MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'British Journal of Learning Disabilities' source. Tue, 07 Feb 2012 11:41:28 +0100 http://www.medworm.com/index.php?rid=5658184&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2011.00720.x This study looks at research on helping adults with learning disabilities to manage their anger.• More research needs to be carried out to find better ways of helping adults with learning disabilities to manage their anger.SummaryEstimates suggest that around a quarter of adults with learning disabilities living in the community have difficulties controlling their anger. Angry or aggressive behaviour can have serious repercussions, including loss of residential or day placements, admission to hospital and reduced quality of life. In addition, the psychological well being of both paid and family carers can be adversely affected. A previous review of this area (Whitaker 2001) suggested equivocal results for cognitive‐behavioural (CBT) approaches. The current study provides an update to... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=5658184 Fri, 03 Feb 2012 05:00:00 +0100 5658184 http://www.medworm.com/index.php?rid=5658183&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2011.00721.x This study seeks to implore and share the findings from audits conducted on annual health checks in one geographical area that led us to translate consistent identified eye care needs and hence promoted the conception of a pilot study. The aim of this study was to understand the reasons why people with learning disabilities were not accessing optometrist and to amend current services with a view to increasing access and uptake of eye tests. The outcome has shown that access by people with learning disabilities to opticians has increased with a number of people having problems identified and glasses prescribed. This study provides an understanding of how evidence of consistent unmet need identified from annual health checks directed innovative practice to improve outcomes that are of benefi... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=5658183 Thu, 01 Dec 2011 05:00:00 +0100 5658183 http://www.medworm.com/index.php?rid=5570831&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2011.00719.x Accessible summaryPeople with profound and multiple learning disabilities are often unable to talk to the staff who help to care for them. They rely on non‐verbal communication behaviours to communicate, for example• Facial expressions.• Gestures.• Eye contact.This raises particular challenges for those staff, who include nurses with learning disability nurses. This paper outlines those challenges. They include challenges raised by• Person centred planning.• The mental capacity act.• The need to provide evidence for practice.This paper goes on to suggest ways in which staff can meet these challenges, including the use of skills based on intuition and the use of reflective practice. This paper will help professional staff move towards understanding the NVC of peopl... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=5570831 Thu, 01 Dec 2011 05:00:00 +0100 5570831 http://www.medworm.com/index.php?rid=5455479&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2011.00717.x This study explores front‐line staff knowledge and perceptions of how people with intellectual disability residing in residential services are supported to communicate effectively. Participants (n = 138) completed a self‐report questionnaire adapted from an instrument developed by DeSimone & Cascella (2005)Journal of Developmental and Physical Disabilities, 17(1): 1. Support staff recognise that facilitating people with an intellectual disability to communicate is an important part of their role. Support staff indicate that when the importance of supporting communication is recognised and prioritised, it has a marked impact on the quality of life of people availing of residential services. However, front‐line staff indicate that they do not always have the knowledge or resour... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=5455479 Wed, 30 Nov 2011 05:14:14 +0100 5455479 http://www.medworm.com/index.php?rid=5455482&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2011.00711.x This article describes work with a group of NHS service users, designed to increase their knowledge of human rights, as part of a broader set of initiatives focussing on changing organisational culture. During a mutual learning journey, ‘co‐production’ emerged as a preferred model for promoting service user’s understandings of human rights. ‘Co‐production’, or sharing service design and delivery more equally with service users, led to outcomes that were initially inconceivable. During the group, co‐production appeared to be a vehicle for resolving dilemmas about services ‘empowering’ service users. This article considers how, when service user involvement and a HRBA are combined, a move away from tokenism towards collaboration, empowerment and redistribution of power is... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=5455482 Mon, 28 Nov 2011 05:00:00 +0100 5455482 http://www.medworm.com/index.php?rid=5455481&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2011.00714.x Accessible summarySometimes older people get confused and forget things and need lots of help: this is called dementia. People with Down’s syndrome are more likely to develop dementia than other people with learning disabilities. When people have dementia, they need extra help from their families or from their care staff.Psychologists talked to families and care staff about what they knew about dementia, and what they found difficult about caring for somebody with Down’s syndrome and dementia. They were asked about what help they got from services and what help they would like in the future.It was found that:• Most people found it hard looking after someone with Down’s syndrome and dementia.• Review meetings were very important to them. They asked to be there for assessments ... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=5455481 Mon, 28 Nov 2011 05:00:00 +0100 5455481 http://www.medworm.com/index.php?rid=5455480&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2011.00715.x Accessible summary• For a long time, people tried to stop women with intellectual disabilities from knowing about sex and from having sex.• We talked to some women with intellectual disabilities to find out what they thought about sex.• Many of the women told us that they thought sex is bad and that they should not do it.• We want people to be able to help women with intellectual disabilities to feel confident to make choices about sex.SummaryThere is very little literature concerning how women with intellectual disabilities conceptualise their sexuality or develop a sexual identity. Semi‐structured interview schedules were used to guide interviews with 10 women with intellectual disabilities. Thematic analysis was used to analyse the interview transcripts. Many of the wo... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=5455480 Mon, 28 Nov 2011 05:00:00 +0100 5455480 http://www.medworm.com/index.php?rid=5439131&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2011.00710.x (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=5439131 Thu, 24 Nov 2011 04:38:23 +0100 5439131 http://www.medworm.com/index.php?rid=5439130&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2011.00709.x (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=5439130 Thu, 24 Nov 2011 04:38:21 +0100 5439130 http://www.medworm.com/index.php?rid=5439129&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2011.00708.x (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=5439129 Thu, 24 Nov 2011 04:38:01 +0100 5439129 http://www.medworm.com/index.php?rid=5439128&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2011.00718.x (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=5439128 Thu, 24 Nov 2011 04:37:59 +0100 5439128 http://www.medworm.com/index.php?rid=5429756&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2011.00706.x This study examines the use of Social Stories with four adults with learning disabilities and social communication impairments characteristic of ASD. This study employed an N = 1 multiple‐baseline, across‐participant, AB design with fade and maintenance probe stages. Each participant was involved in two Social Story interventions. The intervention and data collection was carried out by support staff who knew the participants. Results found that all target behaviours showed positive change during at least one phase of the study, although data indicated a return towards baseline levels across all behaviours into the probe phase. Social Stories had positive effect on improving social interaction in adults with social interaction impairments, even though this effect was short‐lived. As t... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=5429756 Tue, 15 Nov 2011 05:00:00 +0100 5429756 http://www.medworm.com/index.php?rid=5429755&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2011.00707.x This study asked disability support workers what they think they need to know about the medications they give out.• Most of the disability support workers said they needed to know more about these medications if they were to keep people safe, and it would also help them to talk to the doctors about what these medications are for when they go to appointments with people with a disability.SummaryDisability support workers are the predominant workforce employed to support people with an intellectual disability in Australia. Many support workers are required to assist people they support to take psychotropic medications in the form of chemical restraint. Support workers in Australia receive limited education and training in this area and as a result may miss important information about eff... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=5429755 Tue, 15 Nov 2011 05:00:00 +0100 5429755 http://www.medworm.com/index.php?rid=5429754&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2011.00712.x This study describes the work carried out with a boy with sexually harmful behaviour attending a residential special school.• The staff helped teach the boy how to behave in social situations and about sex, consent and relationships.• Afterwards, the boy was able to participate in supervised community activities.SummaryChildren and young people with learning disabilities who present sexually harmful behaviour are marginalised and do not always participate in community activities. This case study describes a multi‐component intervention that successfully reduced the sexually harmful behaviour of a 16‐year‐old boy with a mild learning disability. The intervention was comprised of cognitive behaviour therapy, Social Stories™ and a behavioural programme that reinforced appropri... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=5429754 Tue, 15 Nov 2011 05:00:00 +0100 5429754 http://www.medworm.com/index.php?rid=5429753&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2011.00716.x This article synthesises current literature regarding ageing and service provision for people with an intellectual disability.• People with intellectual disability are living longer.• Services need to respond to the needs of older people with intellectual disability.SummaryPeople with an intellectual disability are living longer, and the numbers continue to rise. Ireland has and is seeing a dramatic change in the age profile of clients and the support services they require. While Ireland had specifically trained nurses in intellectual disability, they predominately work in residential settings. This can be seen as been at odds with the philosophy of supporting people with intellectual disability live at home with their family and the primary care system. As the ageing population is... