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Thinking on your feet: understanding the immediate responses of staff to adults who challenge intellectual disability services
- Authors:
- RAVOUX Peggy, BAKER Peter, BROWN Hilary
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 25(3), May 2012, pp.189-202.
- Publisher:
- Wiley
Previous research suggests that there is a significant gap between the conceptualisation of good practice in challenging behaviour management strategies and current practice in intellectual disability services in the UK. This study investigated staff members’ perspectives of managing clients with challenging behaviours. Semi-structured interviews were conducted with eleven staff (ranging from managers to support workers) in two residential services in the independent sector. Both provided 24 hour support to four individuals. One service used a specific training package referred to as Non-Abusive Psychological and Physical interventions, the other used a positive behaviour support framework to inform their behavioural management policy. Service documents on challenging behaviour management were also examined. Analysis of the responses focussed on staff members’ immediate responses to clients’ difficult behaviours and their decision-making processes. The immediate responses of staff were the result of complex appraisals shaped by their service context involving the core processes of making the right choice and prioritising the best interests of all involved. The authors conclude that staff members’ responses can be understood as a dynamic and retroactive process, where their past and current challenging behaviour management influence their responses to clients in the future.
Adult protection: an overview of research and policy
- Authors:
- BROWN Hilary, KINGSTON Paul, WILSON Barry
- Journal article citation:
- Journal of Adult Protection, 1(1), August 1999, pp.6-16.
- Publisher:
- Emerald
This article considers the emergence of adult protection as a significant issue for health and welfare professionals. It presents a range of definitions and dilemmas alongside a comprehensive review of how abuse is manifested. A brief review of the latest research is followed by principles of good practice.
Service responses to men with intellectual disabilities who have unacceptable or abusive sexual behaviours: the case against inaction
- Authors:
- BROWN Hilary, THOMPSON David
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 10(2), 1997, pp.176-197.
- Publisher:
- Wiley
Describes service responses to a small group of men with intellectual disabilities whose sexual behaviour was considered to be unacceptable or abusive. The data was gathered through a small-scale action research project using case studies to explore current practice and staff attitudes. Results found that service responses were hindered by unclear definitions of abusive sexual behaviour and inconsistent perceptions of risk. They were also characterised by poor coordination, lack of specific care-planning, failure to agree to appropriate additional supervisory measures and lack of clarity within and between agencies. Also found that complex ethical and advocacy issues remained unaddressed in these men's lives as did the necessity of protecting vulnerable people who might be potential victims of their behaviour.
A practical guide to working with people with learning disabilities: a handbook for care assistants and support workers
- Editors:
- BROWN Hilary, BENSON Sue
- Publisher:
- Hawker/Care Concern
- Publication year:
- 1992
- Pagination:
- 176p.,list of orgs.
- Place of publication:
- London
Practical text that includes chapters on: how services have changed; the caring relationship; individual planning; effective communication; sight and hearing; challenging behaviour; sharing the tasks of daily living; teaching new skills; day services; employment; leisure and recreation; meeting the needs of black people; mealtimes and personal care; sexuality; movement and lifting; health and medical care; rights, advocacy and support; how the home is managed; emergencies; and career planning.