Tracking psychotropic medication use for management of aggressive behaviour

medication_shutterstock_60082183 (2)

Psychotropic medications are prescribed widely to many people with learning disabilities, but there remain many concerns about over, or improper use of such medications.

Here, Kate van Dooren looks at a study which collected data from 100 participants over a period of time to look at psychotropic medication and the relationship between dose, demographic factors and aggression scores.

[read the full story...]

What is it like to receive or use restraint interventions? A systematic review of the literature

shutterstock_127652429

Whilst there is a good deal of research into the use of physical interventions in the management of challenging behaviour, there is less available on the way these are experienced by people receiving them, or the staff and family carers involved.

Here, Rose Tomlins looks at a review of the literature that focused on these experiences.

[read the full story...]

Challenging behaviour in profound & multiple learning disabilities: is support well planned and documented?

Upset6

The lives of some people with profound and multiple learning disabilities are affected by challenging behaviours, which include self-injurious, stereotypical, destructive, or aggressive behaviours.

Here in his debut blog, Paul Barnard looks at a study from the Netherlands which looked at whether challenging behaviour was being addressed formally in day to day practice.

[read the full story...]

Can early intervention reduce challenging behaviour in children with learning disabilities?

child_shutterstock_2406969 (2)

Children with learning disabilities are more likely to have challenging behaviours and as a result are more at risk of social exclusion, deprivation, physical harm and abuse.

In her debut blog, Alix Dixon considers the findings of a recent literature review of early interventions for children with challenging behaviours and their families.

[read the full story...]

Trial-Based Functional Analysis has limited validity outside of defined clinical settings

assess_shutterstock_257623312 (2)

Responses to behaviour that challenges are far more likely to be successful if based on good quality functional analysis.

In his debut blog, Russell Woolgar considers the effectiveness of Trial Based Functional Assessment, and looks at a systematic review which also aims to identify future areas for research.

[read the full story...]

New charter of rights and mandatory commissioning framework recommended by Bubb Report

Screen Shot 2014-12-01 at 10.00.50

The Bubb report has now been published. It recommends a new commissioning framework for services provided for people with learning disabilities and/or autism who are currently in inappropriate hospital units.

Here we take a look at the recommendations and ask if it is enough to bring about the change that is so clearly needed.

[read the full story...]

Equipping family carers with better information about in-patient assessment and treatment for people with learning disabilities

getting it right cover

We know that access to accurate information is crucial if people are to make good decisions about the support they get from services. If someone with a learning disability is admitted to a hospital unit for assessment or treatment for a mental health issue or in response to behaviour that is challenging support services, this can be a particularly difficult and confusing time for all concerned.

In her debut blog, Alison Giraud-Saunders, along with co-author Angela Cole, describes a booklet that she co-authored with the involvement of family members which has lots of key information on the law and people’s rights.

[read the full story...]

Lack of studies of pharmacological interventions among adults with autism and learning disability leave clinicians with little guidance

Researchers looked at the use of psychotropic medications over time

1 in 100 adults experience autism worldwide but little research exists on autism in adults. Adults with autism and learning disability may have distinct needs, and in particular challenging behaviour, which may increase their social isolation and reduce access to quality health care.

In her debut blog, Kate van Dooren looks at a systematic review from Canadian researchers who examined the evidence for the use of medications for challenging behaviours in adults with autism and learning disability.

[read the full story...]

Measure of confidence in providing psychological therapies for people with learning disabilities could help with outcome measurement

positive_shutterstock_139330709

We report on a recent study, which involved developing a measure of confidence in delivering psychotherapy for people with learning disabilities.

[read the full story...]

Call for national audit to create guidelines for future role of anti-psychotic medications for challenging behaviour

tablets_shutterstock_128350532 (2)

As you know, we don’t normally blog about editorials on the Learning Disability Elf site, but this is on an important issue that affects a lot of people and we were keen to draw attention to the considered thoughts of the authors. We have posted many times in the past about the evidence base for [read the full story…]