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Thematic analysis of the effectiveness of an inpatient mindfulness group for adults with intellectual disabilities
- Authors:
- YILDIRAN Hatice, HOLT Rachel R.
- Journal article citation:
- British Journal of Learning Disabilities, 43(1), 2015, pp.49-54.
- Publisher:
- Wiley
The study focused on the effectiveness of group mindfulness for people with intellectual disabilities in an assessment and treatment unit. Six participants with mild or moderate intellectual disabilities were interviewed using semi-structured interviews. The interviews focused on identifying the benefits and difficulties of using mindfulness. The interviews were analysed using thematic analysis. Five themes were identified which were categorised into interpersonal ('helping people') and intrapersonal ('focusing on one particular thing'; 'improving skills'; 'get rid of all nasty bad stuff you want to get rid of') benefits. The theme 'bit too late to teach old dog new tricks' captured the difficulties encountered. The themes highlighted that people with intellectual disabilities were able to form an understanding of mindfulness and were able to benefit from the intervention. (Publisher abstract)
Mental health services for individuals with intellectual disabilities in Canada: findings from a national survey
- Authors:
- LUNSKY Y, et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 20(5), September 2007, pp.439-447.
- Publisher:
- Wiley
This study aimed to document both the range of mental health services available to individuals with intellectual disabilities across Canada and the perceived service gaps. A 30-item questionnaire was developed that included questions on mental healthcare services for children, adolescents and adults with intellectual disabilities. This survey was sent to key informants in the 10 Canadian provinces and three territories. More than half of the respondents reported that generic mental health providers were poorly equipped to meet the needs of individuals with intellectual disabilities and mental health issues. Certain specialized services (inpatient treatment, emergency room expertise) were reported to exist by less than half of the respondents. Waitlists for specialized services were typically four months or longer. Respondents thought that training for staff and professionals was very important. Some specialized services for individuals with intellectual disabilities and mental health issues were reported to exist in Canada but the need for more specialized services and further training was identified. Documentation of these service gaps should lead to further efforts in Canada for the improvement in services and developing policy.
Art as therapy: an effective way of promoting positive mental health?
- Author:
- HEENAN Deidre
- Journal article citation:
- Disability and Society, 21(2), March 2006, pp.179-191.
- Publisher:
- Taylor and Francis
The aim of this study is to evaluate the contribution that creative arts can play in promoting positive mental health and well-being. The research is based on a case study of an innovative art therapy programme delivered by a community-based mental health organisation in Northern Ireland, as part of a supported recovery programme. The study reported here explored the experiences and perceptions of the service users through in-depth interviews and focus groups. The art as therapy course was credited with improvements in self-esteem and self-confidence. It provided a safe space for reflection on mental health issues. Participants described the programme as cathartic and a springboard for engagement in a wide range of further projects. It is concluded that this type of project which addresses mental health issues in a supportive, positive, non-clinical environment can encourage and facilitate empowerment and recovery through accessible creative programmes. However, to date these programmes are time-limited, small-scale and marginal to the approach adopted by statutory service providers.
Lines in the sand: final report
- Authors:
- SIMONS Ken, RUSSELL Oliver
- Publisher:
- Norah Fry Research Centre
- Publication year:
- 2003
- Pagination:
- 129p.
- Place of publication:
- Bristol
A research project on the interface between mental health and learning disability services. The main objective of this research project, which was funded by the South West Regional NHS Research and Development Directorate, was to carry out an audit of ‘pressure points’ within services for people with learning disabilities and mental health needs in South West England. A retrospective two-year census of case files (n=348) was carried out, supplemented by in-depth interviews with key clinical staff (n=30), and semi-structured interviews with commissioners from Valuing People Partnership Boards (n =10) and Local Implementation Teams for the National Service Framework for Mental Health (n=9). The main outcome measures were descriptions of patterns of service use, along with the presence (or otherwise) of disputes and/or joint working, set in the context of the views of providers and commissioners.
The state of care management in learning disability and mental health services 12 years into community care
- Authors:
- CAMBRIDGE Paul, et al
- Journal article citation:
- British Journal of Social Work, 35(7), October 2005, pp.1039-1062.
- Publisher:
- Oxford University Press
This paper reports on the organization of care management from a longitudinal study of community care for people resettled from long-stay learning disability and psychiatric hospitals. The findings from a 12-year follow-up of care management arrangements in 12 learning disability and eight mental health study site services are described. The diversity of care management arrangements found at earlier points in the evaluation remained evident. Also, many of the former ‘care in the community’ service users were excluded from mainstream care management arrangements in their localities. The difficulty of developing person-centred arrangements in learning disability and the lack of integration of the Care Programme Approach and care management were evident. The findings and observations are placed in the wider policy and practice context, with suggestions for taking care management forward nationally and locally.
Making recovery meaningful for people with intellectual disabilities
- Authors:
- TRUSTAM Emma, CHAPMAN Philippa, SHANAHAN Paul
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 35(1), 2022, pp.252-260.
