Search results for ‘Subject term:"learning disabilities"’ Sort:
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Commentary on “The bounds of liberty: lessons learnt from treating a man with alcohol use disorder, autism and learning disability”
- Author:
- BROWN Hilary
- Journal article citation:
- Tizard Learning Disability Review, 23(1), 2018, pp.35-41.
- Publisher:
- Emerald
Purpose: In commenting on the issues raised by Drake et al. the purpose of this paper is to discuss three areas of practice: assessing capacity in the presence of intransigence and/or rigid patterns of thinking and behaviour; understanding addiction in this context; and identifying “reasonable adjustments” in the way addiction and substance misuse services are provided to this client group. Design/methodology/approach: As well as discussing the issues raised by Drake et al. the commentary refers to a serious case review exploring similar issues. Findings: Both the case discussed by Drake et al. and the serious case review draw attention to the importance of identifying “reasonable adjustments” to current practice. Research limitations/implications: While the implications of the cases discussed are very significant, further work quantifying the scope of the problems identified would be very useful. Practical implications: The 1995 Disability Discrimination Act (UK) requires public services to make “reasonable adjustments” in order for people with a range of disabilities to access their services on an equitable basis. This paper identifies what some of those areas of difficulty might be. Originality/value: This is a relatively new area of work and expertise in both mainstream addiction and specialist intellectual disability and mental health services needs to be developed in order for them to provide more coherent and accessible programmes to individuals. (Publisher abstract)
Commentary on “The effectiveness of psychodynamic interventions for people with learning disabilities: a systematic review”
- Author:
- BROWN Hilary
- Journal article citation:
- Tizard Learning Disability Review, 19(1), 2014, pp.25-28.
- Publisher:
- Emerald
Purpose: This paper is a commentary on “The effectiveness of psychodynamic interventions for people with learning disabilities: a systematic review” by Chris James and James Stacey. The purpose of this paper is to illustrate the thesis that standardised ways of evaluating health care interventions may have the inadvertent effect of undermining the case that people with intellectual disabilities should be offered the same opportunities to address their emotional and mental health difficulties as other citizens. Design/methodology/approach: The commentary argues that while the evidence base focuses on the outcomes of orthodox one-to-one interventions, sometimes broader “contextual reformulation” and systemic interventions are called for. However, family- or service-based interventions tend not to feature in studies. Findings: The commentary illustrates these issues by discussing two case studies, which demonstrate how relational issues tend to be unhelpfully focused on the person with intellectual disabilities to the detriment of family members or direct care staff, who may be struggling to make sense of the person's behaviour or distress. Originality/value: The commentary supports the argument put forward in the longer paper and also argues for mental health services to be offered on a non-discriminatory basis to people with intellectual disabilities and to their family members. But it also suggests that one of the additional impacts of service level psychotherapeutic interventions is to re-establish respect for the work of direct care staff whose work is often presented as if it is little more than domestic drudgery when in fact it involves negotiating and responding to people and their issues with great sensitivity and balance. (Publisher abstract)
Monitoring adult protection referrals in 10 English local authorities
- Authors:
- BROWN Hilary, STEIN June
- Journal article citation:
- Journal of Adult Protection, 2(3), September 2000, pp.19-31.
- Publisher:
- Emerald
This paper reports the results of a study of the monitoring of adult protection referrals in 10 local authorities during six months in 1998.The information provides a useful window on the effectiveness of current policies and provides a baseline from which to anticipate the implications for workload and service planning of recent government guidance.
Implementing adult protection policies in Kent and East Sussex
- Authors:
- BROWN Hilary, STEIN June
- Journal article citation:
- Journal of Social Policy, 27(3), July 1998, pp.371-396.
- Publisher:
- Cambridge University Press
- Place of publication:
- Cambridge
Reports on the extent and nature of adult protection cases dealt with by two social services departments during a twelve month period in 1995-6, within the framework of newly revised generic policies on abuse of vulnerable adults. The two counties varied in the level of reporting documented and in the number of cases logged for individuals who fall within the main four groups of 'vulnerable adults' covered by the policies. Arguments for consistent reporting are set out and the tension which exists between formal and informal approaches to the subsequent investigation of abuse discussed with reference to American vulnerable adult statutes.