Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Click here to sign up for SAGE Journal Email Alerts today!

Sign In to gain access to subscriptions and/or personal tools.
Journal of Intellectual Disabilities
This Article
Right arrow Abstract Freely available
Right arrow Free Full Text (Free PDF) Free
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Slevin, E.
Right arrow Articles by Taggart, L.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Slevin, E.
Right arrow Articles by Taggart, L.
Social Bookmarking
 Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Community learning disability teams

Perceived effectiveness, multidisciplinary working and service user satisfaction

Eamonn Slevin

University of Ulster, Ireland, JE.Slevin{at}ulster.ac.uk

Roy McConkey

University of Ulster, Ireland

Maria Truesdale-Kennedy

University of Ulster, Ireland

Owen Barr

University of Ulster, Ireland

Laurence Taggart

University of Ulster, Ireland

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.

Key Words: community learning disability teams • effectiveness • multidisciplinary • service users

References

  • Allen, D. (2000) `Recent Research on Physical Aggression in Persons with Intellectual Disability: An Overview', Journal of Intellectual and Developmental Disability 25 (1): 41—57.[CrossRef]
  • Aylott, J. & Toocaram, J. (1996) `Community Learning Disability Teams', British Journal of Nursing 5 (8): 488—92.[Medline] [Order article via Infotrieve]
  • Baker, M.E. (1998) `Challenging Ignorance', in Baker, M. & Kirk, S. (eds) Research and Development for the NHS — Evidence, Evaluation and Effectiveness. Oxford: Radcliffe Medical Press.
  • Brown, S. & Wistow, G. (1990) The Roles and Tasks of Community Mental Handicap Teams: Avebury Studies of Care in the Community. Aldershot: Avebury.
  • Burns, T. (2004) Community Mental Health Teams. Oxford: Oxford University Press.
  • Caffrey, A. & Todd, M. (2002) `Community Learning Disability Teams: The Need for Objective Methods of Prioritisation and Discharge Planning', Health Services Management Research 15 (4): 223—35.[CrossRef][Medline] [Order article via Infotrieve]
  • Dhss (2005) Equal Lives: Review of Policy for People with Learning Disabilities. Belfast: DHSS.
  • Doh (2000a) The Same as You? A Review of Services for People with Learning Disabilities. Edinburgh: HMSO.
  • Doh (2000b) London Learning Disability Strategic Framework: Community Specialist Services. London: HMSO.
  • Doh (2001) Valuing People: A New Strategy for Learning Disability for the 21st Century. London: HMSO.
  • Emerson,E.,Alboraz,A.,Kiernan,C.,Mason,H.,Reeves,D.,Swarbrick, R. & Mason, L. (1997a) The HARC Challenging Behaviour Project Report 5 Treatment, Management and Service Utilisation. Manchester: University of Manchester, Hester Adrian Research Centre.
  • Emerson,E.,Alboraz,A.,Kiernan,C.,Mason,H.,Reeves,D.,Swarbrick, R. & Mason, L. (1997b) The HARC Challenging Behaviour Project Report 2: The Prevention of Challenging Behaviour. Manchester: University of Manchester, Hester Adrian Research Centre.
  • Emerson,E.,Robertson,J.,Gregory,N.,Hatton,C.,Kessissoblou,S., Hallam, A. & Hillery, J. (2000) `Treatment and Management of Challenging Behaviours in Residential Settings', Journal of Applied Research in Intellectual Disabilities 13 (4):197—215.[CrossRef]
  • Gates, B. (2001) `Valuing People: Long Awaited Strategy for People with Learning Disabilities for the Twenty-first Century in England', Journal of Learning Disabilities 5 (3): 203—7.[Free Full Text]
  • Greig, R. & Peck, E. (1998) `Is There a Future for the Community Learning Disabilities Team?', Tizard Learning Disability Review 3 (1): 35—41.
  • Hall, D. (1997) `Child Development Teams: Are They Fulfilling Their Purpose?', Child: Care, Health and Development 23 (1): 87—99.[CrossRef][Medline] [Order article via Infotrieve]
  • Hudson, B. (1995) `A Seamless Service? Developing Better Relationships Between the National Health Service and Social Services Departments' in Philpot, T. & Ward, L. (eds) Values and Visions. Changing ideas in Services for People with Learning Difficulties. Oxford: Butterworth- Heinmann.
  • Joyce, T., Ditchfield, H. & Harris, P. (2001) `Challenging Behaviour in Community Services', Journal of Intellectual Disability Research 45 (2): 130—38.[CrossRef][Medline] [Order article via Infotrieve]
  • Kim, S., Larson, S.A. & Lakin, K.C. (2001) `Behavioural Outcomes of Deinstitutionalisation for People with Intellectual Disability: A Review of US Studies Conducted Between 1980 and 1999', Journal of Intellectual & Developmental Disability 26 (1): 35—50.[CrossRef]
  • Lowe, K. & Felce, D. (1995) `How do Carers Assess the Severity of Challenging Behaviour? A Total Population Study', Journal of Intellectual Disability Research 39 (2): 117—27.[Medline] [Order article via Infotrieve]
  • Lowe, K., Felce, D. & Blackman, D. (1996) `Challenging Behaviour: The Effectiveness of Community Support Teams', Journal of Intellectual Disability Research 40 (4): 336—47.[CrossRef][Medline] [Order article via Infotrieve]