- Publisher:
- Wiley
Background: A recovery approach within mental health services has gained momentum. Its meaning for adults with intellectual disabilities recovering from mental health disorders is less understood. Peoples' experiences of recovery were explored to help inform recovery-focused recommendations for clinical practise. Method: A qualitative design using interpretative phenomenological analysis was applied. Nine interviews with people with intellectual disabilities who had experienced mental health disorders were conducted. Results: Two themes that emerged focusing on entry to service and the recovery experience. Subthemes for entry to service included unfair treatment, valuing information and managing expectations. The recovery experience subthemes were therapeutic alliance, self-management, emotional development, autonomy, connectedness, positive identity and a belief in recovery. Conclusions: Hearing peoples' experiences directly allowed the current themes to emerge in the context of living with lifelong disabilities. This article adds to the sparse literature and highlights considerations for recovery-based interventions for people with intellectual disabilities. (Edited publisher abstract)
An evaluation of the implementation of Safewards on an assessment and treatment unit for people with an intellectual disability
- Authors:
- DAVIES Bronwen, et al
- Journal article citation:
- Journal of Intellectual Disabilities, 25(3), 2021, pp.357-369.
- Publisher:
- Sage
- Place of publication:
- London
This study evaluates the implementation of Safewards on an assessment and treatment unit (ATU) for people with an intellectual disability. There are no previous studies evaluating this model in this context and previous research has focused largely on acute mental health services. The ‘Patient–Staff Conflict Shift Report’ was used at baseline for 1 month and 1 year later, after all the interventions had been implemented, to evaluate the impact of Safewards. Significant reductions were found in conflict and containment measures used within the service after the implementation of Safewards. Staff who led on the interventions were also asked to give feedback on their experiences, the challenges they faced and how they would like to move forward. Safewards was generally seen as a positive approach by the team. Limitations of this study are highlighted and suggestions for future research are made. (Edited publisher abstract)
Impact of disability services on mental health service utilization in adults with intellectual disability
- Authors:
- LEWIS Sunali B., et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 33(6), 2020, pp.1357-1367.
- Publisher:
- Wiley
Background: Can disability support services (DS) facilitate access to mental health services (MHS) for people with intellectual disability? This study utilized 10 years of data from 6,260 persons in NSW who had received DS and specific MHS to quantify the relationship between DS utilization and MHS utilization in adults with intellectual disability and co‐existing mental illness. Results: Receipt of DS was associated with greater odds of accessing community mental health (CMH) services (36%, 95% CI 29%–43%) but not psychiatric admissions. Age, sex and social disadvantage did not affect the odds of psychiatric admission or CMH use. Individuals living in a remote area had greater odds of CMH use and lesser odds of psychiatric admission. Conclusions: Receipt of DS was associated with greater CMH but not psychiatric hospital utilization in people with intellectual disability and co‐existing mental illness. (Edited publisher abstract)
Mental health services for people with intellectual disability in the United Kingdom
- Authors:
- PERERA Bhathika, COURTENAY Ken
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 12(3-4), 2018, pp.91-98.
- Publisher:
- Emerald
Purpose: Services for people with intellectual disabilities in the UK have evolved over the years from hospital-based care to more community provision. There are multiple reasons for these changes, however, often it was due to changes in social policy or following a scandal in provision. The paper aims to discuss these issues. Design/methodology/approach: Providing services to meet the health and social care needs of people with intellectual disabilities is well-established in the four countries of the UK with support from legislation. There are often specialist mental health and social care teams. Dedicated professionals work with people with intellectual disabilities who experience mental health problems with a focus on support in the community. A range of services for children and adults and for offenders exist across the UK that often vary in composition and structure. Findings: The challenges in providing mental health services for children and adults with intellectual disabilities in the future include recruitment and training of the workforce with the remit of enhancing community support and reduced in-patient care. Practical implications: This paper helps the reader to understand how ID mental health services are organised in the UK. Originality/value: This paper gives a summary of the ID mental health services in the UK. Even though there are various papers looking at different aspects of mental health services for people with ID in the UK, this paper brings all that information together to help reader get a better understanding of the mental health services for people with ID. (Publisher abstract)
Geographical barriers to mental health service care among individuals with an intellectual disability in the Republic of Ireland
- Authors:
- RAMSAY Hugh, et al
- Journal article citation:
- Journal of Policy and Practice in Intellectual Disabilities, 13(4), 2016, pp.261-268.
- Publisher:
- Wiley
People with an intellectual disability (ID) are more likely to experience mental health difficulties than others. The United Nations (UN) Convention on the Rights of Persons with Disabilities (CRPD) states that health services should be provided close to people's own communities. This article examines differences in access to psychiatry services for those with an ID according to geography, in the context of a small European country (Republic of Ireland). The sample consisted of 753 individuals aged 40 and over with ID in the Republic of Ireland, with data collected from the Intellectual Disability Supplement of the Irish Longitudinal Study on Aging (IDS-TILDA). The primary outcome of interest was attendance with any psychiatrist and the primary independent variables were area of residence (health service region and degree of county urbanicity). Logistic regression was used to analyse associations, unadjusted and then controlling for age group, gender and level of ID. Secondary analysis examined factors associated with anti-psychotic prescription without psychiatrist supervision. Treatment by a psychiatrist was associated with both health region (p = 0.029) and degree of urbanicity (p = 0.015) before controlling for group differences but only the health region was significantly associated after controlling for age, gender and level of ID. Antipsychotic use without a psychiatrist was associated with degree of urbanicity (p = 0.036) but not with health service region (p = 0.989). Geographic factors are associated with access to mental health services among those with ID in the Republic of Ireland. This may be partly due to movement of people with ID away from their area of origin, highlighting the need for locally tailored specialist ID mental health teams and for further research into barriers to treatment. Additional work in other countries will further understanding of similar roles of geographic factors in mediating mental health services access. (Edited publisher abstract)