Search results for ‘Subject term:"learning disabilities"’ Sort:
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State of healthcare 2006
- Author:
- COMMISSION FOR HEALTHCARE AUDIT AND INSPECTION
- Publisher:
- Commission for Healthcare Audit and Inspection
- Publication year:
- 2006
- Place of publication:
- London
The report makes clear that healthcare is improving and that most patients are positive, but there remains challenges. It presses for more attention on services for people least able to look after themselves, including those with learning disabilities and mental health conditions. And more should be done to "put patients first" by ensuring that people are treated with dignity and respect and get better information about their care. For the first time, the report includes a view of performance in meeting the minimum standards for the independent sector in England.
Psychiatric in-patients away from home: accounts by people with intellectual disabilities in specialist hospitals outside their home localities
- Authors:
- CHINN Deborah, et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 24(1), January 2011, pp.50-60.
- Publisher:
- Wiley
This study gathered the views of service users placed in out-of-area facilities about their experiences of the care provided. Seventeen service users living in out of area in-patient psychiatric units were interviewed as part of a service user consultation process. The questions addressed safety and security, food, facilities, day time activities, education, opportunities for socialization, clinical, cultural and religious needs, carer involvement and access to information. Service users were also asked where they would prefer to live if they were to leave the hospital. Findings revealed limited opportunities for engagement in therapeutic or educational experiences, for building supportive relationships with staff or other residents, for developing religious and cultural identities or for enhancing family relationships. In conclusion, commissioners and managers of community intellectual disability services should bear in mind the perspective of service users, especially those with specific ethnic backgrounds, with complex mental health needs, and consider the drawbacks in placing individuals out of area facilities.
New research into general psychiatric services for adults with intellectual disability and mental illness
- Author:
- CHAPLIN R.
- Journal article citation:
- Journal of Intellectual Disability Research, 53(3), March 2009, pp.189-199.
- Publisher:
- Wiley
There has been a long-running debate as to whether this should be provided by general psychiatric or specialised intellectual disability (ID) services. A previous review concluded that there was no clear evidence to support either model with research being often of a poor quality, lacking replication, and outcome measures were often inappropriate or varied between studies. This review aims assess differences in outcome for adults with ID and mental disorders treated in general or specialised ID mental health services. A literature review was conducted using electronic databases and websites of ID and mental health organisations to locate all references where people with ID receive mental health care in general psychiatric services from 2003. People with ID (especially severe ID) have reduced access to general psychiatric services. General psychiatric inpatient care is unpopular especially with carers but can be improved by providing specially trained staff and in-reach from community ID teams. Opportunities may exist to enhance the care of people with borderline intellectual functioning within general psychiatric services. Although no new randomised controlled trials have been published, the weight of research is accumulating to suggest that provision of general psychiatric services without extra help is not sufficient to meet the needs of people with ID.
Use of an in-patient psychiatric service by learning disabled children
- Authors:
- HOPPER Felicity, ROSE Gillian
- Journal article citation:
- British Journal of Learning Disabilities, 32(3), September 2004, pp.119-122..
- Publisher:
- Wiley
Despite recent political commitment to increasing access to all levels of health service provision for learning disabled people, there is still limited access to in-patient child psychiatric care for learning disabled children. Describes the experiences of an in-patient unit integrating learning disabled children into a peer group, the majority of whom have normal intellectual function. A case note review was undertaken of all children with a global learning disability admitted to the Collingham Gardens in-patient unit between January 2000 and December 2001. Discusses how similar services may be developed to be more inclusive for learning disabled children.
Guidelines for mental health and learning disabilities nursing: a guide to working with vulnerable clients
- Authors:
- UNITED KINGDOM CENTRAL COUNCIL FOR NURSING, MIDWIFERY AND HEALTH VISITING
- Publisher:
- United Kingdom Central Council for Nursing, Midwifery and Health Visiting
- Publication year:
- 1998
- Pagination:
- 27p.
- Place of publication:
- London
Booklet produced as a guide to providing user centred, sensitive services. Aimed at nurses working with patients with mental health problems or learning difficulties.
Managing high security psychiatric care
- Editors:
- KAYE Charles, FRANEY Alan
- Publisher:
- Jessica Kingsley
- Publication year:
- 1998
- Pagination:
- 302p.,bibliog.
- Place of publication:
- London
Collection of papers examining the managing of secure psychiatric services. Includes chapters on: a brief history of the special hospitals; tackling the culture; security and therapy; the physical environment; industrial relations; describing the patients; learning disability in the special hospitals; patients as intimate partners - resolving a policy crisis; special hospitals and change; freedom from restraint; a doctor's view; research and development; the Mental Health Act Commission; inquiries and inspections; press and public relations; the criminal justice system; and achievements and the future.
Real lives
- Author:
- -
- Journal article citation:
- Viewpoint, 22, October 1997, pp.6-7.
- Publisher:
- Mencap/Gateway
Describes life inside Rampton Hospital which is the main secure unit for people with learning disabilities.
Working for a better life
- Editor:
- ADIRONDACK Sandy
- Publisher:
- Peter Bedford
- Publication year:
- 1991
- Pagination:
- 25p.
- Place of publication:
- London
Details the work of the multifunctional Peter Bedford Agency, whose users include mentally ill and mentally handicapped people moving from long-stay hospitals to a life in the community. The agency offers rehabilitative workschemes; ordinary housing; training and support in life skills; assistance and support in moving on to activities in the wider community; and support for the development of mutual aid between participants.
The ward atmosphere scale for psychiatric inpatients with intellectual disability: a pilot study
- Authors:
- BAKKEN Trine Lise, ROSSBERG Jan Ivar, FRIIS Svein
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 6(5), 2012, pp.265-272.
- Publisher:
- Emerald
The Ward Atmosphere Scale (WAS) is a self-report questionnaire and the most commonly used instrument to measure aspects of treatment environment, which is a factor related to both treatment outcome and patient satisfaction for psychiatric inpatients. This study aimed to examine whether adult psychiatric inpatients with intellectual disability could complete the WAS in a meaningful way. It was conducted with 17 patients and 21 staff members in a specialised psychiatric inpatient unit at the Oslo University Hospital, Norway. This article describes the methodology, analysis and results. It reports that patients with mild intellectual disabilities were able to answer the WAS with some help, but that patients with moderate intellectual disabilities had major difficulties with understanding more than half of the items. The authors conclude that there is a need for further research on how inpatients with intellectual disability and mental illness perceive ward atmosphere, and that a replication study should use a shorter version of the WAS.
Promoting equality: response from the Department of Health to the Disability Rights Commission report, "Equal treatment: closing the gap"
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2007
- Pagination:
- 31p.
- Place of publication:
- London
There is overwhelming weight of evidence pointing to disparities in health outcomes amongst people with learning disabilities and people with long term mental health problems. The paper aims to take forward the issues of equality and human rights, with regard to patients and the workforce and outlines the legislative framework and the principles that underpin equality and human rights. It demonstrates the business case for promoting and delivering equality and human rights. Boards can use this information to help them generate their own local data to reinforce their local business cases.