摘要:

Approximately one quarter of a million European citizens who have mental handicaps also show severe self‐injurious behaviours. The consequences of such behaviour can include secondary infections, physical malformation, the acquisition of additional sensory or neurological impairments, and even death. Severe self‐injury can also lead to people being excluded, neglected, and abused. If services are successfully to face up to the challenge presented by severe self‐injury, they will need to develop ways of accurately identifying and responding to people's unique

ISSN:0261-9997    

DOI:10.1111/j.1468-3156.1990.tb00587.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

This paper explores one possible approach to caring, in a community setting, for people with mental handicaps who exhibit challenging behaviour. The advantages and disadvantages of a special unit and the flying squad approach are addressed. One model of care which attempts to use both approaches is discussed, with the emphasis on individual case management.The model suggested is underpinned by the philosophy of normalisation which seeks to enable service users to participate in community activities as fully as possible. One method of preventing unnecessary admission to a special unit is explored, and the use of a checklist and flowcharts suggests alternative methods of managing individual service users.

ISSN:0261-9997    

DOI:10.1111/j.1468-3156.1990.tb00588.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

Further education, post‐16, for students with profound and multiple learning difficulties is rarely debated. Improvements in educational provision for children with such handicaps, however, has led to an examination of how they will spend their latter years of statutory education.This article describes how one school planned for, and initiated, an integrated programme of further education for four students with profound and multiple learning difficulties in the context of its Further Education Unit for young people with severe learning difficulties. Through a detailed analysis of the daily environmental experiences of each student, a relevant and age‐appropriate curriculum was desig

ISSN:0261-9997    

DOI:10.1111/j.1468-3156.1990.tb00589.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

The respondents for this study were 57 second‐ and third‐year students in Registered General Nurse (RGN) training.Results showed that the students had inaccurate knowledge of people with mental handicaps, underestimating their abilities and problems. Although the attitudes expressed were mostly positive, students' attitudes towards several crucial issues were undecided, namely aggression, sexuality, normality, and independence.These results are only true for the students surveyed, and they cannot be generalised to all RGN students due to differences in curriculum content and students' contact with people who have mental handicaps. Nevertheless, it may be that lessons can be learned that will be for the benefit of people with mental handicaps and RGN students al

ISSN:0261-9997    

DOI:10.1111/j.1468-3156.1990.tb00590.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

Involuntary relocation within long‐stay institutions has been common. Recent policy has led to the rapid contraction of many large hospitals, with consequent disruption to many of the people living in them.Part 1 of this series reviewed the effects of involuntary relocation. This second article describes the principles and procedures adopted at Prudhoe Hospital to minimise the adverse effects of such disturbances on individuals. Personal responsibility by senior officers and carefully thought‐through procedures enabled disruption to be limited to the smallest possible number of people. People who demonstrated a reluctance to move were allowed to make some effective choi

ISSN:0261-9997    

DOI:10.1111/j.1468-3156.1990.tb00591.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

As services for people with mental handicaps move away from institutional methods of care, parents and professionals are becoming concerned with how to monitor and improve community‐based services. “Quality assurance” has departed from the notion of outsiders checking up on a service and has shifted towards more self‐evaluation by “stakeholders”. Stakeholders can include service users, staff, parents, neighbours, and friends.This paper describes how the parents of four young people with mental handicaps and the staff who care for them have joined together to look at the service that is being provided and to plan ways of improving the qual

ISSN:0261-9997    

DOI:10.1111/j.1468-3156.1990.tb00592.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

The present study describes the group treatment of dog phobia in people with mental handicaps. The method was based on that described by Dixon and Gunary (1986) and the aim was to see whether their procedure could be shortened and still remain effective. Eleven sessions were held with a group of six adults. The techniques used included graded exposure, modelling, and video feedback. Fear responses were rated during each session.The results demonstrated that following the sessions all members of the group showed an increased ability to cope with the close proximity of a dog, despite the procedure having been shortened. Some disadvantages of working with a heterogeneous group, and problems of maintenance and generalisation, are discussed.

ISSN:0261-9997    

DOI:10.1111/j.1468-3156.1990.tb00593.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

This article describes briefly how the authors set up and ran a psychotherapy group for eight young adults with mental handicaps to look at interpersonal and sexual relationships. At the outset an attempt was made to anticipate possible problems and to identify ways in which these might be avoided. Despite this, a wide variety of minor difficulties were encountered relating to all aspects of the group. The identification and discussion of these problem areas has been one of the major ways in which the authors have learned from this work, and from which others wishing to set up similar groups might benefit.

ISSN:0261-9997    

DOI:10.1111/j.1468-3156.1990.tb00594.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

ISSN:0261-9997    

DOI:10.1111/j.1468-3156.1990.tb00595.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

Book reviewed in this article:Hortham Relaxation Resources PackDown syndrome — the facts MARGARET C. FLYNNThe challenge of mental handicap in MalaysiaMental handicap: challenge to the Church Edited by Brian Kelly and Patrick McGinl

ISSN:0261-9997    

DOI:10.1111/j.1468-3156.1990.tb00596.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY