Challenging behaviour services review finds specialist congregate services use more restrictive approaches with limited effect.

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This literature review looked at evaluations of service provision in the UK for people with challenging behaviours, reviewing the literature from 1990 to 2010 looking at studies that evaluated a range of UK service provision in terms of impact on challenging behaviour and other quality of life indices. The author found very few evaluations, although [read the full story…]

Review is positive on effectiveness of differential reinforcement but warns more robust studies are needed.

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Differential reinforcement (DR) is a non-aversive, reinforcement based behavioural intervention; which works by singling out a desired behaviour and reinforcing it, whilst ignoring other non desired behaviours. This literature review looked to summarize and provide a methodological analysis of studies, conducted between 1980 and 2009, using differential reinforcement to reduce problem behaviours in adults with [read the full story…]

Are adolescents with learning disabilities more vulnerable to depression than their non disabled peers?

Self-reported stigma was positively associated with psychological distress

Depression can be difficult to spot in people with learning disabilities. The Royal College of Psychiatrists in its information leaflet points out that for many people with learning disabilities expressing their feelings in words may not come easily, so their actions may speak for them. They suggest that sudden changes in behaviour or mood, or [read the full story…]

Are antipsychotics overused in treating people with learning disabilities with aggressive behaviours?

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The prevalence of psychiatric disorders in people with learning disabilities is very difficult to ascertain with studies varying in their definitions and inclusion criteria. Estimates suggest that it may be as low as 3%, but despite this, antipsychotic medications comprise between 30–50% of all psychotropics prescribed for people with learning disabilities. This literature review set [read the full story…]