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=5429753 Thu, 01 Sep 2011 04:00:00 +0100 5429753 http://www.medworm.com/index.php?rid=5139513&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2011.00705.x This article is about learning disability nursing. Some people think that nurses should be on about health and that some nurses spend too much time working on social issues.• The writer of this article thinks that many of the health problems that people with learning disabilities have are caused by people not being able to get equal access to health care. He says that this not only about health. It is also about equality.• The writer thinks that learning disability nurses should provide excellent health care. He also believes that nurses must work with people who have learning disabilities to make sure that they get the same health care as everyone else.SummaryIt is being increasingly recognised that the achievement of improved health outcomes for people with learning disabilities ... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=5139513 Fri, 19 Aug 2011 12:12:31 +0100 5139513 http://www.medworm.com/index.php?rid=5125668&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2011.00702.x Accessible summary• Community Learning Disability Nurses were asked to talk about how they felt they had helped people in their care feel better.• They talked about helping as a positive approach to problems, making the most of existing help, understanding what it means to have a Learning Disability, using time and communication, and teaching and learning.• This is important because it can help people to understand the needs of people with learning disability and what help Community Learning Disabilities Nurses give.SummaryThis literature review and primary qualitative research explores therapeutic role from the perspective of Community Learning Disability Nurses. Semi‐structured interviews, based on Critical Incident Technique (Psychol Bull, 51, 1954, 327), and descriptive p... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=5125668 Sat, 13 Aug 2011 12:48:00 +0100 5125668 http://www.medworm.com/index.php?rid=5095919&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2011.00700.x (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=5095919 Fri, 05 Aug 2011 15:07:42 +0100 5095919 http://www.medworm.com/index.php?rid=5095918&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2011.00699.x (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=5095918 Fri, 05 Aug 2011 15:07:40 +0100 5095918 http://www.medworm.com/index.php?rid=5095917&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2011.00696.x (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=5095917 Fri, 05 Aug 2011 15:07:30 +0100 5095917 http://www.medworm.com/index.php?rid=5095916&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2011.00701.x (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=5095916 Fri, 05 Aug 2011 15:07:28 +0100 5095916 http://www.medworm.com/index.php?rid=5095915&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2011.00704.x Accessible summary• Systemic practice is about working with all the people who are important in someone’s life. Important people, such as friends and family, are seen as the ‘system’ around a person. This way of working does not see the problem as belonging to one person, but as belonging to the whole system.• Psychodynamic psychotherapy is about trying to understand what’s happened in someone’s past and how this might be affecting their life today. People sometimes find themselves getting into the same difficulties in relationships again and again. This way of working tries to understand why the person has become ‘stuck’ in this way. The therapist will think about the client’s feelings and wishes about their life and their relationships. They will also think about ... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=5095915 Fri, 05 Aug 2011 15:06:55 +0100 5095915 http://www.medworm.com/index.php?rid=5062117&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2011.00697.x Accessible summary• We asked eight members of staff who were working with people who had a learning disability, and also, complex mental health needs to tell us how they felt about their work.• These workers told us that not having enough staff and having a wide range of patients with different needs to look after made their job difficult. We felt they tried to put a ‘brave face’ on but we felt they worried greatly about working with patients who had complex mental health needs.• We did not feel these workers were given enough opportunity to think and talk about their feelings about their work. Staff tried to cope with these difficult thoughts and feelings about their work by trying to forget them or by thinking about other things.• Staff need to be given time to think ... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=5062117 Sun, 24 Jul 2011 23:00:00 +0100 5062117 http://www.medworm.com/index.php?rid=5086074&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2011.00703.x This article is about research with young people with learning disabilities who took part in music and drama groups.• The groups were held in a local disused cinema.• People greatly benefited from being a part of this work.• Joining in with arts activities can really help people with learning disabilities to feel a part of the community.SummaryThe Stage Life was a participatory arts programme for people attending a day services provision in Nottinghamshire. The uniqueness of this programme was that it was provided in a local disused cinema acquired by the local authority for community‐based activities amongst disadvantaged groups. The Stage Life aimed to build the community arts capacity for young adults with learning disabilities by introducing approximately fifty people to ... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=5086074 Tue, 31 May 2011 23:00:00 +0100 5086074 http://www.medworm.com/index.php?rid=5062116&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2011.00698.x Accessible summary• People with learning difficulties have been involved in research that asked them to tell their stories about how they support (help) each other.• There were many times when people had helped each other in lots of different ways.• People talked about times when they had listened to each other and helped each other when things were hard. They also spoke about working as a team and helping each other to learn.• Supporting each other can make life better for people with learning difficulties and help to break down the barriers.SummaryMutual Support, a model of peer support by and for people with learning difficulties, was constructed through a participatory research process. The research focussed on individual narratives from people with learning difficultie... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=5062116 Tue, 31 May 2011 23:00:00 +0100 5062116 http://www.medworm.com/index.php?rid=4975732&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2011.00695.x Accessible summary• People with intellectual disability have often been involved in research, but not in the analysis of data.• One reason might be that not many people with intellectual disability have received training in research.• This paper describes a project in Austria. In this project, we have looked at the experiences of people with intellectual disability during transition from school to work and in working life.• We have collected their life stories over a period of 2 years.• To assist with the analysis, we have formed a reference group.• In this group, twelve people with intellectual disability look and make sense of the life stories together with the non‐disabled researchers.• We think that this helps the project to become more aware of things t... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=4975732 Tue, 31 May 2011 23:00:00 +0100 4975732 http://www.medworm.com/index.php?rid=4902277&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2011.00694.x This article talks about what people told us in the interviews and makes some recommendations to hospital staff which we think would help improve hospital experiences for people with learning disabilities in the future.• This research should be important to people with learning disabilities because people with learning disabilities often have more need to attend hospital than other people, and so it is important that the care they receive is of a good enough standard when they are there.SummaryPeople with a learning disability face a number of challenges when seeking access to hospital care which are often distinct from those faced by the general population. Numerous statistics indicative of these challenges are represented in the academic literature. Previous research has suggested se... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=4902277 Tue, 31 May 2011 23:00:00 +0100 4902277 http://www.medworm.com/index.php?rid=4883434&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2011.00693.x This study found that 1 day of training helped care staff to know more about how people might feel and how to support them.• We do not know how long this training was helpful to staff for.SummaryThis study aimed to investigate whether a 1‐day training course improved support staff knowledge about bereavement and grief in people with a learning disability. A questionnaire based, mixed design was used. Forty‐eight participants were randomly assigned to one of two equal groups. A staggered design allowed for group 2 to act both as a control group and to receive training. Within‐ and between‐group comparisons were made. Training significantly improved staff knowledge in all the areas measured. An analysis of staff knowledge at 1 month after training was not possible due to a lo... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=4883434 Tue, 31 May 2011 23:00:00 +0100 4883434 http://www.medworm.com/index.php?rid=4883435&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2011.00692.x In this study, families shared their experiences of raising a child with foetal alcohol syndrome. These were then analysed using interpretative phenomenological analysis enabling themes to be identified which were core to understanding their journey. (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=4883435 Sun, 29 May 2011 23:00:00 +0100 4883435 http://www.medworm.com/index.php?rid=4841309&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2011.00691.x Accessible summary• There are often rules about who can use learning disability services.• We used a questionnaire to ask clinical psychologists in the north‐west of England about the rules where they work. We also asked them what psychologists do when it comes to deciding about who can use learning disability services.• We found out that different places had some things in common in how they defined learning disabilities and how they decided who used services. However, there were also differences between different places.• Differences between different areas can make it difficult for people with learning disabilities if they move.SummaryAccess to learning disability services in England is often governed by eligibility criteria. A semistructured questionnaire was complete... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=4841309 Fri, 20 May 2011 00:37:26 +0100 4841309 http://www.medworm.com/index.php?rid=4841310&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2011.00690.x Accessible summary• Some people with learning disabilities are parents.• Sometimes, it is hard to understand and explain things when you are a parent.