Optimising psychotropic medication use
Tizard Learning Disability Review,Volume 23, Issue 1, Page 22-26, January 2018. Purpose This commentary accompanies Clare et al. ’s study investigating psychotropic drug prescribing for adults with intellectual disability who were referred to specialist community learning disability teams in the east of England. The purpose of this paper is to explore some of the background to psychotropic drug prescribing for people with i ntellectual disability, review important contextual factors that influence prescribing decisions, and consider how we might make the best use of psychotropic drugs in this group. Design/methodology/...
Source: Tizard Learning Disability Review - December 12, 2017 Category: Disability Source Type: research
The use of anti-psychotic and other psychotropic medication in a specialist community service for adults with learning disabilities
Tizard Learning Disability Review,Volume 23, Issue 1, Page 12-21, January 2018. Purpose The purpose of this paper is to examine the extent to which, in the five integrated community teams for adults with learning disabilities (CTLDs) in an English county-wide service, the use of psychotropic medication for service users was based on the presence of an appropriate mental health condition or epilepsy. Design/methodology/approach Adult participants were recruited following referral to one of the CTLDs for assessment, treatment and/or support of a possible mental health and/or behavioural need. Data were collected about part...
Source: Tizard Learning Disability Review - December 12, 2017 Category: Disability Source Type: research
Quality of home life for adults with learning disabilities: the interplay of economic policy and professional practice
Tizard Learning Disability Review,Volume 23, Issue 1, Page 8-11, January 2018. Purpose The purpose of this paper is to provide a commentary on the preceding article describing changing patterns in the provision and take-up of accommodation services for adults with learning disabilities in Ireland, in the context of the types of reductions in funding that have been apparent internationally for some time. Design/methodology/approach The commentary examines some of the implications and discusses some of the underlying quality of life issues implicit in the data presented. It also explores the tensions between owning one ’...
Source: Tizard Learning Disability Review - December 12, 2017 Category: Disability Source Type: research
Change over 12 years in residential provision for adult persons with intellectual disabilities in Ireland
Tizard Learning Disability Review,Volume 23, Issue 1, Page 1-7, January 2018. Purpose The purpose of this paper is to document the impact of major policy changes and reductions in government funding on residential provision for people with intellectual disabilities (ID) in Ireland. Design/methodology/approach Ireland is unique in having a national database of people in receipt of services from specialist ID providers. Information on persons in residential settings from 2005 to 2016 was examined in terms of changes in the types of provision over time and broken down by age groups. Findings From 2011 onwards, cuts in gove...
Source: Tizard Learning Disability Review - December 12, 2017 Category: Disability Source Type: research
CQC inspection reports for acute NHS trusts: are there relationships between the comments in inspection reports regarding people with learning disabilities and CQC hospital/trust ratings?
Tizard Learning Disability Review,Volume 23, Issue 1, Page 56-62, January 2018. Purpose People with learning disabilities are at risk of poor health and premature death. Due to these inequalities, NHS trusts are required to make reasonable adjustments to their care, such as longer appointment times, with the legal duty on them being “anticipatory”. The paper aims to discuss these issues. Design/methodology/approach Secondary analysis of CQC acute hospital inspection reports asking the following research questions: Do CQC inspection reports mention people with learning disabilities? Where issues concerning people with...
Source: Tizard Learning Disability Review - December 12, 2017 Category: Disability Source Type: research
Transforming care: problems and possible solutions
Tizard Learning Disability Review,Volume 23, Issue 1, Page 51-55, January 2018. Purpose The purpose of this paper is to raise issues about Transforming Care (TC) and discuss possible solutions. Design/methodology/approach Reflections and commentary on Transforming Care following Painter et al. ’s article on correlates for the risk of admission to specialist hospitals. Findings Concerns are raised about the initial assumptions of TC, in particular the composition of the inpatient group and impact of the existing legal framework on reducing this population. The lack of cohesion between Care and Treatment Reviews and Car...
Source: Tizard Learning Disability Review - December 12, 2017 Category: Disability Source Type: research
Correlates for the risk of specialist ID hospital admission for people with intellectual disabilities: development of the LDNAT inpatient index
This study confirms the associations between mental health difficulties, challenging behaviour and specialist hospital admissions for people with ID, extending existing research by translating these findings into a clinically usable risk index. (Source: Tizard Learning Disability Review)
Source: Tizard Learning Disability Review - December 12, 2017 Category: Disability Source Type: research
Commentary on “The bounds of liberty: lessons learnt from treating a man with alcohol use disorder, autism and learning disability”
Tizard Learning Disability Review,Volume 23, Issue 1, Page 35-41, January 2018. Purpose In commenting on the issues raised by Drake et al. the purpose of this paper is to discuss three areas of practice: assessing capacity in the presence of intransigence and/or rigid patterns of thinking and behaviour; understanding addiction in this context; and identifying “reasonable adjustments” in the way addiction and substance misuse services are provided to this client group. Design/methodology/approach As well as discussing the issues raised by Drake et al. the commentary refers to a serious case review exploring similar is...
