Search results for ‘Subject term:"learning disabilities"’ Sort:
Results 11 - 20 of 145
The provision of support services: for young adults with physical and mental handicaps
- Authors:
- THOMAS Andrew P., et al
- Journal article citation:
- Mental Handicap, 16(3), September 1988, pp.92-96.
- Publisher:
- British Institute of Mental Handicap
The existing deficiencies could be remedied by multi-disciplinary teams for adults with handicaps.
An evaluation of positive behavioural support implemented within an intensive community support service for people with learning disabilities who present with behaviours that challenge
- Authors:
- LEWIS Nicola, et al
- Journal article citation:
- Journal of Intellectual Disabilities, 25(3), 2021, pp.348-356.
- Publisher:
- Sage
- Place of publication:
- London
This article evaluates the effectiveness of a multidisciplinary intensive community support service, using positive behavioural support (PBS) as a core intervention model to reduce behaviours of concern and to improve the quality of life and occupational involvement of individuals with a learning disability who present with behaviours that challenge. The service used outcome measures to evaluate the effectiveness of the PBS model. The study looks at pre- and post-outcome measures which showed a significant improvement in behaviour, quality of life and occupational outcomes for individuals with a learning disability presenting with complex behaviours of concern. This study contributes to the growing evidence base for PBS being delivered by specialist community learning disability teams. (Edited publisher abstract)
Experiences of service users with a mild intellectual disability or borderline intellectual functioning with Flexible Assertive Community Treatment: a qualitative study
- Authors:
- NEIJMEIJER Laura, et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 33(5), 2020, pp.1005-1015.
- Publisher:
- Wiley
Background: In the Netherlands, Flexible Assertive Community Treatment (FACT) teams have been established for people with mild intellectual disability (MID) or borderline intellectual functioning (BIF) and mental health problems or challenging behaviour. Little is known yet about service users’ experiences with FACT. Method: An inductive grounded theory approach was used to explore how service users valued the treatment and their own functioning, and which factors were perceived as supportive. Semi‐structured interviews were held with 15 service users. Results: Most service users highly appreciated the contact with the staff and the practical and emotional support. Persistent involvement, availability and humanity, and respect for autonomy were distinguished as core values in the relationship with the staff. Most service users experienced improvement in time and attributed this to intrapersonal changes and/or less stress in life. Conclusions: From the perspective of service users with MID/BIF, FACT appears to have an added value. (Edited publisher abstract)
Contributing factors to providing an effective community-based forensic service for people with a learning disability: a literature review
- Author:
- WARK Anna Leonie
- Journal article citation:
- Journal of Intellectual Disabilities and Offending Behaviour, 10(3), 2019, pp.45-57.
- Publisher:
- Emerald
Purpose: Legislative guidance stipulates that people with a learning disability have the right to receive local provision of personalised support within the least restrictive environment. On these bases there is a growing emphasis on the requirement for local authorities to develop appropriate services for people who are currently in a hospital setting. The purpose of this paper is to examine the literature addressing factors influencing the provision of effective community-based forensic services. Design/methodology/approach: The six articles were analysed separately using the evaluation tool – Currency, Relevance, Authority, Accuracy, Purpose. The six articles used divergent sample groups and employed both qualitative and quantitative methods to collate data. The articles shared a purpose of examining forensic community service provision with an aim to improve services. Findings: There were three themes that emerged consistently across the literature these included: balancing risk management vs individual autonomy; multi-disciplinary and multi-agency working; service improvement. There is a growing emphasis on the need to replace long-term hospital placements with specialist, community provision, employing least restrictive methods and positive responses to crisis situations. In this climate, it is crucial that multi-disciplinary agencies from local authority, health and the charitable and private sector continue to work collaboratively on the integration of service provision in order to bring about the development of effective and responsive community services. Research limitations/implications: Research limited to peer reviewed and published research papers focusing on the subject of community forensic services with publications specifically made within the time frame of the Transforming Care Agenda. Practical implications: This paper looks to examine the practical solutions to providing effective community forensic services for a person with an intellectual disability and makes recommendations for research into improving service specific training for support staff. Social implications: Following the Winterbourne View Hospital scandal (BBC One, 2011) instigations were made to make legislative change under the Transforming Care Agenda. Despite a renewed conviction in the rights of people to be a part of their local community without segregation or discrimination, professionals in the field continue to report a failure to reduce numbers of people in long stay hospitals and secure settings. With commissioning under pressure to make these intentions a reality it is a really good time to reflect on practice and evaluate service models to establish the factors that bring about positive outcomes for individuals enabling inclusion within community settings. Originality/value: This review will focus on the literature evidencing positive intervention and outcome focused methods of supporting people with a forensic history in the community. This is an entirely original piece of work analysing peer reviewed and published research. (Edited publisher abstract)
An evaluation of a behavioural support team for adults with a learning disability and behaviours that challenge from a multi-agency perspective
- Authors:
- CHRISTOPHER Rose, HORSLEY Sarah
- Journal article citation:
- British Journal of Learning Disabilities, 44(3), 2016, p.194–203.
