Search results for ‘Subject term:"learning disabilities services"’ Sort:
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Exorcising restraint: reducing the use of restrictive interventions in a secure learning disability service
- Author:
- RIDING Tim
- Journal article citation:
- Journal of Intellectual Disabilities and Offending Behaviour, 7(4), 2016, pp.176-185.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to describe the nature and impact of a restraint reduction strategy implemented within a secure learning disability service in response to the national Positive and Safe programme. Design/methodology/approach: The strategy was comprised of three primary interventions – Safewards, positive behavioural support and data-informed practice – and utilised a programme management approach to ensure effective delivery. Baseline measures were collected from 12 months of data prior to implementation of the programme and the frequency of each category of restrictive intervention was then measured prospectively on a monthly basis throughout the duration of the programme. Findings: Upon completion of the programme the following results were achieved: elimination of prone restraint – elimination of mechanical restraint – 42 per cent reduction in general use of restraint – 42 per cent reduction in use of seclusion – 52 per cent reduction in rapid tranquilisation. Originality/value: The paper adds to the growing body of evidence that carefully designed interventions can reduce the frequency of seclusion and restraint. In this case, Safewards and PBS have combined to exert their effect. Data-led practice and senior leadership were also found to be of critical importance. Finally, the need for a stable workforce is considered. (Publisher abstract)
It can still happen here: systemic risk factors that may contribute to the continued abuse of people with intellectual disabilities
- Authors:
- MARSLAND David, OAKES Peter, BRIGHT Naomi
- Journal article citation:
- Tizard Learning Disability Review, 20(3), 2015, pp.134-146.
- Publisher:
- Emerald
Purpose: This paper reflects on the response to the scandal of abuse in services for people with intellectual disabilities in the light of research evidence and analysis. Design/methodology/approach: Critical reflection and review of literature. In particular, recent research into possible indicators that a service is at risk of becoming abusive is used to test the hypotheses and implied solutions that are currently being adopted. Findings: The review finds that some of the responses to recent scandals are necessary but not sufficient to prevent future harm. Furthermore, some of the proposed solutions may actually increase the likelihood of further abuse. The paper calls for a broader and more evidence-based response to prevent abuse. (Edited publisher abstract)
Commentary on “It can still happen here: systemic risk factors that may contribute to the continued abuse of people with intellectual disabilities”
- Author:
- WIESE Michele
- Journal article citation:
- Tizard Learning Disability Review, 20(3), 2015, pp.147-150.
- Publisher:
- Emerald
Purpose: This commentary takes Marsland et al.’s paper about services at risk of becoming abusive to the people they support, as a platform to consider issues around implementation science and its role in minimising this risk. The paper aims to discuss this issue. Design/methodology/approach: The commentary is a selected review of implementation science. The research is used to define implementation, identify prerequisites, selectively review methods and comment on fidelity. Findings: The commentary proposes that implementation science has an important role in ensuring evidence-based practice transfers from research to disability services. (Edited publisher abstract)
Sexual abuse prevention: a training program for developmental disabilities service providers
- Authors:
- BOWMAN Rachel A., SCOTTI Joseph R., MORRIS Tracy L.
- Journal article citation:
- Journal of Child Sexual Abuse, 19(2), March 2010, pp.119-127.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
It has been reported that persons with developmental disabilities are at an increased risk for becoming victims of sexual abuse, and research has revealed that the largest group of identified perpetrators of sexual abuse is within developmental disability service providers. The purpose of this study was to develop, implement, and evaluate the effectiveness of a sexual abuse prevention training program. Participants included one hundred and twenty four developmental disability service providers, from West Virginia, who were administered a survey assessing knowledge and attitudes before and after the training workshop. Approximately 55% of individuals served by these agencies were children under the age of 18 years. Findings showed that small improvements in knowledge and attitudes about sexual abuse and the sexuality of persons with developmental disabilities were identified. However, more general attitudes about individuals with developmental disabilities did not change. Implications for future research in this area are highlighted.