Search results for ‘Subject term:"learning disabilities"’ Sort:
Results 1 - 10 of 36
The use of restrictive interventions in Victoria, Australia: population data for 2007-2008
- Authors:
- WEBBER Lynne S., et al
- Journal article citation:
- Journal of Intellectual and Developmental Disability, 35(3), September 2010, pp.199-206.
- Publisher:
- Taylor and Francis
In Victoria, Australia, all disability service providers who use restrictive interventions are required by the Disability Act (2006) to register with the Senior Practitioner, appoint an Authorised Program Officer to monitor the use of these practices within their own service, and report the use of chemical and mechanical restraints and seclusion to the Senior Practitioner using the Restrictive Intervention Data System (RIDS). The data included in this paper summarise findings from the first 12 months of the RIDS as collated at March 2009. During the year from July 2007 to June 2008, approximately 9% of people who were receiving a disability service were subjected to a restrictive intervention which included about twice as many males as females. The proportion of males subject to restrictive intervention was higher (65%) than would have been expected based on the proportion of males with an intellectual disability receiving a funded disability service in Victoria (58%). Most subjects (98%) were reported to have either an intellectual disability and/or an acquired brain injury, and the majority had more than one disability. The majority were subjected to some form of chemical restraint. Chemical restraint constituted 96% of routine interventions and 57% of PRN and emergency interventions combined. Mechanical restraint was used in 9% of subjects and seclusion in 7%. Limitations of the data are discussed.
Challenging behavior: a barrier to inclusion?
- Author:
- MURPHY Glynis
- Journal article citation:
- Journal of Policy and Practice in Intellectual Disabilities, 6(2), June 2009, pp.89-90.
- Publisher:
- Wiley
Arguably, the most important outcome measure for services to people with intellectual disabilities is quality of life. Quality of life has been defined in numerous ways and may consist of many aspects, including physical, material, and emotional well-being, as well as interpersonal relationships, personal development, self-determination, social inclusion, and civic rights. However, the most important aspect is social inclusion. People with intellectual disabilities who show challenging behaviour, however, often make other people uncomfortable so that social inclusion is more difficult, and evidence suggests that both children and adults with intellectual disabilities and challenging behaviour (and their families) have poorer quality of life and more restrictions in their lives than others with intellectual disabilities. Examination of the psychosocial aspects of quality of life indicates that modern services are still not good at providing people with challenging behaviour with opportunities for making relationships, employment, and social inclusion. We need to improve our ability to target these areas of quality of life, particularly social inclusion for people with challenging behaviour.
Job stress, burnout and job satisfaction: an intervention study for staff working with people with intellectual disabilities
- Authors:
- INNSTRAND Siw Tone, ESPNES Geir, MYKLETUN REidar
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 17(1), June 2004, pp.119-126.
- Publisher:
- Wiley
Reports on a longitudinal, quasi experimental study carried out among staff working with people with intellectual disabilities in two municipalities in Norway. The purpose was to measure mean differences of stress, burnout and job satisfaction after different intervention approaches were applied to staff in one of the municipalities. Staff in the other municipality acted as a control group. Using the pretest score as the covariate, by analysis of covariance (ancova), the experimental group showed a significant reduction in stress and exhaustion, and a strong significant rise in job satisfaction after intervention. This was a sufficiently promising result to encourage further research, not only to promote the individual worker's health and well being, but also to ensure the health and well being of those for whom services are provided.
Confronting stigma within the services system
- Author:
- DUDLEY James R.
- Journal article citation:
- Social Work: A journal of the National Association of Social Workers (NASW), 45(5), October 2000, pp.449-455.
- Publisher:
- Oxford University Press
Stigma is a major problem for many clients of social work services, particularly people with learning difficulties. This article offers three major tasks that social workers can take on to overcome the stigma that the system is fostering.
Helping people with learning disabilities to handle grief
- Author:
- ELLIOTT David
- Journal article citation:
- Nursing Times, 25.10.95, 1995, pp.27-29.
- Publisher:
- Nursing Times
Examines the scope of using bereavement counselling as an intervention for people with learning disabilities who have experienced a bereavement. It discusses a range of practical measures which be introduced and highlights the indicators which suggest that interventions are needed.
Community resistance to mental handicap facilities in Hong Kong
- Author:
- TSE John W.L.
