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…

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…