Active Support involves concerns training staff in working practices and organisational procedures to improve levels of resident participation and increase levels of engagement in activities. It is being introduced in many support services for people with learning disabilities to help bring about such improvements. This Australian study set out to look at what happened when [read the full story…]
End-of-life care services are typically funded and delivered by a mix of organisations from the NHS, local authorities and the voluntary sector as well as by independent agencies and through individual means (informal or family carers). Given the growing complexity of and demands on end-of-life care services, commissioning in this area is likely to be [read the full story…]
The evidence-base for psychodynamic psychotherapy is growing. A meta-analysis by Shedler published in early 2010 showed that the effect sizes for psychodynamic therapy can be as large as for other ’empirically supported treatments’. However, there are fewer high quality studies available that look at the effectiveness of these therapies for young people. This systematic review [read the full story…]
Whilst there is no evidence that dementia affects people with learning disabilities in ways that are different to those without learning disability, there is a risk that the early stages of the disease may be missed or misinterpreted. People with Down syndrome may present with clinical symptoms in their late 40s or early 50s. Estimates [read the full story…]
The National Institute for Health and Clinical Excellence (NICE) have commissioned the National Collaborating Centre for Women’s and Children’s Health to produce a new guideline on the recognition, referral and diagnosis of children and young people on the autism spectrum. The guideline is aimed at GPs, paediatricians, psychiatrists, psychologists, speech and language therapists, occupational therapists [read the full story…]
People with learning disabilities and complex needs can often find themselves in services far from their family homes, particularly the case if the person has a mental health problem. This study set out to find out the views of family members of those people who were being cared for in out-of-area psychiatric hospitals. The authors [read the full story…]
Research shows that using antidepressants (serotonin reuptake inhibitors, SRIs) to treat obsessive compulsive disorder (OCD) in young people is sometimes problematic. Patients often do not respond to the drugs and so other therapies are necessary to augment the treatment. One such therapy is CBT (cognitive behavioural therapy). This 12-week randomised controlled trial took 124 paediatric [read the full story…]
The nature of the relationship between the client and caregiver has been shown to be a key factor in a number of studies. However, there have been few studies looking at the nature of the relationship between people with mild learning disabilities and their caregivers. This study set out to look at this issue in [read the full story…]
This review of the literature set out to summarise the current status of knowledge and clinical practice in the area of relationships and sexuality for people with learning disabilities, which the review authors describe as an area that is complex and challenging. Services for people with learning disabilities have undergone a move towards personalisation, person-centred [read the full story…]
Unsurprisingly, research shows that people who have deviant sexual preferences are more likely to commit sexual offences, so it makes sense that if we can more accurately identify deviant sexual preferences, we will be able to reduce crimes of this nature. Phallometry (also known as penile plethysmography or phallometric assessment) involves placing a device around [read the full story…]
