High cost placements for people with learning disabilities and complex and challenging needs

Compass and map

People with learning disabilities who have complex and challenging needs may find themselves placed in specialist services, sometimes distant from family and local support networks, often at high cost to the commissioners.

Here Ruth Northway looks at the findings of a survey of commissioning teams in south east England reporting on the nature and costs of such placements.

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Affect attunement: adding to practice?

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Affect attunement has been described in the literature as reflecting back emotions and feelings projected by a person in order to create a connection.

Here Paul Barnard looks at a paper exploring ways in which support workers might be using this approach in their work with people with profound and multiple learning disabilities.

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Can we model the development and maintenance of self-injury in children with developmental delay?

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Self-injurious behaviour can have a severe impact on the quality of life of some children with developmental delay.

Here, Alix Dixon looks at a review of an extensive body of literature around potential causal mechanisms and aggravating characteristics which aims to develop a clearer working model to inform practice.

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Nursing skills in diabetes, recognition and management: are learning disability and mental health nurses health literate?

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People with learning disabilities are more at risk of developing diabetes, but how prepared are learning disability nurses to support them?

Here, Paula Hopes looks at a pre- and post- test evaluation on a one-day workshop focusing on this very issue.

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Physical restraint: Why has it increased in Norway?

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In 1999, the law in Norway governing the use of physical intervention was changed with the aim of reducing and restricting their use.

Here, Rachel Allen looks at some research that set out to find out what has happened since the change in the law.

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The Learning Disabilities Elf welcomes you to the National Elf Service

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We are delighted to announce that the Learning Disabilities Elf is now part of the National Elf Service website. This means that you can sign up to become a member of the Elf Service and benefit from lots of exciting new members’ features.

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Increased risk of mortality in people with learning disabilities and epilepsy: Findings from a systematic review

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Epilepsy affects approximately 22% of people with learning disabilities, compared to approximately 1% of the general population.

Here, Silvana Mengoni looks at a systematic review of the literature investigating mortality in people with learning disabilities and epilepsy.

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NICE challenging behaviour guidelines stress person centred proactive support but barriers to achievement still exist

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NICE guidelines on supporting people with learning disabilities and challenging behaviour have now been published. Here we look at the main recommendations and reflect on how likely they are to improve practice.

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Tracking psychotropic medication use for management of aggressive behaviour

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Psychotropic medications are prescribed widely to many people with learning disabilities, but there remain many concerns about over, or improper use of such medications.

Here, Kate van Dooren looks at a study which collected data from 100 participants over a period of time to look at psychotropic medication and the relationship between dose, demographic factors and aggression scores.

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