Seclusion, whilst still in use in disability services can be considered at odds with the person-centred values underpinning modern services
Here, Alex Leeder looks at a review of its use in Victoria, Australia, to try to find what factors are associated with its ongoing use.
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Learning disability in-patient services have come under some scrutiny in recent times.
Here, Tom Crossland looks at an evaluation of the introduction of a care pathway approach in an inpatient service
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In this blog, John Northfield considers a study of rates and patterns of prescribing psychotropic medications by GPs to people with learning disabilities and/or autism.
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Transforming Care, the government’s response to WInterbourne view, set some clear targets for the development of community services and the reduction on specialist inpatient bed numbers.
Here Alix Dixon looks at a paper, which used some illustrative case examples to explore some of the policy and practice issues around these targets.
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Training for staff in understanding and responding to challenging behaviour – must be a good thing… But how much do we know about the impact of this training on subsequent staff performance and levels of challenging behaviour?
Here, Louise Phillips looks at a review of the literature that set out to explore these questions in more detail.
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Reported rates of seriously challenging behaviour vary considerably in the literature, but the impact can be significant on the person, their family and their supporters.
Here we look at what a Cochrane review of the evidence from randomised controlled trials has to say about the effectiveness of behavioural and cognitive-behavioural interventions for what is defined as outwardly aggressive challenging behaviour.
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People with learning disabilities who have complex and challenging needs may find themselves placed in specialist services, sometimes distant from family and local support networks, often at high cost to the commissioners.
Here Ruth Northway looks at the findings of a survey of commissioning teams in south east England reporting on the nature and costs of such placements.
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Self-injurious behaviour can have a severe impact on the quality of life of some children with developmental delay.
Here, Alix Dixon looks at a review of an extensive body of literature around potential causal mechanisms and aggravating characteristics which aims to develop a clearer working model to inform practice.
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In 1999, the law in Norway governing the use of physical intervention was changed with the aim of reducing and restricting their use.
Here, Rachel Allen looks at some research that set out to find out what has happened since the change in the law.
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NICE guidelines on supporting people with learning disabilities and challenging behaviour have now been published. Here we look at the main recommendations and reflect on how likely they are to improve practice.
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