Search results for ‘Subject term:"severe learning disabilities"’ Sort:
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Orienting to affect in services for people with severe or profound intellectual disabilities: a UK‐based investigation
- Authors:
- WALTON Chris, ANTAKI Charles, FINLAY W. M. L.
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 33(5), 2020, pp.876-886.
- Publisher:
- Wiley
Background: This study argues for displays of affect by people with severe or profound intellectual disabilities to be analysed in the course of everyday interactions with the people who support them. Method: Conversation analysis is applied to the affective displays of residents of a social care service for people with severe or profound intellectual disabilities to identify how such displays are taken up and form the basis for further action. Results: Three types of orientations to affect are identified: where the cause of the affect is unknown; where there is a proximal cause; and where the proximal cause is a prior action by a member of staff. Staff orient to affect as expressions of both feelings and cognitions, thereby providing the basis for self‐determination. Conclusions: Displays of affect are a communicative resource for those with severe or profound impairments and must be studied in situ if they are to inform policy and everyday practice. (Edited publisher abstract)
Extent, duration, and content of day services' activities for persons with profound intellectual and multiple disabilities
- Authors:
- VLASKAMP Carla, et al
- Journal article citation:
- Journal of Policy and Practice in Intellectual Disabilities, 4(2), June 2007, pp.152-159.
- Publisher:
- Wiley
In the Netherlands, the Dutch government instituted policies that enable persons with profound intellectual and multiple disabilities (PIMD) to attend day services. Over the past 15 years, surveys have indicated a progressive increase in the number of hours that such adults spend at day activities centres. However, information about how these hours are spent is lacking. This study was designed to sample 7 residential centres to determine the amount of time spent in day activities centres, the number of hours that were spent on fixed programming or individually orientated activities, and what types of activities were prominent. Results showed that persons with PIMD spent, on average, 14.2 h per week at day activities centres. Of that time, 28.9% was spent on group activities and 13.0% on individual activities. Whether these activities could be considered purposeful or productive for an individual participant is unknown. The authors question whether the policies of the Dutch government aimed at enabling persons with PIMD to enjoy purposeful, rather than just longer, activities during the day, have been productively implemented.
Start from scratch
- Authors:
- SIMPSON Karen, MYERS Mary, McKNIGHT Irene
- Journal article citation:
- Community Care, 9.10.03, 2003, p.43.
- Publisher:
- Reed Business Information
The authors reports training they provided for staff working in a residential care home for men with learning difficulties in Bulgaria.
Community & family contact: an evaluation of small community homes for adults with severe and profound mental handicaps
- Authors:
- de KOCK Ursula, et al
- Journal article citation:
- Mental Handicap Research, 1(2), July 1988, pp.127-14O.
- Publisher:
- BIMH Publications
Comparison with hospital and larger units.
Staff turnover in a small home service: a study of facilities for adults with severe and profound mental handicap
- Authors:
- de KOCK Ursula, et al
- Journal article citation:
- Mental Handicap, 15(3), 1987, pp.97-101.
- Publisher:
- British Institute of Mental Handicap
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Person-centred active support: increasing choice, promoting independence and reducing challenging behaviour
- Authors:
- BEADLE-BROWN Julia, HUTCHINSON Aislinn, WHELTON Beckie
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 25(4), July 2012, pp.291-307.
- Publisher:
- Wiley
Active support has been shown to be important in determining the quality of life of people with intellectual disabilities as measured by their engagement in meaningful activities. It is also a key component of person-centred care. This paper presents data from the evaluation of the implementation of active support in a not-for-profit residential care provider in South East England. Observation, combined with staff-rated measures, was used to explore the impact of the implementation of person-centred active support on the lives of 30 people (mean age 44 years) with severe and profound intellectual disabilities living in small group homes. Data were collected prior to training in active support and at 12 months follow up. Significant increases in both the amount of assistance people received and the quality of that assistance were accompanied by significant increases in engagement, participation, choice-making opportunities and a significant reduction in challenging behaviour; particular, self-stimulatory behaviour. The authors conclude that active support can have a positive impact on the lives of people with intellectual disabilities.
Better technology, quieter nights
- Author:
- HUNT Louise
- Journal article citation:
- Community Care, 7.7.11, 2011, pp.26-27.
- Publisher:
- Reed Business Information
United Response, a residential care service in Ashford Kent has found that assistive technology can help them in providing unobtrusive night-time monitoring and support for people with severe learning disabilities. As well as providing residents with greater independence and privacy, it has also reduced the centres support costs.
Communication among nurses and adults with severe and profound intellectual disabilities: predicted and observed strategies
- Authors:
- HEALY Denise, WALSH Patricia Noonan
- Journal article citation:
- Journal of Intellectual Disabilities, 11(2), June 2007, pp.127-141.
- Publisher:
- Sage
- Place of publication:
- London
This study explored communication strategies adopted by staff nurses in a residential centre in Ireland for persons with severe and profound intellectual disabilities. Interactions between staff nurses and service users were video recorded and analysed to determine the frequencies of verbal and non-verbal communication acts. Semi-structured and focus group interviews were carried out with the 10 participating staff nurses. Participants identified staff-related factors, the communicative environment, alternative methods of communication and choice as key elements in communicating with service users. No differences were observed in the frequency of verbal and non-verbal communicative acts. There was a discrepancy between what communicative acts the participants named as their preferred strategies and those observed when they interacted with service users. Most failed to adjust their language to meet service users' needs. The findings suggest that staff nurses do not always adopt optimal strategies in everyday interactions with individuals who use non-verbal communication. Continuing education in communication is recommended.
Grouping people with learning disabilities and challenging behaviour in residential care
- Authors:
- MANSELL Jim, BEADLE-BROWN Julie
- Journal article citation:
- Tizard Learning Disability Review, 9(2), April 2004, pp.4-10.
- Publisher:
- Emerald
Grouping people with learning disabilities and challenging behaviour in residential care has been the focus of several recent research studies. Describes these studies and what they found. In general they found negative effects of grouping people with challenging behaviour together in terms of the quality of staff interaction with them and the outcomes they experience.
Change for the worse
- Author:
- VALIOS Natalie
- Journal article citation:
- Community Care, 6.3.03, 2003, pp.34-36.
- Publisher:
- Reed Business Information
Many care home owners are de-registering their properties to create independent tenancies for people with learning difficulties. Asks whether this reflects a desire to implement Valuing People or an attempt to avoid the constraints of the Care Standards Act.