Results: 23

For: audit

Forensic learning disabilities in-patient services – were there differences in clinical, forensic and treatment outcomes if patients also had autism?

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There continues to be debate about the appropriate use of in-patient services for people with learning disabilities and we need to learn as much as possible about routes in, treatment options within and pathways out.

In her debut blog, Anne Marie Scott looks at a paper, which reports on outcomes in relation to people who were inpatients in a forensic unit, In particular the researchers asked if being on the autism spectrum impacted on these outcomes.

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Second National Audit of Schizophrenia highlights lack of progress for service users and carers

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André Tomlin summarises the second National Audit of Schizophrenia, which highlights that many people with schizophrenia are still not getting the high quality psychological and medical treatment they deserve.

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Learning Disability National Audit – feasibility study and recommendations and future plans

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The results of the feasibility study into a national clinical audit of learning disabilities was published last month. Here we consider the findings and the response from NHS England

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Audit of impact of relaxation and sensory activities in assessment and treatment service for people with learning disabilities

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Background The debate about the place of assessment and treatment beds for adults with learning disabilities continues. The Royal College of Psychiatrists recently published a paper as part of the response to the events at Winterbourne View which set out its view of the need for a range of in-patient services which included acute admission [read the full story…]

Monitoring for metabolic syndrome in people with learning disabilities prescribed anti-psychotic medication found to be below agreed minimum standards

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Anti-psychotic medications comprise between 30–50% of all psychotropics prescribed for people with learning disabilities. One of the potential side effects is metabolic syndrome (a group of risk factors that occur together and increase the risk for coronary artery disease, stroke and type 2 diabetes in people with learning disabilities who have been prescribed antipsychotic medication.) [read the full story…]

Community Treatment Orders used differently for people with learning disabilities

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Community Treatments Orders (CTOs) were introduced to enable people who had been detained under certain sections of the Mental Health Act 1983 to be discharged from the hospital and treated in the community. The supervising doctor however retains the power to recall that person to hospital if necessary The majority of studies into the use [read the full story…]

People with learning disabilities still not getting adequate information and support to make decisions about medications

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Making the decision to consent to medical treatment requires access to information, presented in clear and understandable ways. There is evidence that that people with learning disabilities do not always understand information about medications they are prescribed, for example from the medication matters project carried out at the Norah Fry centre  which produced a series of [read the full story…]

National Schizophrenia Audit calls for improved monitoring of physical health in people with schizophrenia

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Back in 2010, NICE published an updated edition of their schizophrenia guideline, to guide the treatment and management of patients with schizophrenia in primary and secondary care. The National Schizophrenia Audit is a new initiative led by the Royal College of Psychiatrists and involving 8 other partner organisations including various professional membership organisations and 2 [read the full story…]

Physical interventions governance audit identifies value of multi disciplinary overview

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The use of physical interventions for people with learning disabilities must be within a locally agreed policy framework and as a last resort. Commissioners of services need to be assured that their use is appropriate and that good quality monitoring is taking place. The researchers in this study looked at the work of good practice [read the full story…]

Antipsychotics continue to be used for challenging behaviour in learning disabilities with poor monitoring of side effects

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People with learning disabilities are often prescribed anti-psychotic medication, whether or not there has been a diagnosis of psychiatric disorder. There continues to be some concern about the evidence base to support this. The most recent Cochrane review which looked at the issue in relation to people with learning disabilities and schizophrenia found that there is [read the full story…]