Search results for ‘Subject term:"mental health problems"’ Sort:
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The role of mental health and challenging behaviour in the quality of life in people with intellectual disabilities in Spain
- Authors:
- PENA-SALAZAR Carlos, et al
- Journal article citation:
- 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)
Predictors of hospital admission for women with learning disabilities and psychiatric disorders compared with women maintained in community settings
- Authors:
- TAGGART Laurence, MCMILLAN R., LAWSON Annette
- Journal article citation:
- Advances in Mental Health and Learning Disabilities, 3(1), March 2009, pp.30-41.
- Publisher:
- Emerald
This study examined the personal characteristics and social context of two groups of women with learning disabilities and psychiatric disorders who resided in some form of community residential facility. One group of women had been admitted to hospital in the past 12 months (N = 20) and the other had been maintained in the community without any admissions (N = 33). A prospective natural group comparison design was employed over a 12-month period to study any differences between the groups. Data was collected from the women's key workers using a pro forma and three standardised instruments: Index of Social Competence, Aberrant Behaviour Checklist and the PAS-ADD Checklist. The groups were matched on age and level of learning disabilities. Differences were found between the groups' behavioural and psychiatric profiles. Anti-psychotic medication was the first line of treatment. A non-significant trend was found on negative life experiences, and a binary logistic regression analysis confirmed that high levels of challenging behaviour and having behavioural/mental health management strategies in place predicted hospital admission. The findings of this study are discussed and improvements are explored.
Assessment and treatment units for people with intellectual disabilities and challenging behaviour in England: an exploratory survey
- Authors:
- MACKENZIE-DAVIES N., MANSELL J.
- Journal article citation:
- Journal of Intellectual Disability Research, 51(10), October 2007, pp.802-811.
- Publisher:
- Wiley
Evaluative studies have shown that special units for people with intellectual disabilities (ID) who have challenging behaviour have advantages and disadvantages. There has been no survey of their number or characteristics for nearly 20 years. A questionnaire was sent to all National Health Service trusts that had ID inpatient beds, and all private or voluntary healthcare establishments providing services for people with mental health problems or ID. This asked for information about the unit, its residents and the views of the unit manager. Forty-four agencies confirmed that they provided assessment and treatment units, of which 38 returned questionnaires. These units served 333 people, of whom 75% had mild or moderate ID. A quarter had been there for more than 2 years. Forty per cent of residents had a discharge plan, and 20% had this and the type of placement considered ideal for them in their home area. The main strengths of the units were identified as the knowledge and experience of the staff and having sufficient staff; the main problems as inappropriate admissions, bed-blocking and the relationship with other services; difficulties with recruiting and retaining staff; the location and environment of the unit; and the mix of residents. There has been an increasing rate of provision of special units, which now predominantly serve people with moderate or mild ID. This model of service provision is becoming more widespread, but the potential problems identified 20 years ago are still present. Areas are identified for further research.
Services for people with learning disabilities and challenging behaviour or mental health needs: report of a project group
- Authors:
- MANSELL J.L., (chair)
- Publisher:
- HMSO/Great Britain. Department of Health
- Publication year:
- 1993
- Pagination:
- 45p.
- Place of publication:
- London
Defines the client group involved, looks at their needs, and goes on to examine 4 examples of model service provision. Includes a section on guidance for commissioners.
