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Implications for practice: research into the effects of sexual abuse on adults with intellectual disabilities
- Author:
- SEQUEIRA Heather
- Journal article citation:
- Journal of Adult Protection, 8(4), December 2006, pp.25-31.
- Publisher:
- Emerald
This article begins by reviewing the research into the effects of sexual abuse on people with a learning disability. These include the implications for abuse evaluations, identification of individuals at increased risk of disturbance, implications for treatment and provision of psychotherapeutic services.
Restraint and seclusion: service user views
- Authors:
- SEQUEIRA Heather, HALSTEAD Simon
- Journal article citation:
- Journal of Adult Protection, 4(1), February 2002, pp.15-24.
- Publisher:
- Emerald
Reviews the literature documenting the personal views and experience of people with learning disabilities and severe mental health problems following physical restraint or seclusion.
Psychological disturbance associated with sexual abuse in people with learning disabilities: case control study
- Authors:
- SEQUEIRA Heather, HOWLIN Patricia, HOLLINS Sheila
- Journal article citation:
- British Journal of Psychiatry, 183(11), November 2003, pp.451-456.
- Publisher:
- Cambridge University Press
The association between sexual abuse, mental health and behavioural problems in people with learning disabilities has not previously been examined in a controlled study. The aim was to identify symptoms of psychological disturbance in adults with and without a confirmed history of sexual abuse. The study used a matched (1:1) case-control design comparing 54 adults who had experienced sexual abuse with 54 adults with no reported history of abuse. The two groups were selected from a community population of adults with learning disabilities living in residential care, and compared for selected psychiatric diagnoses and for scores on measures of disturbed behaviour. Sexual abuse was associated with increased rates of mental illness and behavioural problems, and with symptoms of post-traumatic stress. Psychological reactions to abuse were similar to those observed in the general population, but with the addition of stereotypical behaviour. The more serious the abuse, the more severe the symptoms that were reported. The study provides the first evidence from a controlled study that sexual abuse is associated with a higher incidence of psychiatric and behavioural disorder in people with learning disabilities.