Advances in Mental Health and Intellectual Disabilities, 12(1), 2018, pp.34-43.
Publisher:
Emerald
Purpose: The purpose of this paper is to determine the relation between quality of life (QoL), mental illness, challenging behaviour and institutionalisation in an adult population with intellectual disabilities (ID). Design/methodology/approach: The study assessed the QoL and its conditioning factors in 142 subjects with different degrees of ID. The GENCAT and Quality of Life in Late Stage Dementia scale were used to evaluate QoL, the Psychiatric Assessment Schedule for Adults with Developmental Disability and Diagnostic Assessment for the Severely Handicapped-II scale to assess mental illness and the Inventory for Client and aetiology Planning scale to assess challenging behaviour. Findings: Individuals who live in residential care homes were found to have significantly impaired QoL (<0.001). Individuals with challenging behaviour presented significantly lower QoL, regardless of ID aethiology and degree, while psychiatric disorders did not seem to have a direct influence on individual QoL. Originality/value: This paper provides new insight into the importance of challenging behaviour and psychiatric disorders in the QoL of individuals with ID.
(Publisher abstract)
Purpose: The purpose of this paper is to determine the relation between quality of life (QoL), mental illness, challenging behaviour and institutionalisation in an adult population with intellectual disabilities (ID). Design/methodology/approach: The study assessed the QoL and its conditioning factors in 142 subjects with different degrees of ID. The GENCAT and Quality of Life in Late Stage Dementia scale were used to evaluate QoL, the Psychiatric Assessment Schedule for Adults with Developmental Disability and Diagnostic Assessment for the Severely Handicapped-II scale to assess mental illness and the Inventory for Client and aetiology Planning scale to assess challenging behaviour. Findings: Individuals who live in residential care homes were found to have significantly impaired QoL (<0.001). Individuals with challenging behaviour presented significantly lower QoL, regardless of ID aethiology and degree, while psychiatric disorders did not seem to have a direct influence on individual QoL. Originality/value: This paper provides new insight into the importance of challenging behaviour and psychiatric disorders in the QoL of individuals with ID.
(Publisher abstract)
Subject terms:
mental health, challenging behaviour, learning disabilities, adults, quality of life, institutionalisation, residential care, mental health problems;
Acute inpatient care is a core and integral component of the National Service Framework for Mental Health to which all the NSF standards are relevant. Improving adult acute inpatient care and its connections and integration with the other key elements of the whole system of care in its local context is a priority NSF implementation target. Acute inpatient care should already be a designated high priority by any definition prioritising the needs of people with serious mental illness. It is usually only when people are most seriously ill that they are admitted to an acute care ward. Inpatient provision is still the single element on which we spend the greatest proportion of the adult mental health budget and employ the greatest number of staff.
Acute inpatient care is a core and integral component of the National Service Framework for Mental Health to which all the NSF standards are relevant. Improving adult acute inpatient care and its connections and integration with the other key elements of the whole system of care in its local context is a priority NSF implementation target. Acute inpatient care should already be a designated high priority by any definition prioritising the needs of people with serious mental illness. It is usually only when people are most seriously ill that they are admitted to an acute care ward. Inpatient provision is still the single element on which we spend the greatest proportion of the adult mental health budget and employ the greatest number of staff.
Subject terms:
hospitals, mental health problems, mental health services, NHS, residential care, severe mental health problems, standards, acute psychiatric care, adults;
International Journal of Geriatric Psychiatry, 10(7), July 1995, pp.611-615.
Publisher:
Wiley
Compulsory admission is not just restricted to younger psychiatric patients. In this study, elderly and younger adult patients who had compulsory psychiatric admissions were compared according to a number of social and clinical variables. Elderly patients were less likely to have police involvement in an admission but more likely to be referred by their own GP and to live alone. The particular needs of the elderly could be reflected by better guidelines on the use of the Mental Health Act.
Compulsory admission is not just restricted to younger psychiatric patients. In this study, elderly and younger adult patients who had compulsory psychiatric admissions were compared according to a number of social and clinical variables. Elderly patients were less likely to have police involvement in an admission but more likely to be referred by their own GP and to live alone. The particular needs of the elderly could be reflected by better guidelines on the use of the Mental Health Act.
Subject terms:
hospitals, mental health problems, nursing homes, older people, hospital admission, psychiatry, residential care, adults, dementia;
NORTHERN IRELAND. Department of Health, Social Services and Public Safety
Publisher:
Northern Ireland. Department of Health, Social Services and Public Safety
Publication year:
2013
Pagination:
141
Place of publication:
Belfast
An annual statistical report presenting information on a range of community activity gathered from HSC Trusts. It also includes comparisons over the past five years for the main activities. Activities covered include: contacts with HSC Trusts; residential and nursing home care packages; meals on wheels services; residential and nursing home care accommodation; and day care facilities. Services provided include those for older people, people with mental health problems, people with learning disabilities and people with physical and sensory disability.