  • Mansell, J.L. (1990) `The Natural History of Community Mental Handicap Teams', in Brown, S. & Wistow, G. (eds) The Roles and Rasks of Community Mental Handicap Teams. Aldershot: Avebury.
  • Marshall, D., Mcconkey, R. & Moore, G. (2003) `Obesity in People with Intellectual Disabilities: The Impact of Nurse-led Health Screening and Health Promotion Activities', Journal of Advanced Nursing 41 (2): 147—53.[CrossRef][Medline] [Order article via Infotrieve]
  • Martin,G.Costella,H.,Lesse,M.,Slade,M.,Bouras,N.,Higgins,S. & Holt, G. (2005) `An Exploratory Study of Assertive Community Treatment for People with Intellectual Disability and Psychiatric Disorders: Conceptual, Clinical and Service Issues', Journal of Intellectual Disability Research 49 (7): 516—24.[CrossRef][Medline] [Order article via Infotrieve]
  • Mckenzie, K., Paxton, D., Matheson, E. & Murry, G. (2000) `Professional Composition of Community Learning Disability Teams in Scotland: Implications for Service Provision', Health Bulletin 58: 192—7.[Medline] [Order article via Infotrieve]
  • Mitchell, E.S. (1986) `Multiple Triangulation: A Methodology for Nursing Science', Advances in Nursing Science 8 (3): 18—26.
  • Moore, D. (1999) `A Force to be Reckoned With', Learning Disability Practice 2 (3): 25—28.
  • Mountain, G. (1998) Occupational Therapy for People with Learning Difficulties Living in the Community: Review of the Evidence Base. London: College of Occupational Therapists.
  • O'Brien, J. & Lyle, C. (1987) Framework for Accomplishments. Decatur, GA: Responsive Systems Service.
  • O'Hara, J. & Sperlinger, A. (1998) Adults with Learning Disabilities: A Practical Approach for Health Professionals. London: John Wiley.
  • Oliver,P.C.,Piachaud,J.,Tyrer,P.,Regan,A.,Dack,M.,Alexander,R., Bakala, A., Cooray, S. Done, D.J. & Rao, B. (2005) `Randomized Controlled Trial of Assertive Community Treatment in Intellectual Disability: The TACTILD Study', Journal of Intellectual Disability Research 49 (7): 507—15.[CrossRef][Medline] [Order article via Infotrieve]
  • Polit, D.F. & Hungler, B.P. (1999) Nursing Research Principles and Methods. Philadelphia: J. B. Lippincott Company.
  • Robertson,J.,Emerson,E.,Pinkney,L.,Caesar,E.,Felce,D.,Meek,A., Carr, D., Lowe, K., Knapp, M. & Hallam, A. (2005) `Treatment and Management of Challenging Behaviours in Congregate and Noncogregate Community-based Supported Accommodation', Journal of Intellectual Disability Research 49 (1): 63—72.[CrossRef][Medline] [Order article via Infotrieve]
  • Robinson, A. (1999) `The Use of Focus Group Methodology — With Selected Examples from Sexual Health Research', Journal of Advanced Nursing 29: 905—13.[CrossRef][Medline] [Order article via Infotrieve]
  • Sanderson, H. (2002) `Person Centred Planning', in Gates, B. (ed.) Learning Disabilities Towards Inclusion. London: Churchill Livingstone.
  • Slevin, E. (2004) `Learning Disabilities: A Survey of Community Nurses for People with Prevalence of Challenging Behaviour and Contact Demands', Journal of Clinical Nursing 13 (5): 571—9.[CrossRef][Medline] [Order article via Infotrieve]
  • Slevin, E. & Sines, D. (2005) `The Role of Community Nurses for People with Learning Disabilities: Working with People who Challenge', International journal of nursing studies 42: 415—27.[CrossRef][Medline] [Order article via Infotrieve]
  • Sturmey, P., Reyer, H., Lee, R. & Robek, A. (2003) Substance Related Disorders in Persons with Mental Retardation. Kingston, NY: NADD.
  • Toogood,S.,Bell,A.,Jaques,H.,Lewis,S.,Sinclair,C. &Wright,L. (1994a) `Meeting the Challenge in Clwyd: The Intensive Support Team Part 1', British Journal of Learning Disabilities 22 (1): 18—24.
  • Toogood,S.,Bell,A.,Jaques,H.,Lewis,S.,Sinclair,C. & Wright,L. (1994b) `Meeting the Challenge in Clwyd: The Intensive Support Team Part 2', British Journal of Learning Disabilities 22 (2): 46—52.
  • Tyrer, P., Simmonds, S., Coid, J., Marriott, S. & Joseph, P. (2001) `A Defence of Community Mental Health Teams', British Journal of Psychiatry 179: 268.[CrossRef][Medline] [Order article via Infotrieve]
  • Walker, T., Stead, J. & Stephen, G.R. (2003) `Caseload Management in Community Learning Disability Teams', Journal of Learning Disabilities 7 (4): 297—321.[Abstract/Free Full Text]
  • Welsh Assembly Government (2001) ` Fulfilling the Promises': Proposals for a Framework for Services for People with Learning Disabilities. Learning Disability Advisory Group. A report to the National Assembly in Wales. Cardiff: Welsh Assembly Government.

Journal of Intellectual Disabilities, Vol. 11, No. 4, 329-342 (2007)
DOI: 10.1177/1744629507085271


Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?



This Article
Right arrow Abstract Freely available
Right arrow Free Full Text (Free PDF) Free
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Slevin, E.
Right arrow Articles by Taggart, L.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Slevin, E.
Right arrow Articles by Taggart, L.
Social Bookmarking
 Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?