Search results for ‘Subject term:"mental health problems"’ Sort:
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Irish attitudes to sexual relationships and people with intellectual disability
- Authors:
- McCONKEY Roy, LEAVEY Gerry
- Journal article citation:
- British Journal of Learning Disabilities, 41(3), 2013, pp.181-188.
- Publisher:
- Wiley
Limited progress has been made in supporting people with intellectual disabilities to form intimate relationships. A critical factor that has been rarely researched is the attitude of the general public which likely has a significant influence on public policy on this issue. Unique to Ireland, are the five-yearly national surveys commissioned by the National Disability Authority that recruit representative samples of over 1000 adult persons. On three occasions in the past 10 years, respondents were asked to rate their agreement that people with various disabilities and with mental health difficulties had the right to fulfilment through sexual relationships and to have children if they wished. Secondary analysis of the 2011 data set identified those persons who were more likely to be in agreement and also the concerns raised by respondents. The findings are discussed in relation to priorities for future research and actions needed to reduce the stigma associated with disability or mental ill health. (Publisher abstract)
Winterbourne View Hospital: a glimpse of the legacy
- Authors:
- FLYNN Margaret, CITARELLA Vic
- Journal article citation:
- Journal of Adult Protection, 15(4), 2013, pp.173-181.
- Publisher:
- Emerald
This paper concerns the fall-out from a TV programme “Undercover Care: the Abuse Exposed” which exposed cruelty at Winterbourne View Hospital, a private hospital that purported to provide assessment, treatment and rehabilitation to adults with learning disabilities, autism and mental health problems. It describes the principal findings of the Serious Case Review which was commissioned after the TV broadcast, and outlines some of the activities designed to reduce the likelihood of such abuses recurring. From policy, commissioning, regulation, management, service design and practice perspectives, events at Winterbourne View Hospital highlight a gulf between professionals, professionals and their organisations, and leadership shortcomings. The English government responded promptly and encouragingly to the circumstances of patients at Winterbourne View Hospital with a “Timetable of Actions”. (Edited publisher abstract)
Supporting staff working with people who challenge services: guidance for employers
- Authors:
- SKILLS FOR CARE, NATIONAL DEVELOPMENT FORUM FOR INCLUSION
- Publisher:
- Skills for Care
- Publication year:
- 2013
- Pagination:
- 52
- Place of publication:
- Leeds
This strategic guidance which has been developed in partnership with people, families, employers and commissioners to help with decision making around workforce development in the context of people who may challenge; is aimed at adult social care employers and commissioners working specifically with adults with a range of support and care needs such as older people with conditions across the dementia spectrum, people with mental health and personality conditions, and those with learning disabilities who have particularly complex needs and/or are labelled as challenging services. The guide will help employers with developing competency and expertise in providing support to people who challenge, across different groups. Following an Introduction outlining its purpose, the guide is arranged as follows: organisational actions; building workforce skills and knowledge; using learning tools and resources and identifying the best training solutions; specialist approaches: additional considerations for working with different people (learning disability, autism, mental health, older people, and multiple conditions); and useful contacts. (Edited publisher abstract)
Using explanatory models in the care of a person with intellectual disabilities
- Authors:
- INWANG Francis, HEMMINGS Colin, HVID Cindy
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 7(3), 2013, pp.152-160.
- Publisher:
- Emerald
A case study exploring the differences between carer and professional perspectives in the assessment and treatment of a young man with intellectual disabilities, autism and mental health problems. The opinions and perspectives of psychiatrists involved in the care and treatment of “S” and “S”'s mother about the aetiology, course, treatment and prognosis of “S”'s condition, are explored using “explanatory models”. The similarities and the differences of opinions and perspectives about the mental health care of a person with intellectual disabilities are highlighted. It shows how the explicit comparison of notions about a person's condition, assessment and treatment may help all involved to work together for the common ground of achieving the best outcomes for service users. (Edited publisher abstract)
Winterbourne View: transforming care one year on
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2013
- Pagination:
- 77
- Place of publication:
- London
This report reviews progress in improving the quality of care for vulnerable people, following abuse of residents at Winterbourne View hospital. It summarises the changes to improve the quality of care for vulnerable people, specifically those with learning disabilities or autism who also have mental health conditions or behavioural problems. The report covers surveys and monitoring programmes designed to track patients and observe their care; improvements to the commissioning of health and care services; the regulation and inspection of services; and work needed to make sure no one finds themselves in inappropriate care settings. It considers quality and safety issues in respect of advocacy, medication, positive behaviour support, physical interventions and workforce development. The report includes an individual case study and examples of service providers and projects which demonstrate practice that is both effective and sensitive to the needs of vulnerable people. An Easy Read version is also available. (Edited publisher abstract)
Winterbourne View joint improvement programme: stocktake of progress report
- Authors:
- LOCAL GOVERNMENT ASSOCIATION, NHS ENGLAND
- Publisher:
- Local Government Association
- Publication year:
- 2013
- Pagination:
- 57
- Place of publication:
- London
The findings following the abuse at Winterbourne View made it clear that more local, appropriate accommodation and care is both possible and the best option for most people. The Joint Improvement Programme (WVJIP) was established to help local areas to fundamentally transform health and care services for people with learning disabilities, autism or challenging behaviour. This report presents findings from the stocktake of progress questionnaire sent to Local authority chief executives, clinical leads of local Clinical Commissioning Groups (CCGs) and the chairs of Health and Wellbeing Boards (HWBs) in June 2013. The stocktake covered 11 key areas of enquiry: models of partnership; managing money; case management for individuals; current review programme; safeguarding; commissioning arrangements; developing local teams and services; prevention and crisis response capacity; understanding the population who may need or receive services; children and adults transition planning and current and future market requirements and capacity. While the report finds that 86 specific requests for support are identified, it also outlines some of more than 340 example of good or demonstrative practice and local policy initiatives. This programme is led by the Local Government Association (LGA) and NHS England, and funded by the Department of Health. (Original abstract)
Forensic rehabilitation in Asperger syndrome: a case report
- Authors:
- KELBRICK Marlene, RADLEY Jane
- Journal article citation:
- Journal of Intellectual Disabilities and Offending Behaviour, 4(1/2), 2013, pp.60-64.
- Publisher:
- Emerald
Purpose – People with Asperger syndrome are at increased risk of co-morbid mental health problems. The core features underlying autism are likely to play an important role in offending behaviour amongst this population. Forensic rehabilitation includes a multidisciplinary approach and combination of therapeutic interventions. However there is limited evidence in the literature of what constitutes effective treatment within this setting, and how the process of rehabilitation is experienced by patients. The purpose of this paper is to describe a case of Asperger syndrome with co-morbid psychosis and offending behaviour and the process of forensic rehabilitation. Design/methodology/approach – The authors briefly review the literature related to Asperger syndrome, offending in this population and co-morbidity. The authors then describe and reflect on a case of a young man with Asperger syndrome, sexual offending and the process of forensic rehabilitation, and offer an insight from the patient's perspective. Findings – Co-morbid mental illness, when detected early, can be successfully managed with limited additional disability. The process of forensic rehabilitation includes a multidisciplinary approach. Therapeutic interventions specifically aimed at addressing core features of autism, risk and offence-related factors are effective in promoting recovery amongst those with autism and offending behaviour. Originality/value – The paper highlights how core features of autism can lead to offending behaviour, the importance of early recognition and treatment of co-morbidity, and the process of forensic rehabilitation and recovery. Also included are quotes from the patient's perspective on what it is like to have Asperger syndrome, and what has been the key learning from the rehabilitation process. (Publisher abstract)