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Green light toolkit 2013: a guide to auditing and improving your mental health services so that it is effective in supporting people with autism and learning disabilities
- Author:
- NATIONAL DEVELOPMENT TEAM FOR INCLUSION
- Publisher:
- National Development Team for Inclusion
- Publication year:
- 2013
- Pagination:
- 76
- Place of publication:
- Bath
An earlier report by NDTi, ‘Reasonably adjusted’ (2012) described the reasonable adjustments mental health services were already putting in place for people with learning disabilities and people with autism. The NHS Confederation, supported by the Department of Health, commissioned the NDTi to develop and produce materials to help services review their own quality and share and replicate good practice. These are published as the Green Light Toolkit 2013, which comprise practical new materials designed to help improve the quality of mental health services for adults with learning disabilities and/or autism. The toolkit includes an audit framework to support reviews; an easy-read version of the audit framework and toolkit; and examples. (Edited publisher abstract)
Services for adults with autism spectrum disorders
- Author:
- BERNEY Tom
- Journal article citation:
- Advances in Mental Health and Learning Disabilities, 1(2), June 2007, pp.45-47.
- Publisher:
- Emerald
Psychiatry in the United Kingdom has overhauled its approach to the provision of services for adults with autism spectrum disorders. This shift is set out in a new policy document, Psychiatric Services for Adults with Asperger's Syndrome and other Autistic Spectrum Disorders published by the Royal College of Psychiatrists. The author looks at what psychiatric services can offer.
Health and social functioning of adults with intellectual disability and autism
- Authors:
- UNDERWOOD Lisa, et al
- Journal article citation:
- Journal of Policy and Practice in Intellectual Disabilities, 9(2), June 2012, pp.147-150.
- Publisher:
- Wiley
This brief report considers the mental health needs of adults with intellectual disability (ID) and autism spectrum disorders (ASDs). The study aimed to compare adults with ID and ASD receiving specialist mental health services with participants without ASD. The participants were 371 service users from a specialist, community-based mental health services for adults in South East London. Data were collected from a review of anonymised case records. A total of 117 of these participants (32%) had a clinical diagnosis of ID and ASD. Participants with ASD were younger, more likely to be male, less likely to live independently and had more severe ID than those without ASD. Furthermore, those with ID and ASD were less likely to be diagnosed with a psychiatric disorder but had significantly lower health and social functioning than those without ASD. The findings show that a significant proportion of adults with ID who are in receipt of specialist mental health services also have a clinical diagnosis of ASD. This group has different mental health needs compared with those without ASD.
Is our legal, health care and social support infrastructure neurodiverse enough? How far are the aims of the neurodiversity movement fulfilled for those diagnosed with cognitive disability and learning disability?
- Authors:
- MACKENZIE Robin, WATTS John
- Journal article citation:
- Tizard Learning Disability Review, 16(1), January 2011, pp.30-37.
- Publisher:
- Emerald
Neurodiversity activists represent a number of those diagnosed with autistic spectrum disorders who claim that this diagnosis should be considered as indicating a difference rather than dysfunction or disability. They suggest that autism should be considered a category much like gender or ethnicity. This article examines what legal structures and health and social care systems would be appropriate to promote neurodiversity, and how far this infrastructure in the UK today meets these criteria for those diagnosed with cognitive disability and learning disability.
Psychiatric service use and psychiatric disorders in adults with intellectual disability
- Author:
- BHAUMIK S.
- Journal article citation:
- Journal of Intellectual Disability Research, 52(11), November 2008, pp.986-995.
