Search results for ‘Subject term:"learning disabilities"’ Sort:
Results 1 - 10 of 13
If only they could understand: day centre workers and the parents of adults with learning difficulties
- Author:
- ROBERTS Hilary
- Publisher:
- University of Warwick. Department of Applied Social Studies/Social Care Associat
- Publication year:
- 1990
- Pagination:
- 73p.,bibliog.
- Place of publication:
- Coventry
Results of a study examining the conflict between the staff of day care establishments for adults with severe learning difficulties and the parents of this group of service users.
Trauma-informed day services for individuals with intellectual/developmental disabilities: exploring staff understanding and perception within an innovative programme
- Author:
- KEESLER John M.
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 29(5), 2016, pp.481-492.
- Publisher:
- Wiley
Background: Trauma-informed care (TIC) is a systems-level philosophy of service delivery which integrates choice, collaboration, empowerment, safety and trust to create an organizational culture sensitive to trauma. This study explores staff understandings and perceptions within an innovative trauma-informed day program for individuals with Intellectual/developmental disabilities. Methods: Semi-structured interviews queried staff members (n = 20) regarding trauma and TIC, the integration of the five principles of TIC, associated challenges and recommendations for improvement. Results: Inductive analyses revealed reasonable understandings of trauma and TIC, highlighting factors critical to the five principles of TIC. Differences were associated with duration of employment and the presence of specialized training. Challenges with TIC emerged at different system levels: individuals, staff, management and interorganizational. Conclusions: This study presents preliminary insight for the innovative and formative process of integrating TIC with intellectual/developmental disabilities services. (Publisher abstract)
Trauma-Informed day services: an initial conceptualization and preliminary assessment
- Authors:
- KEESLER John M., ISHAM Cory
- Journal article citation:
- Journal of Policy and Practice in Intellectual Disabilities, 14(2), 2017, pp.164-175.
- Publisher:
- Wiley
Trauma-informed care (TIC) is a systems-focused philosophy of service delivery based upon principles of choice, collaboration, empowerment, safety and trustworthiness that recognises the pervasive impact of trauma across the human experience. In a grassroots effort, one organization developed an innovative, trauma-informed day program to meet the needs of individuals with intellectual and developmental disabilities (IDD) who were recently deinstitutionalized. The present study is intended to provide an initial conceptualization and preliminary assessment of TIC within IDD services in order to understand its impact among individuals and staff. The study sought to answer the following questions: Has the program's culture been stable over time? How have individuals’ behaviours changed over time? What have been the experiences of the program's staff members with TIC? Through a mixed methods design, secondary data analysis and semi structured staff interviews were used to assess the impact of TIC. Findings revealed an initial strong presence of choice, collaboration, empowerment, safety, and trustworthiness within the program's culture, with non significant changes at follow-up. Significant reductions were noted in overall challenging behaviour, aggression, and PRN medication usage; while non significant changes were noted in physical interventions with the exception of “other” interventions (i.e., least restrictive) which significantly increased. Three major categories emerged from the qualitative data (making a difference, recognising progress and compromising factors), illuminating staff satisfaction with work experiences, individuals’ progress, and factors that challenged fidelity to TIC. The study provides a preliminary conceptualization and evidence for the efficacy of the integration of TIC into IDD services despite methodological limitations and concerns regarding the use of physical interventions. Directions for future research are presented. (Edited publisher abstract)
A risk management dilemma: how day centre staff understand challenging behaviour
- Authors:
- HEYMAN Bob, SWAIN John, GILLMAN Maureen
- Journal article citation:
- Disability and Society, 13(2), April 1998, pp.163-182.
- Publisher:
- Taylor and Francis
Describes a qualitative study which explored the views of staff about challenging behaviour in day centres for people with learning difficulties. They readily cited concrete illustrated incidents of challenging behaviour which involved physical, sexual and verbal assault, noise, non-compliance, non-communication and exposure to danger. Discusses how staff, caring for large numbers of service users en masse, faced a risk management dilemma. Labelling an individual as challenging could forewarn colleagues about possible dangers. However, such strategies could damage the quality of services which a labelled person received, exacerbating the initial problem.
Managing challenging behaviour literature pack: children with emotional behavioural difficulties
- Author:
- STUDIO III TRAINING SYSTEMS
- Publisher:
- Studio III Training Systems
- Publication year:
- 1996
- Pagination:
- 20p.,bibliog.
- Place of publication:
- Plymouth
Pack containing an outline training course developed specifically to aid staff in managing challenging behaviour among children with emotional and behavioural difficulties in an effective and acceptable manner. The 3 day course is based on a non-confrontational, non-violent approach.
The quality of residential and day services for adults with intellectual disabilities in eight local authorities in England: objective data gained in support of a social inspectorate inspection
- Authors:
- FELCE David, et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 12(4), 1999, pp.273-293.
- Publisher:
- Wiley
Objective data on the quality of 15 residential homes and 17 day centres were collected as part of a Social Services Inspectorate inspection of services for adults with learning disabilities in eight local authorities in England. A sample of 56 residents was drawn from the former and information collected on their behavioural characteristics, social and community integration, autonomy, receipt of attention and assistance from staff, and participation in activity.
Managing challenging behaviour literature pack
- Author:
- STUDIO III TRAINING SYSTEMS
- Publisher:
- Studio III Training Systems
- Publication year:
- 1996
- Pagination:
- n.p.
- Place of publication:
- Plymouth
Literature pack designed to accompany a 3 day course on managing challenging behaviour in children with learning difficulties. The course is based on applied research carried out in residential homes, day care services and institutional settings. The aim of the course is to give carers the skills they need to manage challenging behaviour so that the environment for the users improves and the carers begin to develop more positive relationships with them. A non-confrontational, non-aggressive approach is advocated throughout.
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.
Experiences of community care: case studies of UK practice
- Authors:
- LYNCH Bruce, PERRY Richard
- Publisher:
- Longman
- Publication year:
- 1992
- Pagination:
- 318p.,bibliog.
- Place of publication:
- Harlow
Illustrates the range of initiatives in community care and provides advice on how to foster, facilitate and encourage work at a local level. Looks at translating ideas into practice, staffing, training, supervision and support, users of community care projects, funding and resources, and inter-agency work.
The review of the all Wales strategy: a view from the staff; a summary report on eight staff consultation events involving 250 front-line staff
- Author:
- GREAT BRITAIN. Welsh Office
- Publisher:
- Great Britain. Welsh Office
- Publication year:
- 1991
- Pagination:
- 54p.
- Place of publication:
- Cardiff
Looks at services provided and the clients using them, both children and adults. Services include: short term care; family placements; support for families; day services; accommodation for adults; and services for people with challenging behaviour. Goes on to examine views on: education; social security; planning and management; identification and assessment; consumer involvement; training and staff development; and monitoring and evaluation.