There is considerable evidence that people with learning disabilities in residential settings are prescribed anti-psychotic medication to help reduce behaviours that challenge the service. However, there can be significant side effects from these powerful drugs and for some people these can be as debilitating as the impact of the behaviours. In some instances the effects [read the full story…]
Solution-Focused Brief Therapy (SFBT) focuses on evoking desired behaviour rather than on diminishing existing problem behaviour. It is goal directed and collaborative in its approach to helping people achieve behavioural change. The therapist works to help establish a vision of a desired future using a series of precisely worded questions. In SFBT, the goal of [read the full story…]
This report provides everything that is needed for people working in mental health services to make a business case for investing in early and community-based interventions. This includes, commissioners, practitioners, local authorities, policy-makers, providers, and social care. As part of this document, the authors have provided the evidence for the cost-effectiveness of a range of [read the full story…]
The use of restrictive interventions should always be as a ‘last resort’ and always in the context of a clear and agreed individualised plan of support. However, the events at Winterbourne View suggested that not only was this not always the case, but that in fact these approaches were sometimes being used to humiliate or [read the full story…]
Last week, the Health and Social Care Information Centre published the findings from the 2013 learning disabilities census. The census was commissioned as one of the 63 initiatives in ‘Transforming Care: A national response to Winterbourne View Hospital’ in response to the abuse at Winterbourne View Hospital. The aim was to provide an audit of [read the full story…]
Background As far back as 1992, the Reed Report into the care of mentally disordered offenders identified the need for close working between the Police, Health and Social Services and set out some clear principles for offenders with learning disabilities which called for a individually tailored approach with care and treatment provided in the community, [read the full story…]
Background For some time now, UK policy has been to offer support to people with learning disabilities with additional mental health issues through mainstream mental health services. There has continued to be a debate about the effectiveness of this policy. The most recent guidance from the joint commissioning panel for mental health in fact stated [read the full story…]
Background The Care Programme Approach (CPA) was introduced in the early 1990s as a response to a number of high profile situations involving significant lack of coordination of care. The CPA meant that anyone with experiencing severe mental health problems and who meets one or more criteria, should have their care co-ordinated under the Care [read the full story…]
This work, developed by accountancy firm Mazars LLP, has been commissioned by NHS Confederation and Strategic Health Authority Mental Health Leads. It is a diagnostic tool aimed at mental health commissioners working for clinical commissioning groups (CCGs), helping them to identify where the gaps are in their local service provision and what they need to [read the full story…]
The King’s Fund has just published this report, which describes how the health and social care workforce are coming up with new models for delivering primary care, to support the “current system of commissioning”. The report is aimed at commissioners, GP staff, and related stakeholders, including social care and local authorities, and promotes improved liaison [read the full story…]
