Investigating staff knowledge and attitudes towards working with adults with learning disabilities and mental health difficulties

Rose, Nikki; O’Brien, Alexander G.; Rose, John

doi:10.1108/17530180200700031

Cited by 27 publications

(42 citation statements)

References 13 publications

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“…Almost all were familiar with the NSF for mental health (Department of Health, 1999) but unfortunately there is no mention of people with IDs within this document (Clark, 2007;Holland, 2007). This finding supports what was found amongst community-based staff (Rose et al, 2007) and has implications for practice. If clinicians are unaware of their new proposed role and the need to work jointly with ID services, it is perhaps unsurprising that there are reported service boundary issues and resistance to admissions of those with IDs to mainstream care (Hall et al, 2006a;Holland, 2007;Flynn, 2010;Kroese and Rose, 2011).…”

Section: Self-efficacysupporting

confidence: 87%

“…This differed from findings of Rose et al (2007) and Chaplin (1995, 1996) and is perhaps due to the fact that in this study the participants were only asked about those with mild ID. An alternative explanation could be that in this study a wider range of staff were surveyed.…”

Section: Self-efficacycontrasting

confidence: 76%

“…It is possible that what is experienced is perhaps poor self-efficacy or the fact that staff feel that they do not have the extra time that is required to enable a comprehensive assessment of individuals with ID an issue that was raised in Rose et al's (2007) study. Mental health services are reported as being overstretched (Alexander et al, 2001;Rose et al, 2007), rapidly evolving and refocusing (Molodynski and Burns, 2008) and therefore have their own priorities to keep apace with (Flynn, 2010).…”

Section: Bouras and Holtmentioning

confidence: 96%

“…Trainees had negative thoughts feelings and behaviours directed towards themselves and the patients, felt unqualified and unskilled, and had difficulty connecting or feeling they had things in common with the patients. Rose et al (2007) conducted focus groups with community-based psychiatric staff, highlighting they had limited knowledge regarding the policy direction for individuals with ID and felt inadequate regarding their level of skill, training and experience. Rose et al (2007) suggested that similar research should be conducted within inpatient care.…”

Section: Introductionmentioning

confidence: 99%

“…Rose et al (2007) conducted focus groups with community-based psychiatric staff, highlighting they had limited knowledge regarding the policy direction for individuals with ID and felt inadequate regarding their level of skill, training and experience. Rose et al (2007) suggested that similar research should be conducted within inpatient care. Both studies identified concerns about the staff members' ability to communicate with people with ID.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Attitudes and self-efficacy towards adults with mild intellectual disability among staff in acute psychiatric wards: an empirical investigation

Mesa

Tsakanikos

2014

Advances in Mental Health and Intellectual Disabilities

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Purpose -The purpose of this paper is to investigate whether acute inpatient psychiatric staffs' attitudes and self-efficacy towards adults with mild intellectual disability, were different than towards the general mental health population. And whether their understanding of the policy for those with mental illness and intellectual disability differed. Design/methodology/approach -The study is a between-subject design, using a self-administered postal questionnaire. The sample was all qualified staff from the acute inpatient psychiatric provision of an inner London borough. Potential participants were randomly assigned to two research groups, half being given a questionnaire regarding people with intellectual disability and the other half an identical one regarding people with mental illness. Comparisons were made between the two. Findings -The majority of staff were unaware of the current policy direction for adults with intellectual disability although were on the whole in agreement to the idea that they should access mainstream services. Staff overall did not have more negative attitudes to those with intellectual disability although were less likely to empower or encourage self-advocacy. Staff were significantly less confident that they had sufficient training and experience, and in their perceived ability to be able to communicate, assess and treat adults with mild intellectual disability when compared to those with mental illness. Research limitations/implications -The response rate and small sample size is a limitation. Further research could usefully look at whether self-efficacy and attitudes differ in different models of mainstream psychiatric care. Originality/value -Government policy in the UK regarding services for people with intellectual disability advocates for inclusion and equality (Chaplin and Taggart, 2012). Those requiring psychiatric care should access this from mainstream services (.) There are, however, no UK-based studies investigating the views of mainstream acute inpatient psychiatric staff towards their role. Intellectual disability staff have concerns about their attitudes and self-efficacy and it is know that acute care is the setting where most adults with intellectual disability will come across mainstream psychiatric staff. Findings have relevance to managers and staff in both intellectual disability and psychiatric services and could be considered in the context of trying to work together as is the direction of policy.

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Section: Self-efficacysupporting

confidence: 87%

Section: Self-efficacycontrasting

confidence: 76%

Section: Bouras and Holtmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Attitudes and self-efficacy towards adults with mild intellectual disability among staff in acute psychiatric wards: an empirical investigation

Mesa

Tsakanikos

2014

Advances in Mental Health and Intellectual Disabilities

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The Development of a Measure of Confidence in Delivering Therapy to People with Intellectual Disabilities

Dagnan

Masson

Cavagin

et al. 2014

Clin Psychology and Psychoth

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There is increasing emphasis on people with intellectual disabilities receiving services from mainstream mental health services. There is no research describing the experiences and outcomes of people with intellectual disabilities receiving mainstream talking therapy services. The confidence that clinicians have in working with people with intellectual disabilities may be a barrier to them receiving mainstream services. The Therapy Confidence Scale-Intellectual Disabilities is a psychometrically sound scale for measuring the confidence of therapists in working with people with intellectual disabilities and is a useful outcome measure for training clinicians to work with people with intellectual disabilities.

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Cognitive Behaviour Therapy for People with Intellectual Disabilities—How Far Have We Come?

Hronis

2020

J Cogn Ther

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Investigating staff knowledge and attitudes towards working with adults with learning disabilities and mental health difficulties

Cited by 27 publications

References 13 publications

Attitudes and self-efficacy towards adults with mild intellectual disability among staff in acute psychiatric wards: an empirical investigation

Attitudes and self-efficacy towards adults with mild intellectual disability among staff in acute psychiatric wards: an empirical investigation

The Development of a Measure of Confidence in Delivering Therapy to People with Intellectual Disabilities

Cognitive Behaviour Therapy for People with Intellectual Disabilities—How Far Have We Come?

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