Lower use of mental health services by South Asian people with learning disabilities than white British comparison groups

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The notion of double discrimination, where ethnicity and disability can form a double barrier to those seeking support, has long been recognised. Indeed, there was a clear requirement in the Valuing People strategy to identify resources to address these issues through work streams in local partnership boards. A recent report by the Foundation for People [read the full story...]

Estimated prevalence of sleep problems in adults with learning disabilities varies widely says systematic review

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Life expectancy in people with learning disabilities has increased over recent years, and sleep problems become more common in people who are advancing in years. Sleep problems are also generally more common in people with learning disabilities than those without. The authors of this systematic review were interested to look at the way in which [read the full story...]

Review finds insufficient evidence base for the view that violence, sexual, or criminal risk can be predicted

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Normally, we at the Learning Disabilities Elf like to look at learning disability specific research, but we thought this review of the utility of risk assessment tools was interesting and relevant to people with learning disabilities who come into contact with psychiatric and criminal justice services. Risk assessment research stresses the dynamic nature of predictors [read the full story...]

Challenging behaviour training may change carer attributions whether or not these are the focus of training

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We have posted previously about the impact of carer attributions regarding the behaviour of people with learning disabilities and the impact these can have on carer responses. The authors of this systematic review were interested in the effects of carer training in challenging and complex behaviour. The researchers searched the literature and included papers that [read the full story...]

Review highlights need for specific models to measure quality of life for people with learning disabilities

Analysis showed significant lack of robust evidence on impact or cost effectiveness

A key indicator of service outcomes for people with learning disabilities is quality of life. However, there continues to be debate in the literature about the best way to define this and the best way to measure it. Most of the major service providers in the UK for example have some form of routine outcome [read the full story...]

Organisational climates with good person-environment fit have reduced burnout in services for people with learning disabilities

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Stress associated with working to support people with learning disabilities has been reported as a factor in staff burnout. This review of literature aimed to investigate whether there was a relationship between organisational climate and staff burnout. The search identified 21 articles which were included in the review. These were separated into two categories. The [read the full story...]

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Little is known about public attitudes to people with learning disabilities from current research

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National policy relating to the support of people with learning disabilities has social inclusion as a key aim. The success of this aim is affected by the response of the general public. The author of this review set out to look at general population based research into awareness, attitudes and beliefs regarding learning disabilities from [read the full story...]

Health checks are effective in identifying unidentified conditions and lead to targeted actions to address health needs

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One of the components of policy to improve the health of people with learning disabilities is the recommendation that people should receive annual health checks. Following the introduction of a Direct Enhanced Service in England in 2008 to deliver annual health checks, progress has been made in increasing access to checks across primary care trusts [read the full story...]

Melatonin administration in autism spectrum disorder improved sleep parameters, daytime behaviour and had minimal side effects

Sleep

The researchers in this review looked at findings related to melatonin in autism spectrum disorders (ASD), including autistic disorder, Asperger syndrome, Rett syndrome, and pervasive developmental disorders, not otherwise specified. From a search of databases, they were able to find 35 studies that met review’s inclusion criteria. It was possible to perform a meta-analysis on [read the full story...]

Call for guidelines on role of physical conditions in challenging behaviour

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Physical factors can be a cause of some challenging behaviours in people with learning disabilities and this systematic review set out to determine what these conditions might be. The search covered the period 1990 and 2008and identified 45 studies. These looked at general medical conditions, motor impairment, epilepsy, sensory impairment, gastrointestinal disease, sleep disorders, dementia [read the full story...]