Background Understanding the communication of people with profound learning and multiple disabilities provides a daily challenge to those supporting them. There are a number of guides and aids available to support this process, such as those developed through Mencap’s Involve Me project We recently posted the results of a small study looking at the relationship [read the full story…]
CQC still concerned about lack of understanding of Mental Capacity Act and Deprivation of Liberty Safeguards
Background Last week, we posted about the BIDs research, which provided a great deal of insight into the current approach to making best interests decisions under the Mental Capacity Act (2005). The Deprivation of Liberty Safeguards (DoLS) were introduced into the act and came into force in 2009 to ensure that where people who may [read the full story…]
Best interests decision research reports complexity of practice and concerns about notion of capacity
Background The Mental Capacity Act (2005) provides a legal framework for assessing capacity in individuals. Where an individual is shown not to have capacity to make a specific decision at a specific point in time, it also provides a framework for decisions to be made on behalf of that person, in that person’s best interest. [read the full story…]
Short-term planning in support for people with learning disabilities is short-sighted and costly says survey
Background Cost pressures on adult social care budgets continue, with evidence to the Select Committee on Public Service and Demographic Change suggesting that 85% of councils are implementing eligibility thresholds at ‘substantial’ or ‘critical’ needs. Adults with learning disabilities who are in receipt of adult social care support may need support for substantial periods and [read the full story…]
Audit of impact of relaxation and sensory activities in assessment and treatment service for people with learning disabilities
Background The debate about the place of assessment and treatment beds for adults with learning disabilities continues. The Royal College of Psychiatrists recently published a paper as part of the response to the events at Winterbourne View which set out its view of the need for a range of in-patient services which included acute admission [read the full story…]
Pilot project tests feasibility of reasonable adjustments in offering psycho-educational groups to adults with learning disabilities
Background In 2009, ‘The Improving Access to Psychological Therapies’ (IAPT) programme produced ‘Positive Practice Guidance’ on support to people with learning disabilities which reiterated the need to ensure that mental health problems were identified as early as possible, but pointed out that barriers still existed in relation to providing psychological therapies to people with learning [read the full story…]
Effective circles of support recommended for success of strategies to reduce abuse in people with learning disabilities
Background Recent events have highlighted the increased risk of abuse faced by people with learning disabilities. Local authorities regularly collect data on adult protection referrals and one study has looked at trends that have emerged from analysis of this data Last year, we posted about a study based on in-depth interviews focusing on the experience [read the full story…]
Rate of falls in older adults with learning disabilities substantially higher than in general elderly population Netherlands study finds
Background Falls and fall-related injuries are a common and serious problem for older people. Nice guidance published in June last year suggested that 30% of people over 65 and 50% of people over older than 80 fall at least once a year. Falls are estimated to cost the NHS more than £2.3 billion per year. [read the full story…]
Prisoners with learning disabilities in Australian study had significantly worse health outcomes than their non-disabled peers
Background Prisoners have general health needs similar to those found in the general population, although there is a higher incidence of substance misuse and mental health problems as well as a range of health issues which are consequences of imprisonment. In 2007, a Prison Reform trust paper ‘No One Knows‘ suggested that between 20 and [read the full story…]
Extraneous risk factors play role in differences in self-reporting of anti-social behaviour among adolescents with and without mild to moderate learning disabilities
Background Anti-social behaviour is a key issue of public concern with significant numbers of people reporting behaviours such as vandalism, graffiti and litter as problems in their local area. The Crime and Disorder Act (1998) defines anti-social behaviour as ‘Acting in a manner that caused or was likely to cause harassment, alarm or distress to [read the full story…]