• Speech and language therapists can help parents to understand and explain things.SummaryThe speech and language therapy (SLT) service in an area of northern England receives referrals of parents who have learning disabilities. The aim of this study was to identify current referral patterns and quantify the level of demand upon the SLT service from this relatively new referral population to enable to service to meet the needs of these clients. Data covering a 24‐month period was collected. The SLT clinical database was interrogated to establish the number of parent referrals, and a case note audit was carried out to identify th... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=4841310 Mon, 16 May 2011 23:00:00 +0100 4841310 http://www.medworm.com/index.php?rid=4789045&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2011.00687.x (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=4789045 Fri, 06 May 2011 08:24:33 +0100 4789045 http://www.medworm.com/index.php?rid=4789044&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2011.00686.x (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=4789044 Fri, 06 May 2011 08:24:32 +0100 4789044 http://www.medworm.com/index.php?rid=4789043&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2011.00685.x (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=4789043 Fri, 06 May 2011 08:24:16 +0100 4789043 http://www.medworm.com/index.php?rid=4789042&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2011.00689.x (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=4789042 Fri, 06 May 2011 08:24:12 +0100 4789042 http://www.medworm.com/index.php?rid=4676667&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2011.00681.x Accessible summary• Staff were asked for their views on using harm minimisation with people with a learning disability who self‐harm.• Staff felt that this policy could benefit some but not all of the clients.• They felt that staff and clients should be able to choose whether to be involved in using harm minimisation.• Staff were mostly in favour of harm minimisation but were worried about the level of their responsibility.SummaryRecent local research about personal experiences of self‐injury and discussions about the use of harm minimisation with service users who self‐injure were the motivation behind this study to glean staff opinions and advice about the introduction of a harm minimisation policy. An online survey was designed, and all staff were invited by email ... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=4676667 Sun, 03 Apr 2011 23:00:00 +0100 4676667 http://www.medworm.com/index.php?rid=4676666&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2011.00684.x Accessible summary• Personal plans can help things happen.• The person decides what goes in the plan and who helps them make it. Plans must be written in a way the person can understand.• The facilitators must listen carefully and make sure other people listen as well.• The person has a shared responsibility in making the plan happen.• The researchers will give ideas on how facilitation can be improved so that what the person wants is in their plan.SummaryThis purpose of this study was to examine the perspectives of adults with an intellectual disability, their family, caregivers and/or advocates and key staff on a newly introduced approach to the facilitation of personal plans. Prior to this study, the organisation had concentrated more on the process of personal plann... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=4676666 Sun, 03 Apr 2011 23:00:00 +0100 4676666 http://www.medworm.com/index.php?rid=4631408&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00659.x Accessible summary• Sometimes it can be hard for young people to explain to their teachers and supporters how they see themselves and what is important to them.• This research different questions and drawings to ask young people with learning disabilities how they described themselves.• The young people in this study found the questions and drawings helped them to share ideas about themselves with other people.SummaryA young person’s construct of self can be fundamental to their psychological well being (Glick 1999; Emler 2001). However limited research has been conducted in the United Kingdom to explore self‐image with adolescents with learning disabilities. Previous studies have demonstrated the effective use of personal construct theory with children (Maxwell 2006) and a... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=4631408 Thu, 24 Mar 2011 00:00:00 +0100 4631408 http://www.medworm.com/index.php?rid=4631407&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2011.00680.x Accessible summary• We wanted to find out how many children and young people with learning disabilities in our local authority also have mental health difficulties.• Parents and teachers of children and young people attending two schools for children with severe learning disabilities were asked to complete the Strengths and Difficulties Questionnaire.• We found that children and young people with learning disabilities were more likely to have mental health difficulties than most other groups of children and young people.• This information has been used to make suggestions for improving local services.SummaryTo plan the effective delivery of local services, it is important to find out the extent to which children with learning disabilities are perceived as experiencing diffi... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=4631407 Thu, 24 Mar 2011 00:00:00 +0100 4631407 http://www.medworm.com/index.php?rid=4560128&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2011.00679.x Accessible summaryWe wanted to show how we try to give the voice of persons with learning disabilities. We have used video as the means by which we can collect and show what people with intellectual disabilities say.We learnt• Video is a tool that offers persons with learning difficulties the opportunity to express their experiences.• Video can help make people with intellectual disabilities more visible and can help us listen to what they have to say.SummaryOur work, based on two pieces of research, aims to show how we try to get the voice of persons with learning disabilities. In both pieces of work, the second of which is still under progress, we have used video as the means by which we can collect and show what people are saying in the context and situation in which they find t... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=4560128 Mon, 07 Mar 2011 00:00:00 +0100 4560128 http://www.medworm.com/index.php?rid=4544885&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2011.00675.x Accessible summary• The Mental Capacity Act is a new law that started in 2007. It says that everyone must be helped as much as possible to make his or her own decisions. But people with learning disabilities may find it difficult to make a particular decision and another person may have to make it for them.• The new law provides important safeguards to the rights of people who cannot make decisions for themselves and also provides guidance for people working with them to deal with such situations. It is very important to follow the requirements of the Mental Capacity Act, and it is a legal requirement.• We looked at how we dealt with situations when our patients could not make decisions for themselves and also looked at whether a checklist we made helped us to make decisions ac... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=4544885 Thu, 03 Mar 2011 00:00:00 +0100 4544885 http://www.medworm.com/index.php?rid=4544884&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2011.00677.x This study draws on qualitative data generated through unstructured interviews with custody sergeants from three different constabularies. It is argued that learning disability is constructed in relation to concepts of fairness and justice, which a custody sergeant may utilise in accordance with their perception of professional identity. These constructs influence custody sergeants in their decision about how individual detainees should be treated and what kind of support should be made accessible to them whilst being detained. (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=4544884 Thu, 03 Mar 2011 00:00:00 +0100 4544884 http://www.medworm.com/index.php?rid=4544883&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2011.00678.x Accessible summary• Some people with intellectual impairments have a stammer• It can be different from the ways other people stammer• Speech and language therapy might help people with intellectual impairments who stammer• Speech and language therapy is funSummaryAdults with intellectual impairments have a high prevalence of stammering. Characteristic speech and associated behaviours are also different in quality and more variable between individuals than those of the typical adult population. This paper describes a speech and language therapy group with two adults with intellectual impairments and atypical stammering. Sessions took place over 10 weeks, with a standard format using discussion about communication, speech modification and relaxation. Sessions were videotape... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=4544883 Thu, 03 Mar 2011 00:00:00 +0100 4544883 http://www.medworm.com/index.php?rid=4762694&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2011.00688.x This article describes a partnership research project carried out by a research team consisting of people with learning disabilities and people without learning disabilities. The research explored people’s understandings of advocacy and identified gaps in advocacy provision for people with learning disabilities and their families. Four focus groups were conducted with different stakeholders: people with learning disabilities, family carers, direct support workers and service managers and commissioners. The findings are organised under the following themes: understandings of advocacy, sources of advocacy, need for advocacy, barriers to advocacy and other influences on advocacy. (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=4762694 Tue, 01 Mar 2011 00:00:00 +0100 4762694 http://www.medworm.com/index.php?rid=4733861&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2011.00683.x Accessible summary• Capacity assessment and support for a blind adult with learning disabilities.• Use of computer to provide information.• Use of switches to help control what happens.• How to complete the assessment.SummaryThis paper aims to describe the process undertaken by Speech and Language Therapy and Occupational Therapy to assess a gentleman with learning disabilities and visual impairment with regard to his capacity to sign a tenancy agreement. It describes the method used to assess the gentleman’s mental capacity before exploring the system used to provide information about tenancy. It then describes the approach used to evaluate his understanding of the specific information. This process resulted in evidence that enabled him to sign a tenancy agreement. The a... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=4733861 Tue, 01 Mar 2011 00:00:00 +0100 4733861 http://www.medworm.com/index.php?rid=4684153&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2011.00676.x This study describes how standard toilet training methods can be adapted to help a 13‐year‐old child with challenging behaviour learn to use the toilet independently.SummaryLearning to use the toilet is an important developmental step for a child’s independence, health and dignity. It can be particularly difficult to teach continence skills to disabled children with aggressive or challenging behaviour. This study showed how Azrin & Foxx's (1971) basic toilet training procedure could be modified to teach a 13‐year‐old child with learning disabilities with aggressive behaviour to use the toilet in school. Urinary continence was achieved within 2 weeks and maintained at 6‐week follow‐up. Long‐term data showed continence was maintained at 6‐, 12‐ and 24‐month follow... