Search results for ‘Subject term:"learning disabilities"’ Sort:
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Joint commissioning: searching for stability in an unstable world
- Author:
- GREIG Rob
- Journal article citation:
- Tizard Learning Disability Review, 2(1), January 1997, pp.19-25.
- Publisher:
- Emerald
Learning disability services have been at the forefront of attempts to develop effective joint working between health and local authority agencies. There is now an emergent framework for commissioners to work together and some, albeit patchy, experience of doing so. Joint commissioning has demonstrated potential benefits for service users, though there is still considerable scope for widening the range of stakeholders and more firmly establishing it in the host organisations. This article aims to clarify the nature of joint commissioning, making observations on experiences around the UK and suggesting issues and obstacles that require future consideration.
Back to the future: joint work for people with learning disabilities
- Authors:
- BROWN Stephen, FLYNN Margaret, WISTOW Gerald
- Publisher:
- National Development Team/Nuffield Institute for Health Services Studies
- Publication year:
- 1992
- Pagination:
- 39p.,bibliog.
- Place of publication:
- London
Report highlighting up-to-date experiences of joint work by community teams for people with learning difficulties. Draws lessons from the work of the teams and points to their wider application at a time when cooperation between health and social services is becoming ever more urgent.
Getting unstuck along the clinical pathway: an integrated multi-agency approach
- Authors:
- RICHARDS Luci, UCHENDU Nwamaka, O'HARA Jean
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 8(3), 2014, pp.192-196.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to highlight how the management of an adult with intellectual disabilities and complex medical conditions by a multi-disciplinary and multi-agency team approach across a clinical pathway (primary, secondary and tertiary care, health, social and third sector agencies) can be used to improve the person's physical and mental health outcome. Design/methodology/approach: Literature review and case report in which the paper describes the presentation of the patient with multiple complex physical health conditions, mild intellectual disability and challenging behaviour and description of the management process and the observed outcome. Findings: The patient required input from the multi-disciplinary community intellectual disabilities team and multi-agency team including social services and community support team, admission to a specialist intellectual disabilities ward to optimise her management. She improved relatively well and was discharged to the community. On discharge she continued to receive ongoing psychiatric, psychological and community psychiatric nurse input and maintains the sustained improvement in her mental health. She no longer displays risky or challenging behaviour, her mood has improved and there is no self-harm ideation. She remains anxious at times, however, her symptoms are much improved and do not affect her daily functioning. Originality/value: This case highlights the profound and enduring psychiatric and behavioural sequelae following brain malignancy and treatment and how essential a multi-disciplinary and multi-agency approach is in the successful management of complex issues. Her symptoms appeared relatively treatment resistant until she had a specialist inpatient admission. This case study also demonstrates the strengths and advantages of having specialist care pathway for such complex presentations, allowing for integrated community, secondary and tertiary care, and for the care system to work together in a coordinated and managed way. (Publisher abstract)
Access to secondary care for people with learning disabilities
- Authors:
- HUNT Cath, et al
- Journal article citation:
- Nursing Times, 20.1.04, 2003, pp.34-36.
- Publisher:
- Nursing Times
People with learning difficulties sometimes have problems maintaining their health because hospitals fail to work in an interdisciplinary manner with the specialist learning disability services. This article focuses on a case study where the difficulties in operating on a patient with learning disabilities and mental health problems were overcome through a multidisciplinary and patient centred approach. The case study provides evidence of mainstream health staff and learning disability professionals working together and breaking down barriers to provide a seamless service.
Please don't let it happen on my shift. Supporting staff who are caring for people with learning disabilities who are dying
- Authors:
- BROWN Hilary, BURNS Sophie, FLYNN Margaret
- Journal article citation:
- Tizard Learning Disability Review, 8(2), April 2003, pp.32-41.
- Publisher:
- Emerald
Reports on a qualitative study of services that have cared for a person with learning disabilities during a terminal illness. The project was based on a series of case studies, twenty-one individual case studies were included from twelve different services. Interviews were also carried out with staff, relatives and service users. The research reflects current concern about access to health care as well as the national priority being placed on improvements in cancer services for all patients. The study documents how the service learned of the person's illness, how they mobilised services and made decisions, how effectively agencies worked together and what support staff needed in the person's last months and weeks. It also considers the way staff, as individuals and teams, made sense of their experience and evaluated the input of other professionals. The article looks at two cases in detail to highlight the findings.
Do the families of children with development disabilities obtain recommended services: a follow-up study
- Authors:
- PABIAN Wendy E., et al
- Journal article citation:
- Journal of Human Behavior in the Social Environment, 3(1), 2000, pp.45-58.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Interdisciplinary teams provide a comprehensive evaluation for children with disabilities and their families and generate appropriate recommendations. Although recommendations are provided with the expectation that the families will follow through and obtain these services for their children and for themselves, it is not clear which recommended services have been obtained by the families. In this four-month follow-up of 36 families in the USA, it was found that 84 percent of educational services, 89 percent of medical services are also discussed.
The health of the nation: a strategy for people with learning disabilities
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 1995
- Pagination:
- 40p.
- Place of publication:
- London
Booklet aimed at those commissioning health and social care for people with learning difficulties. Addresses 5 key areas of health: coronary heart disease and stroke; cancer; HIV/AIDS and sexual health; and mental illness.
Housing for people with learning disabilities: a guide for health and social service authorities working in partnership with a housing association
- Author:
- NEW ERA HOUSING LTD
- Publisher:
- New Era Housing
- Publication year:
- 1992
- Pagination:
- 45p.,bibliog.
- Place of publication:
- London
A question of responsibility: report of a visit to South Warwickshire Health Authority
- Author:
- NATIONAL DEVELOPMENT TEAM FOR PEOPLE WITH A MENTAL HANDICAP
- Publisher:
- National Development Team for People with a Mental Handicap
- Publication year:
- 1988
- Pagination:
- 24p., bibliog.
- Place of publication:
- London
Examines the issue of responsibility within the context of community care policies - the responsibility for the admission and discharge of patients in mental handicap hospitals; the role of the consultant psychiatrist in the..
Health, education, advocacy, and law: an innovative approach to improving outcomes for low-income children with intellectual and developmental disabilities
- Authors:
- ZISSER Alison R., VAN STONE Maureen
- Journal article citation:
- Journal of Policy and Practice in Intellectual Disabilities, 12(2), 2015, pp.132-137.
- Publisher:
- Wiley
Advocates and attorneys working in medical-legal partnerships in the United States have become essential members of a multidisciplinary team that educates healthcare professionals on the rights of individuals with intellectual and developmental disabilities and represents families when appropriate services to which they are legally entitled are denied. This programme description presents an innovative programme in which advocates and attorneys work closely with healthcare professionals in a paediatric setting to improve implementation of clinical recommendations and outcomes for low-income children with intellectual and developmental disabilities. Since its creation in 2005, Project HEAL (Health, Education, Advocacy, and Law) has provided advocacy and legal services to 1,750 low-income families and children with disabilities facing discrimination and challenges accessing programmes and services critical to health, education, and psychosocial functioning. Client satisfaction surveys indicate that families who receive representation are highly satisfied with the outcome of their children's cases, and healthcare professionals report that their patients and families are better able to access complex service systems with assistance from Project HEAL. The innovative practice of incorporating advocacy and legal services directly into a clinical setting provides better outcomes for children with intellectual and developmental disabilities who might not otherwise have access to critically needed services. Involvement of skilled advocates and attorneys facilitates implementation of the comprehensive clinical recommendations necessary for the well-being of children with disabilities. (Edited publisher abstract)