Search results for ‘Subject term:"learning disabilities"’ Sort:
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New research into general psychiatric services for adults with intellectual disability and mental illness
- Author:
- CHAPLIN R.
- Journal article citation:
- Journal of Intellectual Disability Research, 53(3), March 2009, pp.189-199.
- Publisher:
- Wiley
There has been a long-running debate as to whether this should be provided by general psychiatric or specialised intellectual disability (ID) services. A previous review concluded that there was no clear evidence to support either model with research being often of a poor quality, lacking replication, and outcome measures were often inappropriate or varied between studies. This review aims assess differences in outcome for adults with ID and mental disorders treated in general or specialised ID mental health services. A literature review was conducted using electronic databases and websites of ID and mental health organisations to locate all references where people with ID receive mental health care in general psychiatric services from 2003. People with ID (especially severe ID) have reduced access to general psychiatric services. General psychiatric inpatient care is unpopular especially with carers but can be improved by providing specially trained staff and in-reach from community ID teams. Opportunities may exist to enhance the care of people with borderline intellectual functioning within general psychiatric services. Although no new randomised controlled trials have been published, the weight of research is accumulating to suggest that provision of general psychiatric services without extra help is not sufficient to meet the needs of people with ID.
Referrals to an intellectual disability psychotherapy service in an inner city catchment area - a retrospective case study
- Authors:
- PARKES Georgina, et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 20(4), July 2007, pp.373-378.
- Publisher:
- Wiley
The aims of this study were to identify referral characteristics and outcomes for people with intellectual disabilities referred to a psychodynamic psychotherapy service. A retrospective case notes review of anonymized data relating to 100 sequential patient episodes referred to the specialist psychotherapy service for people with intellectual disabilities in south-west London were used in the study. A total of 81 people out of 100 with a range of intellectual disabilities from mild to severe were assessed as suitable for therapy; 66 were eligible for individual, art, or group therapy. Common reasons for referral were: trauma/abuse, bereavement, depression and challenging behaviour. Many people had more than one cause for referral and/or co-morbid psychiatric diagnoses. Indicators of success included: increased daily living skills, improved confidence, self-esteem and behaviour, and finding employment. This study confirms findings from other studies that psychotherapy is possible in people with mild to severe intellectual disability with clinically recorded outcomes ranging from reductions in problem behaviours to getting a job.
Quality and costs of residential provision for people with learning difficulties
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 1999
- Pagination:
- 5p.
- Place of publication:
- London
Circular drawing attention to the results of the second phase of a Hester Adrian Research Centre project looking at the quality, costs and outcome of different types of residential provision for people with learning difficulties.
Evaluating the multidimensional nature of supported employment
- Authors:
- LEWIS Darroll R., JOHNSON David R.
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 11(2), 1998, pp.95-115.
- Publisher:
- Wiley
The emergence of supported employment services in the United States has raised expectations concerning the viability of employment in promoting the work productivity, social integration and personal independence of persons with severe disabilities. Examines the multidimensional outcomes of supported employment in the USA in terms of its effectiveness and efficiency and offers several policy recommendations for improving these outcomes.
Emotional well-being for all: mental health and people with profound and multiple learning disabilities
- Authors:
- SHEEHY Kieron, NIND Melanie
- Journal article citation:
- British Journal of Learning Disabilities, 33(1), March 2005, pp.34-38.
- Publisher:
- Wiley
This article considers the emotional well-being of people with profound and multiple learning disabilities. It identifies the factors that have particularly affected this group of people: an historical failure to acknowledge their human status; deficit-based services, a lack of voice and communication barriers. Whilst these factors are of importance to all people with learning disabilities, evidence is presented that those with profound and multiple learning disabilities are the most likely to experience challenges to their mental health and the least likely to receive appropriate support. A strategy for developing our understanding and good practice in the area is suggested. This prioritizes areas for future work and suggests that a collaborative approach is most likely to yield positive outcomes for these individuals.
The health of the nation outcome scales for people with learning disabilities (HoNOS-LD)
- Authors:
- ROY Ashok, et al
- Publication year:
- 2002
- Pagination:
- 55p., disc
- Place of publication:
- London
The Health of the Nation Outcome Scales for People with Learning Disabilities (HoNOS-LD) is the result of collaboration between the Royal College of Psychiatrists, the British Psychological Society and the Department of Health. HoNOS-LD measures global outcomes (improvement or deterioration) in people with learningdisabilities who have additional mental health needs.
Who's in control: decision-making by people with learning difficulties who have high support needs
- Author:
- EDGE James
- Publisher:
- Values into Action
- Publication year:
- 2001
- Pagination:
- 56p.
- Place of publication:
- London
Drawing on 18 months of research with people who have high support needs, VIA demonstrates how all people with learning difficulties can be enabled to be in control of their lives and how it can be demonstrated that those with higher support needs are indeed in control.
Innovations in evaluating services for people with intellectual disabilities
- Editor:
- McCONKEY Roy
- Publisher:
- Lisieux Hall Publications
- Publication year:
- 1996
- Pagination:
- 186p.,bibliogs.
- Place of publication:
- Chorley, Lancs.
The contributors to this volume point out that measuring the measurable is no guarantee that those variables exert a primary influence on service quality for people with intellectual disabilities. Other factors which are less tangible are needed to produce this outcome. Topics discussed include: involving service users; common sense evaluation; service costs; empowering front line staff; and the evaluator's role in developing quality.
A validity study of the Screening Tool of Feeding Problems (STEP)
- Authors:
- KUHN David E., MATSON Johnny L.
- Journal article citation:
- Journal of Intellectual and Developmental Disability, 27(3), September 2002, pp.161-167.
- Publisher:
- Taylor and Francis
The Screening Tool of Feeding Problems (STEP) was developed as a means to identify feeding problems presented by persons with an intellectual disability, for diagnosis, treatment and evaluating treatment outcome. Rarely is assessment comprehensive and often problems are not identified until they are severe. Items for the scale were developed to target feeding problems identified in the literature in the areas of risk of aspiration, food selectivity, feeding skills deficits, food refusal and associated behaviour problems, and nutrition related behavior problems. The current study examines the validity of the STEP as a means to identify feeding problems.
Teaching food preparation skills to people with intellectual disabilities: a literature overview
- Authors:
- LANCIONI Giuilo E., O'REILLY Mark F.
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 15(3), September 2002, pp.236-253.
- Publisher:
- Wiley
Food preparation skills are considered very relevant for people with intellectual disabilities. This article reviews research studies teaching these skills through the use of pictorial instructions or systematic prompting strategies.Computerized and hard searches led to the identification of: 12 studies using pictorial instructions on cards; four studies using pictorial instructions through computers; seven studies using systematic prompting (time delay or prompted practice of incorrect task steps), and three studies combining time delay with cards.The overall training outcomes were quite encouraging. Maintenance and generalization data tended to be in line with the training outcomes. The findings for the different teaching approaches were analysed in relation to the characteristics of the participants, number and complexity of the tasks available, data collection strategies as well as relevant literature on intellectual disabilities. The suitability of the teaching approaches for different types of people and environments and some relevant issues for future research were also examined.