Search results for ‘Subject term:"learning disabilities"’ Sort:
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Sharing 'good stories' about people
- Author:
- CRAYDEN Stephen
- Journal article citation:
- Community Living, 7(4), April 1994, pp.13-14.
- Publisher:
- Hexagon Publishing
Describes a practical workshop on Gentle Teaching which took place in a residential setting for six people with learning difficulties who also have challenging behaviour.
Service innovations: Maple House- an autistic-friendly NHS facility
- Authors:
- JABARIN Z., et al
- Journal article citation:
- Psychiatric Bulletin, 25(3), March 2001, pp.109-111.
- Publisher:
- Royal College of Psychiatrists
This paper describes Maple House, a unique in-patient facility for learning disabled adults with autism which has recently been developed in Exeter. The design of this facility has been based on the principles of Treatment and Education of Autistic and Related Communication Handicapped Children (TEACCH). The design tenet of Maple House was that the environment should reflect these principles, facilitating communication and, therefore, allowing the comprehensive assessment of autistic individuals. Overall, the service provision for this group in the UK is deficient. Maple House may be a model for future NHS facilities for people with autism.
Treatment and management of challenging behaviours in residential settings
- Authors:
- EMERSON E., et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 13(4), 2000, pp.197-215.
- Publisher:
- Wiley
Approximately 10-15 percent of people with learning difficulties show behaviours which present a significant challenge to carers and support agencies. The aims of the present study were to (1) collect descriptive information on the use of management and treatment strategies employed in residential settings in the UK; and (2) to identify those personal and environmental factors associated with variation in the use of particular strategies. The data presented were collected in the context of a larger project evaluating the quality and costs of village communities, National Health Service (NHS) residential campuses and community-based provision for adults with intellectual disabilities.
Therapeutic communities for people with intellectual disability and complex needs
- Authors:
- TAYLOR Jon, CROWTHER Simon, BRYANT Christian
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 9(3), 2015, pp.124-131.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to describe the use and value of therapeutic communities (TCs) in services for people with intellectual disabilities (IDs) and complex needs. Design/methodology/approach: A structured literature review of TC in ID services. Findings: TCs have been used in a range of in-patient services for people with IDs. Although outcome studies are scarce, those that exist offer promising indications of such service designs. Originality/value: TCs have seen a recent increase of interest in ID services. This paper provides an overview of these services and outlines the benefits that such a residential culture can offer for both service users and staff members. (Publisher abstract)
Assessment and treatment units for people with intellectual disabilities and challenging behaviour in England: an exploratory survey
- Authors:
- MACKENZIE-DAVIES N., MANSELL J.
- Journal article citation:
- Journal of Intellectual Disability Research, 51(10), October 2007, pp.802-811.
- Publisher:
- Wiley
Evaluative studies have shown that special units for people with intellectual disabilities (ID) who have challenging behaviour have advantages and disadvantages. There has been no survey of their number or characteristics for nearly 20 years. A questionnaire was sent to all National Health Service trusts that had ID inpatient beds, and all private or voluntary healthcare establishments providing services for people with mental health problems or ID. This asked for information about the unit, its residents and the views of the unit manager. Forty-four agencies confirmed that they provided assessment and treatment units, of which 38 returned questionnaires. These units served 333 people, of whom 75% had mild or moderate ID. A quarter had been there for more than 2 years. Forty per cent of residents had a discharge plan, and 20% had this and the type of placement considered ideal for them in their home area. The main strengths of the units were identified as the knowledge and experience of the staff and having sufficient staff; the main problems as inappropriate admissions, bed-blocking and the relationship with other services; difficulties with recruiting and retaining staff; the location and environment of the unit; and the mix of residents. There has been an increasing rate of provision of special units, which now predominantly serve people with moderate or mild ID. This model of service provision is becoming more widespread, but the potential problems identified 20 years ago are still present. Areas are identified for further research.
A preliminary report on the closure of the Challinor centre
- Authors:
- YOUNG Louise, et al
- Journal article citation:
- Journal of Intellectual and Developmental Disability, 25(2), June 2000, pp.119-126.
- Publisher:
- Taylor and Francis
Reports on preliminary data for 32 individuals with intellectual disability who were relocated from a large state institution in Australia to small community-based group homes. These results suggest the relocation has enabled a more active and normalised lifestyle. However, community-based services may need to incorporate more effective active treatment programmes if adaptive behaviour gains are to occur.
Treatment of offenders with mental disorders
- Editor:
- WETTSTEIN Robert M.
- Publisher:
- Guilford Press
- Publication year:
- 1998
- Pagination:
- 447p.,bibliog.
- Place of publication:
- London
Looks at the treatment of offenders with mental health problems in the United States. Includes chapters on: administration of treatment programmes; legal aspects; inpatient treatment; community based forensic treatment; treatment in prison; treatment of sex offenders; treatment of offenders with learning difficulties; and treatment of juvenile offenders.
Understanding and responding to challenging behaviour: a service provider's experience
- Author:
- ASHMAN Beverley
- Journal article citation:
- Tizard Learning Disability Review, 2(4), October 1997, pp.36-43.
- Publisher:
- Emerald
Many services struggle with the dilemma of providing quality residential services to people with learning disability who present behaviours which challenge services. This article describes how a service provider in North Yorkshire is approaching this dilemma. A weekly timetable has been introduced which incorporates all the service and service user requirements. This, backed up by training, external professional help and management attention, has led to a decrease in behaviours which challenge, an increase in team members' skills and confidence, and increased service user participation both in the house and in the community.
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.
Profiling the sexually abusive behaviour of men with intellectual disabilities
- Author:
- THOMPSON David
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 10(2), 1997, pp.125-139.
- Publisher:
- Wiley
Presents a statistical analysis of the offences allegedly committed by a sample of men with intellectual disabilities and the responses they received. The most common victims are shown to be people with intellectual disabilities, women staff, and children and women in the general public. There was also variation between the nature of the offences across victim groups, with people with intellectual disabilities being on the receiving end of the most serious forms of assault. The responses to the men were not found to be correlated with the nature of the sexual abuse but to whom was abused: the abuse of children and women in the general public giving rise to the strongest responses. Protection of victims from subsequent abuse was also related to this specific variable, here people with intellectual disabilities and women staff gained the least protection. Also draws attention to the high proportion of men receiving intellectual disability services who appear not to have intellectual disabilities and the poor level of risk management of men with histories of sexually abusing.