Evaluating integration: instruments to track the complexity

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Robin Miller tackles a systematic review of measures to evaluate integration in health and social care and discusses some of the challenges of integration.

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Alliance urges providers of support to people with learning disabilities to sign up to quality code

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The Driving up Quality Alliance is an alliance of people and organisations (listed below) committed to ensuring that the kind of abuse of people with learning disabilities uncovered at Winterbourne View can never happen again. They have developed a Code which they are inviting all providers that support people with learning disabilities to sign up [read the full story…]

Recovery approach shows promise in learning disabilities secure service

few outcome studies found, but personalisation is relatively recent in social work practice

Mental health problems amongst people with learning disabilities have been found to be more prevalent than amongst the general population, although estimates of prevalence rates vary. The authors of this paper were keen to consider whether the recovery approach to mental illness was applicable to people with learning disabilities and mental health needs. The origin [read the full story…]

ACT training reduces staff stress but further research needed

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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…]

Therapeutic community approach in secure settings for men with learning disabilities shows treatment gains in first 12 months

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The notion of the therapeutic community emerged in the 1940s and was developed in the UK throughout the subsequent decades. Therapeutic communities developed participative approaches to working with people with long term mental illness. Usually residential, they offered a complete therapeutic milieu with therapists and patients living in the same environment and within the same [read the full story…]

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…]

What are the experiences of people with learning disabilities who are psychiatric in-patients in out of area placements?

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People with learning disabilities and complex mental health problems are often most at risk of being placed in services a long way from their homes, their families and any natural support systems they may have built up. This study interviewed 17 service users directly affected in this way: they had all been placed away from [read the full story…]