Search results for ‘Subject term:"learning disabilities"’ Sort:
Results 1 - 10 of 11
Quality group home care for adults with developmental disabilities and/or mental health disorders: yearning for understanding, security and freedom
- Authors:
- SHIPTON Leah, LASHEWICZ Bonnie M.
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 30(5), 2017, pp.946-957.
- Publisher:
- Wiley
Background: The purpose of this study was to uncover and understand factors influencing quality of care received by adults with developmental disabilities and/or mental health disorders living in group homes. Methods: The present authors conducted a secondary analysis of data from nine focus group discussions with adults with developmental disabilities and/or mental health disorders, and their family and paid caregivers (N = 52). To focus the analysis, the present authors drew on the research literature to craft a model of quality of group home care using concepts of social inclusion and self-determination, and corresponding staff approaches that include active support and person-centred care. Results: Social inclusion and self-determination for adults in group homes are facilitated by staff approaches and manifest in residents being understood and experiencing security and freedom. Conclusions: The present authors offer recommendations for group home resources, training, communication and outcome measures that promote residents’ being understood and experiencing security and freedom. (Publisher abstract)
If the support's right, she's right: an evaluation of Partners for Inclusion
- Author:
- MACINTYRE Gillian
- Publisher:
- Scottish Consortium for Learning Disability
- Publication year:
- 2011
- Pagination:
- 58p., bibliog.
- Place of publication:
- Glasgow
Partners for Inclusion is a voluntary organisation that provides support for adults with learning disabilities and mental health problems. It has adopted a person-centred approach to supporting people with ‘high’ or ‘complex’ support needs in order to provide services based on individual needs, wants and desires. This report presents the findings of an evaluation aiming to measure the progress made in the 4 years since the service was last evaluated. Specifically, it aimed to address: whether people are living the life they choose; whether people are living in the place that makes sense for them now; in what ways people’s lives have changed since receiving a service from Partners for Inclusion; and the experiences of staff who work for Partners for Inclusion. The research included a total of 50 interviews with individuals who receive services, support staff, family members, friends, and other professionals. The findings show that, for some people, lives have changed in significant ways since receiving support from Partners for Inclusion. However, further work is needed in areas of social inclusion, such as participating in education and employment. In common with other person-centred organisations, the staff often experience lone working with a resultant reduction in collegial support. A number of recommendations are provided in the areas of: personalisation; creating opportunities; and organisational capacity.
Critical components in implementing evidence‐based practice: a multiple case study of individual placement and support for people with psychiatric disabilities
- Authors:
- BERGMARK Magnus, BEJERHOLM Ulrika, MARKSTROM Urban
- Journal article citation:
- Social Policy and Administration, 52(3), 2018, pp.790-808.
- Publisher:
- Wiley
When developing Community Mental Health Services to support people with psychiatric disabilities, European countries are advocating evidence‐based practice (EBP). Individual Placement and Support (IPS) is an evidence‐based model designed to support people in acquiring and maintaining competitive employment. Implementation science is a growing research field, with a focus on components that impact the process of implementing EBP programmes. In this multiple case study, three IPS demonstration sites are followed for two years, in order to describe and analyze barriers and facilitators for implementation, according to constructs described in the Consolidated Framework for Implementation Research(Damschroder et al. 2009). The results highlight the importance of strategic networking, as well as the need for planning and preparations carried out before the start of an EBP programme, since deficiencies related to these constructs are difficult to compensate for. (Edited publisher abstract)
The bounds of liberty: lessons learnt from treating a man with alcohol use disorder, autism and learning disability
- Authors:
- DRAKE Alexander C.L., et al
- Journal article citation:
- Tizard Learning Disability Review, 23(1), 2018, pp.27-34.
- Publisher:
- Emerald
Purpose: A man in his 40s with alcohol use disorder, learning disability and autism was referred to the learning disability team due to anxiety and low mood. He had been abstinent from alcohol for ten years prior to a recent relapse. The purpose of this paper is to describe his case. Design/methodology/approach: Treatment was person centred, followed standard practice for clients with alcohol use disorder and targeted harm minimisation. Initially, alcohol consumption reduced; however, at month three, he relapsed. Thereafter, he was repeatedly admitted to inpatient settings, drank excessively and engaged in risky behaviours. Findings: Conventional approaches to treating alcohol dependence may not be entirely appropriate for this client group. The client’s alcohol consumption was only curtailed with the use of restrictions to his liberty agreed by him and incorporated into his tenancy agreement. Originality/value: To the best of the authors’ knowledge, this is the first paper to discuss issues pertaining to people with co-occurring learning disability, autism and alcohol dependence. The authors discuss the use of restrictions, reasonable adjustments and policy issues relevant to treating this complex client group. (Publisher abstract)
Social work with older people: approaches to person-centred practice
- Authors:
- HALL Barbara, SCRAGG Terry
- Publisher:
- Open University
- Publication year:
- 2012
- Pagination:
- 256p.
- Place of publication:
- Maidenhead
This book takes a person-centred approach to working with older people and provides an introduction to the legislation, policy, theory and research needed by social workers. It explores the experience of being an older person and how practitioners can work to make positive differences to older people's lives. It goes beyond the mechanistic care management approaches to social work and encourages the reader to see older people holistically. The book is separated into 3 parts: setting the context and the importance of values; equality and diversity in working with older people; and enhancing the well-being of older people and safeguarding issues. It examines a range of contexts and perspectives, including sexuality, spirituality, learning disabilities, ethnicity, and mental health needs. Case studies and exercises are included to assist readers in reflecting on their practice. The book aims to encourage wider reflection on the constraints posed by organisations employing social workers and the impact on their practice. It is likely to be of interest for students on placement in adult services or voluntary organisations and social work practitioners working with older people.
