Search results for ‘Subject term:"learning disabilities services"’ Sort:
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Developing a values evidence-based clinical supervision model within a forensic intellectual disability service
- Author:
- JACKSON William
- Journal article citation:
- Journal of Intellectual Disabilities and Offending Behaviour, 5(1), 2014, pp.14-23.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to discuss the development and proposal of a values evidence-based model of clinical supervision (CS) for the implementation by nursing staff (registered and non-registered nurses) within a forensic intellectual disability service. Design/methodology/approach: This is a conceptual and technical paper providing a descriptive account for a service provision with nursing staff. Findings: The paper does not present any research findings but does demonstrate a novel and innovative approach to the conceptualisation and implementation of CS. Originality/value: The paper examines the dominant concepts that shape existing thinking around CS and suggests a new interpretation that involves greater pragmatism through a values evidence-based approach. (Publisher abstract)
Examining the utility of the Stages of Change model for working with offenders with learning disabilities
- Authors:
- PANTING Holly, et al
- Journal article citation:
- Journal of Intellectual Disabilities and Offending Behaviour, 9(2), 2018, pp.91-101.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to investigate whether the Stages of Change (SOC) model can be applied to working with offenders with learning disabilities (LD), and furthermore, to determine if it might be efficacious for this approach to be incorporated into a wider service model for this population. Design/methodology/approach: This paper reports on the results of a consultation to a specialist forensic LD service in the South West of England. A two-pronged approach was taken to consult to the service in relation to the research questions. First, a comprehensive literature review was undertaken, and second, other forensic LD teams and experts in the field were consulted. Findings: There is a dearth of research that has examined the application of the SOC model to working with offenders with LD, and as such, firm conclusions cannot be drawn as to its efficacy in this population. The evidence base for the SOC model in itself is lacking, and has been widely critiqued. However, there are currently no other evidence-based models for understanding motivation to change in offenders with LD. Research limitations/implications: There is a clear clinical need for more robust theory and research around motivation to change, which can then be applied to clinical work with offenders with LD. Originality/value: There has been a historical narrative in offender rehabilitation that “nothing works” (Burrowes and Needs, 2009). As such, it is more important than ever for the evidence base to enhance the understanding of motivation to change in offending populations. (Edited publisher abstract)
Commissioning for complexity: exploring the role of System Dynamics in social care
- Publisher:
- NIHR School for Social Care Research
- Publication year:
- 2016
- Pagination:
- 4
This project explores the potential contribution of System Dynamics to social care commissioning by testing the approach within services for people with learning disabilities. System Dynamics uses a combination of ‘systems thinking’ and computer simulation to model the interactions between different elements of a system. The focus of the project was to examine the impact of a community based intensive support service for people with learning disabilities with complex behavioural needs on the use of inpatient beds and out-of-borough residential care home. The initial overview of the model was developed through a stakeholder workshop and then refined through discussions with the commissioners. Data from the local area, national data sets and research were then used to populate the model. A second workshop enabled stakeholders to provide further comment and to test out different service configurations in light of the anticipated needs and demand. Once commissioners understood the terminology and concepts behind the modelling they found it a helpful and useful framework. The interactive model enabled commissioners to input data on future needs and test different combinations and capacities of services. Difficulties identified included: availability of accurate data to populate the model; the consistency of commissioning personnel; and risk that a focus on costs could dominate over quality of life considerations. It concludes that System Dynamics could make a positive contribution to social care commissioning if used on a medium-long-term basis to allow for development of data sets and potential scenarios. (Edited publisher abstract)
Implementing choice and partnership
- Author:
- JONES Ann
- Journal article citation:
- Learning Disability Today, May 2011, pp.32-35.
