The development of a new integrated mental health service for people with learning disabilities

Hall, Ian; Higgins, Alan; Parkes, Charles; Hassiotis, Angela; Samuels, Sarah E.

doi:10.1111/j.1468-3156.2005.00359.x

Cited by 19 publications

(19 citation statements)

References 6 publications

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“…Carers reported some positive aspects of this experience; however, the overall conclusion was that services were seen as lacking flexibility in meeting the needs of people with intellectual disabilities. A number of models have been reported including services that provide specialist care for people with intellectual disabilities and mental ill health (e.g., Hackerman, Schmidt, Dyson, Hovermale, & Gallucci, ) and those that provide integrated care (e.g., Hall, Higgins et al, ; Hall, Parkes et al, ). There is still not sufficient evaluation of such service structures to be confident about the approach that will work best for people with intellectual disabilities, although studies suggest that distinguishing between the activities of specialist mental health services and well‐functioning multi‐disciplinary intellectual disability teams may be difficult (e.g., Martin et al, ).…”

Section: Introductionmentioning

confidence: 99%

“…There is an increased emphasis on people with intellectual disabilities using mainstream services; however, some authors have suggested that integrated services may not fully meet the needs of people with lower abilities (e.g., Chaplin et al, 2006). For example, Hall, Higgins et al (2006) reported the experiences of people with intellectual disabilities in mainstream community and inpatient mental health services. They reported that people with intellectual disabilities in mainstream inpatient services had more unmet needs and were at greater risk compared with those in community settings.…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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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“…The model we eventually decided upon involved the identification of four beds for people with learning disabilities within a mainstream, 16‐bedded inner‐city psychiatric ward (Hall et al. 2006).…”

Section: Introductionmentioning

confidence: 99%

“…The model we eventually decided upon involved the identification of four beds for people with learning disabilities within a mainstream, 16-bedded inner-city psychiatric ward (Hall et al 2006). Additional staff were deployed to provide in-reach support to this service and additional systems were developed to support appropriate admissions, discharges and longer-term follow up.…”

Section: Introductionmentioning

confidence: 99%

Incorporating the views of service users in the development of an integrated psychiatric service for people with learning disabilities

Parkes¹,

Samuels²,

Hassiotis³

et al. 2007

Brit J Learn Disabil

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Accessible summary• People with learning disabilities have told us what it was like to be looked after in general psychiatric wards and in our local psychiatric ward where four of the beds are for people with learning disabilities. • People who used mainstream wards found it quite frightening to begin with and things were not always explained very well. People who used the local ward were less worried when admitted and settled in quicker. • People who used general psychiatric wards did not always feel that their medication was explained to them properly. People who used the local ward still had some concerns about this but generally felt that medication was explained properly. • Most people said that they got on well with the other people in both types of ward and they felt that social contact with others was one of the most positive things about their admission. • People using both types of ward liked to have one nurse on the ward who they could go to if anything needed to be sorted out. SummaryDuring the 1990s, a decision was made within the Learning Disabilities services of Camden & Islington to develop a local integrated service for people requiring an acute psychiatric admission. There had been little research at the time on the experiences of people with learning disabilities within the type of inner London acute mental health service within which beds were to be located. In order to inform the development of the new service, we undertook to interview a number of service users with learning disabilities who had experienced acute admissions to general psychiatric wards during the previous three years. The information that was provided was then incorporated into the service's development process. Subsequently, a further round of interviews took place with people who had used the new service to determine whether experiences had changed and to identify areas for further service development and improvement.

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“…Hall et al . (2006a) described the development in London of a new integrated service for people with ID.…”

Section: Resultsmentioning

confidence: 99%

Annotation: New research into general psychiatric services for adults with intellectual disability and mental illness

Chaplin

2009

J intellect Disabil Res

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Background There are a variety of models for the mental health care of adults with comorbid intellectual disability (ID) and mental illness. There has been a long-running debate as to whether this should be provided by general psychiatric or specialised ID services. A previous review concluded that there was no clear evidence to support either model with research being often of a poor quality, lacking replication, and outcome measures were often inappropriate or varied between studies. This review aims assess differences in outcome for patients with ID and mental disorders treated in general or specialised ID mental health services. Method A literature review was conducted using electronic databases and websites of ID and mental health organisations to locate all references where people with ID receive mental health care in general psychiatric services from 2003. No metaanalysis was attempted because of the divergent nature of the studies. Results People with ID (especially severe ID) have reduced access to general psychiatric services. General psychiatric inpatient care is unpopular especially with carers but can be improved by pro-

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The development of a new integrated mental health service for people with learning disabilities

Cited by 19 publications

References 6 publications

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

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

Incorporating the views of service users in the development of an integrated psychiatric service for people with learning disabilities

Annotation: New research into general psychiatric services for adults with intellectual disability and mental illness

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