scholarly journals Regional audit of depot neuroleptic usage in adults with learning disabilities

1996 ◽  
Vol 20 (5) ◽  
pp. 289-291 ◽  
Author(s):  
Shaun Gravestock
Keyword(s):  
Learning Disabilities ◽  
Community Based ◽  
Community Learning ◽  
Medication Monitoring ◽  
Adults With Learning Disabilities ◽  
Depot Neuroleptic ◽  
Consensus Standard ◽  
Data Informed ◽  
Community Based Services

A previous survey (Gravestock, 1996) assessed factors associated with depot neuroleptic usage in 79 adults with learning disabilities using mainly community-based services. The data informed consensus standard setting and this audit focusing on 32 out of 79 original subjects. At two year follow-up, five subjects had been withdrawn from depots; there was a significant (P < 0.001) reduction in subjects' median depot dosage and reduced concomitant usage of oral neuroleptics and anticholinergics. The importance of completing the audit cycle and other psychotropic medication monitoring studies in community learning disabilities services are discussed.

An investigation of the delivery of health-related accessible information for adults with learning disabilities

2016 ◽  
Vol 21 (1) ◽  
pp. 15-23 ◽  
Author(s):  
Clare Mander
Keyword(s):  
Learning Disabilities ◽  
Community Based ◽  
Content Type ◽  
Naturally Occurring ◽  
Accessible Information ◽  
Adults With Learning Disabilities ◽  
Health Related ◽  
Community Based Learning ◽  
The Individual ◽  
Implementation Stage

Purpose – People with learning disabilities often require support to fully understand information produced in an accessible format. What happens during the delivery of accessible information (AI) is largely unknown. The purpose of this paper is to examine the implementation stage of the AI process. Design/methodology/approach – Two community-based learning disability nurses and two people with learning disabilities took part in a non-participant observational study of the naturally occurring conversations that took place during the delivery of health-related AI. Conversation analysis was used to explore both vocal and non-vocal behaviours. Findings – Three clusters of episodes were identified: providing the AI, topic development, and consent. The use of AI appeared to provide a script for the delivery of the information; however, practical considerations of topic development and tailoring resources to the individual were evident. For sensitive conversations the use of shared experience and challenges in judging comprehension were apparent. Contradictory goals in the decision-making process were highlighted, presenting potential ethical dilemmas. Originality/value – The delivery of AI allowed for personalisation and appeared to support understanding; however, this was partly reliant on mutual empathy between the nurse and their client.

scholarly journals A follow-up study of adults with learning disabilities and epilepsy

Seizure ◽  
1998 ◽  
Vol 7 (6) ◽  
pp. 469-472 ◽  
Author(s):  
D. Branford ◽  
S. Bhaumik ◽  
F. Duncan ◽  
R.A. Collacott
Keyword(s):  
Learning Disabilities ◽  
Follow Up Study ◽  
Adults With Learning Disabilities

Frequency and predictors of adverse events

1998 ◽  
Vol 173 (5) ◽  
pp. 376-384 ◽  
Author(s):  
Sonia Johnson ◽  
Morven Leese ◽  
Liz Brooks ◽  
Paul Clarkson ◽  
Hilary Guite ◽  
...  
Keyword(s):  
Mental Health ◽  
Adverse Events ◽  
Research Evidence ◽  
Community Based ◽  
Public Records ◽  
Care Services ◽  
Primary Care Services ◽  
Community Based Services ◽  
Major Adverse Events

BackgroundCommunity care has been criticised as a hazardous policy associated with high rates of adverse events. There is little research evidence as to the truth of this claim.MethodBest available evidence from public records, interviews, case notes, key workers and general practitioners was assembled to establish: (a) which of the 514 subjects initially identified as having psychotic illnesses had died during an average follow-up of 4.9 years; (b) care currently received by all 286 subjects originally selected for interview; and (c) rates of major adverse events and of admission for these 286 individuals.ResultsTwenty-eight natural and 11 unnatural deaths had occurred. Among subjects still living at the end of the follow-up, 84% were in contact with specialist mental health services and 11% only with primary care services. Rates of serious violence, imprisonment and homelessness were relatively low. Forty-one per cent had been admitted at least once during a mean follow-up of 3.2 years and 20% at least once under the Mental Health Act. After adjustment, there were no significant differences between standard and intensive care sectors.ConclusionsRates of adverse events and slipping through the net’ are relatively low among individuals receiving community-based services, whether intensive or standard care.

scholarly journals FAMILY CAREGIVER SCREENING IN PRIMARY CARE: CLINICIAN AND CAREGIVER PERSPECTIVES

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S207-S207
Author(s):  
Catherine Riffin
Keyword(s):  
Primary Care ◽  
Primary Care Practice ◽  
Qualitative Content Analysis ◽  
Care Plan ◽  
Care Practice ◽  
Community Based ◽  
Multidisciplinary Practice ◽  
Depth Interviews ◽  
Community Based Services

Abstract Despite broad appreciation of family caregivers’ relevance to older adults’ health care, few primary care-based interventions have incorporated mechanisms to facilitate systematic caregiver identification, screening, and support. Actionable knowledge regarding how such interventions may be incorporated into clinical practice is remarkably limited. This study used in-depth interviews to elucidate clinicians’ (N=25) and caregivers’ (N=20) perspectives on and suggestions for integrating caregiver screening into primary care practice. Transcripts were analyzed using qualitative content analysis. Participants emphasized the importance of tailoring the caregiver screening intervention to local circumstances and to patient and caregiver preferences. They advocated for an action-oriented approach that would link identified risks with a concrete plan for follow-up (e.g., referral to training) and outcomes relevant to the patient’s care plan. Overall, participants advised that integrating the intervention into practice would require the support of multidisciplinary practice staff, stronger connections between medical and community-based services, and appropriate reimbursement for clinicians.

Characteristics of the most expensive residential placements for adults with learning disabilities in South East England: a follow-up survey

2015 ◽  
Vol 20 (2) ◽  
pp. 97-102
Author(s):  
Roy Deveau ◽  
Peter McGill ◽  
Jo Poynter
Keyword(s):  
Learning Disabilities ◽  
Design Methodology ◽  
Individual Characteristics ◽  
The South ◽  
Content Type ◽  
Adults With Learning Disabilities ◽  
South East England ◽  
Practice Development ◽  
Residential Placements

Purpose – The purpose of this paper is to investigate the characteristics of the highest cost residential placements provided for adults with learning disabilities in the South East of England, comparing findings with a previous survey. Design/methodology/approach – Lead commissioners for NHS and Local Authority teams in the South-East of England were asked to provide information on the five highest cost placements that they currently commissioned. Findings – The average placement cost was £200,000 per annum with a range from £81,000 to £430,000 per annum. Individual characteristics of people placed were broadly similar to those identified in previous studies. Originality/value – Significant resources are used to support relatively few individuals. These individuals’ needs and characteristics suggest areas for research and practice development.

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