Search results for ‘Subject term:"learning disabilities"’ Sort:
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Care services for people with learning disabilities and challenging behaviour: fifty-first report of session 2014-15: report, together with formal minutes relating to the report
- Author:
- GREAT BRITAIN. Parliament. House of Commons. Committee of Public Accounts
- Publisher:
- TSO
- Publication year:
- 2015
- Pagination:
- 20
- Place of publication:
- London
Examines progress made in fulfilling the government commitment, following the Winterbourne View scandal in 2011, to discharging inpatients with learning difficulties and challenging behaviour back to their homes and communities. The inquiry found that the number of people with learning disabilities remaining in hospital has not fallen, and has been broadly stable at around 3,200. The report recognises the complexity of the task in designing and commissioning a model of community based care and welcomes the commitment to set out, within the next six months, a closure programme for large mental health hospitals, and to provide a transition plan for people within these hospitals, from 2016–17. The report recommends that proper consideration be given not just to building capacity in the community, but also to enshrining in law patients’, and their families’, right to challenge the decisions taken, whether they are about treatment, admission to mental health hospital, or community care services provided. (Edited publisher abstract)
Alternative routes
- Author:
- BOND Henrietta
- Journal article citation:
- Community Care, 13.8.98, 1998, pp.26-27.
- Publisher:
- Reed Business Information
Reports on a new project that aims to get the user of mental health services involved in developing complementary therapies to cater for their needs.
"Nothing about us without us": combining professional knowledge with service user experience in training about mental health and learning disabilities
- Authors:
- HENEAGE Celia, MORRIS Di, DHANJAL Kuljinder
- Journal article citation:
- Mental Health and Learning Disabilities Research and Practice, 7(2), Autumn 2010, pp.120-129.
- Publisher:
- South West Yorkshire Mental Health NHS Trust and University of Huddersfield
Recent policy documents have proposed that people with learning disabilities should be more fully included in generic mental health care provision. Such services now include the government’s ‘Improving Access to Psychological Therapies’ (IAPT) initiative which focuses particularly on the provision of support to people suffering from anxiety and depression. This article reports on a training session delivered to IAPT practitioners based at a university in the south of England by a service user with learning disabilities who had accessed mental health services (one of the authors), together with a clinical psychologist and an honorary assistant psychologist. The practitioners were involved in the provision of time-limited psychological intervention, based on Cognitive Behaviour Therapy (CBT) principles. Four key questions were considered: what is learning disability; what emotional difficulties might they experience in particular; how can CBT be adapted to meet their needs; what information is available about people with learning disabilities and employment? Among the 32 practitioners who attended the training day, 56% had worked with them in a professional context. The practitioners completed pre and post evaluation forms in which they were asked to rate their knowledge about and confidence in working with people with learning disabilities. Following the training participants rated themselves as having significantly greater knowledge and confidence. Many of the qualitative reasons given for these changes mentioned the contribution of the service user. Observations from the facilitators are also presented. It is concluded that joint training needs to be developed and its impact further researched.
Barriers to user involvement in mental health services for people with learning disability
- Authors:
- CHAPLIN Eddie, et al
- Journal article citation:
- Advances in Mental Health and Learning Disabilities, 3(3), September 2009, pp.28-33.
- Publisher:
- Emerald
This paper explores some of the issues and barriers to service user involvement for people with learning disability in mental health settings. The barriers can include staff perceptions and their moral and religious beliefs, and can also include the culture and policies of the mental health organisation. Service users may also not welcome involvement in their own care. The issues of getting users involved in their own assessment and treatment is addressed, as is also getting them involved with services and the wider health community. Examples of good practice, such as service user groups, are provided.
Psychosocial interventions for adults with intellectual disabilities and mental health problems: A review
- Author:
- HATTON Chris
- Journal article citation:
- Journal of Mental Health, 11(4), August 2002, pp.357-373.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
This article briefly reviews existing evidence concerning psychosocial interventions for adults with intellectual disabilities and mental health problems. Research evidence concerning the epidemiology of mental health problems in adults with intellectual disabilities is discussed, focusing on issues in the reliable and valid identification of mental health problems in this user group and the results of prevalence studies. Current evidence concerning the use and effectiveness of psychosocial interventions for people with intellectual disabilities and mental health problems is then outlined. Particular attention is paid to cognitive-behavioural interventions. Finally, issues concerned with adapting psychosocial interventions for people with intellectual disabilities and mental health problems are discussed.
