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Physical interventions governance audit identifies value of multi disciplinary overview

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The use of physical interventions for people with learning disabilities must be within a locally agreed policy framework and as a last resort. Commissioners of services need to be assured that their use is appropriate and that good quality monitoring is taking place. The researchers in this study looked at the work of good practice [read the full story…]

Short term exercise programme reduces anxiety states in people with learning disabilities

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A state of high anxiety can have an impact on daily living. For people with learning disabilities, anxiety can be common and persistent anxiety can significantly affect people’s quality of life. There is a literature on effects of exercise on reducing anxiety, but the researchers in this study point out that there has been little [read the full story…]

Systematic adoption of positive behavioural support across a service system was associated with reductions in physical interventions

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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…]

Clozapine use in women with borderline personality disorder and mild learning disability reduced rates of self injury and use of restraint

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Clozapine is an atypical antipsychotic medication used to treat the symptoms of schizophrenia, most usually used as a treatment of last resort where people have not responded to other anti-psychotic treatments. It has a number of severe side effects including and can also cause the excessive production of saliva and weight gain.. The researchers in [read the full story…]

Dutch policy makers look to international experience to help reduce the use of restraints in people with learning disabilities

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Recently in the Netherlands, Dutch TV showed footage of a teenager known as ‘Brandon’ who was resident in a long stay institution. Because of his challenging behaviour, he was managed in this institution by the use of a harness, which was attached via a leather strap to a metal bracket on the wall. Dutch psychiatrists have [read the full story…]

Staff injuries as a result of physical interventions in forensic learning disabilities services analysed

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Earlier this week we have looked at the reports into the Winterbourne View scandal, which identified some appalling practice by staff at the home. Today, we are looking at some research that focuses on the potential for injury of staff who are involved in physical interventions. Physical interventions are defined as responses to challenging behaviour [read the full story…]

Can online fantasy games help young people overcome depression?

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Computerised cognitive behavioural therapy is a popular topic for research at the moment. We’ve seen a number of systematic reviews and large scale trials published over recent years, but the vast majority focus on adults with depression, so it’s hard to know how applicable the results are to adolescents. Of course, most young people are [read the full story…]

Peer guided exercise helps to improve fitness and social integration in adolescents with learning disabilities

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We have posted elsewhere on this blog about the issue of overweight and obesity in people with learning disabilities, with the evidence about the extent of this problem building with every new study. The researchers in the study however, were looking at a particular approach to dealing with the issue through a programme of peer-guided [read the full story…]

People with learning disabilities experience physical interventions as painful and emotionally distressing

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Physical interventions are still widely used in learning disability services, with BILD estimating their use in around half of all people with learning disabilities and challenging behaviour. The experience of people with learning disabilities of such interventions is not something that has been reported widely in the literature, but the researchers in this study set [read the full story…]

Aggressiveness did not predict use of restraint in Dutch institution for people with learning disabilities

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We have posted previously about the use of physical interventions in services supporting people with learning disabilities, drawing attention to the high levels of use in people described as having challenging behaviour. The researchers in this study in the Netherlands set out to look at the antecedent factors of restraint in people with learning disabilities [read the full story…]