- Publisher:
- Pavilion
- Place of publication:
- Hove
The Choice and Partnership Approach (CAPA) is a clinical system that brings together the involvement of young people and their families, demand and capacity ideas, and a new approach to clinical skills and job planning. It aims to improve the way child and adolescent mental health services are delivered. This article explains how Northumberland, Tyne and Wear NHS Foundation Trust has implemented the Choice Partnership Approach in all of its specialist CAMH services, including the Child and Adolescent Learning Disability Team.
Australia’s National Disability Insurance Scheme: a collaboration opportunity for academia and industry
- Authors:
- MASON Jonathan, et al
- Journal article citation:
- Tizard Learning Disability Review, 23(3), 2018, pp.139-146.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to summarise the initial experiences of Australia’s National Disability Insurance Scheme (NDIS). It highlights some of the main challenges being faced by participants, service providers and government, and demonstrates how research can contribute to the ongoing implementation and success of the scheme. Design/methodology/approach: The historical basis for the need for a new approach to disability funding in Australia is explored. The opportunities that exist and the difficulties that are being encountered by those entering and working within the new scheme are discussed. Findings: Several problems were identified including difficult transitions between existing support frameworks to new “NDIS plans”, and the risk of market failure. Both the problems and their solutions are discussed and it is hoped that collaboration between the Commonwealth Government, service users, their families, service providers and universities can lead to a number of lasting improvements. Practical implications: The new funding framework provides exciting opportunities for increasing the funding of people with intellectual and physical disabilities in Australia. Developments in technology, service provision in rural and remote areas and the opportunity to meet aspirational life goals exist alongside a number of challenges, including the need to ensure that those with multiple and complex disabilities retain existing levels of support. Originality/value: The implementation of the NDIS is still underway, and opportunities exist to implement changes to the scheme where required. Research findings have an important role to play in the national debate regarding how best to improve quality of life for people with a disability in Australia. (Edited publisher abstract)
Transforming learning disability services in Wales
- Author:
- SOCIAL SERVICES IMPROVEMENT AGENCY
- Publisher:
- Social Services Improvement Agency
- Publication year:
- 2014
- Pagination:
- 32
- Place of publication:
- Cardiff
This report provides information on the Social Services Improvement Agency's Transforming learning disability services in Wales programme, the Opportunity Assessment model used in the programme, and the implications for the future of Learning Disability services in Wales. The programme was developed to help councils and their partner agencies to assess current learning disability provision and practice across Wales and identify a sustainable service model for the future. The 'Opportunity Assessment' approach which formed the basis of the programme involved a three-pronged approach to assessing provision based on: existing service data; commissioning and delivering strategies; and current practice using case files and engagement with practitioners. The report provides details of progress and outcomes of the programme and discusses the use of the "Progression" model which represents different levels of independence and dependence, and can be used for care and support planning. Examples of existing effective practice are also included. Recommendations include that the "Progression Model" should be adopted as the future model for learning disability services throughout Wales and that future work on the planning, commissioning and delivery of learning disability services in Wales should take an integrated approach across the NHS and local government. The report also notes that some of the local authorities and Health Boards who participated in the programme are beginning to see significant reductions in expenditure and positive results for people with a learning disability. (Edited publisher abstract)
Working together: making the case for integrated forensic services for people with intellectual disabilities
- Authors:
- MacMAHON Kenneth, McCLEMENTS Ricky
- Journal article citation:
- Journal of Intellectual Disabilities and Offending Behaviour, 6(3/4), 2015, pp.204-210.