Involving users and carers in the care programme approach
- Author:
- -
- Journal article citation:
- Integrate News, 67, December 1998, pp.19-21.
Reports on research into the level of involvement users and carers have in care management of mental health services. The project is an example of participatory research as users and carers were involved from the beginning in the design of the project.
Reforming the Mental Health Act
- Authors:
- LAING Judith, GARRATT Katherine
- Publisher:
- Great Britain. Parliament. House of Commons Library
- Publication year:
- 2022
- Pagination:
- 40
- Place of publication:
- London
This paper discusses the Government's White Paper on Reforming the Mental Health Act 1983, a summary of consultation responses and the Draft Mental Health Bill 2022. The Government's white paper on Reforming the Mental Health Act, published on 13 January 2021, contains wide-ranging proposals to reform the Mental Health Act 1983 (as amended in 2007) in England and Wales. This briefing outlines the background to the reforms, some of the main proposals in the white paper and initial reactions. It also outlines the Government's response to a consultation on the white paper proposals details of the draft Mental Health Bill, published in June 2022 and initial reactions to the Bill. The white paper includes a range of proposals to reform the Act as well as to bring about improvements in policy, practice, and service delivery. The overall aim is to bring the law in line with modern mental health care and ensure that patients are involved more closely in decisions about their care and treatment. The draft Bill contains a number of amendments to the Mental Health Act 1983 which would bring in the following changes: autism and learning disability would not be considered to be conditions for which a person could be subject to compulsory treatment under section 3; changes to the criteria for detention by setting out two new tests with a higher risk threshold; a new definition of "appropriate medical treatment" to require that the treatment must have a reasonable prospect of alleviating, or preventing the worsening of, the patient's mental disorder. (Edited publisher abstract)
User participation in health and social care research: voices, values and evaluation
- Editors:
- NOLAN Mike, et al, (eds.)
- Publisher:
- Open University Press
- Publication year:
- 2007
- Pagination:
- 232p., bibliog.
- Place of publication:
- Maidenhead
User participation in research is still in its relative infancy with many practical, ethical, moral, methodological and philosophical questions unanswered. This text gathers together an international set of authors to explore these issues and begin to forge some practical solutions to each of these concerns. The book includes contributions on the use and application of narrative approaches, intervention and evaluation research, methodological development and quality thresholds. It provides a practical framework for all groups wishing to undertake research based on the principles and values of user participation. The book is structured around ten original case studies which explore the use of participatory methods in practice with a variety of groups across diverse health, social care and community settings. These include older people, including those with dementia, people with learning disability, mental health service users and their carers, and children and young people. Unique and often groundbreaking studies from Australia, Sweden, the UK, and the USA are used to illustrate application of theory to research practice.
In-patient psychiatric care for individuals with intellectual disabilities: the service users' and carers' perspectives
- Authors:
- LONGO Silvia, SCIOR Katrina
- Journal article citation:
- Journal of Mental Health, 13(2), April 2004, pp.211-221.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Little is known about the experiences of individuals with intellectual disabilities and additional mental health problems who are admitted for inpatient psychiatric care. In the UK such care is delivered in both generic psychiatric and specialised treatment settings. The present study explored service users' and carers' views on in-patient psychiatric treatment received across these two settings. Thirty service users and wherever possible their main carers were interviewed about their views on the psychiatric admission, treatment and discharge process. Data was gathered during semi-structured, one-to-one interviews. Both service users and carers identified positive and negative aspects of the psychiatric admission. For service users lack of control and information, support from staff, or conversely its absence emerged as key themes. For carers concerns about service users' vulnerability, negative staff attitudes and opportunities for involvement emerged as key themes. The accounts of both groups regarding generic psychiatric settings were predominantly negative. In contrast, specialized settings were frequently described as providing a pleasant environment, supportive and caring staff, good information sharing and satisfactory discharge arrangements. Important areas for service improvements are highlighted. Implications in particular for generic settings are considered.
The national service framework for mental health: an executive briefing
- Author:
- SAINSBURY CENTRE FOR MENTAL HEALTH
- Publisher:
- Sainsbury Centre for Mental Health
- Publication year:
- 1999
- Pagination:
- 11p.
- Place of publication:
- London
Critically examines seven standards proposed by the National Service Framework for Mental Health covering, mental health promotion, primary care and access to services, effective services for severe mental illnesses, caring for carers, and preventing suicide.