(Original abstract)
An annual statistical report presenting information on a range of community activity gathered from HSC Trusts. It also includes comparisons over the past five years for the main activities. Activities covered include: contacts with HSC Trusts; residential and nursing home care packages; meals on wheels services; residential and nursing home care accommodation; and day care facilities. Services provided include those for older people, people with mental health problems, people with learning disabilities and people with physical and sensory disability.
(Original abstract)
Subject terms:
adults, community care, meal services, residential care, day services, nursing homes, care homes, disabilities, older people, sensory impairments, mental health problems;
NORTHERN IRELAND. Department of Health, Social Services and Public Safety
Publisher:
Northern Ireland. Department of Health, Social Services and Public Safety
Publication year:
2012
Pagination:
142
Place of publication:
Belfast
An annual statistical report presenting information on a range of community activity gathered from HSC Trusts. It also includes comparisons over the past five years for the main activities. Activities covered include: contacts with HSC Trusts; residential and nursing home care packages; meals on wheels services; residential and nursing home care accommodation; and day care facilities. Services provided include those for older people, people with mental health problems, people with learning disabilities and people with physical and sensory disability.
(Original abstract)
An annual statistical report presenting information on a range of community activity gathered from HSC Trusts. It also includes comparisons over the past five years for the main activities. Activities covered include: contacts with HSC Trusts; residential and nursing home care packages; meals on wheels services; residential and nursing home care accommodation; and day care facilities. Services provided include those for older people, people with mental health problems, people with learning disabilities and people with physical and sensory disability.
(Original abstract)
Subject terms:
community care, adults, meal services, day services, nursing homes, care homes, residential care, older people, learning disabilities, sensory impairments, disabilities, mental health problems;
These National Minimum Standards are issued by the Welsh Assembly Government under section 23 of the Care Standards Act 2000. They apply to all care homes providing accommodation and nursing or personal care for adults aged 18 to 65 years who have physical disabilities, sensory disabilities, learning disabilities, autistic spectrum disorders, mental health problems, alcohol or substance misuse problems, HIV/AIDS, or dual and/or complex multiple disabilities. The standards cover: choice of home; individual needs and choices; lifestyle; personal and health care support; staffing; conduct and management of the home; concerns, complaints and protection; and environment. The standards are underpinned by a number of crosscutting themes: focus on service users, fitness for purpose, comprehensiveness, positive choice, meeting assessed needs, quality services, and quality workforce. There are supplementary standards for care homes accommodating young people aged 16 and 17 years.
These National Minimum Standards are issued by the Welsh Assembly Government under section 23 of the Care Standards Act 2000. They apply to all care homes providing accommodation and nursing or personal care for adults aged 18 to 65 years who have physical disabilities, sensory disabilities, learning disabilities, autistic spectrum disorders, mental health problems, alcohol or substance misuse problems, HIV/AIDS, or dual and/or complex multiple disabilities. The standards cover: choice of home; individual needs and choices; lifestyle; personal and health care support; staffing; conduct and management of the home; concerns, complaints and protection; and environment. The standards are underpinned by a number of crosscutting themes: focus on service users, fitness for purpose, comprehensiveness, positive choice, meeting assessed needs, quality services, and quality workforce. There are supplementary standards for care homes accommodating young people aged 16 and 17 years.
Subject terms:
HIV AIDS, learning disabilities, mental health problems, physical disabilities, residential care, sensory impairments, substance misuse, standards, young adults, adults, autistic spectrum conditions, care homes, disabilities;
Guide presenting a new approach to setting and judging standards in residential homes in the United Kingdom. Focuses on quality of life of residents as the starting point for more practical issues. Puts the needs, wishes and convenience of users first.
Guide presenting a new approach to setting and judging standards in residential homes in the United Kingdom. Focuses on quality of life of residents as the starting point for more practical issues. Puts the needs, wishes and convenience of users first.
Subject terms:
HIV AIDS, learning disabilities, mental health problems, nursing homes, older people, physical disabilities, quality assurance, quality of life, residential care, service users, standards, user participation, visual impairment, adults, alcohol misuse, care homes, drug misuse, head injuries;
GREAT BRITAIN. Department of Health, GREAT BRITAIN. Welsh Office
Publisher:
Stationery Office
Publication year:
1997
Pagination:
39p.
Place of publication:
London
Government White Paper on the future of social services.
Government White Paper on the future of social services.
Subject terms:
home care, learning disabilities, joint planning, local authorities, local government, local government policy, mental health problems, multidisciplinary services, older people, physical disabilities, policy, policy formulation, private sector, purchaser-provider split, residential care, social services, social work, social work education, social care provision, tendering, voluntary organisations, voluntary sector, adults, central government, community care, children, health care, government policy;