- Publisher:
- Wiley
The Dudley Behavioural Support Team (BST) was set up based on Positive Behavioural Support (PBS) principles to support individuals with behaviours that challenge. The Winterbourne Review emphasises the importance of developing high-quality specialist community services and the Ensuring Quality Services (Local Government Association & NHS England, Ensuring quality services, London, 2014) document was released to guide the commissioning of such services. The document sets out standards and guidance for those supporting individuals with behaviour that challenges. This evaluation aimed to investigate whether the BST meets the guidance set out in Ensuring Quality Services from the perspective of other services. A questionnaire was developed to collect data from 19 staff members from services with experience of working with the BST, to address the points raised in Ensuring Quality Services. The quantitative results indicated that the BST are meeting the guidance to a high standard and qualitative data suggested this is achieved through a focus on joint working and a fluid, flexible approach. In conclusion, the BST appears to be a valuable resource from the perspective of services working with them to support individuals with behaviours that challenge. (Publisher abstract)
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.
Mental health services for adults with intellectual disability: strategies and solutions
- Editors:
- BOURAS Nick, HOLT Geraldine, (eds.)
- Publisher:
- Psychology Press
- Publication year:
- 2010
- Pagination:
- 168p.
- Place of publication:
- Hove
This book considers the evolution of mental health services over the past three decades to meet the needs of people with intellectual disability, from early deinstitutionalisation plans to the implementation of community care 25 years later. It focuses on the ways that theories and policies have been applied to clinical practice, and examines the shortcomings of the services provided. The authors and international contributors, all with longstanding expertise in the fields of mental health and intellectual disability, present the strategies and solutions for a for the wide array of interdisciplinary professionals using current evidence-based practice as how people with intellectual disability can be best cared for in clinical settings. Chapters cover topics including: the association between psychopathology and intellectual disability; international perspectives; neuroimaging and genetic syndromes; training professionals, families and support workers.
Demystifying the process? A multi disciplinary approach to assessing capacity for adults with a learning disability
- Authors:
- SKINNER Rachael, et al
- Journal article citation:
- British Journal of Learning Disabilities, 39(2), June 2011, pp.92-97.
- Publisher:
- Wiley
There appears to be a lack of confidence among professionals in conducting capacity assessments which may lead to reluctance to take responsibility for executing an assessment and forming a judgement. This document explains a 2-phase process developed by a multi-disciplinary group of professionals during a pilot project to assess the capability to consent of adults with a learning disability referred for proposed ophthalmic interventions. The 1st phase in the decision making process is to determine to what extent the person being assessed is able to process and recall information. The 2nd phase involves understanding more detailed information specifically relating to the decision, in this case the procedure or intervention. The use of the process is illustrated via case studies. Over a 2-year period, 17 people who were referred from the eye unit to the capacity team were seen. Of those, 2 progressed to the 2nd phase of the process and 1 demonstrated capacity to make a decision. The process was based on a functional approach, and was used to avoid making decisions based on status approaches. The developed process was fed back to the professionals in the eye unit to enable them to assess capacity in relation to eye surgery, and has also been applied to other situations such as the management of financial affairs and choices about accommodation.
Inpatient services for children and young people with an intellectual disability
- Author:
- RIPPON Lisa
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 4(4), December 2010, pp.4-8.
- Publisher:
- Emerald
Children and young people with an intellectual disability have a higher incidence of mental illness and challenging behaviour than individuals without cognitive impairment. An important component of potential treatment options that should be available to these young people is inpatient assessment and treatment in a learning disability-specific provision rather than mainstream inpatient child and adolescent mental health services (CAMHS). This article describes the characteristics of young people who gain most from being admitted to a specialist intellectual disability unit, discusses what should be the core features of the service treating young people with an intellectual disability, and examines how units should be evaluated and the challenges faced by such highly specialised services. The article argues that intellectual disability CAMHS inpatient services provide an essential component in the range of services for young people with an intellectual disability who present with mental illness or challenging behaviour. They can only be effective, however, if they are integrated into community provision, community professionals remain engaged throughout the admission, and all those involved with the young person are committed to implementing recommendations following discharge.
Caring for older people in the community
- Editors:
- HUDSON Angela, MOORE Lesley, (eds.)
- Publisher:
- Wiley-Blackwell
- Publication year:
- 2009
- Pagination:
- 245p.
- Place of publication:
- Chichester
This book is a compilation from 9 academics and practitioners, including the two editors. The first section (Chapters 1-3) discusses the past and current influences on physical, psychological and social ‘nursing’ practices and ethical tensions, when working with older people. Topics covered in the second section (chapters 4-6) with regard to contemporary challenges with older people who may have learning disabilities and dementia as well as experiencing ageing are, health education, sexual health, substance misuse, and the role of assistive technology. Examples of lived scenarios from service users and reflections from professionals are included. Current issues of kinship care for older people, ethics, palliative care and end of life decision making, complementary therapies, vulnerability, citizenship, informed consent, advocacy, empowerment, personalisation and a person centre approach are also mentioned. The third section from the joint editors, is on future challenges and covers: community hospitals, bringing diagnostic technology and chemotherapy interventions closer to cancer patients, the national panel for information and communications technology, ‘whole system demonstrators’, moving towards seamless care, and partnership with older people projects.