Payment by Results (PbR) was introduced into the NHS with the aim of improving efficiency and increasing value for money. The approach uses a national tariff of agreed fixed prices reflecting average prices for procedures. In this article, the authors argue that given that outcome focused approaches to payment by results will be incrementally introduced [...]
The term ‘physical interventions’ refers to ‘any method of responding to challenging behaviour which involves some degree of direct physical force to limit or restrict movement or mobility’ The authors of this literature review set out to look at the current evidence on the use of restraint as an intervention in managing challenging behaviours in [...]
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 [...]
The authors of this study were interested in looking at the use of integrated sports as one strategy for promoting health and social participation of adolescents with learning disabilities. They set out to improve understanding of the factors associated with such integration by carrying out individual interviews with 40 adolescents with learning disabilities and their [...]
Life expectancy of people with Down syndrome has been increasing over the last ten years, with consequent increases in the incidence of morbidity as they age. The authors of this study carried out by Israeli researchers point out that there is not much literature exploring this morbidity or looking at hospitalisation of adults with Down [...]
Rates of mental illness in adolescents with learning disabilities have been reported as higher than those expected in adolescents without learining disabilities. This study set out to look at the prevalence and predictors of mental health needs and service use in adolescents with learning disabilities. They researchers worked with a service-based sample of 75 young [...]
The use of information technology (IT) is now a fundamental part of education. An earlier study of the use of IT by students with learning disabilities in the USA (Wehmeyer et al 2004) found that they were less likely to have access to and benefit from technology than their non disabled peers. This USA survey [...]
Emerson et al’s seminal definition of challenging behaviour identified not only its interactional nature, but also pointed out that people with such issues in their life were at risk of being denied access to regular community activities. The researchers in this study were interested in the gap that they believe exists between what we understand [...]
We have posted before about concerns about the lack of understanding of the operation of the Mental Capacity Act in learning disability services . This report from the Care Quality Commission suggests that those working in the NHS may have similar issues. The report’s authors recommend that the NHS needs better training and more awareness of [...]
Part of a broader programme of work looking at the contribution of learning disabilities nursing, the UK Modernising Learning Disabilities Nursing Review was commissioned and led by the Chief Nursing Officer for Scotland on behalf of the chief nursing officers across the UK to consider the current and future contribution of learning disabilities nursing to [...]
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