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Do outpatient physiotherapists in Wales have adequate knowledge and experience of intellectual disability
- Authors:
- LIPSCOMBE Hilary, HALL Elizabeth Ann
- Journal article citation:
- Mental Handicap Research, 8(1), 1995, pp.60-65.
- Publisher:
- BIMH Publications
This study, sought to establish from a sample of 88 outpatient physiotherapists the degree of their knowledge of the All Wales Strategy for the Development of Services for the Mentally Handicapped, the adequacy of their experience and knowledge to treat this particular client group effectively and their attitudes towards people with intellectual disabilities.
Therapeutic environment of secure units: a feasibility study of the interactions between people working and accessing a secure unit for people with learning disabilities
- Author:
- TURNER J.M.
- Journal article citation:
- Journal of Learning Disabilities for Nursing Health and Social Care, 2(3), September 1998, pp.150-162.
Discusses the results a feasibility study which aimed to develop a reliable and valid measure to assess the types of therapeutic interactions between people working and accessing a secure unit for people with a learning disability.
Good practice in physical interventions: a guide for staff and managers
- Editors:
- PALEY Sharon, BROOKE John, (eds.)
- Publisher:
- British Institute of Learning Disabilities
- Publication year:
- 2006
- Pagination:
- 157p.
- Place of publication:
- Kidderminster
The first handbook for staff and managers on good practice in physical interventions draws together practical guidance from some of the UK’s leading physical interventions trainers and experts. Physical intervention or restraint with people who have intellectual disabilities is sometimes necessary, even though it is known to present dangers to both staff and service users (some service users have died as a result of restraint). This study aims to investigate the extent to which staff in intellectual disability services need training in the use of physical interventions or restraint.
Physical interventions with people with intellectual disabilities: staff training and policy frameworks
- Authors:
- MURPHY Glynis, et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 16(2), June 2003, pp.115-125.
- Publisher:
- Wiley
Physical intervention or restraint with people who have intellectual disabilities is sometimes necessary, even though it is known to present dangers to both staff and service users (some service users have died as a result of restraint). This study aims to investigate the extent to which staff in intellectual disability services were trained in the use of physical interventions or restraint. Their views of a recent policy framework on physical interventions were also sought. There were three groups of participants: (i) group 1 included staff who had attended conferences on the Policy Framework (the conference sample); (ii) group 2 included staff from two geographical areas (the geographical sample); (iii) group 3 included staff in specialist assessment and treatment services (the SpAT sample). All participants were sent a questionnaire asking them about their training in (and use of) physical intervention methods and their opinions on the policy document. There were at least 12 different types of training recorded, including a number of varieties of Control and Restraint (C&R). By no means did all the senior staff did have training in physical intervention methods. The degree of training varied with the sample and the type of training varied with the employing organization. Most participants in group 1 were very positive about the BILD & NAS Policy Framework but few staff in groups 2 and 3 had read the document. About two-thirds of the participants said their services had (or were developing) a written policy on physical interventions. There remained a clear need for further training in physical interventions and evidence on which the effectiveness of different methods of physical interventions could be judged.
Attitudes of speech and language therapists to intimate relationships among people with learning difficulties: an exploratory study
- Authors:
- HARRIS Philip, BRADY Carmel
- Journal article citation:
- British Journal of Learning Disabilities, 23(4), 1995, pp.160-163.
- Publisher:
- Wiley
Explores the attitudes of speech and language therapists (SLT) to intimate relationships among people with learning difficulties.
Understanding factors that influence staff responses to challenging behaviours: an exploratory interview study
- Author:
- HASTINGS Richard P.
- Journal article citation:
- Mental Handicap Research, 8(4), 1995, pp.296-320.
- Publisher:
- BIMH Publications
Staff beliefs about challenging behaviours, and their perception of their working environment, are important for two main reasons. Firstly, the manner in which staff define challenging behaviour affects who is labelled as a challenge, and who is referred to specialist services. Secondly, staff views of their working environment may help us to understand why staff interact with people with learning disabilities in apparently counter-habilitative ways outlined in previous research. These issues were investigated in a systematic semi-structured interview of care staff. These findings, and their implications for research and practice, are discussed.
Experimental effects of manipulating attributional information about challenging behaviour
- Authors:
- NOONE Stephen J., et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 16(4), December 2003, pp.295-301.
- Publisher:
- Wiley
The informal staff culture in intellectual disability services has been proposed as a significant factor determining staff perceptions of, and responses towards, challenging behaviours. However, research to date has been exclusively descriptive. Methods An experimental analogue of one potentially salient aspect of staff informal culture, the causal language used to describe challenging behaviours, was developed. Naïve participants (N = 84 students) rated attributional dimensions and optimism after viewing a video of aggressive behaviour. Participants were exposed to vignettes in which information about the behaviour's controllability and stability was manipulated prior to viewing the video. Results Controllability and stability manipulations affected later perception of dimensions of causal attributions (e.g. behaviour presented as controllable was rated as caused by factors more likely to be internal to the depicted client), and optimism (e.g. behaviour presented as stable was associated with a less positive perception of potential for change). Conclusion Staff talk in intellectual disability services, especially language communicating causal information, is likely to affect perceptions of subsequent incidents of challenging behaviours. This may have important implications for the treatment and assessment of challenging behaviour. Further research is needed to replicate and extend the findings of this study and also to contribute to the development of external validity.
Using staff consultation to facilitate the emotional development of adults with learning disabilities
- Author:
- ARTHUR Andrew R.
- Journal article citation:
- British Journal of Learning Disabilities, 27(3), 1999, pp.93-98.
- Publisher:
- Wiley
This article reviews attempts to understand and treat the emotional-developmental needs and problems of this population. It proposes one response to the problem by demonstrating how the process of consultation can enable care staff to develop an understanding response to this area of their clients' lives. A model of consultation that is relevant to the development of the care staff's therapeutic skills is described.
The legal context of practice 1: consent to treatment
- Author:
- -
- Journal article citation:
- Mental Health Care, 1(5), January 1998, pp.171-174.
- Publisher:
- Pavilion
This first unit in the journal's bi-monthly 'Directions' professional development and continuing education series explores aspects of the law relating to mental health and learning disability nursing practice. This unit looks specifically at the laws governing consent to treatment.
Men with intellectual disabilities who sexually abuse: a review of the literature
- Authors:
- THOMPSON David, BROWN Hilary
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 10(2), 1997, pp.140-158.
- Publisher:
- Wiley
Trailing behind the recent acknowledgement of the high incidence of sexual abuse amongst people with intellectual disabilities is a recognition of men with intellectual disabilities as perpetrators of sexual abuse. This article reviews the North American, Australian and British literature published in this area. It demonstrates that both theoretical understandings and clinical interventions with men with intellectual disabilities are often discordant with wider perspectives of work with sexual abusers. The effect of this is shown to be common discriminatory practice received by men with intellectual disabilities which at times shows poor regard for their rights.