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Transforming staff practice through active support
- Authors:
- RICHES Vivenne C., et al
- Journal article citation:
- Journal of Intellectual and Developmental Disability, 36(3), September 2011, pp.156-166.
- Publisher:
- Taylor and Francis
The active support model is being introduced in many residential and respite homes worldwide. It aims to increase the opportunities for the participation of people with intellectual disability (ID) in meaningful activity with appropriate assistance from staff. This article describes the development and delivery of an active support training pilot for staff in a large government organisation that supports people with ID in Australia. A train-the-trainer approach was used in which 5 apprentice trainers were trained to provide active support training to 65 staff associated with 6 group homes. These 5 trainers were then monitored to provide training to 54 staff in another 6 group homes. Staff evaluated their interactive training experiences by completing an anonymous questionnaire. In addition, pre and post outcome data were collected for a small number of service users from group homes, along with staff outcome data regarding residential working practices, group home management, and staffing practices. The findings show that the train-the-trainer model was an effective strategy for training large numbers of staff. The interactive training component was particularly effective and was associated with improvements in service user engagement in domestic tasks and decreased depression levels. Staff job satisfaction increased and significant improvements were recorded in residential working practices.
Utility of staff training on correcting sleep problems in people with intellectual disabilities living in residential settings
- Authors:
- HYLKEMA Tejo, PETITIAUX Wanda, VLASKAMP Carla
- Journal article citation:
- Journal of Policy and Practice in Intellectual Disabilities, 8(2), June 2011, pp.85-91.
- Publisher:
- Wiley
Sleep problems are common in people with intellectual disabilities (ID), and may aggravate behavioural problems or cause functional irritations during the day. The cause of sleep problems can be intrinsic factors having a physical origin or extrinsic factors linked to environmental causes. This study examined how to introduce training to improve the knowledge and understanding of sleep quality and sleep problems in people with ID among care staff at a residential facility in order to reduce extrinsic sleep problems. The study was carried out over 19 weeks in 2 residential care institutions in the northern part of the Netherlands. The care staff were divided into 2 groups: the first was offered a lecture and a workshop; and the second was only offered a lecture. Sleep efficiency and sleep latency in the residents with ID who were not suspected of having sleep problems were measured 4 times. In both groups, sleep efficiency rose significantly. The time spent in bed by residents overseen by the first group was reduced significantly, and there was a significant reduction of daily napping time. In the second group, there was a significant increase of daily napping time and in the number of naps. The article concludes that educational techniques, such as lectures and workshops, provided to staff can lead to significant improvements in residents' sleep efficiency.
The Empowering Practice programme at the University of the West of England
- Authors:
- VATCHER Adrian, COLES, Jonathan
- Journal article citation:
- Tizard Learning Disability Review, 9(3), July 2004, pp.4-13.
- Publisher:
- Emerald
Outlines the programme's content and educational approach. Students are working in local residential and day care services for people with learning difficulties. Many do not have standard requirements for higher education entry. Evaluates the programme and presents findings. Students' academic performance has been good and, more important, they reported significant improvements in self-confidence and ability to implement the principles of rights, independence, choice and inclusion set out in Valuing People. This was confirmed by line managers and senior managers. The higher education setting was seen by all stakeholders as contributing to stronger outcomes of this kind than NVQ programmes.
The changing role of residential care provision: dilemmas and uncertainties
- Authors:
- PAYNE Chris, NAVEKAR Pravin
- Journal article citation:
- Care the Journal of Practice and Development, 6(3), May 1998, pp.24-38.
- Publisher:
- Pepar
This article describes an action learning project carried out over an approximately six-month period.
Home truths
- Author:
- THATCHER Mike
- Journal article citation:
- People Management, 17.4.97, 1997, pp.44-46.
Teetering on the point of closure three years ago, the Ormerod Home Trust has now become a caring and supportive centre for people with learning disabilities. The author reports on the development of an innovative training programme that has transformed the home's fortunes and led to a National Training Award.
