Dave O’Regan reports on a recent cluster RCT of staff training in positive behaviour support to reduce challenging behaviour in adults with intellectual disability.[read the full story...]
Hannah Morgan reflects on a literature review of empirical evidence and wider social research, which seeks to place the abuse of people with learning disabilities in a broader cultural context.[read the full story...]
Training for staff in understanding and responding to challenging behaviour – must be a good thing… But how much do we know about the impact of this training on subsequent staff performance and levels of challenging behaviour?
Here, Louise Phillips looks at a review of the literature that set out to explore these questions in more detail.[read the full story...]
The Bubb report has now been published. It recommends a new commissioning framework for services provided for people with learning disabilities and/or autism who are currently in inappropriate hospital units.
Here we take a look at the recommendations and ask if it is enough to bring about the change that is so clearly needed.[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…]
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…]
We have posted previously about positive behaviour support (PBS) which includes a range of approaches based upon person centred values which use quality of life improvements for the person as an intervention and an outcome measure. This Irish study set out to look at the components of positive behavioural support interventions to try to identify [read the full story…]
How best to support people with severe learning disabilities and challenging behaviour is a question that has been thrown into sharp relief by the Winterbourne View scandal and subsequent pronouncements by Government about improving care for vulnerable adults. Clearly, managing risk and reducing harm are key components of the answer, but whilst necessary, will not [read the full story…]
We have posted previously about the use of physical interventions in services for people with learning disabilities and challenging behavioiur, with BILD estimating their use in around half of all people with learning disabilities and challenging behaviour. (BILD link). The researchers in this organisational case study were interested in whether the adoption of organisation-wide positive [read the full story…]
Self injurious behaviour in people with learning disabilities can have a major impact on quality of life, in addition to physical harm. Positive behaviour approaches have been showing some degree of success in supporting people with self injurious behaviour, and this case study investigated the possibility of combining pharmacological strategies with positive behaviour support plans. [read the full story…]