There have been a number of studies testing attributions of support staff and their impact on helping behaviour when supporting people with learning disabilities anf challenging behaviour. We posted about one such study in January this year which looked at the impact of using vignettes to measure helping behaviour and used Weiner’s theory to explain [read the full story…]
Implementation of learning about PBS brings about significant reduction in challenging behaviours
We have posted previously about positive behaviour support (PBS) which includes a range of approaches based upon person centred values which use quality of life improvements for the person as an intervention and an outcome measure. This Irish study set out to look at the components of positive behavioural support interventions to try to identify [read the full story…]
Positive Behaviour Support is effective in institutional and community settings review suggests
How best to support people with severe learning disabilities and challenging behaviour is a question that has been thrown into sharp relief by the Winterbourne View scandal and subsequent pronouncements by Government about improving care for vulnerable adults. Clearly, managing risk and reducing harm are key components of the answer, but whilst necessary, will not [read the full story…]
Limited evidence of commissioners redirecting resources to local service developments in the wake of Winterbourne View scandal
In the wake of the outcome of last week’s court proceedings involving support staff who worked at Winterbourne View hospital, there have been continuing calls to ensure that people with learning disabilities and complex needs are not placed far from home in isolated services, but receive local, skilled support. The Mansell report drew attention to [read the full story…]
Physical interventions governance audit identifies value of multi disciplinary overview
The use of physical interventions for people with learning disabilities must be within a locally agreed policy framework and as a last resort. Commissioners of services need to be assured that their use is appropriate and that good quality monitoring is taking place. The researchers in this study looked at the work of good practice [read the full story…]
ACT training reduces staff stress but further research needed
Acceptance and Commitment Therapy (ACT – pronounced as the word rather than the initials) is based on the notion that it is important to accept what is out of your personal control but commit to action to improve and enrich your life. ACT is an approach which sets out to teach psychological skills to deal [read the full story…]
Dutch policy makers look to international experience to help reduce the use of restraints in people with learning disabilities
Recently in the Netherlands, Dutch TV showed footage of a teenager known as ‘Brandon’ who was resident in a long stay institution. Because of his challenging behaviour, he was managed in this institution by the use of a harness, which was attached via a leather strap to a metal bracket on the wall. Dutch psychiatrists have [read the full story…]
Staff injuries as a result of physical interventions in forensic learning disabilities services analysed
Earlier this week we have looked at the reports into the Winterbourne View scandal, which identified some appalling practice by staff at the home. Today, we are looking at some research that focuses on the potential for injury of staff who are involved in physical interventions. Physical interventions are defined as responses to challenging behaviour [read the full story…]
Abuse and Neglect continues to be reported to charities despite lessons from Winterbourne View
Yesterday saw the release of the serious case review relating to the appalling treatment of people at the Winterbourne View care home, as exposed in the BBC Panorama programme last year. The review, chaired by Margaret Flynn, points to a lack of leadership amongst commissioners, as well as criticising the role of the Care Quality [read the full story…]
Antipsychotics continue to be used for challenging behaviour in learning disabilities with poor monitoring of side effects
People with learning disabilities are often prescribed anti-psychotic medication, whether or not there has been a diagnosis of psychiatric disorder. There continues to be some concern about the evidence base to support this. The most recent Cochrane review which looked at the issue in relation to people with learning disabilities and schizophrenia found that there is [read the full story…]