Mental health nursing of adults with learning disabilities: RCN guidance
- Author:
- ROYAL COLLEGE OF NURSING
- Publisher:
- Royal College of Nursing
- Publication year:
- 2012
- Pagination:
- 44p.
- Place of publication:
- London
This publication provides guidance for nurses and nursing students in mental health services in delivering high quality health care to people with learning disabilities. It is recognised that people with learning disabilities demonstrate the complete spectrum of mental health problems, with higher prevalence than found in those without learning disabilities. This publication aims to describe how to work in partnership with people with learning disabilities in their mental health care and to personalise their services. An overview of government policy and the law about learning disabilities in each of the 4 UK countries is provided. The publication then describes how mental health problems may present in people with learning disabilities, how to adapt mental health assessments to meet the needs of adults with learning disabilities, and the interventions that can be used. The vulnerability of people with learning disabilities to mental health problems is highlighted. In addition, specialist services which can provide additional support for adults with learning disabilities and how these can be accessed are described. Examples of good practice and partnership working are provided.
Intellectual disability psychiatry: a practical handbook
- Editors:
- HASSIOTIS Angela, BARRON Diana Andrea, HALL Ian, (eds.)
- Publisher:
- Wiley-Blackwell
- Publication year:
- 2009
- Pagination:
- 276p.
- Place of publication:
- Chichester
This guide to the management of mental health problems in people with learning disabilities has been written by nearly 30 contributors from the United Kingdom, United States, Canada, Ireland and Australia. Sixteen chapters cover topics including effective communication, clinical assessment, assessing mental capacity, decision making, depression, anxiety, obsessive compulsive disorders (OCDs), post traumatic stress disorder (PTSD), psychoses, autistic spectrum disorders (ASDs), substance misuse, challenging behaviour, interaction of physical with mental health, older people, mentally disordered offenders, mental health crises, community care and pharmacological and psychological interventions. Two appendices entitled ‘Critique of the ICD 10 and DSM IV based classification of mental disorders in intellectual disability’ and ‘A to Z of disciplines that may contribute to the multi-and interdisciplinary work as applied to mood and anxiety disorders’ are also included. The publication is aimed at health professionals to develop their understanding of mental health issues of people with learning disabilities.
Access to and experience of child and adolescent mental health services: barriers to children and young people with learning disabilities and their families
- Authors:
- SIN Chi Hoong, FRANCIS Rob, COOK Chloe
- Journal article citation:
- Mental Health Review Journal, 15(1), March 2010, pp.20-28.
- Publisher:
- Emerald
Drawing on the findings of a literature review undertaken in 2008 and updated in 2009, and conducted in partnership with the UK Centre for Evidence-based Policy and Practice, this article looks at barriers in relation to access to, and experiences of, child and adolescent mental health services, reporting on such barriers and their impact on children and young people with learning disabilities, a group identified as being at a disproportionate risk of experiencing mental health problems. The authors discuss how families are often unclear about how to access mental health services and what services are available, how information and knowledge related barriers are particularly significant for certain minority ethnic groups, and how barriers related to the mental health services workforce mix, skills and staff attitudes can also mean that skills required for working with people with both mental health conditions and learning disabilities can be lacking. The article identifies that systems-related barriers include a lack of joint commissioning and planning, unclear care pathways, the lack of a single point of referral, difficult transition to adult mental health services and a lack of appropriate services. The authors conclude that the findings of the literature review demonstrate that, despite commitment to improving access to and experience of child and adolescent mental health services, there are still a number of key barriers, and that ensuring that such services deliver person-centred support and services requires systemic and cultural changes with continuing engagement and improvement.
The impact of person centred planning
- Authors:
- ROBERTSON Janet, et al
- Publisher:
- Lancaster University. Institute for Health Research
- Publication year:
- 2005
- Pagination:
- 125p.
- Place of publication:
- Lancaster
The initial results show that person centred planning led to positive changes for individuals. Some changes were short-lived, but some continued beyond the end of the project. People experienced ongoing positive changes in the size of their social networks, their circle of friends, their presence in the community and the extent and range of their daytime activities. Changes were also seen in people’s contact with their families and the amount of choice available to them, but these improvements were not sustained. People with a plan were more likely to have access to some advocacy and health services. Some negative changes were reported in relation to people’s emotional, behavioural and health problems. These findings are not entirely surprising given that some people find change stressful; that new environments are more likely to seem risky (whether they really are or not); and that person centred planning tends to highlight existing health problems and get help with them. The overall message is that person centred planning was beneficial for people taking part in the study. It is also effective as a policy in promoting community involvement, changing daytime activities, extending contacts with families and friends, and improving choice for people with learning disabilities.
Adult placements and person-centred approaches
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2005
- Place of publication:
- London
This web-based practice guide is aimed at local authority and health commissioners, practitioners, service users, adult placement scheme staff and carers in England. The guide is based on information from a practice survey that identified emerging and developing practice; a literature review that pulled together the key literature on adult placements; and an analytical report that identified the key messages from these two surveys. It identifies relevant national minimum standards, and highlights findings and case examples from the practice survey, as well as from the literature where available. The Guide contains practice points, including areas of conflict, on-going debate about roles and responsibilities, and the application of person-centred approaches to adult placements. It contains sections on: being person-centred, assessment and referral, matching and introductions, monitoring and review, moving on, adult placement carers, advocacy; and person-centred planning. (Previously published as SCIE Practice Guide no. 4).