Search results for ‘Subject term:"learning disabilities"’ Sort:
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Gendered experiences of physical restraint on locked wards for women
- Authors:
- FISH Rebecca, HATTON Chris
- Journal article citation:
- Disability and Society, 32(6), 2017, pp.790-809.
- Publisher:
- Taylor and Francis
Physical restraint is used in inpatient services for people with intellectual disabilities as a way of holding a person to avoid injury. This article uses data from an ethnographic study in a locked unit in the north of England to explore women’s experiences of physical restraint using a feminist disability studies analysis. Data consists of field notes as well as interviews with 16 of the women who had experienced restraint, and 10 staff who worked with them. The women gave insights into the gendered phenomenon of restraint in light of their past experiences of violence. The authors argue that restraint is used with women to encourage passivity at times when more relational and therapeutic methods could be used. The article offers recommendations for alternative strategies that services can encourage. (Publisher abstract)
What kind of support and training do junior qualified nurses working with women with learning disabilities in a secure setting require when dealing with violence and aggression
- Authors:
- GOULDING Helen, RIORDAN Sharon Alicia
- Journal article citation:
- Journal of Intellectual Disabilities and Offending Behaviour, 7(3), 2016, pp.140-150.
- Publisher:
- Emerald
Purpose: The paper aims to explore the perceived needs of junior nurses working with women with learning disabilities in a secure setting who display violence and aggression. The study aims to contribute to this specialised area of research and to identify potential areas for further post registration education. Design/methodology/approach: The study adopted a qualitative design using thematic analysis. Initial questionnaires were distributed and the results analysed in order to form initial themes. These initial themes were then used to carry out a one off focus group and this was transcribed verbatim and then analysed using Braun & Clarke (2006) thematic analysis to develop final themes. Findings: The findings identified a need for staff to be able to access effective immediate support following incidents of violence and aggression and support be offered within a clear structured environment. Staff indicated that peer supervision be made available and that they also receive adequate education relating to gender specific issues and the use of seclusion. Research limitations/implications: The research had several limitations. These included a small sample size which was also largely self-selected. Bias may have to be acknowledged in respect of completion of questionnaires depending on their view of participation and what they might be contributing to. Despite this the results do raise further questions such as staff decision making around the use of seclusion. Practical implications: Implications centred around the organisation's delivery of education to staff in relation to the clinical decision making skills they require in order to effectively support women with learning disabilities who display violent and / or aggressive behaviour. The study also has implications for potential supervision structures currently offered within these services. Originality/value: This paper fulfils a need to explore services for women with a learning disability further and how services can be shaped using current perspective and up to date research in line with recent policy, e.g Corston Report 2007. (Edited publisher abstract)
The reported experience of four women with intellectual disabilities receiving emergency psychiatric services in Canada
- Authors:
- LUNSKY Yona, GRACEY Carolyn
- Journal article citation:
- Journal of Intellectual Disabilities, 13(2), June 2009, pp.87-98.
- Publisher:
- Sage
- Place of publication:
- London
A focus group study was conducted in 2005 in Toronto, Canada with four women with intellectual disabilities who had paid repeated visits to their local emergency department due to a psychiatric or behavioural crisis. These women spoke about not feeling respected, the trauma of being restrained physically or chemically, and about hospital staff not being comfortable working with women with intellectual disabilities. Clinical implications are discussed and recommendations are presented to improve the experience of women who require emergency services in the future.
Predictors of hospital admission for women with learning disabilities and psychiatric disorders compared with women maintained in community settings
- Authors:
- TAGGART Laurence, MCMILLAN R., LAWSON Annette
- Journal article citation:
- Advances in Mental Health and Learning Disabilities, 3(1), March 2009, pp.30-41.
- Publisher:
- Emerald
This study examined the personal characteristics and social context of two groups of women with learning disabilities and psychiatric disorders who resided in some form of community residential facility. One group of women had been admitted to hospital in the past 12 months (N = 20) and the other had been maintained in the community without any admissions (N = 33). A prospective natural group comparison design was employed over a 12-month period to study any differences between the groups. Data was collected from the women's key workers using a pro forma and three standardised instruments: Index of Social Competence, Aberrant Behaviour Checklist and the PAS-ADD Checklist. The groups were matched on age and level of learning disabilities. Differences were found between the groups' behavioural and psychiatric profiles. Anti-psychotic medication was the first line of treatment. A non-significant trend was found on negative life experiences, and a binary logistic regression analysis confirmed that high levels of challenging behaviour and having behavioural/mental health management strategies in place predicted hospital admission. The findings of this study are discussed and improvements are explored.
Staff stress and challenging behaviour on a medium secure development disabilities ward for women: the outcomes of organisational change, and clinical intervention
- Authors:
- LONG C.G., et al
- Journal article citation:
- British Journal of Forensic Practice, 10(3), November 2008, pp.4-11.
- Publisher:
- Emerald
The effects of organisational change on a medium secure ward for women with developmental disabilities are examined. Intervention followed the BAITS model in focusing on behavioural analysis, intervention, training and support as a way of amalgamating psychological perspectives to address problems and promote positive attitude change. The positive benefits of this programme are described in terms of pre- and post-changes in the perceived work environment, job satisfaction and burn-out, and levels of disturbed behaviour. The implications of these findings are discussed in terms of promoting positive evidence-based practices in secure developmental disability services.