- Journal article citation:
- British Journal of Learning Disabilities, 22(3), 1994, pp.100-103.
- Publisher:
- Wiley
Describes the community resistance to mental handicap facilities in Hong Kong and discusses long-term and immediate intervention strategies to enable agencies to tackle this.
Early intervention: planning futures, shaping years
- Author:
- McCONKEY Roy
- Journal article citation:
- Mental Handicap Research, 7(1), 1994, pp.4-15.
- Publisher:
- BIMH Publications
The achievements of early interventions during the last quarter of a century are built on family-based services with a whole-child focus. Their influence has been far-reaching but knowing what needs to be done increases the frustrations in making effective interventions available to all families and children, irrespective of where they live. Among the service transformations reviewed are the shift in focus from children to families; the recasting of service personnel from specialists to family supporters; the development of therapies into child-led transactions as the preferred means of promoting development, and new approaches to evaluating service effectiveness.
Better health and care for all: health and care services for people with learning disabilities
- Authors:
- NIHR DISSEMINATION CENTRE, WALLACE Louise M., CLARKE-HARRIS Rebecca, LAMONT Tara
- Publisher:
- National Institute for Health Research
- Publication year:
- 2020
- Pagination:
- 53
- Place of publication:
- London
This thematic research review brings together NIHR-funded research on health and social care services for people with learning disabilities and their families. It features 23 recent studies and includes summaries of findings. The review covers the themes: understanding learning disability and services; identifying health risks; keeping well in the community; staying well and safe in hospital and preventing avoidable deaths; services supporting positive behaviour; and conducting research together. It also highlights studies that show examples of good practice in involving people with lived experience of learning disabilities in doing research. It also includes the views of people with lived experience around the issues covered by the research. The research finds that more work is needed to improve care for people with learning disabilities, who experience poorer health and die earlier than the general population. Many of these deaths could be prevented by public health interventions or better access to high quality care. It includes important findings for those who commission, deliver, work in and use these services. (Edited publisher abstract)
Disconnected lives: women with intellectual disabilities in conflict with the law
- Authors:
- LEVINE Kathryn Ann, PROULX Jocelyn, SCHWARTZ Karen
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 31(2), 2018, pp.249-258.
- Publisher:
- Wiley
Background: Women with intellectual/developmental disabilities in conflict with the law experience childhood trauma, substance abuse and intimate partner violence but continue to have difficulty accessing appropriate therapeutic services, both within correctional settings and upon discharge. The aim of this study is to explore women's service needs and to critically assess whether the available services are meeting their identified needs. Method: Semi-structured interviews were conducted with 16 women with intellectual/developmental disabilities who were in the Special Needs Unit of a women's correctional centre from December 2014 to March 2015. Results: Women with intellectual/developmental disabilities struggle to manage the impact of intergenerational trauma, exacerbated by issues of substance abuse and addiction, poor coping skills and minimal education, all of which impact their sense of well-being. Conclusions: This study highlights the need for increasing trauma treatment for women with intellectual/developmental disabilities, and emphasises the need for accessible intervention to facilitate coping, trauma processing and community integration. (Edited publisher abstract)
Supporting people with intellectual and developmental disabilities to participate in their communities through support staff pilot intervention
- Authors:
- ZAKRAJSEK Andrea Gossett, HAMMEL Joy, SCAZZERO Joseph A.
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 27(2), 2014, pp.154-162.
- Publisher:
- Wiley
Background: Increasingly, people with intellectual and developmental disabilities (I/DD) are supported to participate in least-restricted settings in the community. However, little is known about desired community participation choice and control of people with I/DD, nor effective strategies to support full participation. Furthermore, service providers of this population in community and residential settings have unique roles in influencing choice and control in community participation. Research Aim: The purpose of this project is to empower adults with I/DD in community participation by collaborating with agency staff and administrators to strategize change in service provision and programming. Methods: This article describes the development, imple-mentation and mixed-methods evaluation of a pilot staff intervention. Results: Findings indicate staff who participated in pilot intervention report increased confidence in supporting adults with I/DD to participate in their communities. Conclusions: Intervention development has implications for staff, administrators and agencies in planning and executing opportunities to support choice and control for community participation for adults with I/DD. (Publisher abstract)