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=4684153 Tue, 01 Mar 2011 00:00:00 +0100 4684153 http://www.medworm.com/index.php?rid=4676665&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2011.00682.x Accessible summary• This research explores families’ perceptions of resettlement.• Clients were moved from a long‐stay psychiatric institution.• To a campus‐based residential setting within an intellectual disability service.SummaryThe pattern of residential services for people with intellectual disability in Ireland has seen many positive developments in recent years, with more places made available in residential homes within both community‐ and campus‐based accommodation. This paper reports on the findings of a study which explored families’ views regarding the movement of people with intellectual disability from a long‐stay psychiatric institution to campus‐based accommodation within a local intellectual disability service. A Husserlian phenomenology was cho... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=4676665 Tue, 01 Mar 2011 00:00:00 +0100 4676665 http://www.medworm.com/index.php?rid=4470370&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00672.x (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=4470370 Sun, 13 Feb 2011 03:07:22 +0100 4470370 http://www.medworm.com/index.php?rid=4470369&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00671.x (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=4470369 Sun, 13 Feb 2011 03:07:21 +0100 4470369 http://www.medworm.com/index.php?rid=4470368&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2009.00606.x Accessible summary• Care staff for people with learning disabilities sometimes need help to know when to ask for help when a resident has a problem with his or her memory.• We’ve made an easy checklist to help them know when to ask for extra help.• We hope it will speed up finding out whether people have dementia so we can offer the best help possible.• It seems to be really useful and we’d like to do more research in the future.SummaryThe aim of this research was to develop a simple screening checklist to help carers and professionals know when to make a referral for a dementia assessment. A checklist was completed for all new referrals to a dementia service for people with intellectual disabilities. The obtained scores were compared to the diagnostic outcome of a comp... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=4470368 Sun, 13 Feb 2011 03:07:17 +0100 4470368 http://www.medworm.com/index.php?rid=4470367&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00673.x (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=4470367 Sun, 13 Feb 2011 03:07:16 +0100 4470367 http://www.medworm.com/index.php?rid=4470366&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2011.00674.x (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=4470366 Sun, 13 Feb 2011 03:07:15 +0100 4470366 http://www.medworm.com/index.php?rid=4394310&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00667.x Accessible summaryWe looked at how much teachers knew about helping children with a learning disability who had behaviour that was challenging in school. We found that:• Some teachers knew very little about challenging behaviour and all the different ways to help children with this.• Some teachers had beliefs about challenging behaviour that can be unhelpful.We need to find ways to help teachers find out more about challenging behaviour
and to think about it in different ways. One way to do this could be to give them 
training about it.SummaryThe present study examined Scottish teaching staff knowledge about the definition and management of challenging behaviour displayed by children with an intellectual disability. Knowledge levels were relatively low, and participants were mo... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=4394310 Mon, 24 Jan 2011 00:00:00 +0100 4394310 http://www.medworm.com/index.php?rid=4394309&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00668.x Accessible summary• This paper is about an oral history project to find out about long‐stay hospitals in their local area carried out by a group of young people with learning disabilities.• It describes how they went about the project and made a film, and what they learnt through doing it.SummaryWe are five young people with learning disabilities who found out about the history of hospitals for people with learning disabilities in our area, and made a film about the project. The project taught us what life had been like for some people with learning disabilities only 30 years ago. It was very different to our lives; we have more choice, more freedom and more opportunities. As part of the project, we learnt how to ask questions, to listen, to record information and to produce a ... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=4394309 Mon, 24 Jan 2011 00:00:00 +0100 4394309 http://www.medworm.com/index.php?rid=4394308&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00669.x This study reports on the findings of a small pilot study that examined the lived experience of five parents with a learning disability living in Scotland. The research focused particularly on the role of advocacy in supporting parents. The study found that the parents faced a number of challenges not only in relation to their parenting role but also in the circumstances characterising their lives more generally. Parents were likely to be socially isolated and had limited support networks. Support services did not always meet the needs of parents with a learning disability, and joint working between agencies appeared to be particularly problematic. The study concludes by suggesting that advocacy can be effective in supporting parents to have their voices heard. (Source: British Journal of ... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=4394308 Mon, 24 Jan 2011 00:00:00 +0100 4394308 http://www.medworm.com/index.php?rid=4394307&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00670.x Accessible summary• People with Down syndrome can have problems with the way they think, feel, and act.• Those who help people understand these difficulties need to have information about the factors that can contribute to such problems.• This knowledge is important so difficulties can be found early, and help given.SummaryThe dual disability literature is marked by a lack of reviews with respect to assessment of specific aetiological groups. The current review summarises the wide body of literature relevant to the assessment of psychiatric and behavioural problems in people with Down syndrome. Adequate assessment within this population requires knowledge, not only of epidemiological findings with respect to psychiatric and behavioural problems, but also an understanding of oth... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=4394307 Mon, 24 Jan 2011 00:00:00 +0100 4394307 http://www.medworm.com/index.php?rid=4294486&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00661.x Accessible summary• Managers of learning disability services in Surrey were invited to come to training on pain recognition and management.• The managers were asked how they recognised pain and how they managed pain for people with learning disabilities, before and 3–5 months after training.• We found that after training more services were using communication aids and pain recognition tools and had included information about pain in their service users’ health action plans.• People with learning disabilities should have their pain recognised and managed effectively. Staff training helps services to be more aware of pain and improves the range of methods used.SummaryFollowing Beacroft & Dodd’s (2009) audit of pain recognition and management within learning disabi... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=4294486 Mon, 27 Dec 2010 00:00:00 +0100 4294486 http://www.medworm.com/index.php?rid=4245230&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00665.x This article is about research which asked children and young people with autistic spectrum disorder what they like to do in their leisure time. We also asked what activities they would like to do but cannot. The children told us their views using whatever ways to communicate they preferred.• Younger children liked to play with friends, go swimming, bowling and other activities with their parents. Older children liked to stay at home and use the Internet. Joining in with leisure activities seemed to be harder for these children than for those without autism.• The children and young people told us what prevented them from joining in with leisure activities. Children wanted to feel safe and did not like people being unfriendly towards them. This put the older children off going outdo... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=4245230 Thu, 09 Dec 2010 00:00:00 +0100 4245230 http://www.medworm.com/index.php?rid=4241628&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00660.x Accessible summary• Staff beliefs about why people with learning disabilities self‐harm are important because they can affect the way that staff respond to the behaviour.• Staff who work with people with learning disabilities said why they think people with learning disabilities self‐harm.• Staff had many different views on why people with learning disabilities self‐harm. Staff thought that people with learning disabilities self‐harm because they are distressed. Some staff said it is difficult to understand why people with learning disabilities self‐harm. Some staff said people self‐harm because of their learning disabilities.• It would be useful for staff to receive more training about self‐harm. This could improve care for people with learning disabilities w... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=4241628 Tue, 07 Dec 2010 00:00:00 +0100 4241628 http://www.medworm.com/index.php?rid=4241633&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00658.x Accessible summary• The researcher visited twenty families over 2 years. In all of the families, there was a son or daughter (from 15 to 22 years old) who had severe or profound intellectual disabilities. This meant that the mothers had to do most things for them. They bathed and dressed them and helped them to eat. Many spent time in the night with them as well. Most of the young people could not speak at all. Many of them had epilepsy. They were very difficult to look after because they tried to hurt themselves or other people, or break up the furniture.• The researcher wanted to find out how the mothers coped with all they had to do and how they felt about their son or daughter. In spite of all they had to do the mothers felt very close to them and were determined not to let... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=4241633 Mon, 06 Dec 2010 00:00:00 +0100 4241633 http://www.medworm.com/index.php?rid=4241632&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00662.x This study describes the experiences of people with intellectual disabilities who have lived through the death of a friend or service user from the point of view of staff from intellectual disability and palliative care services.• It is important to understand the experiences of people with intellectual disabilities to try and help people cope with the deaths of their friends.• The study shows that it helps to include people with intellectual disabilities when their friends become unwell and to talk openly with them about what is happening.SummaryResearch is lacking on the effect of the deaths of fellow service users on people with intellectual disabilities. This qualitative study formed part of a project which aimed to describe the provision of palliative care to people with intel... