A systematic literature review was undertaken to determine the evidence base underpinning the strategy of Self Directed Support and whether evidence demonstrates that this policy is accessible to everyone with a learning disability. It also sought to identify whether there were any barriers to Self Directed Support for people with severe or…

The aim of this review is to synthesise findings from research about the experiences of people with learning disabilities who have faced arrest and jail time. After an extensive search of the literature, four relevant articles were found. The first-person accounts presented in these four studies were pooled, and a thematic analysis was undertaken.…

This paper reports on the key findings from a review of the literature on future planning for adults with a learning disability who live with older parents and carers. This area has gained attention in recent years, owing to the improved life expectancy of people with a learning disability and the increasing number who now outlive their parents.…

People with an intellectual disability are living longer, and the numbers continue to rise. Ireland has and is seeing a dramatic change in the age pro?le of clients and the support services they require. While Ireland had speci?cally trained nurses in intellectual disability, they predominately work in residential settings. This can be seen as…

Estimates suggest that around a quarter of adults with learning disabilities living in the community have difficulties controlling their anger. Angry or aggressive behaviour can have serious repercussions, including loss of residential or day placements, admission to hospital and reduced quality of life. In addition, the psychological well being…

Past research indicates that newspaper representations of developmental disability reinforce negative stereotypes. The aim of this study was to examine depictions of autism in British newspapers. A qualitative content and discourse analysis of newspaper accounts of autism was conducted over four 1-month time points, every 3 years, between May 1999…

The dual disability literature is marked by a lack of reviews with respect to assessment of specific aetiological groups. The current review summarises the wide body of literature relevant to the assessment of psychiatric and behavioural problems in people with Down syndrome. Adequate assessment within this population requires knowledge, not only…

The article begins with a critical look at the existing literature explaining self-injury by people with significant learning disabilities and self-harm by those with mental health difficulties. It suggests that the different conceptualizations are perhaps less distinct than might initially appear, and that behavioural similarities between those…

The purpose of this article is to review the literature on issues surrounding the sexuality of people with moderate to severe learning disability (SLD), and evaluate available assessment and training methods. This research arose from an increasing number of referrals for clinical intervention in the training and education of appropriate social and…

Background: Buccal midazolam is widely used in children for the emergency treatment of epilepsy, and these children are graduating into adult learning disability services. Aims: The aim of this paper was to appraise the evidence for buccal midazolam as a treatment for prolonged seizures in adults with learning disabilities. Method: A literature…

In his capacity as a Clinical Psychologist the author provides psychological support to people with learning disabilities living in hospital and in the community. Frequently, the problem behaviour highlighted in referral letters (such as sexualized behaviour, anger management or self-harm) is formulated as relating to a past history of abuse and…

Whilst there has been an increase in research and clinical attention relating to the accused person or offender with a learning disability in the criminal justice system, some major areas require further inter-agency effort. These areas include: better identification of this group, increased education and training for criminal justice personnel,…

This article discusses the concept of choice and how our aspirations to promote choice for people with learning disabilities are undermined by conceptual confusion. It then examines environmental influences on choice, including staff behavior and other social influences on choice, and characteristics of service users and their influences on…

This article highlights the fact that to date, emphasis has been upon promotion of the expressive communication skills of a person with a learning disability and challenging behavior. It is suggested that practitioners need to pay closer attention to the neglected and largely unmet need of receptive communication difficulties. (Contains…

This article raises critical issues that need to addressed while considering the future needs of people with Down syndrome and dementia, along with suggestions as to how they may be met. It discusses dementia diagnosis, staff training, the family's role, advantages of health screening, and difficulties in collating accurate information. (Contains…