How can we best prevent suicide in young people? More questions than answers

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Listening to a World Health Organisation podcast recently I learnt that someone dies as a result of suicide every 40 seconds; this equates to a million suicides each year. The podcast contains a myriad of such stark statistics and the contributors’ highlight how it is well established that young people are often at risk, and [read the full story…]

Is expertise from specialist services in mainstream services best way to support people with learning disabilities and mental health needs?

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The recently published guidance from the joint commissioning panel for mental health suggested that ‘there is no universally agreed commissioning model for mental health services supporting people with learning disabilities’ and this reflects an on-going debate about the structure and delivery of services to meet the needs of this group. The commissioning guidance suggests that [read the full story…]

Interventions for smoking cessation and alcohol abuse in people with learning disabilities lack theoretical framework and clear outcome measures

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We have posted previously about increasing concerns about misuse of tobacco and alcohol amongst people with mild to moderate learning disabilities, with one review in the United States suggesting that people with learning disabilities were less likely to receive or remain in treatment. The authors of this systematic review were interested in looking at interventions [read the full story…]

Quality of life measures missing in studies of outcomes of pharmacological interventions in autism spectrum disorder

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Quality of life is becoming a common outcome in the reporting of trials. The authors of this literature review were interested to look systematically at the use of quality life as an outcome in pharmacological research on Autism Spectrum Disorders. Currently, the most frequently used outcome measures in such trials are measures of changes in [read the full story…]

Social inclusion for people with challenging behaviour poorly conceptualised and rarely achieved

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The topic of challenging behaviour is the most used keyword tag here at the Learning Disabilities Elf. It accounts for a good proportion of all the posts we produce, which is a reflection of course of the published literature. Recent events in the UK have thrown into sharp relief the need to ensure that vulnerable [read the full story…]

Positive Behaviour Support is effective in institutional and community settings review suggests

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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…]

Mental health disorders in young people with learning disabilities still under-recognised and often untreated in clinical practice

How important is social support in preventing depression?

In 2002, the Foundation for People with Learning Disabilities produced a landmark report on the issue of mental health and emotional well-being in young people with learning disabilities ‘Count Us In’, which looked at ways of supporting young people to be emotionally strong, through education, support, friendships and advocacy. The report followed a year long [read the full story…]

Review identifies disappointing results from trials of alzheimer’s treatment in older adults with learning disabilities

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Yesterday, we posted about the increasing longevity of people with learning disabilities and the potential for problems with sleep disturbance in this group. Today, we look at a review of the current evidence relating to the age related needs of these older adults who may be at increased risk of age-related disorders like dementia and [read the full story…]

Flexible proactive and boundary crossing are all features associated with good social care for people with complex needs

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As you know, we here at the Learning Disabilities Elf are committed to bringing you the evidence on what works in supporting people with learning disabilities. Occasionally though, we come across research that is not specifically focused on learning disabilities, but might be of interest. This review by the NIHR School for Social Care Research [read the full story…]

Substance abusers with learning disabilities less likely to receive or remain in treatment

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We have posted previously about substance abuse in people with learning disabilities. A study in the Netherlands found estimates of the occurrence of substance use varied greatly, but that alcohol was reported to be used most often, even though this was at lower rates than reported in the general population. We also identified a study [read the full story…]