There is evidence that the people with learning disabilities have a higher prevalence of mental health issues than those in the general population. The rate of dementia is higher and people with Down syndrome are at particularly high risk of developing dementia, with a much earlier age of onset. The most recent guide for commissioners [read the full story…]
A short while ago, the Learning Disabilities Elf made a small contribution to the Justice for LB campaign by trying to draw attention once again to the evidence base. Wednesday (day 91) saw the publication of a key report from the Care Quality Commission and Challenging Behaviour Foundation, which tells the stories of three young [read the full story…]
The health inequalities of people with learning disabilities are well documented in the literature, with increased risks for many physical and sensory health issues as well as mental health issues and responses from health services have often been poor, as documented in the Michael Report. In recent years, the healthcare pathways approach has been introduced [read the full story…]
In Scandal, Social Work and Social Welfare (Policy Press 2005), Butler and Drakeford examine the ways, in which, social welfare policy is often formulated in a response to scandals or inquiries. These scandals highlight areas of abuse or neglect but also can act as an engine for change. This is true across all areas of [read the full story…]
There is considerable evidence that people with learning disabilities in residential settings are prescribed anti-psychotic medication to help reduce behaviours that challenge the service. However, there can be significant side effects from these powerful drugs and for some people these can be as debilitating as the impact of the behaviours. In some instances the effects [read the full story…]
Here at the National Elf Service, we are committed to highlighting and discussing evidence based practice. Our usual approach is to focus posts around a piece of recently published research, but this post is different, responding as it is to the tragic events of last year that led to Connor Sparrowhawk’s death. Just over a [read the full story…]
The use of restrictive interventions should always be as a ‘last resort’ and always in the context of a clear and agreed individualised plan of support. However, the events at Winterbourne View suggested that not only was this not always the case, but that in fact these approaches were sometimes being used to humiliate or [read the full story…]
Last week, the Health and Social Care Information Centre published the findings from the 2013 learning disabilities census. The census was commissioned as one of the 63 initiatives in ‘Transforming Care: A national response to Winterbourne View Hospital’ in response to the abuse at Winterbourne View Hospital. The aim was to provide an audit of [read the full story…]
Background The recent position paper by the Royal College of Psychiatrists on the need for in-patient beds for people with learning disabilities was published as part of the response to the Winterbourne View scandal. The paper made it clear that it was important to make a very clear distinction between the function of in-patient support [read the full story…]
Background Offering choice to patients is at the heart of the NHS, supported by a set of legal rights (see the Choice Framework) and patient led assessments of care environments have been introduced (PLACE) applying to hospitals, hospices and day treatment centres providing NHS funded care. At present this covers only care environments, not clinical care [read the full story…]
