Search results for ‘Subject term:"learning disabilities"’ Sort:
Results 1 - 3 of 3
Hurting no-one else’s body but your own: people with intellectual disability who self injure in a forensic service
- Authors:
- DUPEROUZEL Helen, FISH Rebecca
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 23(6), November 2010, pp.606-615.
- Publisher:
- Wiley
This paper presents findings from an investigation into the experiences of nine people with mild to moderate intellectual disability who self-injure. It looks beyond the clinical presentations in an attempt to capture the perceptions these people have of their care in a medium secure unit. A phenomenological approach was used, and during in-depth interviews, the participants gave descriptions of their experiences of self-injury. Through analysis of the interviews, findings revealed four main themes: coping strategies; staff and the organisational response – therapeutic communication; close observation; and looking to the future. As a coping strategy, self-injury was seen as an effective means of reducing distress; there were unique and common reasons for this distress. Common themes relating to the actions and reactions of health professionals and the organisational response were evident within all accounts. In ending, the clinical implications for service users are highlighted.
‘I can try and do my little bit’ - training staff about self-injury
- Authors:
- MOORES Paul, FISH Rebecca, DUPEROUZEL Helen
- Journal article citation:
- Journal of Learning Disabilities and Offending Behaviour, 2(1), January 2011, pp.4-7.
- Publisher:
- Emerald
This article is written from the point of view of a service user who is involved in training staff about working with people who self-injure in the secure learning disability service where he lives. Paul has been employed as a trainer since 2007, and was one of the first service users in this service to be involved in training staff. The training is part of a one-day introduction session about self-injury. Paul introduces himself and does a short talk about his experiences, and then staff delegates are invited to ask him questions for a one hour question and answer session. Paul is paid for the work, and he enjoys it and feels that it has made him more confident. Some of the staff take the course as part of an induction, while others may have been employed at the service for many years. This article tells Paul’s story in his own words, and includes his explanations on why he decided to take part, responses from the trainees, how he feels when he is doing the training, and his motivation for training staff and the good things about the experience.
The last resort? Staff and client perspectives on physical intervention
- Authors:
- FISH Rebecca, CULSHAW Eloise
- Journal article citation:
- Journal of Intellectual Disabilities, 9(2), June 2005, pp.93-107.
- Publisher:
- Sage
- Place of publication:
- London
This study provides feedback from research with staff and clients of a medium secure learning disability service in north-west England. Participants were asked about incidents which required the use of physical intervention, using unstructured interviews within a participatory research framework. The article explores clients’ and staff accounts of aggressive incidents and the consequences of physical intervention. Clients cited other clients and the ward atmosphere as the main reasons for aggressive behaviour. Some clients said that the use of physical intervention made them more frustrated and brought back memories of frightening experiences. Staff reported that incidents of aggression and the use of physical intervention were upsetting and traumatic, causing feelings of guilt and self-reproach. Staff said that they always used physical intervention as a last resort, although clients often reported otherwise. Time out and post-incident discussions were valued by both groups, as were strong staff/client relationships.