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Ryan Holmes; Lucy Kearney; Sheetal Gopal; Inderpal Daddi – British Journal of Learning Disabilities, 2024
Background: The STOMP agenda (Stopping Over-Medication of People with learning disabilities, autism, or both) drew focus to individuals with a diagnosis of a learning disability being prescribed psychotropic medication to manage 'behaviours that challenge'. The following study is an audit of two community learning disability services in the London…
Descriptors: Drug Therapy, Behavior Modification, Behavior Problems, Learning Disabilities
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Jonathan Williams; Saman Shahzad; Mizla Manandhar-Richardson; Sujeet Jaydeokar; Vicky Bramwell; Adam Garland; Christine Hutchinson; Mahesh Odiyoor – British Journal of Learning Disabilities, 2024
Background: There has been significant focus in the past decade on reducing admissions to assessment and treatment units for people with intellectual disabilities experiencing mental health or behavioural concerns. This has included the development of intensive support functions of National Health Service Learning Disability services to bolster…
Descriptors: Rehabilitation, Adults, Intellectual Disability, Mental Disorders
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Sutton, Julie E.; Huws, Jaci C.; Burton, Christopher R. – British Journal of Learning Disabilities, 2019
Background: Sleep hygiene education (SHE) is a familiar intervention for addressing behavioural sleep problems in children with developmental disabilities that involves advising parents on sleep-promoting behaviours; however, it is supported by a limited evidence base. Materials and methods: This exploratory study aimed to enhance qualitative…
Descriptors: Sleep, Hygiene, Intervention, Behavior Problems
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Nancarrow, Thomas; Rencher, Joshua; Wilcock, Mike; Bonell, Simon; Wolke, Tony; Shankar, Rohit – British Journal of Learning Disabilities, 2019
Background: Intellectual disability (ID) is associated with polypharmacy particularly off-label psychotropics for "challenging behaviour." NHS England introduced the "stopping over medication of people with a learning disability (LD), autism or both" (STOMP) initiative. As ID services are a professionally diverse group, it is…
Descriptors: Intellectual Disability, Learning Disabilities, Correlation, Drug Therapy
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Jones, Serena Anusha; Finch, Moyra – British Journal of Learning Disabilities, 2020
Background: Mindfulness-informed interventions are increasingly being offered to individuals with learning disabilities. The current paper aims to reflect on the provision and effectiveness of a group intervention incorporating mindfulness-informed techniques and relaxation strategies. Method: Nine group attendees with mild learning disabilities…
Descriptors: Metacognition, Group Activities, Intervention, Relaxation Training
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Mc Gill, Ciara; Breen, Cathal J. – British Journal of Learning Disabilities, 2020
Introduction: Adults with complex needs and severe learning disability present as a serious management problem within the community. Restrictive interventions are often used to manage adults with these issues, even though best practice recommends the use of positive behaviour support. Positive behaviour support involves functional analysis, but it…
Descriptors: Adults, Behavior Modification, Behavior Problems, Intervention
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Niven, Abigail; Goodey, Rebecca; Webb, Alison; Shankar, Rohit – British Journal of Learning Disabilities, 2018
Background: The use of psychotropic medication to manage challenging behaviours of people with intellectual disabilities is a contentious issue which NHS England has now focused on. This paper looks to evaluate this within the multidisciplinary context. Method: Records of clients (n = 106) open to a Community Intellectual Disabilities team for…
Descriptors: Drug Therapy, Behavior Problems, Intellectual Disability, Interdisciplinary Approach
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Graham, Yitka N. H.; Gerrard, David; Laight, Samantha; Brown, Rebecca; Keith, Sarah; Hayes, Catherine – British Journal of Learning Disabilities, 2020
Background: The issues surrounding the prescribing and monitoring of medications for people with learning disabilities and behaviours deemed to be challenging, and are complex in their management for patients, healthcare professionals and carers. The aim of the study was to explore the impact of the pharmacist independent prescriber on a…
Descriptors: Health Personnel, Pharmacy, Drug Therapy, Intellectual Disability
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Leaning, Brian; Adderley, Hope – British Journal of Learning Disabilities, 2016
Raymond, a 62 year old gentleman diagnosed with severe and profound learning disabilities, autistic spectrum disorder and severe challenging behaviour, who had lived in long stay campus-based hospital accommodation for 46 years was supported to move to a community project developed to support people to live in their own bespoke flat. This…
Descriptors: Hospitals, Residential Care, Males, Severe Disabilities
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McKenzie, Karen; Whelan, Kathryn J.; Mayer, Claire; McNall, Anne; Noone, Steve; Chaplin, Jill – British Journal of Learning Disabilities, 2018
Background: There is a growing evidence base about the effectiveness of positive behavioural support (PBS) in relation to behaviours that challenge (CB). There is, however, limited research from the perspective of individuals receiving this support. The objective of this qualitative study was to obtain the views of participants with an…
Descriptors: Intellectual Disability, Positive Behavior Supports, Attitudes, Foreign Countries
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Deveau, Roy; McGill, Peter – British Journal of Learning Disabilities, 2019
Introduction: Research has shown a positive relationship between practice leadership (frontline management focused upon supporting staff to work better) and better staff experiences of working with people with learning disabilities who may show challenging behaviours. However, little is known regarding the impact of frequency and accessibility of…
Descriptors: Community Services, Learning Disabilities, Administrators, Foreign Countries
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Sheehan, Rory; Kimona, Kate; Giles, Audrey; Cooper, Vivien; Hassiotis, Angela – British Journal of Learning Disabilities, 2018
Background: There is relatively little published data that report the experiences and views of family carers of people with intellectual disabilities who display challenging behaviour who are prescribed psychotropic medication. Materials and methods: An online structured questionnaire was created by the Challenging Behaviour Foundation, a UK…
Descriptors: Online Surveys, Caregivers, Intellectual Disability, Drug Therapy
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Hewitt, Olivia; Keeling, Natalie; Pearce, Malcom – British Journal of Learning Disabilities, 2016
Between 10% and 15% of people with a learning disability have behaviour that challenges others, and half of these people live within the family home (Emerson et al., "Research in Developmental Disabilities," 2001; 22, 77). Current best practice in managing challenging behaviour combines person-centred planning, functional analysis, and…
Descriptors: Learning Disabilities, Positive Behavior Supports, Training, Behavior Problems
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Iemmi, Valentina; Knapp, Martin; Gore, Nick; Cooper, Vivien; Brown, Freddy Jackson; Reid, Caroline; Saville, Maria – British Journal of Learning Disabilities, 2016
Background: We describe current care arrangements in England for children, young people and adults with learning disabilities and behaviour that challenges, and estimate their comparative costs. Materials and Methods: A two-round Delphi exercise was performed in March and April 2014, followed by a costing exercise. Results: The study finds a mixed…
Descriptors: Foreign Countries, Children, Youth, Adults
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Hodge, Nick – British Journal of Learning Disabilities, 2015
"Positive handling" has become a popular intervention within education and other services in England in the management of behaviours that challenge. This paper uses a vignette of an observation of the handling of children with autism as a starting point for consideration of whether this practice can ever really be experienced as positive…
Descriptors: Autism, Childrens Rights, Behavior Problems, Disabilities
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