- Publisher:
- Wiley
UK policies aim to facilitate access to general psychiatric services for adults with intellectual disability (ID). If this is to be achieved, it is important to have a clear idea of the characteristics and proportion of people with ID who currently access specialist psychiatric services and the nature and extent of psychiatric disorders in this population. A cross-sectional study was carried out on all adults with ID using specialist services in Leicestershire and Rutland, UK, between 2001 and 2006. Characteristics of individuals seen by psychiatric services and the nature and prevalence of psychiatric disorders were investigated. Of 2,711 adults identified, 1,244 (45.9%) accessed specialist psychiatric services at least once during the study period. Individuals attending psychiatric services were more likely to be older and to live in residential settings; they were less likely to be south Asian or to have mild/moderate ID. The prevalence of psychiatric disorders among the total study population was 33.8%; the most common disorders were behaviour disorder (19.8%) and autistic spectrum disorders (8.8%). Epilepsy was highly prevalent (60.8%) among those attending psychiatric services without a mental health diagnosis. Behaviour disorders and autistic spectrum disorders were more common in men and in adults with severe/profound ID, whereas schizophrenia and organic disorders were more common in women and in adults with mild/moderate ID. Depression was also more common in women with ID. Psychiatric disorders and specialist health problems are common among adults with ID and the profile of psychiatric disorders differs from that found in general psychiatry. Close collaboration between general and specialist service providers is needed if the current move towards use of general psychiatric services in this population is to be achieved. The measures should include a clear care pathway for people with ID and mental health problems to facilitate the smooth transfer of patients between specialist and generic mental health services and arrangements for joint working where input from both services is required. The commissioning framework for such processes should be in place with appropriate pooling of resources.
Bamford Taskforce: annual report 2011
- Authors:
- NORTHERN IRELAND. Health and Social Care Board, NORTHERN IRELAND. Public Health Agency
- Publisher:
- Northern Ireland. Health and Social Care Board
- Publication year:
- 2012
- Pagination:
- 38p.
- Place of publication:
- Belfast
The Bamford Taskforce was set up to take forward the recommendations of Bamford Review of Mental Health and Learning Disability. This is the 2nd annual report of the Bamford Taskforce and sets out the progress made during 2011. The key themes for the Taskforce and the associated workgroups, drawn from ‘Delivering the Bamford Vision (DHSSPS 2009)’ are: promoting positive health, wellbeing and early intervention; supporting people to live independent lives; supporting carers; providing better public services to meet people’s needs; and providing structures and a legislative base to deliver the Bamford Vision. Additionally in 2011 the Taskforce has paid increased attention to recovery approaches. The report discusses the key themes across the work undertaken and the achievements to date and also gives details on progress and challenges in each specific service area. The specific service areas are: Mental Health Services; Child and Adolescent Mental Health Services; Protect Life and Mental Health and Wellbeing Promotion; Learning Disability; Autistic Spectrum Disorder; and Substance Misuse. The report also contains the final Health and Social Care Board (HSCB) and Public Health Agency (PHA) return to the 2009-2011 Department of Health and Social Services and Public Safety (DHSSPS) Bamford Action Plan.
Managing aggressive behaviour in care settings: understanding and applying low arousal approaches
- Author:
- MCDONNELL Andrew A.
- Publisher:
- Wiley-Blackwell
- Publication year:
- 2010
- Pagination:
- 257p., bibliog.
- Place of publication:
- Chichester
Challenging behaviours can be encountered regularly in various care settings. This book aims to provide care givers with helpful guidance and the practical skills necessary to manage these aggressive behaviours. It traces the development and evaluation of the low arousal approach, a staff-based intervention that focuses on reducing levels of arousal in crisis situations. This non-confrontational approach encompasses de-escalation strategies and physical management within a clear person-centred philosophy. The book describes the development of a core 3-day training course to help carers to manage challenging behaviours. It outlines the application of this training to a variety of different care environments, such as intellectual disabilities, autism, mental health services of children and adults, and services for older adults. For each of these areas, background advice is provided on managing aggressive behaviour that is relevant to the particular area, and case studies are presented. Research evidence for the effectiveness of staff training in physical interventions is reviewed. The final chapter examines many of the important themes raised in the book.