues involved in the management of people with intellectual disability (ID). This includes discussion of the current policy context in ID, and some of its limitations. (Publisher abstract)
The cost effectiveness of employment support for people with disabilities: final detailed research report
- Authors:
- GREIG Rob, et al
- Publisher:
- National Development Team for Inclusion
- Publication year:
- 2014
- Pagination:
- 121
- Place of publication:
- Bath
The final report from a two year study on employment support for people with mental health problems or learning disabilities. The study focused on three areas: the cost effectiveness or value for money of current models of employment support, whether outcomes varied for different models used, and if outcomes were affected by approaches of commissioners to implementing local employment strategies. The report summarises the findings of a scoping review, findings from national and local data collection on the quality and effectiveness of employment support, and findings from in-depth field work visits to 11 sites to see local commissioners implemented employment strategies. Five Theories of Change identified from the field visits are discussed: shifting culture, employment outcomes, strategic direction, developing the market and performance management. They were seen as aspects that needed to be in place to delivery cost effective outcomes. (Edited publisher abstract)