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=4241632 Mon, 06 Dec 2010 00:00:00 +0100 4241632 http://www.medworm.com/index.php?rid=4241631&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00663.x This article reports on care staff views of vulnerability using original data from a research study (Parley. Vulnerability and abuse: an exploration of views of care staff working with people who have learning disabilities, PhD Thesis, 2007) in which care staff views relating to vulnerability and abuse of adults with learning disability were explored. Using semi‐structured interview informants perspectives were explored. The results revealed that most informants felt that people with learning disabilities are all vulnerable and that this definition allows staff the authority to take protective measures to ensure their safety. This desire to introduce protective measures however may result in people with learning disabilities being denied the right to self‐determination, thereby limitin... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=4241631 Mon, 06 Dec 2010 00:00:00 +0100 4241631 http://www.medworm.com/index.php?rid=4241630&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00664.x Accessible summary• When people are risk assessed, they are sometimes denied their human rights.• In this paper, we say that if we balance the human rights of service users,1 their carers and people in their community we can manage risk much better.• This means that people who use services are involved in their own risk assessments.• It also means people’s human rights are looked at in the way they are supported.SummaryRecent reports highlight the extent to which many people with learning disabilities are not afforded access to their basic human rights. In addition, traditional approaches to risk management often focus on professional assessments of risks and challenging behaviour and exclude service user perspectives. In this paper, we outline what we believe to be the k... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=4241630 Mon, 06 Dec 2010 00:00:00 +0100 4241630 http://www.medworm.com/index.php?rid=4241629&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00666.x Accessible summary• People with a learning disability are at special risk of developing certain problems with their health. A stroke can also happen to people with a learning disability.• It can sometimes be difficult to tell whether someone has had a stroke, especially if they seem well. Sometimes, people can develop mental health problems after a stroke.• It can be difficult for professionals to understand what has happened to the person, and certain tests, such as a brain scan, need to be carried out to work out what is wrong with the person.• We talk about the importance of getting to know the person well to help understand what their problems are and how to treat the problems. This is to make sure that they get the right diagnosis and treatment.SummaryPeople with a lea... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=4241629 Mon, 06 Dec 2010 00:00:00 +0100 4241629 http://www.medworm.com/index.php?rid=4133506&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00656.x (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=4133506 Thu, 04 Nov 2010 21:52:34 +0100 4133506 http://www.medworm.com/index.php?rid=4133505&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00655.x (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=4133505 Thu, 04 Nov 2010 21:52:33 +0100 4133505 http://www.medworm.com/index.php?rid=4133504&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00657.x (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=4133504 Thu, 04 Nov 2010 21:52:28 +0100 4133504 http://www.medworm.com/index.php?rid=4133503&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00654.x (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=4133503 Thu, 04 Nov 2010 21:52:27 +0100 4133503 http://www.medworm.com/index.php?rid=4040476&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00650.x Accessible summary (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=4040476 Tue, 31 Aug 2010 23:00:00 +0100 4040476 http://www.medworm.com/index.php?rid=4027120&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00652.x Accessible summary (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=4027120 Tue, 31 Aug 2010 23:00:00 +0100 4027120 http://www.medworm.com/index.php?rid=4027119&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2009.00563.x Accessible summary (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=4027119 Tue, 31 Aug 2010 23:00:00 +0100 4027119 http://www.medworm.com/index.php?rid=3976413&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00651.x Accessible summary (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3976413 Tue, 31 Aug 2010 23:00:00 +0100 3976413 http://www.medworm.com/index.php?rid=3920716&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00639.x (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3920716 Tue, 31 Aug 2010 23:00:00 +0100 3920716 http://www.medworm.com/index.php?rid=3880765&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00649.x (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3880765 Thu, 19 Aug 2010 10:00:46 +0100 3880765 http://www.medworm.com/index.php?rid=3880764&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00648.x (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3880764 Thu, 19 Aug 2010 10:00:45 +0100 3880764 http://www.medworm.com/index.php?rid=3880763&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2009.00600.x Accessible summary (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3880763 Thu, 19 Aug 2010 10:00:45 +0100 3880763 http://www.medworm.com/index.php?rid=3880762&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2009.00599.x Accessible summary (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3880762 Thu, 19 Aug 2010 10:00:45 +0100 3880762 http://www.medworm.com/index.php?rid=3880761&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2009.00596.x Accessible summary (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3880761 Thu, 19 Aug 2010 10:00:43 +0100 3880761 http://www.medworm.com/index.php?rid=3880760&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2009.00594.x Accessible summary (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3880760 Thu, 19 Aug 2010 10:00:42 +0100 3880760 http://www.medworm.com/index.php?rid=3880759&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2009.00593.x Accessible summary (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3880759 Thu, 19 Aug 2010 10:00:42 +0100 3880759 http://www.medworm.com/index.php?rid=3880758&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2009.00575.x Accessible summary (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3880758 Thu, 19 Aug 2010 10:00:42 +0100 3880758 http://www.medworm.com/index.php?rid=3880757&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2009.00574.x Accessible summary (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3880757 Thu, 19 Aug 2010 10:00:41 +0100 3880757 http://www.medworm.com/index.php?rid=3880756&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2009.00572.x Accessible summary: (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3880756 Thu, 19 Aug 2010 10:00:41 +0100 3880756 http://www.medworm.com/index.php?rid=3880755&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2009.00571.x Accessible summary (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3880755 Thu, 19 Aug 2010 10:00:41 +0100 3880755 http://www.medworm.com/index.php?rid=3880754&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2009.00568.x Accessible summary (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3880754 Thu, 19 Aug 2010 10:00:40 +0100 3880754 http://www.medworm.com/index.php?rid=3880753&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2009.00567.x Accessible summary (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3880753 Thu, 19 Aug 2010 10:00:40 +0100 3880753 http://www.medworm.com/index.php?rid=3880752&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2009.00564.x Accessible summary (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3880752 Thu, 19 Aug 2010 10:00:40 +0100 3880752 http://www.medworm.com/index.php?rid=3880751&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00653.x (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3880751 Thu, 19 Aug 2010 10:00:39 +0100 3880751 http://www.medworm.com/index.php?rid=3880750&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00644.x (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3880750 Thu, 19 Aug 2010 10:00:39 +0100 3880750 http://www.medworm.com/index.php?rid=3880749&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00647_2.x (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3880749 Thu, 19 Aug 2010 10:00:38 +0100 3880749 http://www.medworm.com/index.php?rid=3880748&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00647_1.x (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3880748 Thu, 19 Aug 2010 10:00:38 +0100 3880748 http://www.medworm.com/index.php?rid=3790588&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00645.x This article explains what happened when Martha (not her real name), a woman with learning disabilities who did not use speech, got involved in a research project at the hostel where she lived. We hope this article will help researchers and ethics committees think about the positive things that can happen when people with learning disabilities get involved in research. Although there is increasing interest in service user involvement in research, such involvement rarely extends to people with profound and multiple learning disabilities. New developments in visual methodologies offer the potential for people with profound and multiple learning disabilities to be included in research. At the same time, however, tighter regulation of the UK Research Governance Framework and the requirements o... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3790588 Mon, 26 Jul 2010 23:00:00 +0100 3790588 http://www.medworm.com/index.php?rid=3790589&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00643.x This article describes a project about using contact work with people with learning disabilities and autistic spectrum disorder. People with learning disabilities and additional autistic spectrum disorder are at risk of becoming socially isolated because of their difficulties in interacting with others. Contact work is a form of Pre-Therapy, which is based on Carl Rogers' person-centred approach. It focuses on psychological contact, which is the first of the 'necessary and sufficient' conditions for therapeutic relationships. The approach was developed by Gary Prouty and has been used with people who find it difficult to establish psychological contact because of their emotional, mental health or cognitive problems. The approach was used with two clients with learning disabilities and auti... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3790589 Sun, 25 Jul 2010 23:00:00 +0100 3790589 http://www.medworm.com/index.php?rid=3772147&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00646.x The professional caregivers of persons with learning disabilities are the focus of this research. They have been shown to experience high levels of stress when they have to face challenging behaviours. This stress may also affect the persons under their care as they can respond to them in an inappropriate way. The way professional caregivers believe in their competencies to help the persons showing challenging behaviours plays a great role in their stress experience. Some ideas for research are presented to help professional caregivers to increase their feeling of competency in situations of challenging behaviours. Self-efficacy has been reported to play a significant role in stress levels of parents facing challenging behaviours of their children with learning disabilities. The role of se... