Search results for ‘Subject term:"learning disabilities"’ Sort:
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Treating obesity in people with learning disabilities
- Author:
- PERRY Michaela
- Journal article citation:
- Nursing Times, 28.8.96, 1996, pp.36-38.
- Publisher:
- Nursing Times
Obesity in people with learning difficulties should not be dismissed as untreatable. Reviews the reasons people with learning difficulties may become obese, addresses how this problem may be tackled and highlights some of the ethical issues involved in weight reduction for this client group.
Cross dressing and gender dysphoria in people with learning disabilities: a descriptive study
- Authors:
- PARKES Georgina, HALL Ian, WILSON Daniel
- Journal article citation:
- British Journal of Learning Disabilities, 37(2), June 2009, pp.151-156.
- Publisher:
- Wiley
The authors aimed to determine the characteristics of people with learning disability who cross-dress or who have gender dysphoria. they carried out a retrospective review of anonymised data from clinical records about people referred to a specialist service. All 13 participants cross-dressed and 12 were biological males. Only one person was in a core transsexual group which may do better from sex reassignment surgery. There was a high level of mental health problems and high levels of reported childhood abuse. Three people were unhappy about their homosexual feelings, and two people had capacity issues. People with learning disabilities experience a wide range of gender identity issues similar to those seen in the non-learning disabled population. They would benefit from a more person centred understanding. People with learning disability may need longer assessments and more psychotherapeutic exploration and intervention prior to thinking about hormone and surgical interventions. Deciding treatment in someone's best interests for those lacking capacity presents complex ethical dilemmas.
Management of children with learning disabilities and behavioural disorders: ethics and law
- Author:
- HASSIOTIS A.
- Journal article citation:
- Journal of Learning Disabilities for Nursing Health and Social Care, 2(2), June 1998, pp.105-109.
A significant minority of children with learning disabilities present with severe behavioural disturbance that affects their integration in the community, and may seriously impair their physical and mental health, and cause distress to their carers. Useful interventions, which can reduce the frequency and severity of the behaviour, raise important ethical and legal issues when applied to these individuals. This article presents a selective review of the literature addressing ethical arguments for and against the use of different interventions for a variety of behavioural disorders and the legal requirements that must be met. It is recommended that attempts to obtain consent and the treatment decision-making process must be clearly recorded during routine clinical practice.
Sexual offending and abuse perpetrated by men with learning disabilities: an integration of current research concerning assessment and treatment
- Authors:
- O'CONNOR C.R., ROSE J.
- Journal article citation:
- Journal of Learning Disabilities for Nursing Health and Social Care, 2(1), March 1998, pp.31-38.
This article is concerned with sexual offending and abuse by men with learning disabilities. The prevalence of individuals who sexually offend and have learning disabilities is considered. Vulnerability and maintaining factors are examined and the implications for assessment and treatment are discussed in some detail.
A cognitive-behavioural intervention to address inappropriate masturbation in a boy with mild learning disabilities
- Authors:
- WITHERS Paul S., GASKELL Sarah L.
- Journal article citation:
- British Journal of Learning Disabilities, 26(2), 1998, pp.58-61.
- Publisher:
- Wiley
A minimally aversive cognitive-behavioural intervention was found to eliminate the inappropriate masturbation of an 11-year old boy with mild learning disabilities. Intervention strategies included discussion and education surrounding appropriate masturbatory behaviour, imagery and distraction techniques and positive reinforcement via parental involvement. Improvements were maintained at one-month and 12-month follow-ups. The discussion focuses on a number of ethical issues raised by this intervention.
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.
Service responses to men with intellectual disabilities who have unacceptable or abusive sexual behaviours: the case against inaction
- Authors:
- BROWN Hilary, THOMPSON David
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 10(2), 1997, pp.176-197.
- Publisher:
- Wiley
Describes service responses to a small group of men with intellectual disabilities whose sexual behaviour was considered to be unacceptable or abusive. The data was gathered through a small-scale action research project using case studies to explore current practice and staff attitudes. Results found that service responses were hindered by unclear definitions of abusive sexual behaviour and inconsistent perceptions of risk. They were also characterised by poor coordination, lack of specific care-planning, failure to agree to appropriate additional supervisory measures and lack of clarity within and between agencies. Also found that complex ethical and advocacy issues remained unaddressed in these men's lives as did the necessity of protecting vulnerable people who might be potential victims of their behaviour.
Social work, psychiatry and the law
- Authors:
- PRINGLE N.N., THOMPSON P.J
- Publisher:
- Ashgate
- Publication year:
- 1999
- Pagination:
- 210p.,bibliog.
- Place of publication:
- Aldershot
Explores the approved social worker's role in contemporary mental health practice. Combines a description of various aspects of multi disciplinary working, with accounts of clinical signs and syndromes, set against the possibilities and challenges inherent in the ASW's duties. Includes chapters on: law, policy and practice; psychiatry, diagnosis and treatment; severe mental health problems; disturbances in children and young people; people with learning difficulties; culture and diversity; substance misuse; dangerousness, suicide and homicide; ethical issues; and developing a psychotherapeutic approach to approved social work.
There are no easy answers: the provision of continuing care and treatment to adults with learning disabilities who sexually abuse others
- Editors:
- CHURCHILL James, et al
- Publisher:
- Association for Residential Care
- Publication year:
- 1997
- Pagination:
- 191p.,bibliog.
- Place of publication:
- Chesterfield
Explores issues around sexual abuse and learning difficulty and addresses issues of definition, assessment, treatment and management of people with learning difficulties who sexually abuse others. Section one looks at terminology, sets the context and examines the consequences of inaction. Section two examines issues from the literature, including: definitions of abusive behaviour; definitions of learning difficulty; the extent of sexual offending; men with learning difficulties who sexually offend; women abusers; clinical interventions; pharmacological interventions; work with staff and other carers; and ethical issues; section three defines sexual consent and the duty to report. Section four deals with the responsibilities of commissioners, purchasers and providers and includes chapters on: learning from things going wrong; designing better service responses; keeping people safe; and confidentiality. Section five looks at boundaries with criminal justice and other legal systems. Section 6 examines decision making. Section seven looks at assessment and establishing an understanding of an offender. Sections eight and nine are on assessing risk, treatment and risk management. Section ten deals with managing the service on a day to day basis.