Source: Tizard Learning Disability Review - December 12, 2017 Category: Disability Source Type: research
The bounds of liberty: lessons learnt from treating a man with alcohol use disorder, autism and learning disability
Tizard Learning Disability Review,Volume 23, Issue 1, Page 27-34, January 2018. Purpose A man in his 40s with alcohol use disorder, learning disability and autism was referred to the learning disability team due to anxiety and low mood. He had been abstinent from alcohol for ten years prior to a recent relapse. The purpose of this paper is to describe his case. Design/methodology/approach Treatment was person centred, followed standard practice for clients with alcohol use disorder and targeted harm minimisation. Initially, alcohol consumption reduced; however, at month three, he relapsed. Thereafter, he was repeatedly a...
Source: Tizard Learning Disability Review - December 12, 2017 Category: Disability Source Type: research
Optimising psychotropic medication use
Tizard Learning Disability Review,Volume 23, Issue 1, Page 22-26, January 2018. Purpose This commentary accompanies Clare et al. ’s study investigating psychotropic drug prescribing for adults with intellectual disability who were referred to specialist community learning disability teams in the east of England. The purpose of this paper is to explore some of the background to psychotropic drug prescribing for people with i ntellectual disability, review important contextual factors that influence prescribing decisions, and consider how we might make the best use of psychotropic drugs in this group. Design/methodology/...
Source: Tizard Learning Disability Review - December 12, 2017 Category: Disability Source Type: research
The use of anti-psychotic and other psychotropic medication in a specialist community service for adults with learning disabilities
Tizard Learning Disability Review,Volume 23, Issue 1, Page 12-21, January 2018. Purpose The purpose of this paper is to examine the extent to which, in the five integrated community teams for adults with learning disabilities (CTLDs) in an English county-wide service, the use of psychotropic medication for service users was based on the presence of an appropriate mental health condition or epilepsy. Design/methodology/approach Adult participants were recruited following referral to one of the CTLDs for assessment, treatment and/or support of a possible mental health and/or behavioural need. Data were collected about part...
Source: Tizard Learning Disability Review - December 12, 2017 Category: Disability Source Type: research
Quality of home life for adults with learning disabilities: the interplay of economic policy and professional practice
Tizard Learning Disability Review,Volume 23, Issue 1, Page 8-11, January 2018. Purpose The purpose of this paper is to provide a commentary on the preceding article describing changing patterns in the provision and take-up of accommodation services for adults with learning disabilities in Ireland, in the context of the types of reductions in funding that have been apparent internationally for some time. Design/methodology/approach The commentary examines some of the implications and discusses some of the underlying quality of life issues implicit in the data presented. It also explores the tensions between owning one ’...
Source: Tizard Learning Disability Review - December 12, 2017 Category: Disability Source Type: research
Change over 12 years in residential provision for adult persons with intellectual disabilities in Ireland
Tizard Learning Disability Review,Volume 23, Issue 1, Page 1-7, January 2018. Purpose The purpose of this paper is to document the impact of major policy changes and reductions in government funding on residential provision for people with intellectual disabilities (ID) in Ireland. Design/methodology/approach Ireland is unique in having a national database of people in receipt of services from specialist ID providers. Information on persons in residential settings from 2005 to 2016 was examined in terms of changes in the types of provision over time and broken down by age groups. Findings From 2011 onwards, cuts in gove...
Source: Tizard Learning Disability Review - December 12, 2017 Category: Disability Source Type: research
Going to the Dentist
Tizard Learning Disability Review,Volume 22, Issue 4, Page 230-230, October 2017. (Source: Tizard Learning Disability Review)
Source: Tizard Learning Disability Review - September 19, 2017 Category: Disability Source Type: research
Trends in the provision of residential educational placements available for young people with learning disabilities/autism in England
Tizard Learning Disability Review,Volume 22, Issue 4, Page 222-229, October 2017. Purpose Little is known about the characteristics of residential educational settings for young people with intellectual or developmental disabilities (IDD) in England. Previous research has focussed on the characteristics and experiences of the young people attending such settings rather than the setting itself; therefore, an overview of national provision is needed. The paper aims to discuss these issues. Design/methodology/approach As part of a larger project, data were collected for all residential schools and colleges in England. Data ...
Source: Tizard Learning Disability Review - September 19, 2017 Category: Disability Source Type: research
