Search results for ‘Subject term:"learning disabilities"’ Sort:
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Shifting the burden
- Author:
- SALE Anabel Unity
- Journal article citation:
- Community Care, 29.1.04, 2004, pp.28-29.
- Publisher:
- Reed Business Information
Proposals for councils to register adult placement schemes will come as a relief to individual carers who will be spared the regulatory load. Looks at why change is necessary and asks whether it will improve practice.
Making sense of varying standards of care: the experiences of staff working in residential care environments for adults with learning disabilities
- Authors:
- HUTCHINSON Andrew, KROESE Biza Stenfert
- Journal article citation:
- British Journal of Learning Disabilities, 44(3), 2016, p.182–193.
- Publisher:
- Wiley
Research evidence reveals that adults with learning disabilities who live in residential care facilities are being exposed to considerable variation in the standards of care they receive. High profile cases of substandard care have also raised concerns regarding the appropriateness of existing care provisions and practices. While attempts have been made to understand variations in care standards, there remains a need for more research in this area. Additionally, little attention has been paid to understanding support staff experiences of working in residential services and to developing a more theoretical understanding of the role they fulfil. Using interpretive phenomenological analysis (IPA), this study aimed to examine front-line staff members' experiences of working in residential care for people with learning disabilities. Six experienced front-line care workers (four female, two male) took part in semi-structured interviews. Data were analysed according to the principles of IPA, and three superordinate themes were identified as being central to participants' experiences of their work roles: Degree of Positive Relationship Reciprocity; Value Congruence and Intrinsic Motivation; and Experiences of Environmental and Organisational Constraints. Results are discussed in relation to the existing literature on care standards and the factors associated with abusive or neglectful practices, and in terms of their contribution to theory and applied practice. (Publisher abstract)
An evaluation of a behavioural support team for adults with a learning disability and behaviours that challenge from a multi-agency perspective
- Authors:
- CHRISTOPHER Rose, HORSLEY Sarah
- Journal article citation:
- British Journal of Learning Disabilities, 44(3), 2016, p.194–203.
- Publisher:
- Wiley
The Dudley Behavioural Support Team (BST) was set up based on Positive Behavioural Support (PBS) principles to support individuals with behaviours that challenge. The Winterbourne Review emphasises the importance of developing high-quality specialist community services and the Ensuring Quality Services (Local Government Association & NHS England, Ensuring quality services, London, 2014) document was released to guide the commissioning of such services. The document sets out standards and guidance for those supporting individuals with behaviour that challenges. This evaluation aimed to investigate whether the BST meets the guidance set out in Ensuring Quality Services from the perspective of other services. A questionnaire was developed to collect data from 19 staff members from services with experience of working with the BST, to address the points raised in Ensuring Quality Services. The quantitative results indicated that the BST are meeting the guidance to a high standard and qualitative data suggested this is achieved through a focus on joint working and a fluid, flexible approach. In conclusion, the BST appears to be a valuable resource from the perspective of services working with them to support individuals with behaviours that challenge. (Publisher abstract)
Day care settings: minimum standards
- Author:
- NORTHERN IRELAND. Department of Health, Social Services and Public Safety
- Publisher:
- Northern Ireland. Department of Health, Social Services and Public Safety
- Publication year:
- 2012
- Pagination:
- 115p.
- Place of publication:
- Belfast
This document sets out minimum standards for day care settings in Northern Ireland whether provided by the independent or statutory sectors. The standards specify the arrangements, facilities and procedures that need to be in place to ensure the delivery of a quality service. These services are targeted at persons aged 18 years and over. They are designed to meet the assessed needs of individuals for care, support, supervision or rehabilitation by reason of mental illness, functional impairment, cognitive impairment, learning disability, ill-health, age, family, or life circumstances. These standards apply to a place where persons in need of prescribed services may attend for the purposes of assessment, rehabilitation or counselling but where they are not provided with board or accommodation; day care delivered in a residential care or nursing home setting, as appropriate; and services provided as outreach from a day care setting, as relevant and appropriate.
The use of medication to manage behaviour problems in adults with an intellectual disability: a national guideline
- Authors:
- UNWIN Gemma L., DEB Shoumitro
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 4(3), September 2010, pp.4-11.
