The use of restrictive interventions should always be as a ‘last resort’ and always in the context of a clear and agreed individualised plan of support. However, the events at Winterbourne View suggested that not only was this not always the case, but that in fact these approaches were sometimes being used to humiliate or [read the full story…]
Last week, the Health and Social Care Information Centre published the findings from the 2013 learning disabilities census. The census was commissioned as one of the 63 initiatives in ‘Transforming Care: A national response to Winterbourne View Hospital’ in response to the abuse at Winterbourne View Hospital. The aim was to provide an audit of [read the full story…]
The level of intellectual functioning for individuals with autism spectrum disorders is extremely variable, but estimates suggest that up to half of all those with an autism spectrum disorder also have an intellectual disability. Whilst neurodevelopmental disorders affect children worldwide, it is thought that these might be more prevalent in lower- and middle-income countries compared [read the full story…]
The ideal treatment for common mental health problems in those with chronic physical illness would have to be reliable, easy to deliver, inexpensive and accessible by a group of people whose physical impairment may affect treatment adherence. NICE guidelines (CG90 Depression; the treatment and management of depression in adults) recommend self-help interventions (SHIs) based on [read the full story…]
Background The Deprivation of Liberty Safeguards (DOLS) were introduced in 2009 following the Mental Capacity Act (2005). The safeguards were put in place to be used in situations where adults had been assessed as not having the mental capacity to make informed decisions about aspects of their care or treatment in care homes and hospitals. [read the full story…]
Background Personal Health budgets were introduced to enable people with long term conditions and disabilities to have greater choice, flexibility and control over the health care and support they receive. This month (April 2014), people who are eligible for NHS Continuing Healthcare (NHS CHC) will have the right to ask for a personal health budget. [read the full story…]
Background Communication is a fundamental right, but as the BILD Communication factsheet states, communication difficulties affect anywhere between 50% and 90% of people with learning disabilities. This factsheet also suggests that about 20% of people with learning disabilities may have no verbal communication skills but that they do demonstrate a will to communicate, and show [read the full story…]
Background Personalised or individualised supports are those which respond to unique needs of an individual, which focus on their personal assets and abilities; accentuate choice and control and are delivered in the community alongside other citizens. In recent years in the Republic of Ireland, there has been an increasing focus in public policy on personalisation [read the full story…]
Background Personalisation at its simplest is about starting with one person at the centre of any process concerned with responding to social care (and increasingly, health care) needs. SCIE have suggested that this will require ‘significant transformation’ of adult social care services, structures and processes, with implications for the role of social workers. The researchers [read the full story…]
Background NICE (National Institute of Health and Care Excellence) provides guidance and quality standards for health and social care in England. Its evidence-based guidance is produced to support health and social care professionals to ensure that support provided they is of the best possible quality and offers the best value for money. Following a Department [read the full story…]