Staffing and staff training for a residential service
- Authors:
- MANSELL Jim, PORTERFIELD Jan
- Publisher:
- Campaign for People with Mental Handicap
- Publication year:
- 1986
- Pagination:
- 13p., bibliog.
- Place of publication:
- London
Thinking on your feet: understanding the immediate responses of staff to adults who challenge intellectual disability services
- Authors:
- RAVOUX Peggy, BAKER Peter, BROWN Hilary
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 25(3), May 2012, pp.189-202.
- Publisher:
- Wiley
Previous research suggests that there is a significant gap between the conceptualisation of good practice in challenging behaviour management strategies and current practice in intellectual disability services in the UK. This study investigated staff members’ perspectives of managing clients with challenging behaviours. Semi-structured interviews were conducted with eleven staff (ranging from managers to support workers) in two residential services in the independent sector. Both provided 24 hour support to four individuals. One service used a specific training package referred to as Non-Abusive Psychological and Physical interventions, the other used a positive behaviour support framework to inform their behavioural management policy. Service documents on challenging behaviour management were also examined. Analysis of the responses focussed on staff members’ immediate responses to clients’ difficult behaviours and their decision-making processes. The immediate responses of staff were the result of complex appraisals shaped by their service context involving the core processes of making the right choice and prioritising the best interests of all involved. The authors conclude that staff members’ responses can be understood as a dynamic and retroactive process, where their past and current challenging behaviour management influence their responses to clients in the future.
It's not like that everywhere
- Author:
- SAMUEL Mithran
- Journal article citation:
- Community Care, 23.6.11, 2011, pp.26-27.
- Publisher:
- Reed Business Information
Voyage, a company providing home, day care, residential and nursing care and supported living for people with learning disabilities is highlighted as an example of good practice. Staff are given a 12-week induction and are also subject to a six month probation. At least 5% of the company's annual turnover is spent on training.
Residential carers' knowledge and attitudes towards physiotherapy interventions for adults with learning disabilities
- Authors:
- STEWART Stephen, HEBBLETHWAITE Amy, HAMES Annette
- Journal article citation:
- British Journal of Learning Disabilities, 37(3), September 2009, pp.232-238.
- Publisher:
- Wiley
Through the use of face-to-face interviews, this article explores residential carers' perceptions and understanding of a physiotherapy service provided to patients with a learning disability in England, with the aim of highlighting potential areas for improvement in the service. Carers involved in the study reported a good relationship with the physiotherapists, possessed a clear understanding of physiotherapy, and made positive comments regarding training they received. However, they reported a lack of follow-up by the physiotherapists to be a problem, and their responses indicated a perceived lack of support from the physiotherapy team. Carers also rated physical management programmes as being low on their daily priority list for patients' care. A lack of observable rewards for both carers and patients was hypothesised as a contributory factor, and following discussion with the team a structured follow-up protocol was suggested to support carers when carrying out physical management programmes.
Enhancing staff attitudes, knowledge and skills in supporting the self-determination of adults with intellectual disability in residential settings in Hong Kong: a pretest–posttest comparison group design
- Authors:
- WONG P. K. S., WONG D. F. K.
- Journal article citation:
- Journal of Intellectual Disability Research, 52(3), March 2008, pp.230-243.
- Publisher:
- Wiley
The purpose of this study was to examine the effectiveness of staff training in enhancing residential staff's attitudes, knowledge and facilitation skills in assisting residents with ID to exercise self-determination. A pretest–posttest comparison group design was adopted. Thirty-two participants in an experimental group attended a six-session staff training programme. A 34-item self-constructed scale was designed and used for measuring the effectiveness of the staff training. The results showed that the experimental group achieved statistically significant positive changes in all domains, whereas no significant changes were found in the comparison group. The findings provided initial evidence of the effectiveness of staff training that uses an interactional attitude-knowledge-skills model for Chinese rehabilitation personnel. The factors that contributed to its effectiveness were discussed and recommendations for future research were made.