Background Cost pressures on adult social care budgets continue, with evidence to the Select Committee on Public Service and Demographic Change suggesting that 85% of councils are implementing eligibility thresholds at ‘substantial’ or ‘critical’ needs. Adults with learning disabilities who are in receipt of adult social care support may need support for substantial periods and [read the full story…]
Background Recent events have highlighted the increased risk of abuse faced by people with learning disabilities. Local authorities regularly collect data on adult protection referrals and one study has looked at trends that have emerged from analysis of this data Last year, we posted about a study based on in-depth interviews focusing on the experience [read the full story…]
Background Anti-social behaviour is a key issue of public concern with significant numbers of people reporting behaviours such as vandalism, graffiti and litter as problems in their local area. The Crime and Disorder Act (1998) defines anti-social behaviour as ‘Acting in a manner that caused or was likely to cause harassment, alarm or distress to [read the full story…]
Winterbourne View Progress Report Published At the end of last week, the Government published it progress report on the joint improvement programme set in train following the Winterbourne View scandal. The report sets out the progress made, but also recognises the scale of the task still ahead. There were forty eight people resident in Winterbourne [read the full story…]
Background In 2010, Emerson and Baines in a search of the literature on healthcare issues for people with learning disabilities identified at least one study where increased rates had been reported. In 2011, we reported on a US study which found in one cohort, significantly higher prevalence of diabetes in adults with ‘cognitive limitations’ when [read the full story…]
This is a very important document, particularly for commissioners, prison health professionals, and prison workers because it is trying to overcome the vicious circle that faces offenders when they leave prison, which is finding housing and employment while maintaining their health and re-integrating back into society. Alcohol, drug misuse, other addictions, and mental health issues are [read the full story…]
Anxiety disorders, such as generalised anxiety disorder (GAD), social anxiety, panic disorder and phobias, are common and affect between 5 – 19% of all children and adolescents (Costello, 2004; as cited in James et al, 2013, pg. 6). Anxiety problems in childhood or adolescence can disrupt social and educational life, and may persist into adulthood. [read the full story…]
When two interventions are demonstrably equivalent in terms of clinical outcomes, it is unclear which should be provided. One obvious decision rule in this case is to implement the intervention that is least costly and therefore most cost-effective. A recent economic evaluation by Patel and colleagues estimates the cost-effectiveness of adherence therapy for people with [read the full story…]
There is a back to school feeling in the air in the Woodland this week, and so this comes to you with the help of my shiny new yellow pencil case. Epilepsy affects around 70 million people around the world and premature mortality is substantial with almost half of epilepsy-related deaths occuring in those younger [read the full story…]
The recently published guidance from the joint commissioning panel for mental health suggested that ‘there is no universally agreed commissioning model for mental health services supporting people with learning disabilities’ and this reflects an on-going debate about the structure and delivery of services to meet the needs of this group. The commissioning guidance suggests that [read the full story…]
