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Assessment of cognitive therapy skills for people with learning disabilities
- Authors:
- DAGNAN Dave, MELLOR Karen, JEFFERSON Claire
- Journal article citation:
- Advances in Mental Health and Learning Disabilities, 3(4), December 2009, pp.25-30.
- Publisher:
- Emerald
This paper describes a clinically useful assessment approach that gives therapists information that can be used to identify the appropriate therapy. Cognitive therapy is increasingly used as a tool with people with learning disabilities. There is a growing literature examining the necessary adaptation of therapy content, however most of the literature does not consider the decision-making process of the clinician in relation to the individual client. This paper, therefore, investigates how clinicians make decisions about the adaptation of therapy for the client. Presented as a series of question/response tables, the authors describe an assessment that presents a simple scenario and associated emotion, the client being asked to say what they would think or say to themselves a given situation. The data presented suggests that some people with learning disabilities report thoughts that accurately mediate between the scenario and the stated emotion - at times these thoughts offered insight into individual concerns. The authors suggest this assessment is useful in a clinical practice, and discuss ways in which it might be useful to guide choice of intervention.
Psychotherapy, learning disabilities and trauma: new perspectives
- Authors:
- HOLLINS Sheila, SINASON Valerie
- Journal article citation:
- British Journal of Psychiatry, 176, January 2000, pp.32-36.
- Publisher:
- Cambridge University Press
Psychological therapies are rarely used in people with learning disabilities. Learning disability is often given as an exclusion criterion. This paper describes recent advances in understanding and practice within the learning disability field which have not received wider recognition within mainstream psychotherapy and psychiatry. The availability of different psychotherapeutic approaches is discussed.
Your case or mine?
- Author:
- TURNBULL John
- Journal article citation:
- Nursing Times, 5.6.96, 1996, pp.62-63.
- Publisher:
- Nursing Times
Explains why it is not always clear which agencies or health professionals should be providing care to clients in the community. Focuses on the cases of people with learning difficulties who also have mental health problems.
Confusing diagnoses
- Author:
- RAGHAVAN Raghu
- Journal article citation:
- Nursing Times, 5.6.96, 1996, pp.59-63.
- Publisher:
- Nursing Times
Mental health problems in people with learning disabilities have long been neglected. The author discusses the implications for nurses.
Dual disability: mental illness in people with a learning disability
- Author:
- SWIFT Andrew
- Publisher:
- University of East Anglia
- Publication year:
- 1996
- Pagination:
- 39p.,bibliog.
- Place of publication:
- Norwich
This report looks at a number of issues based on the phenomenon of dual disability, that is those difficulties experienced by people who have both a learning disability and some form of mental health problem. Includes chapters on: dual disability and challenging behaviour; problems in dual disability: prevalence; diagnosis and the issue of aetiology and; dual disability and the provision of appropriate services.
Social care and mental health indicators from the national indicator set 2010-11 final release
- Author:
- NATIONAL HEALTH SERVICE. Information Centre for Health and Social Care
- Publisher:
- National Health Service. Information Centre for Health and Social Care
- Publication year:
- 2012
- Pagination:
- 24p.
- Place of publication:
- Leeds
Information on indicators in the National Indicator Set relating to social care and mental health services for 2010-11 (the last year of these indicators, which are being replaced by the Adult Social Care Outcomes Framework for 2011-12 onwards) is presented in this report. It covers 8 indicators relating to promoting independence and choice, user experience, carers' services, and promoting social inclusion. The social care information is provided at council level for councils with adult social services responsibilities in England, and the mental health information is supplied by NHS trusts providing specialist mental health services.
Diagnostic information and adversity in childhood for offenders with learning disabilities referred to and accepted into forensic services
- Authors:
- LINDSAY William R, et al
- Journal article citation:
- Advances in Mental Health and Learning Disabilities, 3(4), December 2009, pp.19-24.
- Publisher:
- Emerald
This paper examines the relationship between diagnostic information and adversity in childhood to criminal careers and risk of recidivism. Notably ADHD and conduct disorder in childhood, schizophrenia, sexual abuse and physical abuse have been associated with criminal offence in adulthood. Studying large cohorts of offenders with learning disabilities, the authors undertook a case note review of 126 individuals referred to, but not accepted into forensic learning disability services and 197 individuals accepted for such services. Resulting reports on diagnostic information and experience of adversity in childhood are presented, which are broadly consistent with the mainstream literature of offending – ADHD and conduct disorder feature prominently in both groups, and autistic spectrum disorders were not particularly over-represented. For adversity in childhood, general socioeconomic deprivation also featured prominently in both groups, increasing significantly for those accepted into services. Sexual abuse and non-accidental injury were also present, representing between 13-20% for both groups. The paper outlines the methods and results of the study, concluding that it is important to deal with these aspects of offenders during assessment in order to provide appropriate psychotherapeutic services for those offenders.
What are the prospects?
- Authors:
- VALIOS Natalie, SALE Anabel Unity
- Journal article citation:
- Community Care, 4.1.07, 2007, pp.22-25.
- Publisher:
- Reed Business Information
The authors talk to social care leaders about their hopes for the next 12 months in social care. They look at the areas of asylum seekers, carers, disability, housing/homelessness, looked-after children, learning difficulties, mental health, older people and training.
Meeting complex needs in social care
- Authors:
- RANKIN Jennifer, REGAN Sue
- Journal article citation:
- Housing Care and Support, 7(3), September 2004, pp.4-8.
- Publisher:
- Emerald
States that too many health and social care services are failing to meet complex needs, presented as a framework to help understand multiple interlocking needs spanning health and social issues, encompassing mental health problems combined with substance misuse and/or disability, including learning disability, and social exclusion. Outlines a strategy for promoting the well-being and inclusion of people with complex needs. Describes how new responses from existing services can promote better support for such people, such as connected care centres, a reformed commissioning process and a new 'navigational' role for the social care worker.
Count us in: the inquiry into meeting the mental health needs of young people with learning disabilities
- Author:
- MORGAN Hazel
- Journal article citation:
- Tizard Learning Disability Review, 8(3), July 2003, pp.37-43.
- Publisher:
- Emerald
Reports on a one-year inquiry conducted by the Foundation for People with Learning Disabilities into meeting the mental health needs of people with learning disabilities. The inquiry included the distribution of questionnaires to professionals through advertising in specialist journals, forms were also sent to social services departments, child and adolescent mental health services and staff in special schools. Focus groups were also held with young people with learning disabilities and their carers. The article reports on two themes of the Inquiry: the promotion of emotional well-being and resilience, and services to meet the needs of young people with learning disabilities who experience mental health problems. Based on the findings the Committee made 23 recommendations.