BARKLEY Russell A., MURPHY Kevin R., FISCHER Mariellen
Publisher:
Guilford Press
Publication year:
2008
Pagination:
500p., bibliog.
Place of publication:
New York
Providing a new perspective on ADHD in adults, this book analyzes findings from two major studies directed by Russell A. Barkley. Information is presented on the significant impairments produced by the disorder across major functional domains and life activities, including educational outcomes, work, relationships, health behaviours, and mental health. Thoughtfully considering the treatment implications of these findings, the book also demonstrates that existing diagnostic criteria do not accurately reflect the way ADHD is experienced by adults, and points the way toward developing better criteria that centre on executive function deficits. Accessible tables, figures, and sidebars encapsulate the study results and offer detailed descriptions of the methods used.
Providing a new perspective on ADHD in adults, this book analyzes findings from two major studies directed by Russell A. Barkley. Information is presented on the significant impairments produced by the disorder across major functional domains and life activities, including educational outcomes, work, relationships, health behaviours, and mental health. Thoughtfully considering the treatment implications of these findings, the book also demonstrates that existing diagnostic criteria do not accurately reflect the way ADHD is experienced by adults, and points the way toward developing better criteria that centre on executive function deficits. Accessible tables, figures, and sidebars encapsulate the study results and offer detailed descriptions of the methods used.
Subject terms:
mental health problems, outcomes, activities of daily living, adults, behaviour, educational performance, health needs;
Serous case review of Richard Handley, referred to as ‘James’, a 33 year old adult with Down’s syndrome and a moderate learning disability who was also diagnosed with a mental illness and hypothyroidism. He had lifelong problems with constipation. He lived in a Supported Living scheme, Goshawk Close, run by United Response. On 14 November 2012 he was admitted to Ipswich Hospital and following a surgical procedure under anaesthetic to remove impacted faeces, he died in hospital on 17 November 2012. Failings identified in the review include: poor monitoring of physical health needs; a lack of understanding about the use of the Mental Capacity Act; no specific arrangements for the supported living scheme to obtain support from specialist learning disabilities services; and lack of a multi-disciplinary approach to supporting physical and mental health needs. Recommendations include: named care coordinators for adults with learning disabilities and complex support needs; an annual review of health and social care needs; and ensuring services providing care to people with complex support needs have explicit access arrangements with NHS providers such as Community Learning Disability Teams.
(Original abstract)
Serous case review of Richard Handley, referred to as ‘James’, a 33 year old adult with Down’s syndrome and a moderate learning disability who was also diagnosed with a mental illness and hypothyroidism. He had lifelong problems with constipation. He lived in a Supported Living scheme, Goshawk Close, run by United Response. On 14 November 2012 he was admitted to Ipswich Hospital and following a surgical procedure under anaesthetic to remove impacted faeces, he died in hospital on 17 November 2012. Failings identified in the review include: poor monitoring of physical health needs; a lack of understanding about the use of the Mental Capacity Act; no specific arrangements for the supported living scheme to obtain support from specialist learning disabilities services; and lack of a multi-disciplinary approach to supporting physical and mental health needs. Recommendations include: named care coordinators for adults with learning disabilities and complex support needs; an annual review of health and social care needs; and ensuring services providing care to people with complex support needs have explicit access arrangements with NHS providers such as Community Learning Disability Teams.
(Original abstract)
Subject terms:
learning disabilities, complex needs, adults, supported living, death, health needs, mental health problems, serious case reviews, needs, Downs syndrome;
Serious case review of Amy, a woman with learning disabilities, epilepsy, cerebral palsy and known bowel problems, who died aged 52. She lived in a Supported Living scheme, Crane Court, run by Leading Lives. Amy was subject two safeguarding referrals, the first due concerns about supported living staff’s understanding of Amy’s health care needs discharge and the second following her discharge from hospital which took place without apparent full investigation or consideration of her health problems. Following her discharge from hospital Amy’s condition deteriorated and she died in hospital on 7 May 2013. Recommendations include: named care coordinators for adults with learning disabilities and complex support needs; an annual review of health and social care needs; and ensuring services which are providing care to people with complex support needs have explicit access arrangements with NHS providers such as Community Learning Disability Teams.
(Edited publisher abstract)
Serious case review of Amy, a woman with learning disabilities, epilepsy, cerebral palsy and known bowel problems, who died aged 52. She lived in a Supported Living scheme, Crane Court, run by Leading Lives. Amy was subject two safeguarding referrals, the first due concerns about supported living staff’s understanding of Amy’s health care needs discharge and the second following her discharge from hospital which took place without apparent full investigation or consideration of her health problems. Following her discharge from hospital Amy’s condition deteriorated and she died in hospital on 7 May 2013. Recommendations include: named care coordinators for adults with learning disabilities and complex support needs; an annual review of health and social care needs; and ensuring services which are providing care to people with complex support needs have explicit access arrangements with NHS providers such as Community Learning Disability Teams.
(Edited publisher abstract)
Subject terms:
adults, learning disabilities, complex needs, death, health needs, mental health problems, supported living, cerebral palsy, epilepsy;
NORTHERN IRELAND. Department of Health, Social Services and Public Safety
Publisher:
Northern Ireland. Department of Health, Social Services and Public Safety
Publication year:
2015
Pagination:
157
Place of publication:
Belfast
This Service framework for learning disabilities is one of a set of Service Frameworks which sets out standards for health and social care to be used by service users and carers, to help them understand the standard of care they can expect to receive in Northern Ireland. The Service Framework for Learning Disability aims to improve the health and wellbeing of people with a learning disability and their carers and families by promoting social inclusion, reducing inequalities in health and social wellbeing and improving the quality of health and social care services. The Framework sets standards in relation to: Safeguarding and Communication and Involvement in the Planning and Delivery of Services; Children and Young People; Entering Adulthood; Inclusion in Community Life; Meeting General Physical and Mental Health Needs; Meeting Complex Physical and Mental Health Needs; At Home in The Community; Ageing Well; and Palliative and End of Life Care. Each standard is accompanied by a statement on what the standard is intended to achieve. It also sets out the evidence base and rationale for the development of the standard and the performance indicators that will be used to measure that the standard during the three year period 2013 - 2016. The Framework has been developed with the involvement of people from all aspects of health and social care, including patients, users of services and their carers.
(Edited publisher abstract)
This Service framework for learning disabilities is one of a set of Service Frameworks which sets out standards for health and social care to be used by service users and carers, to help them understand the standard of care they can expect to receive in Northern Ireland. The Service Framework for Learning Disability aims to improve the health and wellbeing of people with a learning disability and their carers and families by promoting social inclusion, reducing inequalities in health and social wellbeing and improving the quality of health and social care services. The Framework sets standards in relation to: Safeguarding and Communication and Involvement in the Planning and Delivery of Services; Children and Young People; Entering Adulthood; Inclusion in Community Life; Meeting General Physical and Mental Health Needs; Meeting Complex Physical and Mental Health Needs; At Home in The Community; Ageing Well; and Palliative and End of Life Care. Each standard is accompanied by a statement on what the standard is intended to achieve. It also sets out the evidence base and rationale for the development of the standard and the performance indicators that will be used to measure that the standard during the three year period 2013 - 2016. The Framework has been developed with the involvement of people from all aspects of health and social care, including patients, users of services and their carers.
(Edited publisher abstract)
Subject terms:
learning disabilities, standards, health care, social care provision, social care, safeguarding adults, end of life care, user participation, social inclusion, older people, community care, mental health problems, health needs, complex needs, adults, children, young people;