Safeguarding children with disabilities and complex health needs in residential settings: phase 1 report
- Author:
- CHILD SAFEGUARDING PRACTICE REVIEW PANEL
- Publisher:
- Child Safeguarding Practice Review Panel
- Publication year:
- 2022
- Pagination:
- 90
- Place of publication:
- London
This report sets out the findings from phase 1 of the Child Safeguarding Practice Review Panel's review into the safeguarding of children with disabilities and complex health needs in residential settings. The phase 1 report looks in particular at the experiences of 108 children and young adults placed from 55 local authorities at Fullerton House, Wilsic Hall and Wheatley House specialist, independent, residential settings between 1 January 2018 and 21 March 2021. These settings were located in the villages of Denaby Main and Wilsic, Doncaster, and run by the Hesley Group. The children placed at Hesley's children’s residential settings in Doncaster functioned significantly below their chronological age and exhibited behaviour that challenges. They had been diagnosed with complex needs, including: autism (82%), learning disabilities (76%), mental health difficulties such as anxiety, obsessive compulsive disorder and bipolar disorder, and attention deficit hyperactive disorder (25%). Many of the children had profound difficulties with receptive and expressive communication, but were not supported when they displayed behaviours, signs and symptoms that were indicative of child abuse. They were among the most vulnerable children in society, yet they experienced systematic and sustained physical abuse, emotional abuse and neglect. Our report sets out: what happened to the children and young adults placed in these settings; why it happened; urgent action to be taken by local authorities by November 2022, to provide assurance about the safety and care of children who may be residing in similar specialist settings; wider systemic issues raised by the findings from phase 1, to be explored in depth in phase 2 and completed by spring 2023. (Edited publisher abstract)
A psychosocial profile of hospital-based adults with learning disability prior to community relocation
- Author:
- NEWMAN David W.
- Journal article citation:
- Tizard Learning Disability Review, 12(1), January 2007, pp.36-44.
- Publisher:
- Emerald
Following the implementation of key actions resulting from Valuing People, people with learning disabilities resident in hospital will be relocated into the community. This article examines the psychological, social and quality of life indicators applied to a group of 50 service users with learning disabilities resident in hospital, 36 of whom are soon to be relocated into community housing. This methodology employs a range of psychometric measures in order to describe intellectual and social functioning, mental health, levels of challenging behaviour and quality of life and choice opportunities. The aim was to compile a profile of the individuals as a group in order to inform service planning and to compile a profile of the individuals as a group in order to inform service planning and provision. Results illustrate that the group contains a range of individuals with complex and enduring needs. A discussion of the opportunities and challenges that lie ahead for these individuals and the services that support them is presented. The study presents an opportunity to re-apply this methodology in future years in order to evaluate whether community living has brought tangible benefits to the group.
Social disability, challenging behaviour and risk: A comparison of health and Social Services residential provision for people with severe and enduring mental health problems
- Authors:
- DILKS Sarah, et al
- Journal article citation:
- Journal of Mental Health, 10(5), October 2001, pp.547-557.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
The population characteristics of people with severe and enduring mental health problems living in 'high support' Health and Local Authority (LA) residential facilities were compared in this survey of social functioning and psychiatric symptomatology. The survey was intended to assist in local service planning, particularly in the targeting of relatively high cost provision. A cross-sectional survey of all 62 residents of the three Local Authority hostels was conducted and compared to an earlier survey of 76 residents living in seven NHS residential facilities. Residents of NHS facilities were found to have poorer social functioning than LA residents; had more physical health problems; had higher levels of behaviour problems and risk behaviours which were both rated as more serious in terms of their effect on community tenure. The survey's findings were consistent with the results of other surveys of the characteristics of people considered 'hard to place' in the community as a result of mental health problems.
Phasing out seclusion through staff training and support
- Authors:
- McDONNELL Andrew, REEVES Simon
- Journal article citation:
- Nursing Times, 7.8.96, 1996, pp.43-44.
- Publisher:
- Nursing Times
Seclusion raises considerable ethical issues. While many services aim to phase out this practice, little research has been conducted into how this can be achieved. This article describes the phasing out of seclusion from a locked ward in a hospital for people with learning disabilities. The implications of these findings for other services are discussed.
Purchasing services for people with learning disabilities, challenging behaviour and mental health needs
- Editor:
- HARRIS John
- Publisher:
- British Institute of Learning Disabilities
- Publication year:
- 1996
- Pagination:
- 72p.
- Place of publication:
- Kidderminster
Contains chapters on: care management and joint commissioning; quality assurance; purchasing and residential care; commissioning individual day services; and purchasing for people with learning difficulties, challenging behaviour and mental health needs.