Review suggests a combination of reinforcement and response reduction procedures appear effective as treatments for pica

Grapevine

Pica refers to eating objects which are inedible. In people with learning disabilities this may manifest itself as ingesting specific objects, or it may be indiscriminate. The Challenging Behaviour Foundation has produced a factsheet with further information. This review set out to look at the existing literature on treatment of pica. The author uses the [read the full story…]

Review finds antidepressant treatments effective in individuals with Down syndrome but evidence of under treatment

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The authors of this review set out to provide a comprehensive, critical review of the clinically relevant literature concerning depression in Down syndrome (DS) focusing on epidemiology, potential risk factors, diagnosis, course characteristics and treatment. The search was carried out in January 2011 and excluded review articles not adding new information and single case reports.  [read the full story…]

Review finds individual and family characteristics associated with need for urgent respite

shutterstock_14786077 mother playing with two young children

This review of literature set out to explore the issues relating to families relinquishing the support of their family member with learning disabilities, often at a point of crisis. The review looked at situations where the family member is placed by disability services in respite care until suitable permanent accommodation can be organised or indeed, [read the full story…]

Survey finds out of area placements of variable quality with a minority which underperform

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The early 1990s saw the publication of the original Mansell report into services for people with challenging behaviour. This report highlighted the issue of the use of out of area placements to meet the needs of people with learning disabilities and suggested that the continued reliance on such placements would stunt the growth of local [read the full story…]

Review suggests evidence on effectiveness of massage therapy to reduce challenging behaviours is limited

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Challenging behaviour in people with learning disabilities can be highly disruptive for the person and those who provide them with support. This review set out to evaluate the evidence base for massage therapy, used with people with challenging behaviours to induce relaxation. The review aimed to identify whether massage therapy was effective in reducing the [read the full story…]

Review highlights experiences of mental health services by people with learning disabilities

Self-reported stigma was positively associated with psychological distress

The organisation of mental health services for people with learning disabilities, particularly issues relating to inpatient care remains an important area for research. This review of the literature set out to identify recent findings. The review found that people with learning disabilities appeared to be admitted with more severe problems and also received more interventions [read the full story…]

Clinicians should routinely assess the impact of staff psychological factors on clinical interventions for people with learning disabilities

Support

There is a growing literature on the interaction of issues that impact on outcomes for people with learning disabilities who live in supported housing or other residential services. Issues relating to the organisation of supports can play a key role in influencing outcomes. This review of the literature set out to look at these issues [read the full story…]

Review suggests new insights into understanding of fragile X syndrome offered by research

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The author of this literature review set out to explore the literature on the associations between human genome variations and psychological functioning in people with learning disabilities with a specific focus on recent developments reported in studies of people with fragile X syndrome. He suggests that there is now substantial evidence that individuals of all [read the full story…]

Review recommends more controlled studies in evaluation of treatment outcomes for offenders with learning disabilities

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There continue to be difficulties in agreeing on the numbers of people with learning disabilities in the offender population. Estimates range from 2% to 10%. The author of this review set out to look at recent research in the field which includes work on prevalence, developments in appropriate assessments and investigations into the effectiveness of [read the full story…]

Awareness of sexuality as part of identity has not changed restrictive attitudes in services for people with learning disabilities

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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…]