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3772147 Tue, 20 Jul 2010 23:00:00 +0100 3772147 http://www.medworm.com/index.php?rid=3772150&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00640.x People with learning disabilities describe pain in terms of feelings or emotions. Staff and doctors do not use pain recognition tools or communication aids. People with learning disabilities often do not tell staff or family carers that they are in pain. If they do, they are unlikely to be given pain medication, and more likely to be taken to the doctors. People with learning disabilities mostly know who is their doctor and understand what the doctor does. The majority of people said that the doctor explained what was wrong with them, what the medication was for and how often they needed to take it. This research matters to people with learning disabilities. It is important that staff and carers recognise and manage pain well. Since this audit a pain training pack for staff and carers ... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3772150 Mon, 19 Jul 2010 23:00:00 +0100 3772150 http://www.medworm.com/index.php?rid=3772149&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00641.x We studied the medical notes of 28 service users with learning disability who also had a mental illness called psychosis. We noted which antipsychotic medication (medicines to treat psychosis) was prescribed and whether we enquired for side effects regularly. We found that we were good at regular monitoring of improvement made by these individuals, and any side effects experienced from the medicines given in most cases. The medicines prescribed were within the recommended dose. We feel persons with learning disability taking antipsychotic medications should be asked about the benefits and side effects and have regular blood tests and weight checks. The aim of the audit was to evaluate the current clinical practice for learning-disabled individuals with psychotic disorders. We evaluated the... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3772149 Mon, 19 Jul 2010 23:00:00 +0100 3772149 http://www.medworm.com/index.php?rid=3772148&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00642.x Young people with learning disabilities encounter many problems when they leave school. Support is provided by schools and other agencies, but often families feel that this support is not good enough. One reason may be that carers look at transition from school in a different way to school and support staff. We wanted to know how carers see the changes that happen in their young son or daughter during transition from school and how their view is different to that of teachers and support staff. Carers often stressed how things changed within the family during the time of transition while teachers and support staff emphasised changes in independence and social skills of the young people in our study. The study examined the effects of transition employment support to two cohorts of young ... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3772148 Mon, 19 Jul 2010 23:00:00 +0100 3772148 http://www.medworm.com/index.php?rid=3844862&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00642.x (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3844862 Wed, 30 Jun 2010 23:00:00 +0100 3844862 http://www.medworm.com/index.php?rid=3844861&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00646.x (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3844861 Wed, 30 Jun 2010 23:00:00 +0100 3844861 http://www.medworm.com/index.php?rid=3844860&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00640.x (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3844860 Wed, 30 Jun 2010 23:00:00 +0100 3844860 http://www.medworm.com/index.php?rid=3844859&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00641.x (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3844859 Wed, 30 Jun 2010 23:00:00 +0100 3844859 http://www.medworm.com/index.php?rid=3648392&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00627.x This article reports on a study carried out on the role constructs of forensic and nonforensic Learning Disability Nursing in relation to six binary themes. The aims were to identify if there were differences in perceptions of forensic learning disability nurses and nonforensic learning disability nurses in relation to the six binary themes of the role construct framework and then to establish if there were differences between the two groups of nurses. The method was a survey design with the sample drawn from high, medium and low security settings and nonsecure settings in the UK. From 400 questionnaires distributed, response rates of 46% and 49% were achieved from secure and nonsecure settings, respectively. The results indicate that the forensic nurses group show a significant difference... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3648392 Wed, 09 Jun 2010 23:00:00 +0100 3648392 http://www.medworm.com/index.php?rid=3621573&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00626.x This study presents the perspectives of teachers, speech and language therapists and teaching assistants on involving children with severe learning and communication difficulties in decision-making at school. Key findings are discussed, and these are presented under three main themes: child-focused issues, professional practice and variation in perspective according to professional role. The discussion explores the links between these findings and the research and policy literature and considers the need for professional development opportunities that enhance effective teamwork. (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3621573 Tue, 01 Jun 2010 23:00:00 +0100 3621573 http://www.medworm.com/index.php?rid=3844890&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00623.x (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3844890 Mon, 31 May 2010 23:00:00 +0100 3844890 http://www.medworm.com/index.php?rid=3844889&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00622.x (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3844889 Mon, 31 May 2010 23:00:00 +0100 3844889 http://www.medworm.com/index.php?rid=3844888&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00637.x Accessible summary (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3844888 Mon, 31 May 2010 23:00:00 +0100 3844888 http://www.medworm.com/index.php?rid=3844887&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00633.x Accessible summary (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3844887 Mon, 31 May 2010 23:00:00 +0100 3844887 http://www.medworm.com/index.php?rid=3844886&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00636.x Accessible summary (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3844886 Mon, 31 May 2010 23:00:00 +0100 3844886 http://www.medworm.com/index.php?rid=3844885&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00635.x Accessible summary (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3844885 Mon, 31 May 2010 23:00:00 +0100 3844885 http://www.medworm.com/index.php?rid=3844884&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00630.x Accessible summary (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3844884 Mon, 31 May 2010 23:00:00 +0100 3844884 http://www.medworm.com/index.php?rid=3844883&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00631.x Accessible summary (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3844883 Mon, 31 May 2010 23:00:00 +0100 3844883 http://www.medworm.com/index.php?rid=3844882&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00638.x Accessible summary (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3844882 Mon, 31 May 2010 23:00:00 +0100 3844882 http://www.medworm.com/index.php?rid=3844881&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00632.x Accessible summary (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3844881 Mon, 31 May 2010 23:00:00 +0100 3844881 http://www.medworm.com/index.php?rid=3844880&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00634.x Accessible summary (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3844880 Mon, 31 May 2010 23:00:00 +0100 3844880 http://www.medworm.com/index.php?rid=3844879&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00628.x (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3844879 Mon, 31 May 2010 23:00:00 +0100 3844879 http://www.medworm.com/index.php?rid=3844878&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00629.x (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3844878 Mon, 31 May 2010 23:00:00 +0100 3844878 http://www.medworm.com/index.php?rid=3621575&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00624.x This study examines how autism is portrayed in newspapers in the United Kingdom. The findings indicate that many of the stories about autism are not based on interviews with individuals with autism. Newspaper accounts tend to focus on stories about children with autism, rather than on adults. Past research indicates that newspaper representations of developmental disability reinforce negative stereotypes. The aim of this study was to examine depictions of autism in British newspapers. A qualitative content and discourse analysis of newspaper accounts of autism was conducted over four 1-month time points, every 3 years, between May 1999 and May 2008. The analysis indicated that conceptualisations of autism could be categorised under three themes: missing voices; the burden of autism; and,... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3621575 Mon, 31 May 2010 23:00:00 +0100 3621575 http://www.medworm.com/index.php?rid=3621574&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00625.x Most adults, including many with a learning disability, want to be parents. Parents with a learning disability can care for their children well. To do this, they may need support from their family or friends and a range of services. Researchers interviewed parents with a learning disability about their pregnancy and the help that they were given after their baby was born. They were interested to find out how the parent made choices about parenting and what information they had when they made their choices. From the stories of four parents, this article discusses: their knowledge of contraception, opportunities that they had to talk to someone about being a parent, their support needs as parents. The findings from this research can be used to help people with a learning disability mak... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3621574 Mon, 31 May 2010 23:00:00 +0100 3621574 http://www.medworm.com/index.php?rid=3542504&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00621.x The Mental Capacity Act says that everyone has a right to make choices in their life. Some people find it hard to make a decision when it involves complex information. People who work in services can be unsure how to decide when people can make a hard decision. We developed a way of deciding if a person with a Learning Disability is able to make a choice (has capacity). We tried to make the process clear so that more people can use it. There appears to be some degree of hesitation and lack of confidence among professionals in conducting capacity assessments. This document explains a two-phase process developed and implemented by a multi-disciplinary group of professionals during a pilot project. The first phase in the decision making process is to determine to what extent the person being ... