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A preliminary model of forensic practitioner resilience within a learning disabilities service
- Authors:
- HARVEY Joel, QUINN Brian
- Journal article citation:
- Journal of Learning Disabilities and Offending Behaviour, 3(3), 2012, pp.158-169.
- Publisher:
- Emerald
This study set out to develop a conceptual model of working within a forensic learning disability service. It starts from the perspective of staff and aims to articulate what staff need in order to manage the complex challenges of their work effectively and to meet the needs of service users. Semi-structured interviews were conducted with a purposive sample of 10 staff working as part of the multi-disciplinary team in order to obtain a broad range of professional background and experience. Staff included a psychiatrist, occupational therapist, speech and language therapist, 3 forensic nurses and a unit manager. Staff identified a number of complexities in their role including: the presentation of the client group; risk assessment and management; multi-agency working; and the emotional complexity of the work. A preliminary model of resilience was developed which set out factors that would help staff manage these complexities and work towards meeting the needs of service users. The model includes individual, proximal and wider systemic factors. It is argued that building relationships and establishing trust with service users, staff, and wider agencies is the bedrock of forensic practitioner resilience. Moreover, an integrative model of multi-disciplinary team working helps facilitate trust between staff.
Multi-agency inspection of services for people with learning disabilities in Ayrshire
- Author:
- SOCIAL WORK INSPECTION AGENCY
- Publisher:
- Social Work Inspection Agency
- Publication year:
- 2007
- Pagination:
- 182p.
- Place of publication:
- Edinburgh
A report of the pilot multi-agency inspection of services for people with learning disabilities in Ayrshire that took place between February and June 2006 is presented. A multi-agency inspection model for services for people with learning disabilities was developed. A consultation event about the model was held and people’s comments were taken into account. A number of people with learning disabilities and family carers attended the event. The model was specifically designed for multi-agency inspections of learning disability services and is congruent with the SWIA performance inspection model and HMIe’s performance inspection model. The report covers enabling and sustaining independence, promoting inclusion, meeting health needs, safety and protection, record keeping and communication, meeting staff needs, developing partnership working, leadership and direction, financial resource and information management, and capacity for improvement. Recommendations are presented.
Reflections on team culture, structure and function of an intensive support service centred on positive behavioural support
- Authors:
- PATTERSON Lawrence A., BERRY Samuel
- Journal article citation:
- Tizard Learning Disability Review, 21(4), 2016, pp.203-211.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to explore experiences of team culture, structure and function of an intensive support service (ISS) within the context of the recent service guidance “Building the Right Support” (NHS England, Local Government Association and Association of Directors of Adult Social Services, 2015). Reflections on the Hampshire and Southampton ISS set up in 2010 are discussed with a view to informing a debate about frameworks for ISS services nationally. Design/methodology/approach: A reflective piece, drawing on experience and case examples. Findings: This paper describes that a key function of an ISS is making individuals safe and this is significantly assisted by using shared team formulation, which can enable information and perspectives to be shared between and within teams as rapidly as possible. Further, a case is made for recognising the importance of inter-disciplinary practice, as the Southampton and Hampshire ISS has removed the “old fashioned” demarcations that led to individuals seeing a “procession” of different professionals from different disciplines. This relates to team structure, but importantly is about a culture of holding a shared identity based on positive behavioural support values, rather than a traditional uni-disciplinary perspective. Practical implications: ISS models are being proposed by NHS England and this paper suggests some important practical aspects. Originality/value: Limited literature exists examining the team culture within ISSs, which contributes to desired outcomes for service users. This paper opens a debate about structural and functional aspects of service delivery in this service model. (Publisher abstract)
Developing a child and adolescent mental health service for children with learning disabilities
- Authors:
- GREEN Kath, et al
- Journal article citation:
- Psychiatric Bulletin, 25(7), July 2001, pp.264-267.
- Publisher:
- Royal College of Psychiatrists
Discusses the development of a service for children with learning disabilities within a child and adolescent mental health team using the Health Advisory Service Together We Stand tier system. The paper also includes an audit of the service 8 months after it was started. The audit suggests that the aims of the service are being achieved but given the fact that the numbers of new referrals significantly outweigh the discharge rate, it is concluded that a greater emphasis is placed on liaison, consultation and joint working with other agencies.
Housing consortia for community care
- Author:
- WERTHEIMER Alison
- Publisher:
- National Federation of Housing Associations
- Publication year:
- 1988
- Pagination:
- 27p., bibliog.
- Place of publication:
- London
Looks at the housing consortium model, and Newham Special Needs Housing Consortium.
Issues in the management of clients with the dual diagnosis of learning disability and mental illness
- Author:
- BARLOW C.
- Journal article citation:
- Journal of Learning Disabilities for Nursing Health and Social Care, 3(3), 1999, pp.159-162.
The dual diagnosis of learning disability and mental illness represents a significant challenge to health and social care practitioners and their existing practices. Currently this group has its service delivery undermined by inter-agency wrangling over responsibility for management and resource allocation. The key to resolving these problems lies in effective multi-agency collaboration. This paper examines the taxing problems of assessment, planning and intervention in this arena. It will offer examples of good practice from the Area Child Protection Committee model.
Communication skills and adults with learning disabilities: eliminating professional myopia
- Author:
- van der GAGG Anna
- Journal article citation:
- British Journal of Learning Disabilities, 26(3), 1998, pp.88-93.
- Publisher:
- Wiley
Effective communication is of crucial relevance to the quality of life of individuals with learning disabilities. Discusses the development of communication skills, outlining the essential components of a strategy for communication development. Highlights the importance of a multi-disciplinary approach to addressing the communication needs of adults with learning disabilities and stresses the need for agreed standards and procedures; careful co-ordination between health and social service agencies, and on-going monitoring of service provision. Recommends that progressive services incorporate an agreed strategy on how to build communication skills for all services users, in the same way that strategies on housing or employment might be formulated.
Primary health care for people with a learning disability: a keynote review
- Authors:
- KERR Mike, FRASER William, FELCE David
- Journal article citation:
- British Journal of Learning Disabilities, 24(1), 1996, pp.2-8.
- Publisher:
- Wiley
The delivery of health care to people with a learning disability living in the community has come under increasing scrutiny. Concerns have been raised over both the current quality of this care and its future organisation. This article reviews the evidence on current practice focusing on epidemiology, health status and policy directives affecting primary health care. Four specific areas for service developments are identified: an individual focus within an epidemiological framework, the evaluation of the effectiveness of current therapies, practice organisations and the awareness of health within social care. It is proposed that an effective model of primary health care is possible, supported by research, training, inter-service collaboration and purchasing guidelines.
The roles and tasks of community mental handicap teams
- Editors:
- BROWN Stephen, WISTOW Gerald
- Publisher:
- Avebury
- Publication year:
- 1990
- Pagination:
- 144p.,tables,bibliogs.
- Place of publication:
- Aldershot
Examines the model of CMHT's and what has been achieved. Includes chapters on work in Nottinghamshire and Wales, and on involving voluntary organisations and the community. Approaches to training staff in multidisciplinary teams are discussed. Advocacy and self-advocacy and their effects on professional practice are looked at.