Purpose – The purpose of this paper is to discuss a project that explored why mainstream rape support services are still failing to meet the needs of women with learning disabilities. Principles of co-production and action learning enabled a group of women, including women with learning disabilities, to share knowledge and skills and develop easy-read information leaflets. Design/methodology/approach – The project included representatives from a university, a third sector organisation and a rape crisis centre. Action learning methods were used to bring together a broad range of experience and expertise. The project was co-led by a woman with a learning disability and a lecturer in social work with people with learning disabilities. Findings – Three organisations had been toiling with a similar issue, that of responses to women with learning disabilities who had been raped. All had previously examined the problem from their own perspectives. An action learning process enabled them to explore the issues from a range of experiences, sharing knowledge and expertise and enabling them to begin to develop better service responses. While co-production may highlight competing priorities in and between organisations, it can also provide the means of managing these tensions. Social implications – The project demonstrated the importance of co-production. Working together led to a shared understanding of the barriers experienced by women with learning disabilities who experience rape and of the challenges faced by workers who aim to support them. This shared understanding enabled the action learning set to develop bespoke training and literature. Originality/value – The project demonstrates the importance of working with people with learning disabilities in order to develop services that truly meet their needs.

Accessible summary• When people report being sexually assaulted they can be examined by a specially trained doctor to see how the assault might have affected them. They may also ask for help from a counsellor or other specially trained support workers. These staff might belong to a sexual assault referral centre (SARC).• This study reports findings from work that staff from St Mary's SARC in Manchester did so that they could improve the services they offer to people with learning disabilities who have been sexually assaulted.• A staff survey showed that staff thought they might not always recognise if a person had learning disabilities or another learning difficulty like dyslexia. We wonder if knowing the difference is as important as knowing how to support people well.Looking at patient notes showed that patients with learning disabilities received less follow-up care than patients without learning disabilities.• This study describes the first step that the SARC team took to improve their service. Improvements have been made based on these first findings, including some of those recommended by staff in their surveys. These will be reported in another paper to see if they have made a difference to people with learning disabilities. AbstractBackground: People with learning disabilities are more likely to experience sexual abuse and less likely to access support than the general population, this is due to a range of variables at the individual, societal and service-delivery level. This study presents a service evaluation of St Mary's Sexual Assault Referral Centre, Manchester to explore its ability to provide meaningful support to people with learning disabilities and to identify ways to improve its responses. Materials and Methods:The service evaluation had two components: (i) A staff survey to elicit self-perception of the knowledge and skills required to meaningfully support people with learning disabilities who attended the centre following an allegation of rape or sexual assault (ii) An audit of patient notes to compare service delivered to patients with a learning disability to those without.Results: Forty-two members of staff (over 75% response rate) completed the survey which found a lack of differentiation between learning disabilities and other types of neurodiversity. The majority of responders reported having enough knowledge about | 239 OLSEN Et aL.

Services for offenders who have learning disabilities are generally provided in secure and medium secure units. These services are often provided in segregated and congregated settings using therapeutic interventions. This paper presents a case study of a housing‐based service provided within the community, based on developing valued social roles for vulnerable people.In 2003 the then Labour government in the UK sought to align all of the state benefits paid to people who were not in work due to disability and other disadvantages. The resulting ‘transitional housing benefit’ integrated housing benefit and other support grants, with the aim of providing vulnerable people and service providers with a single point of reference when it came to the funding of accommodation and support. The service is based on the principle of normalisation (Wolfensberger, 1972; Tyne & O'Brien, 1981), the theory of social role valorisation (SRV) (Wolfensberger & Thomas, 1983; Wolfensberger et al, 1996; Race, 1999) and O'Brien's Framework for Accomplishment (O'Brien, 1987) and provides a credible alternative to more traditional approaches.The paper provides a critical introduction to SRV and O'Brien's Framework and how their principles have been used to support people with complex needs. It discusses some of the structures and attitudes prevalent in society or, as Wolfensberger calls them, the ‘domains’ and ‘major channels’ by which people with learning disabilities are oppressed.The case study includes examples of practice and shows some interesting differences in patterns of referral and destination routes for males and females and concludes with some implications for practice.

Purpose – The purpose of this paper is to reflect on “Narrative therapy in a learning disability context: a review”. Design/methodology/approach – This commentary reflects on the use of Narrative therapy and considers it in the wider context of assisting people with learning disabilities to develop self-understanding. The commentary makes connections between the use of Narrative therapy and narrative approaches to research reporting. Findings – The use of Narrative therapy can assist in the development of positive personal stories for individuals with learning disabilities. Case study research provides a useful reference point from which to develop future work. Reporting of case studies sometimes omits data that might be useful for others attempting to replicate findings. Originality/value – This paper highlights the need for authors to ensure that the “small details” are included in research reporting. A narrative approach, rich in detail of research participants might enable authors to tell a “thicker” story, thus improving generalisability.

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