Roy Deveau

University of Kent | KENT · Tizard Centre

Background Restrictive practices are used frequently by frontline staff in a variety of care contexts, including psychiatric hospitals, children’s services, and support services for older adults and individuals with intellectual and developmental disabilities. Physical restraint has been associated with emotional harm, physical injury to staff and...

Background As practice leaders, frontline managers observe staff working, provide feedback and use organisational structures to improve staff skills and focus on service‐user quality of life. This qualitative study explored the experiences and barriers for frontline managers providing practice leadership to staff in community services for adults wi...

Background: Restrictive measures (RM) are prevalent in services for people with intellectual disabilities. This study investigates managerial awareness of RM and the nature of organisational supports required to reduce their use. Method: A survey asked front-line managers and staff what (RM) were used, their purpose, impact and importance (10-it...

Intellectual disability (ID) is an emerging field of research in Nigeria. This review seeks to identify what has been published in order to describe the evidence and to identify the major gaps in knowledge and practice. A systematic search of five databases and an African disability journal yielded 15 papers that reported on empirical studies relat...

Background: It is estimated that over 75.0% of households in sub-Saharan Africa are involved in agriculture, and the majority of the poor in rural areas rely on agriculture for their livelihoods. One billion people living with disabilities in low- and middle-income countries are argued to make up the poorest of the poor, yet to our knowledge, no li...

Background Community services for Swedish people with intellectual disability (ID) are intended to support self-determination and integrity. Legislation does not allow the use of restrictive or coercive measures. Aim The aim of this study is to identify the extent of, rationale for, and strategies staff believe would reduce the use of restrictive...

Purpose Nobel Prize winner Daniel Kahneman’s work on modes of “thinking” provides a comprehensive text which is little explored in respect of work with people who have an intellectual or developmental disability. This paper aims to explore the potential of this work to change staff development and practice. Design/methodology/approach Key themes f...

Background It is mandatory for staff in Swedish community services for people with intellectual disabilities to report incidents of error or malpractice. Aim The aim is to study if incident reports contribute to developing quality in services for people with intellectual disabilities who present with challenging behaviours. Method 159 reports on...

Purpose Concerns about the overuse, misuse and potential abuse of restrictive interventions used to manage people who may exhibit behaviour described as challenging led to revised guidance in England. The purpose of this paper is to examine the implementation of this guidance in organisations providing services for people with learning disabilities...

Very little is known of the activities of the most senior managers in organisations providing social care in the community to people with intellectual disabilities. Yet the importance of the focus and activities of senior managers in directing and supporting staff practice and staff experiences is likely to be central to an organisation's functioni...

Accessible summary • We looked at staff working with people with a learning disability and challenging behaviour. We tried to find out if managers' help their staff to work better. • We looked at how often staff saw their manager and if their manager tried to help their staff to work better or spent more time doing office work. • We found out that...

An accessible account of how frontline staff teams can reduce use of restrictive practices for people with intellectual disabilities. A practice focussed book for frontline practice leaders and teams.

Testing the validity and reliability of a new measure of low arousal.

Background: Improving the quality of social care through the implementation of setting-wide positive behaviour support (SWPBS) may reduce and prevent challenging behaviour. Method: Twenty-four supported accommodation settings were randomized to experimental or control conditions. Settings in both groups had access to individualized PBS either vi...

Background and aims: Practice leadership (PL) style of frontline management has been shown to be associated with better experiences for staff working with people who may exhibit challenging behaviours (Deveau & McGill, 2014). This study aimed to examine additional staff experience factors with a different, larger sample and to partially replicate...

Purpose – The purpose of this paper is to provide a commentary on Rhodes and Toogood’s article on the possible relationship between Active Support training and staff job satisfaction. Design/methodology/approach – Rhodes and Toogood unusually and importantly include outcomes for both frontline staff and service users following an Active Support in...

Purpose – The purpose of this paper is to investigate the characteristics of the highest cost residential placements provided for adults with learning disabilities in the South East of England, comparing findings with a previous survey. Design/methodology/approach – Lead commissioners for NHS and Local Authority teams in the South-East of England w...

AimThe aim was to examine the impact of post restraint reduction meetings upon the frequency and restrictiveness of restraint use in English children's residential services.Background Attention has been drawn to the misuse, overuse and safety of some techniques used to physically restrain children in residential services. Successful interventions t...

Abstract Background The aim of this research was to explore the impact of a particular management style called practice leadership upon the experience of staff working in services for people with intellectual disability and challenging behaviour. Such staff have been shown to experience high stress and lack of job satisfaction. Support by the immed...

Background: The experiences of service users who have been subject to restrictive physical interventions are largely unreported in the literature. Those studies that do exist report mainly negative emotions and responses. Method: A qualitative method was used to analyse eight semi- structured interviews with service users who had either directly ex...

Accessible summary• People living in a home should not be restrained unless they are really hurting themselves or somebody else.• People living in a home should be helped to manage their own behaviour without being restrained.SummaryThe development of restrictive physical interventions (RPI) to manage challenging behaviours based upon control and r...

Background Perceived problems around the use of physical intervention (PI) to manage challenging behaviour have led to UK initiatives to encourage policy development and accredited training. However, information on PI use and the impact of these initiatives remains limited. Method Adult residential services within an English region were sent a ques...

The Tizard Centre is one of the leading academic groups in the UK working in learning disability and community care. The Centre's primary aims are, through our research, teaching and consultancy, to: find out more about how to support and work with people effectively help carers, managers and professionals develop the values, knowledge and skills t...