Rachel Allan appraises an observational study, which evaluates a complex behaviour service for people with challenging behaviour. The service, which used the principles of positive behaviour support, showed some short-term improvement, but this was not maintained at 12 months.
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Seclusion, whilst still in use in disability services can be considered at odds with the person-centred values underpinning modern services
Here, Alex Leeder looks at a review of its use in Victoria, Australia, to try to find what factors are associated with its ongoing use.
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In 1999, the law in Norway governing the use of physical intervention was changed with the aim of reducing and restricting their use.
Here, Rachel Allen looks at some research that set out to find out what has happened since the change in the law.
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NICE guidelines on supporting people with learning disabilities and challenging behaviour have now been published. Here we look at the main recommendations and reflect on how likely they are to improve practice.
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Whilst there is a good deal of research into the use of physical interventions in the management of challenging behaviour, there is less available on the way these are experienced by people receiving them, or the staff and family carers involved.
Here, Rose Tomlins looks at a review of the literature that focused on these experiences.
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Children with learning disabilities are more likely to have challenging behaviours and as a result are more at risk of social exclusion, deprivation, physical harm and abuse.
In her debut blog, Alix Dixon considers the findings of a recent literature review of early interventions for children with challenging behaviours and their families.
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Self injurious behaviour usually directly results in physical harm to an individual and can also seriously impact on their quality of life
Here, Kate van Dooren looks at a review of the literature relating to behavioural interventions for self-injurious behaviours, which sets out to consider the implications of this literature for training and managerial support.
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The Bubb report has now been published. It recommends a new commissioning framework for services provided for people with learning disabilities and/or autism who are currently in inappropriate hospital units.
Here we take a look at the recommendations and ask if it is enough to bring about the change that is so clearly needed.
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Active support is about ensuring staff have working practices and organisational procedures to improve levels of participation and engagement in activities.
In her debut blog for the Learning Disabilities Elf, Louise Philips describes a study which set out to look at whether the quality of practice leadership was a factor in developing active support.
Louise also sets out an excellent breakdown of exactly what practice leadership is what managers need to do to ensure this framework for practice development is robust.
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1 in 100 adults experience autism worldwide but little research exists on autism in adults. Adults with autism and learning disability may have distinct needs, and in particular challenging behaviour, which may increase their social isolation and reduce access to quality health care.
In her debut blog, Kate van Dooren looks at a systematic review from Canadian researchers who examined the evidence for the use of medications for challenging behaviours in adults with autism and learning disability.
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