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3542504 Thu, 06 May 2010 23:00:00 +0100 3542504 http://www.medworm.com/index.php?rid=3542506&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00613.x When sons and daughters with disabilities live with their parents all their lives, this can sometimes be difficult for the parents as well as the sons and daughters. We asked the parents what they like and dislike about having their sons and daughters living with them and what makes it easy and what makes it difficult. The parents who took part in this study told us that They loved their sons and daughters very much and had much fun living together; Sometimes they had difficulties getting help or services; They worry a lot about the future and what will happen when they can no longer look after their sons and daughters with disabilities; It is really important that families plan ahead so that everyone knows what will happen when parents get older and can no longer look after their sons and... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3542506 Wed, 05 May 2010 23:00:00 +0100 3542506 http://www.medworm.com/index.php?rid=3542505&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00620.x People with learning disabilities do not get to make as many choices as other people. This project looked at the choices people make about everyday things and about health services. We spoke to people with learning disabilities, their carers and Physiotherapy staff. We found that people with a learning disability were making choices about everyday things but felt that other people made choices about health services for them. We found that carers and healthcare staff need support to understand how difficult it can be to make choices, and how they can help people with a learning disability to make choices. People with learning disabilities have fewer choice opportunities than the general population. Existing research provides some insight, but the choice-making experiences of those who do no... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3542505 Wed, 05 May 2010 23:00:00 +0100 3542505 http://www.medworm.com/index.php?rid=3844864&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00624.x (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3844864 Fri, 30 Apr 2010 23:00:00 +0100 3844864 http://www.medworm.com/index.php?rid=3844863&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00613.x (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3844863 Wed, 31 Mar 2010 23:00:00 +0100 3844863 http://www.medworm.com/index.php?rid=3390640&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00611.x I found out how people with an intellectual disability and people without an intellectual disability reacted to different pieces of music. People with an intellectual disability reacted in the same way as people without an intellectual disability. If you have difficulty deciding the type of music that helps you stay calm, ask your parents or carers what music helps them relax when they feel anxious. The type of music they like might help you stay calm too. Previous researchers who compared how people with, and without, an intellectual disability respond to music focused on musical aptitude, but not on arousal. This paper presents the background, methodology, and results of a study that selected fifteen different pieces of music, and compared the arousal response of adults with (n = 48), an... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3390640 Mon, 22 Mar 2010 00:00:00 +0100 3390640 http://www.medworm.com/index.php?rid=3390639&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00618.x People who care for someone with Down's syndrome and dementia were asked about what it was like being a carer. Four of the carers were brothers or sisters of the person who had dementia, and two were paid carers not family members. All carers say that they want more information about some of the health and social problems that come with having dementia. Carers said that they want to know more information and meet other carers and other people who have dementia. A qualitative interview study was undertaken to determine the information and support needs of carers of adults who have Down's syndrome and dementia. The data were analysed thematically. Carers' information and support needs were seen to change at pre-diagnosis, diagnosis and post-diagnosis. Helping carers to manage the changing ... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3390639 Mon, 22 Mar 2010 00:00:00 +0100 3390639 http://www.medworm.com/index.php?rid=3390638&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00619.x This article describes the findings of a small-scale survey investigating the quality of life of parents of children and adults with an intellectual disability who are availing respite care with a response rate of 38% (n = 49). The findings of the study which was conducted in 2008 on parents' experience of respite care in an Irish setting indicated that: Demand exceeds supply and many parents face a lengthy wait gaining access to respite care Respite care was not necessarily associated with parental desire for an improvement in quality of life The majority of parents reported that their quality of life was either 'good' or 'excellent' Further studies need to be conducted to establish what services are deemed most valuable to parents Two-thirds of the people registered on the Irish National... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3390638 Mon, 22 Mar 2010 00:00:00 +0100 3390638 http://www.medworm.com/index.php?rid=3331190&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00615.x This article is about families where more than one of the boys or men in the family have a learning disability. We found that Families usually want to know the cause of the disability and to be able to give it a name. Sometimes they want to know whether other people in the family will have babies who will have a learning disability. Genetic research is a way for families to find these things out. Families have to balance how they care for people who have a learning disability and what other family members need. Many professionals working with individuals with intellectual disability are unconcerned with why someone has the impairment. Genetic aspects may be viewed as, at best irrelevant, but more often, potentially negative. However, where the intellectual disability may be inherited, ther... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3331190 Thu, 04 Mar 2010 00:00:00 +0100 3331190 http://www.medworm.com/index.php?rid=3844865&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00618.x (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3844865 Mon, 01 Mar 2010 00:00:00 +0100 3844865 http://www.medworm.com/index.php?rid=3318333&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00614.x This article describes the philosophy, development, operationalisation and evaluation of a person-centred day opportunities and supported lifestyle service which is successfully placing service users at the heart of their local community. Its innovation lies in embedding clinical input directly in the support model, creating interdependent partnership working across agencies and developing frontline staff to become highly skilled practitioners. (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3318333 Mon, 01 Mar 2010 00:00:00 +0100 3318333 http://www.medworm.com/index.php?rid=3318334&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00612.x This study looked at a team that tried to help these people to stay in their own homes instead of having to move to a different area. The study looked at the good things about the team and things that could be better. We found that the team helped the services to support people in a different way, so that there were fewer behaviours which were hard to manage. This article evaluates an assertive outreach team which aimed to help support people with a learning disability who displayed challenging behaviour in their own environment. The service was evaluated using Maxwell's Multi-dimensional Quality Evaluation Model (Maxwell 1984), which recognises that different stakeholders in a service are likely to focus on different indices of quality including effectiveness, efficiency, economy, equit... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3318334 Sun, 28 Feb 2010 00:00:00 +0100 3318334 http://www.medworm.com/index.php?rid=3311599&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00610.x This study explores the perceptions of support workers working with adults with learning/intellectual disabilities, training and support needs. Data was collected by focus group (n = 3) and semi-structured interviews (n = 5). Participants saw their key role as maximising quality of life, identified 'Trial and error' as the main mode of skill development for new staff and experienced stress as a result of conflict between their beliefs and demands of the service. Participants recognised their responsibility to model good and challenge poor practice; however, poor communication and assertiveness skills affected their ability to do this. A preference for more on site supervision to provide leadership was indicated. Training by the community learning disability team was highly regarded; howeve... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3311599 Fri, 26 Feb 2010 00:00:00 +0100 3311599 http://www.medworm.com/index.php?rid=3311600&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2009.00602.x People with learning disabilities who have challenging behaviour often experience poor support which affects their quality of life. This paper looks at an example of work done with an individual and his staff team which helped reduce challenging behaviour and provided him with an improved service and better quality of life. The research indicates the importance of people with learning disabilities who have challenging behaviour receiving behaviour support to enable them to live full lives in the community. Research has indicated that challenging behaviour leads to placement breakdown and poor quality of life for people with learning disabilities. This paper provides a case study example of successful intervention with an individual with learning disabilities and challenging behaviour, us... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3311600 Thu, 25 Feb 2010 00:00:00 +0100 3311600 http://www.medworm.com/index.php?rid=3266844&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2009.00605.x This project was about contraception. Contraception is the things people use to stop a woman from getting pregnant. We spoke to 23 women with learning disabilities and 162 doctors wrote to us. Sometimes women with learning disabilities made their own decisions, but mostly it was other people who decided for them. We suggest some ways to help women with learning disabilities get more information and be helped to decide for themselves. This research project used semi-structured in-depth interviews to ask women with learning disabilities about the experience of being prescribed contraception. It also asked general practitioners about their prescribing practices through a postal survey. A service user group was involved at different stages of the project. Most of the women reported that it was... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3266844 Fri, 12 Feb 2010 00:00:00 +0100 3266844 http://www.medworm.com/index.php?rid=3231382&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2009.00607.x This article is about how we worked with parents to find a way of seeing whether the support given to them is helpful. If parenting support is seen to be helpful, more funding may be available for future support. There has been a steady increase over the last 20 years in the number of parents with learning disabilities who are referred to social workers and community health practitioners. It is a common experience for parents with learning disabilities to have their child removed from the home and placed permanently in care, and although they are often judged as inadequate parents, it is known that they can be good enough parents when provided with parenting support. This article reports the development of a tool to measure the self-efficacy of parents with learning disabilities, which wi... