Search results for ‘Subject term:"learning disabilities"’ Sort:
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Learning curve
- Author:
- PENNINGTON Sarah
- Journal article citation:
- Nursing Times, 28.12.00, 2000, pp.47-49.
- Publisher:
- Nursing Times
Learning disabilities nursing has come a long way since care in the community. Reports on how it has survived by adapting to change.
Learning disability and dementia: are we prepared?
- Authors:
- KERR Diana, CUNNINGHAM Colm, WILKINSON Heather
- Journal article citation:
- Journal of Dementia Care, 14(3), May 2006, pp.17-19.
- Publisher:
- Hawker
This article describes a research project funded by the Joseph Rowntree Foundation (JRF) which was undertaken to explore the needs of people with learning disabilities and dementia, the obstacles to meeting their needs and examples of good practice. The study explored the experiences of 18 people with learning disabilities living in small-scale, community-based residential homes. The study also looked at the knowledge and experience of service providers, look at the impact of different models of provision, and to identify examples of good practice. The three models of care considered were: ageing in place (where individuals remain in their own accommodation); in place progression (where staff are trained and the environment developed to become increasingly specialised); and referral out (where the person is moved to a long-term nursing facility, usually outside of the learning disability service).
Residential staff: How they view their training and professional support
- Author:
- McVILLY Keith R.
- Journal article citation:
- British Journal of Learning Disabilities, 25(1), 1997, pp.18-25.
- Publisher:
- Wiley
Investigates the needs and views of community residential staff who support people with a learning disability. Questionnaires were divided into four categories: direct support skills, background knowledge, values and philosophy of service provision, organisational/operational knowledge. Items were rated among three dimensions: importance, preparation and usefulness. Staff also reported on opportunities for professional development, appraisal processes and support structures, and their expected tenure, the operation of the agency and the needs of clients. Findings highlight the priorities that staff attach to various aspects of their training and the degree to which they believe they have been prepared to undertake their work. Suggestions are made for the planning of induction and in-service training and the development of staff support structures.
Continuing the commitment: the report of the Learning Disability Nursing Project
- Authors:
- KAY Brian, ROSE Steven, TURNBULL John
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 1995
- Pagination:
- 44p.,bibliog.
- Place of publication:
- London
Looks at the needs of people with learning difficulties and at how the role of learning disability nurses has changed over the last 20 years, with the development of community care.
No specialists needed?
- Author:
- RICHARDSON Malcolm
- Journal article citation:
- Nursing Times, 23.3.94, 1994, p.67.
- Publisher:
- Nursing Times
Raises concern that privately run homes for people with learning disabilities living in the community sometimes neglect nursing interventions and skills.
Strategic commissioning of accommodation services for adults with learning disabilities
- Author:
- AUDITOR GENERAL FOR WALES
- Publisher:
- Wales Audit Office
- Publication year:
- 2018
- Pagination:
- 62
- Place of publication:
- Cardiff
This review assesses whether local authorities in Wales have effective approaches to commissioning accommodation for adults with learning disabilities. It included audit fieldwork at five local authorities; analysis of performance and expenditure; and modelling future growth and costs. Based on the findings, the review found that local authorities are generally meeting the accommodation needs of adults with learning disabilities, but existing commissioning arrangements are unlikely to be fit for purpose in the future. It reports that local authorities are underestimating the complexity in meeting the long-term accommodation needs of people with learning disabilities and their carers and need to do more to integrate the services. It also found that commissioning strategies do not always result in cost effective services that meet people's needs. The report estimates that authorities will need to increase investment by £365 million in accommodation in the next twenty years to address a growth in the number of people with learning disabilities who will need housing and the increase in the number with moderate or severe needs. The report makes recommendations to local authorities, in six key areas, including: to continue to focus on prevention by providing effective support at home and a range of step up accommodation; to improve the approach to planning services for the future, and to do more to involve people with learning disabilities and their carers in care planning and agreeing pathways to further independence. (Edited publisher abstract)
Comparison of adults with intellectual disabilities and mental health problems admitted to specialist and generic inpatient units
- Authors:
- HEMMINGS C.P., et al
- Journal article citation:
- British Journal of Learning Disabilities, 37(2), June 2009, pp.123-128.
- Publisher:
- Wiley
This study aimed to compare the characteristics of service users with intellectual disabilities and mental health problems admitted to either a specialist or a generic inpatient unit in an area of South London. Socio-demographic and clinical characteristics of consecutive admissions over a 5.5-year period were recorded using a questionnaire. Key differences in psychiatric diagnosis, residence type and discharge destination were found between individuals using generic and specialist provision. Length of stay was significantly longer for specialist unit admissions. Admissions to the specialist unit were significantly more likely to reside with family prior to admission and admissions to generic units were significantly more likely to come from 'other' forms of residence such as hostels, prison and 'no fixed abode'. At discharge the proportion of those admitted to the specialist unit who resided with their families reduced. At the same time the proportion of those living in supported accommodation increased although compared with those admitted to generic units they were still significantly more likely to return to the family home. Significantly, more adults admitted to generic units were diagnosed with an affective disorder. Specialist inpatient provision may be crucial in helping mainstream services meet the needs of individuals with intellectual disabilities and mental health problems.
Benefit groups and resource groups for adults with intellectual disabilities in residential accommodation
- Authors:
- COMAS-HERRERA Adelina, et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 14(2), 2001, pp.120-140.
- Publisher:
- Wiley
Examines whether 'benefit groups' and 'resource groups' can be developed so as to assist decision-making processes in service commissioning by using a survey of the characteristics of 2093 adults with intellectual disabilities (IDs) in residential accommodation (mainly National Health Service trusts), and a supplementary collection of data on service utilization and costs (for a subsample of 930 clients). The clients were classified, according to their needs into benefit groups (BGs), and the services which they used were classified in terms of coherence as likely packages of care and similar consumption of resources as resource groups (RGs). It proved possible to construct nine BGs and 96 possible RGs which had both intuitive meaning and explanatory power. Statistical analysis showed that the resulting BGs and RGs are meaningful ways of classifying ID and challenging behaviour needs and costs.
Quality and costs of residential supports for people with learning disabilities: an observational study of supports provided to people with severe and complex learning disabilities in residential campuses and dispersed housing schemes
- Authors:
- EMERSON Eric, et al
- Publisher:
- University of Manchester. Hester Adrian Research Centre
- Publication year:
- 1999
- Pagination:
- 64p.,tables,bibliog.
- Place of publication:
- Manchester
Report providing a summary of selected results from a large scale research project aiming to examine the quality and costs of residential support provided for people with severe and complex learning difficulties. Contains sections on: methodology; the organisations; the characteristics and needs of service users; the nature of the support provided to service users; costs of service provision; and outcomes for service users.
Difficult questions
- Author:
- WINTERSGILL Cathy
- Journal article citation:
- Mental Health Care, 1(11), July 1998, pp.379-381.
- Publisher:
- Pavilion
People with learning difficulties know what they want from services, and are best placed to know how good they are. The author and colleagues describe how together they reviewed standards in local residential homes.