- Publisher:
- Emerald
Purpose: There is a general consensus that healthcare for people with intellectual disabilities should be provided by multi-disciplinary teams. Within a forensic setting, recommendations are often made for separate or "parallel" forensic teams, operating independently of generic mental health or intellectual disability teams. An alternative to this model is an "integrated" service, where specialist forensic clinicians work within the general intellectual disability service, to provide support for clients with forensic needs. For clients with intellectual disabilities and forensic needs, there may be advantages to providing access to a wider multi-disciplinary team, through the application of an integrated model. The purpose of this paper is to illustrate the working of an integrated forensic service within a learning disability team, to identify positive aspects of this model, and how potential shortcomings may be overcome. Design/methodology/approach: Literature review, description of service outline with case example. Findings: Although some studies have compared parallel and integrated forensic models within mental health services, there are no evaluations that compare models of forensic services for individuals with intellectual disabilities. However, specific advantages of an integrated model may include availability of multi-disciplinary clinicians, development of forensic skills across wider groups of clinicians, reduction in stigma and avoidance of delay in transfer of care between services. In addition, in areas with smaller populations, parallel services may not be feasible due to low case numbers. Originality/value: There has been no formal evaluation of parallel vs integrated forensic services within an intellectual disability setting. However, the authors describe a fully integrated service and suggest means by which the potential shortcomings of an integrated model may be overcome. (Publisher abstract)
Transforming care for people with learning disabilities: next steps
- Authors:
- NHS ENGLAND, et al
- Publisher:
- NHS England
- Publication year:
- 2015
- Pagination:
- 27
- Place of publication:
- London
A joint report from the Association of Directors of Adult Social Services, Care Quality Commission, Department of Health, Health Education England, local Government Association, and NHS England which sets how they intend to improve the quality of life of people learning disabilities following the 'Winterborne view: time for change' report by Sir Stephen Bubb. The report outlines key aims of reducing the number of people placed in hospital, reducing the length of time those admitted spend there, and improving the quality of both hospital and community settings. Plans include: empowering people and families to challenge their admission or continued placement in inpatient care; working with local authorities and other providers to get the right care in the right place; raising the quality of care through regulation and inspection; and increasing workforce capability by improving their skills and practice. (Edited publisher abstract)
A strategy for the development of psychological therapy services
- Author:
- NORTHERN IRELAND. Department of Health, Social Services and Public Safety
- Publisher:
- Northern Ireland. Department of Health, Social Services and Public Safety
- Publication year:
- 2010
- Pagination:
- 58p., bibliog.
- Place of publication:
- Belfast
Following a number of recommendations made by the Bamford Review of Mental Health and Learning Disability, a draft Strategy for the development of Psychological Therapy Services has been now issued for consultation. This strategy proposes a framework for the development of Psychological Therapy Services with the aim of improving access to these services together with promoting early intervention, self help and support in the community, but also recognising the need for specialist services for people with complex conditions, particularly those arising from mental health and learning disabilities. The Strategy was developed by a multi-disciplinary team. This document is divided into sections with recommendations contained throughout the sections. Section one outlines the aims and objectives of the strategy. Section two contains a definition of psychological therapies and further outlines the scope of the strategy. Section three outlines the principles for service commissioning and recognises the importance of national and regionally agreed standards and guidelines. Section four deals with the operationalisation of the stepped care models. Section five deals with workforce issues and highlights the need for new ways of working. And section six focuses on implementation of the strategy and the need for further research.
Guidance: commissioning accommodation and support for a good life for people with a learning disability
- Author:
- WELSH LOCAL GOVERNMENT ASSOCIATION
- Publisher:
- Welsh Local Government Association
- Publication year:
- 2019
- Pagination:
- 88
- Place of publication:
- Cardiff
This guidance, commissioned by the National Commissioning Board, provides advice on commissioning accommodation and support services for people with a learning disability that support independent living promote well-being. It aims to redefine the accommodation and support model to a more person-centred, flexible set of principles which considers a wide range of places to live and deliver the support person want and need. It builds upon the overarching guidance on ‘Commissioning Services for People with Learning Disabilities’ published in November 2017 and will contribute to Welsh Government’s ‘Learning Disability Improving Lives Programme’. The guidance is structured around 12 questions across five themes which cover: person centred pathway; models of accommodation and support; what makes good quality support; developing innovative and progressive procurement processes; effective strategic commissioning, including commissioning services that improve well-being and that are cost effective. (Edited publisher abstract)