Australian study finds routine use of restraint on people with learning disabilities and challenging behaviour

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This Australian study set out to look at the use of restraints and seclusion as responses to people with learning disabilities with behaviour described as challenging. The authors point out that the prevalence rate of such restrictive practices is difficult to agree as previous studies have not used population-level data. They used data on the [read the full story…]

Mindfulness based psychotherapy can be adapted for people with learning disabilities and mental health issues or challenging behaviour

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Mindfulness as described in modern psychology relates to a way of people bringing complete attention to their present experience and involves responding to that experience with a non-judgmental attitude.The authors of this study wanted to review the adaptation and application of mindfulness-based psychotherapeutic practices for people with learning disabilities. They provide an overview of the [read the full story…]

Review suggests evidence in favour of risperidone but warns of continued adverse events

Antipsychotic overprescribing is common in people with learning disabilities who have no record of severe mental illness.

This systematic review set out to look at the efficacy of atypical antipsychotic medication, also known as second generation antipsychotics, commonly used in the treatment of schizophrenia. There continues to be debate around whether these second-generation medications are safer or more effective than typical antipsychotics as they still can produce severe side effects. Other posts [read the full story…]

Structured autism programme had impact on quality of life by reducing challenging behaviour

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Quality of life as a treatment outcome in services for people with learning disabilities and autism has received little attention in the literature. The researchers in this study combined quality of life measures with objective observations of challenging behaviours to evaluate outcomes for adults with learning disabilities and autism living in two different residential services. [read the full story…]

Study adds to evidence of direct link between challenging behaviour and staff burnout

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Challenging behaviour in people with learning disabilities often puts the safety of the person or others around them in jeopardy and can have an impact on the person’s quality of life. The authors of this study set out to explore the relationship between the way in which staff perceive challenging behaviour and staff burnout. They [read the full story…]

Review finds individual and family characteristics associated with need for urgent respite

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This review of literature set out to explore the issues relating to families relinquishing the support of their family member with learning disabilities, often at a point of crisis. The review looked at situations where the family member is placed by disability services in respite care until suitable permanent accommodation can be organised or indeed, [read the full story…]

Survey finds out of area placements of variable quality with a minority which underperform

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The early 1990s saw the publication of the original Mansell report into services for people with challenging behaviour. This report highlighted the issue of the use of out of area placements to meet the needs of people with learning disabilities and suggested that the continued reliance on such placements would stunt the growth of local [read the full story…]

Review suggests evidence on effectiveness of massage therapy to reduce challenging behaviours is limited

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Challenging behaviour in people with learning disabilities can be highly disruptive for the person and those who provide them with support. This review set out to evaluate the evidence base for massage therapy, used with people with challenging behaviours to induce relaxation. The review aimed to identify whether massage therapy was effective in reducing the [read the full story…]

Lack of effective services for young people with challenging behaviour at transition tends to increase protectiveness of parents

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There is very little available in the literature that focuses on the perspectives of families caring for someone with severe or profound learning disabilities and challenging behaviour. This ethnographic study aimed to improve understanding of the experiences and perspectives of families, in particular mothers, of young people with these complex needs. The researcher carried out [read the full story…]

Small number of individuals account for the majority of uses of physical restraint in USA study

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This American study set out to look at the use of physical restraint in services for people with learning disabilities. The researchers looked at data on the incidence and implementation of physical restraint for 448 adults with learning disabilities in community-based day services and shared supported housing. They found that physical restraint was used exclusively [read the full story…]