Meeting the health needs of older people with intellectual disabilities: exploring the experiences of residential social care staff

2016 ◽  
Vol 25 (3) ◽  
pp. 923-931 ◽  
Author(s):  
Ruth Northway ◽  
Daniella Holland-Hart ◽  
Robert Jenkins
Keyword(s):  
Older People ◽  
Intellectual Disabilities ◽  
Social Care ◽  
Health Needs ◽  
Care Staff ◽  
People With Intellectual Disabilities

scholarly journals Group-based cognitive–behavioural anger management for people with mild to moderate intellectual disabilities: cluster randomised controlled trial

2013 ◽  
Vol 203 (4) ◽  
pp. 288-296 ◽  
Author(s):  
Paul Willner ◽  
John Rose ◽  
Andrew Jahoda ◽  
Biza Stenfert Kroese ◽  
David Felce ◽  
...  
Keyword(s):  
Intellectual Disabilities ◽  
Anger Management ◽  
Care Staff ◽  
Treatment Manual ◽  
Service Users ◽  
Anger Control ◽  
Cluster Randomised ◽  
Cognitive Behavioural ◽  
People With Intellectual Disabilities

BackgroundMany people with intellectual disabilities find it hard to control their anger and this often leads to aggression which can have serious consequences, such as exclusion from mainstream services and the need for potentially more expensive emergency placements.AimsTo evaluate the effectiveness of a cognitive–behavioural therapy (CBT) intervention for anger management in people with intellectual disabilities.MethodA cluster-randomised trial of group-based 12-week CBT, which took place in day services for people with intellectual disabilities and was delivered by care staff using a treatment manual. Participants were 179 service users identified as having problems with anger control randomly assigned to either anger management or treatment as usual. Assessments were conducted before the intervention, and at 16 weeks and 10 months after randomisation (trial registration: ISRCTN37509773).ResultsThe intervention had only a small, and non-significant, effect on participants' reports of anger on the Provocation Index, the primary outcome measure (mean difference 2.8, 95% Cl −1.7 to 7.4 at 10 months). However, keyworker Provocation Index ratings were significantly lower in both follow-up assessments, as were service-user ratings on another self-report anger measure based on personally salient triggers. Both service users and their keyworkers reported greater usage of anger coping skills at both follow-up assessments and keyworkers and home carers reported lower levels of challenging behaviour.ConclusionsThe intervention was effective in improving anger control by people with intellectual disabilities. It provides evidence of the effectiveness of a CBT intervention for this client group and demonstrates that the staff who work with them can be trained and supervised to deliver such an intervention with reasonable fidelity.

Health Status and Activities of Daily Living and Walking in Older People With Intellectual Disabilities

2009 ◽  
Vol 6 (4) ◽  
pp. 282-286 ◽  
Author(s):  
C. Michael Henderson ◽  
James P. Acquilano ◽  
Jon C. Meccarello ◽  
Philip W. Davidson ◽  
Laura M. Robinson ◽  
...  
Keyword(s):  
Health Status ◽  
Older People ◽  
Activities Of Daily Living ◽  
Intellectual Disabilities ◽  
Daily Living ◽  
People With Intellectual Disabilities
Sign in / Sign up

Export Citation Format

Share Document