Search results for ‘Subject term:"learning disabilities"’ Sort:
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Psychological interventions in self-injurious behaviour
- Authors:
- HALLIDAY Sabrina, MACKRELL Kelvin
- Journal article citation:
- British Journal of Psychiatry, 172, May 1998, pp.395-400.
- Publisher:
- Cambridge University Press
Psychological approaches to working with people with learning disabilities who self-injure have developed over the past 30 years. In this article the major literature is reviewed and an ecological framework is described which emphasises the importance of environmental, interpersonal and intrapersonal dynamics to understanding the multi-factorial nature of self-injury. Case examples are given. Concludes that persistence of self-injurious behaviour once established, requires an interdisciplinary approach which addresses comprehensively the variety of factors which have contributed to the development and maintenance of self-injury.
Integrative treatment in persons with intellectual disability and mental health problems
- Author:
- DOSEN A.
- Journal article citation:
- Journal of Intellectual Disability Research, 51(1), January 2007, pp.66-74.
- Publisher:
- Wiley
Clinical experience has proven thus far that a monodisciplinary treatment approach to behavioural and psychiatric problems in persons with intellectual disability (ID), such as psychotropic medication or behaviour modification programmes, has yielded limited success. It is clear that the complexity of behavioural and psychiatric problems in this population calls for a treatment approach from different perspectives. This article describes a multidimensional treatment approach to the persons with ID who suffer from behaviour problems and psychiatric disorders. Four dimensions – biological, psychological, social and developmental – are represented as well in an integrative diagnosis as in an integrative treatment, embodied by cooperation of different professionals, such as a psychiatrist, psychologist, pedagogues, social worker, nurse and, where possible, the person's caretakers. The developmental dimension receives a salient attention of assessors. By introducing the developmental dimension in diagnostics and treatment, the bio-psycho-social dimensions are set in a new context, more appropriate for persons with ID. The integrative treatment should not be primarily directed towards the symptoms of the disorder but towards restoring a person's mental well-being. The disorder is combated through treatment of the underlying processes that have led to its onset. Different treatment methods from different perspectives may be applied. Strategy and methodological procedures of an integrative treatment are discussed by way of case presentations.
The emotional lives of people with learning disability
- Author:
- ARTHUR Andrew R.
- Journal article citation:
- British Journal of Learning Disabilities, 31(1), 2003, pp.25-30.
- Publisher:
- Wiley
This paper reviews accounts of research and therapy and makes an assessment of the current state of knowledge. Very little research actually exists when compared to the non-learning disabled, and so, studies of psychotherapy, child development, parent-infant bonding, psychological assessment and emotional disturbance in people with learning disability are examined. The review finds that there is evidence to suggest the presence of a significantly higher level of emotional developmental problems and disturbance in people with learning disability. This problem requires multidisciplinary attention if progress in improving quality of life is to be maintained.
Development of a multidisciplinary support pathway for people with learning disabilities with complex needs and/or whose behaviour challenges services
- Author:
- GAUGHAN Anna
- Journal article citation:
- Journal of Care Services Management, 2(1), October 2007, pp.54-78.
- Publisher:
- Taylor and Francis
This paper describes the process undertaken by local partner organisations across a health and social care economy, to develop and agree a multidisciplinary support pathway for the local inpatient assessment and treatment unit, for people with learning disabilities whose behaviour challenges current services. The paper attempts to highlight the place in a system-wide pathway for 'assessment and treatment services', within the philosophy of enabling each individual to live an ordinary life within their local community. Early results highlight the usefulness of the process, leading to the development of an integrated care pathway approach from a number of different perspectives. This paper highlights some of the challenges from both the commissioners and providers as they develop system-wide capacity and capabilities.
The Team around the child: multi-agency service coordination for children with complex needs and their families; a manual for service development
- Author:
- LIMBRICK Peter
- Publisher:
- Interconnections
- Publication year:
- 2001
- Pagination:
- 39p.bibliog.
- Place of publication:
- Manchester
The increasing number of children who have multiple and complex disabilities has highlighted the need for new systems of service provision in which health, education and social services and the voluntary sector join together to offer the child and the family a coordinated approach. Although this need is recognised by all tiers of government the call for coordination needs to be accompanied by more practical suggestions as to how to achieve it.
Working with young people who sexually abuse: new pieces of the jigsaw puzzle
- Author:
- CALDER Martin C.
- Publisher:
- Russell House
- Publication year:
- 1999
- Pagination:
- 319p.,tables,bibliog.
- Place of publication:
- Lyme Regis
Collection of papers aiming to consolidate and extent the current knowledge and practice base in relation to young people who sexually abuse. Papers include: filling the theoretical reservoir of causal explanations; detection, diagnosis and treatment of paraphilic personality disorder; clinical assessment instruments that measure strengths and risks in children and families; recovery assessments with young people who sexually abuse; attachment and intimacy in young people who sexually abuse; a framework for a multiagency approach to working with young abusers; a conceptual framework for managing young people who sexually abuse; a psychoanalytical view of the relationship between fathers and their sons; a description of a community based project to work with young people who sexually abuse; developing groupwork with young people who sexually abuse; young abusers with learning difficulties; young people with Asperger's syndrome; the significance of trauma in problematic behaviour; dilemmas and potential work with sexually abusive young people in residential settings; and characteristics and treatment of adolescent sex offenders in the republic of Ireland.
Goal attainment scaling as a method of measuring clinical outcome for children with learning disabilities
- Authors:
- YOUNG Anita, CHESSON Rosemary
- Journal article citation:
- British Journal of Occupational Therapy, 60(3), March 1997, pp.111-114.
- Publisher:
- Sage
Discusses one approach to measuring therapeutic impact - Goal Attainment Scaling (GAS). The authors forward the case for GAS based on their own research regarding occupational therapy with children with learning disabilities. GAS is described and the factors relating to the setting of goals are examined. The main advantages are identified and GAS is seen to have benefits beyond those relating specifically to occupational therapy. The implications for multidisciplinary teamworking are examined and, in particular, it is asserted that co-workers may acquire, through the goal-setting process, realistic expectations of clients. The audit of therapeutic goals is seen to have the potential to inform decision making regarding treatment options. In conclusion, GAS is advocated as a particularly appropriate evaluative tool for the 1990s.
Primary health care for people with a learning disability: a keynote review
- Authors:
- KERR Mike, FRASER William, FELCE David
- Journal article citation:
- British Journal of Learning Disabilities, 24(1), 1996, pp.2-8.
- Publisher:
- Wiley
The delivery of health care to people with a learning disability living in the community has come under increasing scrutiny. Concerns have been raised over both the current quality of this care and its future organisation. This article reviews the evidence on current practice focusing on epidemiology, health status and policy directives affecting primary health care. Four specific areas for service developments are identified: an individual focus within an epidemiological framework, the evaluation of the effectiveness of current therapies, practice organisations and the awareness of health within social care. It is proposed that an effective model of primary health care is possible, supported by research, training, inter-service collaboration and purchasing guidelines.
National service framework for mental health: modern standards and service models for mental health
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 1999
- Pagination:
- 6p.
- Place of publication:
- London
Circular accompanying national service framework setting out standards for mental health service provision by health and social services.