- Publisher:
- Emerald
This article provides an overview of the development and contents of a national guideline for the use of medication in the management of problem behaviours in adults with an intellectual disability. MENCAP commissioned the University of Birmingham Neuropsychiatry and Intellectual Disabilities Research Group to develop the guideline and it was produced in association with the Royal College of Psychiatrists’ Learning Disability Faculty and the College Research and Training Unit. The guideline was produced following the methods used by the National Institute for Health and Clinical Excellence, and included a systematic literature review. This guide neither recommends nor rejects the use of psychotropic medications for the management of problem behaviours in adults with learning disabilities, but concentrates on good practice such as employing clear rationales following thorough assessments of individual patients and careful monitoring and recording of use and withdrawal. Twenty-five main recommendations for practice which are provided in the ‘Quick Reference Guide’ are listed in the article. The importance of access to ‘easy-read medication information leaflets’ for people with learning disabilities to be able to make choices is also highlighted.
The journey from first inspection to quality standards (1857-2016): are we there yet?
- Author:
- CAMPBELL Martin
- Journal article citation:
- Journal of Adult Protection, 19(3), 2017, pp.117-129.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to qualitatively analyse the inspection and regulation of care for people with learning disabilities and mental health problems in Scotland, in two time periods. Design/methodology/approach: The paper uses comparative historical research drawing on primary sources from 1857 to 1862 in the form of Annual Reports of the General Board of Commissioners in Lunacy for Scotland and associated papers, to compare inspection methods, quality standards and to identify persistent challenges to effective inspection. Findings: Political, clinical and public awareness led initially to criticisms of existing care and eventually to the development of the “The Lunacy Act” of 1857. This Act resulted in the first attempts to set minimum standards of care for individuals at risk, with enforceable regulation. Some factors recur as challenges to effective practice in the inspection and regulation of care today. Practical implications: There are problems of definition, reliable monitoring of quality standards and adequate, independent inspection of services that respond to unacceptable standards of care. There is a growing evidence base about best methods of inspection of services for people in care who are most at risk. These methods attempt to strike a balance between evidence- and value-based judgments. Perspectives from history may help focus resources. Originality/value: This paper compares common and common challenges in two time periods to investigate what can be learned about the development of policy and practice in inspection and regulation of care. (Publisher abstract)
Care and treatment review code and toolkit: a guide for commissioners, panel members and people who provide support
- Author:
- NHS ENGLAND
- Publisher:
- NHS England
- Publication year:
- 2017
- Pagination:
- 50
- Place of publication:
- Leeds
This framework aims to ensure that Care and treatment reviews (CTRs) for adults with learning disabilities or autism who have been, or are about to be, admitted to a specialist mental health or learning disability hospital are delivered to a consistently high standard across England. It also provides tools to help commissioners carry out CTRs. It details the main principles which should be upheld by the CTR panel, which include that CTRs should be person and family centred; rights led; holistic to cover the needs of the whole person; co-produced; and evidence-based. It also outlines the standards for each principle and the criteria that should be used to evaluate the standards in practice. It also outlines the roles of CTR experts by experience and clinical experts; provides a checklist for commissioners and providers to use; and a set of discharge steps and standards to help navigate through the discharge process. (Edited publisher abstract)
Modernising regulation: how will this affect vulnerable adults
- Author:
- BRAMMER Alison
- Journal article citation:
- Tizard Learning Disability Review, 5(2), April 2000, pp.17-20.
- Publisher:
- Emerald
This article introduces and describes the proposed legislation contained within the Care Standards Bill. Discusses how this may affect vulnerable adults.
Suffer the meek
- Author:
- RAINE Peter
- Journal article citation:
- ADSS Inform, 7(3), August 1998, pp.13-14.
Discusses a new report which highlights the steps needed to help protect vulnerable witnesses.
Southampton listening to users' views
- Author:
- HOLMAN Andrew
- Journal article citation:
- Community Living, 11(4), April 1998, pp.6-7.
- Publisher:
- Hexagon Publishing
Many organisations and service providers say one thing in their glossy brochures and do another in their actual provision. Reports on Southampton Community Trust's Charter for adults with learning disabilities.