Community Learning Disability Teams: perceived effectiveness, multidisciplinary working and service user satisfaction

Institute of Nursing Research, University of Ulster, Ireland.
Journal of Intellectual Disabilities 01/2008; 11(4):329-42. DOI: 10.1177/1744629507085271
Source: PubMed


The locus of care for people with learning disabilities has shifted from institutional/residential care to community care, with Community Learning Disability Teams (CLDTs) providing support for people with learning disabilities, and their family caregivers, in the community. A survey of the perceived effectiveness of 145 CLDT members, 27 family caregivers and 21 people with a learning disability was undertaken. Findings suggest high levels of perceived effectiveness with the services provided by the CLDTs, but caregivers gave the lowest satisfaction ratings. Although overall effectiveness was rated highly there is no room for complacency. There was limited evidence to support the view that multidisciplinary CLDTs are more effective than unidisciplinary teams. Further research is required in this area and ongoing evaluation of the effectiveness of CLDTs is suggested.

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Available from: Laurence Taggart, Jun 03, 2015
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    • "It is acknowledged, however, that the needs of some people cannot be met by mainstream services alone. As a result there is a need to provide effective specialist health services, which include inpatient and community-based assessment and treatment services, community learning disability teams and other additional support teams with a remit to support access to primary care and general hospitals (Brown and MacArthur, 1999; Slevin et al., 2007; Gibbs et al., 2008 "
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    ABSTRACT: This paper contributes to the growing debate relating to meeting the health needs of people with learning disabilities when accessing general health services. It is set within the context of a population that has historically experienced poor care and treatment. This is despite legislation to protect vulnerable groups and clear government policies setting out the need to support people with learning disabilities to lead full and equal lives, providing additional support when needed. The evidence surrounding the health needs of people with learning disabilities is presented, along with the resultant implications for health services. This is set alongside emerging evidence that seeks to address the shortfalls and failings that, in some cases, are known to have contributed to premature and often needless death. Particular focus is given to a study that has evaluated the impact of learning disability liaison nursing services that have been developed to support the care of people with a learning disability to access hospital services. This paper stresses the need to further develop and evolve the research evidence base on what works to improve the health of people with learning disabilities, enhance their experience of care and minimise the risk of harm.
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    ABSTRACT: In response to rising local need and national drivers such as the Mansell Report, an isolated inpatient ward for people with an intellectual disability and additional mental health and behavioural problems was developed into a more flexible service integrating inpatient beds, day assessment, outreach and the local community learning disability teams. The functioning of the new service is evaluated on the basis of the way it was utilized in its first 2 years, and its outcomes, and compared with the pre-existing, more traditional inpatient ward. Although the new service model treated a higher number of people, it was more able to prevent or shorten inpatient admissions and to prevent placement breakdown and reduce aggressive incidents amongst inpatients during their stay. The integrated model described, whilst not being immune to the problem of delayed discharge, has in its first 2 years been a more effective, more flexible and safer service than the previous more traditional model.
    No preview · Article · Mar 2011 · Journal of Intellectual Disabilities
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    ABSTRACT: Forward On behalf of the research team, I am pleased to introduce this report which presents the findings of a regional evaluation entitled: The provision of community nursing support for persons with an intellectual disability and palliative care needs. The broadening of the World Health Organisation (2002) position on palliative care, developed to include the provision of palliative care for all persons with a life threatening illness regardless of diagnosis, has resulted in increased numbers of patients and families accessing palliative/end of life care services. It is known that people with an intellectual disability have a disproportionate health burden when compared with the general population and accessing health service can be difficult. In today’s society people with an intellectual disability have largely moved away from a long term residential model of care, and are accessing wider health services. They are entitled to receive equitable care and support from a workforce that recognises all as equal citizens. However, internationally it is acknowledged that there is an inequity of experience for people with an intellectual disability within mainstream health services, and this is not satisfactory. This report provides a snapshot of community nursing practice in an Irish setting of palliative/end of life care for people with an intellectual disability in a health region. The report is a welcome addition to the existing international literature which includes a small number of Irish studies. I would like to take this opportunity to sincerely thank the respondents for giving of their time to complete the questionnaire and the Irish Hospice Foundation and the University of Limerick for their continued interest and support.
    Full-text · Book · Dec 2011
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