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3231382 Tue, 02 Feb 2010 00:00:00 +0100 3231382 http://www.medworm.com/index.php?rid=3844868&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2009.00605.x (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3844868 Mon, 01 Feb 2010 00:00:00 +0100 3844868 http://www.medworm.com/index.php?rid=3844867&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2009.00602.x (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3844867 Mon, 01 Feb 2010 00:00:00 +0100 3844867 http://www.medworm.com/index.php?rid=3844866&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2010.00614.x (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3844866 Mon, 01 Feb 2010 00:00:00 +0100 3844866 http://www.medworm.com/index.php?rid=3231384&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2009.00603.x This is the story of how we helped a lady with a learning disability whose mother had died. We know it is difficult for people to talk about death and we know that it can be very difficult to talk to a person with a learning disability about death. We talk about how we worked with this lady and her carers to help her to cope with her mother's death. We worked with this lady for eight sessions during 3 months. This case study considers the psychological assessment, formulation and treatment of Hannah, a woman with a learning disability who recently experienced the death of her mother. Death still remains a challenging and often taboo subject. Moreover, when the grief is of a person with a learning disability, this combines with underlying difficulties in understanding the emotions of dea... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3231384 Mon, 01 Feb 2010 00:00:00 +0100 3231384 http://www.medworm.com/index.php?rid=3231383&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2009.00606.x Care staff for people with learning disabilities sometimes need help to know when to ask for help when a resident has a problem with his or her memory. We've made an easy checklist to help them know when to ask for extra help. We hope it will speed up finding out whether people have dementia so we can offer the best help possible. It seems to be really useful and we'd like to do more research in the future. The aim of this research was to develop a simple screening checklist to help carers and professionals know when to make a referral for a dementia assessment. A checklist was completed for all new referrals to a dementia service for people with intellectual disabilities. The obtained scores were compared to the diagnostic outcome of a comprehensive dementia assessment. The data (n = 1... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3231383 Mon, 01 Feb 2010 00:00:00 +0100 3231383 http://www.medworm.com/index.php?rid=3844870&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2009.00607.x (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3844870 Fri, 01 Jan 2010 00:00:00 +0100 3844870 http://www.medworm.com/index.php?rid=3844869&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2009.00603.x (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3844869 Fri, 01 Jan 2010 00:00:00 +0100 3844869 http://www.medworm.com/index.php?rid=3111296&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2009.00600.x This study was an exploratory examination of the recent use of intermediaries with defendants. The defendant does not by law have the right to an intermediary; however the Coroner's and Justice Bill (2008[ndash]09), is attempting to amend this situation. Meanwhile judges are starting to request an intermediary for vulnerable defendants, in the interests of justice. Using a mixed methods approach this study found that intermediaries were very positive about the need for vulnerable defendants to have support. The intermediaries also highlighted that they required additional training and they raised concerns about how their role was viewed by the courts when they were assisting defendants. (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3111296 Tue, 22 Dec 2009 00:00:00 +0100 3111296 http://www.medworm.com/index.php?rid=3111295&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2009.00604.x This study has implications for service users, professionals and service providers working with people with learning disabilities. In particular, the issues raised reflected the need to increase social inclusion and provide the right level of support. Participants talked about service providers needing to be aware of their vulnerability and wanted people to respect their right to make their own choices. (Source: British Journal of Learning Disabilities) British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3111295 Tue, 22 Dec 2009 00:00:00 +0100 3111295 http://www.medworm.com/index.php?rid=3111298&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2009.00599.x This report discusses ways in which organisations can better support adult brothers and sisters. In recent years there has been a shift to recognise the needs of siblings and a growth in sibling support largely for under 16s. However, siblings will often require support into adulthood as they undertake additional responsibilities from parents in the care or advocacy of their brother or sister. Therefore this project aimed to investigate what concerns young adult siblings have for the future and what support they feel they need to develop and improve support for this sibling age group. The findings from interviews with young adult siblings of young people attending a 52 week residential school for people with complex needs highlighted many concerns for the future, particularly around the tr... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3111298 Mon, 21 Dec 2009 00:00:00 +0100 3111298 http://www.medworm.com/index.php?rid=3111297&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2009.00601.x In recent years, some academics have dismissed the legitimacy of dyslexia. This approach implies that diagnoses cannot distinguish between general reading difficulties and dyslexia and educational support is the same for both groups. The article confronts this 'anti-labelling approach' by reflecting on life experiences of people with dyslexia. By doing this it confronts certain stereotypes associated with dyslexia to develop a meaningful response to the label of learning difficulties. Despite recent advances in understanding dyslexia as a neurological condition, a number of academics in both the United Kingdom and United States have dismissed the validity of this impairment. The key thinking behind this approach is twofold. Firstly, individuals labelled as having dyslexia cannot be separat... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3111297 Mon, 21 Dec 2009 00:00:00 +0100 3111297 http://www.medworm.com/index.php?rid=3092609&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2009.00594.x Communication is an important part of everybody's life. Carers attended training about communication. The training improved the carers' confidence about communication. Carers with good communication skills can have a positive effect on the well-being of people with learning disabilities. Carer communication skills contribute to the well being of individuals with learning disabilities. Few studies have examined the effectiveness of communication training interventions, and there is a lack of robust measures of outcome. A communication self-efficacy measure relevant to carers supporting adults with learning disabilities was developed and piloted. Paid carers supporting adults with learning disabilities participated in the study. A pre[ndash]post intervention study design was used to examine ... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3092609 Wed, 16 Dec 2009 00:00:00 +0100 3092609 http://www.medworm.com/index.php?rid=3092616&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2009.00593.x Pain is not recognised and managed well for people with learning disabilities in residential settings [ndash] People with learning disabilities are not getting timely and appropriate 'as required' medication for their pain. Staff do not use pain recognition tools or communication aids. Some staff still believe that people with learning disabilities have a higher pain threshold than people without a learning disability. They also let this belief affect how they manage pain. This research matters to people with learning disabilities. It is important that staff and carers recognise and manage pain well. We have developed a pain training pack for staff and carers and leaflets for both people with learning disabilities and staff and carers. This audit investigated residential staff beliefs a... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3092616 Tue, 15 Dec 2009 00:00:00 +0100 3092616 http://www.medworm.com/index.php?rid=3092615&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2009.00595.x Many people with learning disabilities experience unfair treatment when they go to shops, banks or pubs. Very few people take legal action or go to court about the unfair treatment they experience. It can be difficult for a judge to decide if treatment is unfair if, e.g., a sports centre gives free carer's tickets to some disabled people but not to others. It is easier for a judge to decide treatment is unfair if a person with learning disabilities has been refused something. For example, if someone was refused a tattoo even though other customers were not refused. Despite evidence of poor service provision for people with learning disabilities in the UK (e.g. DRC, Code of practice. Rights of access: services to the public, public authority functions, private clubs and premises. London:... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3092615 Tue, 15 Dec 2009 00:00:00 +0100 3092615 http://www.medworm.com/index.php?rid=3092614&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2009.00596.x This study is about the life stories of six older people with Down's syndrome who spent some part of their childhoods in institutionalised settings. They have interesting and moving stories to tell about their lives. They talked about their childhood and current lives, their likes and dislikes, their strengths and difficulties and their hopes and dreams. They also spoke about the important people in their lives. The participants did not talk about themselves as being 'old', 'disabled' or as having 'Down's syndrome'. They talked about themselves in other ways, such as being 'normal', being a 'man' or a 'beautiful lady'. The researcher learnt about herself whilst doing this study. She learned about the value of taking time to listen to people and she reflected on her own life story. This ... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3092614 Tue, 15 Dec 2009 00:00:00 +0100 3092614 http://www.medworm.com/index.php?rid=3092613&cid=s_32227_179_f&fid=32227&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1468-3156.2009.00597.x This study interviewed the key workers of 96 adults with learning disabilities using the Mini PAS-ADD Interview to identify whether they had a potential mental health problem. Prevalence rates of mental health across the UK and in other countries have been published but such figures are not known in Northern Ireland. This study found: 33.3% of the sample was identified to have a potential mental health problem. This sample was found to score higher on the sub-scales of depression and psychosis compared with other prevalence studies. The community informants (i.e. nurses and social workers) were found to be competent in using the Mini PAS-ADD Interview as identified by the sample of in-depth psychiatric interviews undertaken by a psychiatrist. Prevalence rates vary considerably regarding... British Journal of Learning Disabilities journals http://www.medworm.com/rss/comments.php?id=3092613 Tue, 15 Dec 2009 00:00:00 +0100 3092613