Deliberate ingestion of foreign bodies as a form of self-harm among inpatients within forensic mental health and intellectual disability services [2018]

Deliberate foreign body ingestion is a significant issue in prison and psychiatric settings. It is associated with serious physical complications, including bowel obstruction, perforation and haemorrhage. Episodes of deliberate foreign body ingestion were identified retrospectively from 5417 incident records from two inpatient forensic services (one mental health and one intellectual

Staff awareness training: improving knowledge and confidence of autism spectrum disorders and intellectual disabilities in a locked rehabilitation unit [2018]

Purpose The purpose of this paper is to present a training package which was delivered to improve staff members’ knowledge and confidence of autism spectrum disorders (ASD) and intellectual disabilities (ID). Design/methodology/approach The training was facilitated in a locked rehabilitation unit for adult males, many of whom had diagnoses of

Violent incidents in a secure service for individuals with learning disabilities: Incident types, circumstances and staff responses [2018]

BackgroundThe issue of violence in secure services has long been recognized both in the UK and worldwide. However, there is currently scarce literature available about violence within learning disability (LD) secure settings. MethodsSecondary data analysis was conducted on violent incidents, using information routinely collected by the staff over a 1‐year

Access to mental health services: The experiences of people with intellectual disabilities [2018]

BackgroundPeople with intellectual disability experience higher rates of mental health disorders than the rest of the population, and expert opinion holds that multiple barriers prevent people with intellectual disability from accessing appropriate services. MethodsA qualitative study was designed to explore the lived experience of barriers and enablers to access to

An investigation of the determinants of quality of life in adolescents and young adults with Down syndrome [2018]

Background Young people with Down syndrome experience varying abilities in activities of daily living, cognitive functioning, behaviour and social skills. The aim of this research was to investigate, from a carer’s perspective, the factors that influenced the quality of life of these young people. Methods Families of young people with

Correlates of burnout among professionals working with people with intellectual and developmental disabilities [2018]

Background Although burnout has been recognised as an important stress‐related problem among staff working with people with intellectual and developmental disabilities (IDD), literature on the subject is limited yet emerging. The aim of this study is twofold: (1) to evaluate the level of burnout within different professions working with IDD;

Underdiagnosis of psychiatric disorders in people with intellectual disabilities: Differences between psychiatric disorders and challenging behaviour [2018]

Background and purpose: The purpose of this study was to assess the level of mental disorders and challenging behaviour in individuals with intellectual disability (ID) supported by specialized services, but without a prior psychiatric diagnosis, and to compare the levels of different disorders depending on the severity of ID. Methods:

Restraint interventions in people with moderate to profound intellectual disabilities: Perspectives of support staff and family members [2018]

Background Due to incompatibilities in communication, it is key that family members and support staff can take the perspective of people with moderate to profound intellectual disabilities (ID) whilst putting aside their own perspectives. Method Ten vignettes describing types of restraint interventions (RIs) were presented to 20 unique pairs of

Is the amount of exposure to aggressive challenging behaviour related to staff work-related well-being in intellectual disability services? Evidence from a clustered research design [2018]

Highlights• There was little relationship between exposure to aggressive CB and staff well-being. • Clustering was evident for emotional exhaustion and positive work motivation. • Comparisons between staff who work in settings with and without aggressive CB are needed. Abstract Background Previous research has demonstrated an association between aggressive challenging behaviour (CB) and

An Independent Investigation Into the Psychometric Properties of the Adult Scale of Hostility and Aggression (A-SHARP) [2017]

Background: The Adult Scale of Hostility and Aggression (A-SHARP) rating scale assesses the frequency/severity (problem scale) and the reactive-proactive motivation (provocation scale) of aggressive behaviors in adults with intellectual disabilities (ID). Items are assigned to five subscales (Verbal Aggression, Physical Aggression, Hostile Affect, Covert Aggression, and Bullying). Although psychometric properties

Intellectual and developmental disabilities and Ontario’s forensic inpatient system: a population-based cohort study [2017]

Individuals with intellectual and developmental disabilities (IDD) in forensic inpatient beds are both complex and understudied. Previous studies have been limited and largely based on smaller clinical samples. We used data from a population-based cohort of Ontario adults with IDD (H-CARDD cohort, n = 66,000) to describe their prevalence in forensic inpatient

Staff awareness training: improving knowledge and confidence of autism spectrum disorders and intellectual disabilities in a locked rehabilitation unit [2018]

Purpose The purpose of this paper is to present a training package which was delivered to improve staff members’ knowledge and confidence of autism spectrum disorders (ASD) and intellectual disabilities (ID). Design/methodology/approach The training was facilitated in a locked rehabilitation unit for adult males, many of whom had diagnoses of

Dual Diagnosis: A Problematic Construct When Applied to Persons with Intellectual Disabilities [2018]

The term dual diagnosis can refer to the co-occurrence of an intellectual disability and a mental disorder. While such a term may have some advocacy rationale aimed at facilitating improved mental health care for those with intellectual disabilities, it is proposed that the construct has flawed underpinnings, and its application

Violent incidents in a secure service for individuals with learning disabilities: Incident types, circumstances and staff responses [2018]

Background The issue of violence in secure services has long been recognized both in the UK and worldwide. However, there is currently scarce literature available about violence within learning disability (LD) secure settings. Methods Secondary data analysis was conducted on violent incidents, using information routinely collected by the staff over

Perceptions of sex offenders with intellectual disability: A comparison of forensic staff and the general public [2018]

Background Existing literature suggests that individuals with intellectual disability are not always held accountable for their actions and forensic staff are unlikely to report their sexually harmful behaviour. Method This research explores how categorization of an offender as having intellectual disability and the framing of an offence as planned or

Risk factors for challenging behaviour and psychopathology in adults with Down syndrome [2018]

Background This study explored the role of demographic, psychosocial, stress and life event‐related risk factors for psychopathology and challenging behaviour in a clinical sample of adults with Down syndrome. Method A convenience sample of adults with Down syndrome seen through a specialised clinic was assessed through interviews and questionnaires specifically

Case study illustrations of a psychological treatment pathway in a secure intellectual disability service [2018]

Purpose The purpose of this paper is to describe in detail the treatment pathway utilised in a male medium and low secure intellectual disability (ID) service. Over the preceding five years, service users have followed the outlined treatment pathway. The current paper offers case study material to illustrate the care