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By Jemma PogsonUniversity of York
Twitter: @jemmapogsonEmail: [email protected] jemma.pogson@ active999.com
How to Achieve Best Practicefor People with a Dual
Diagnosisof Learning Disabilities and
Schizophrenia
Best Practice
• Evidence based (RCN, 2012).• The best available research evidence,
delivered in a feasible way to the organizational and person-centered context (NICE, 2013).
• Best Practice can easily be sought from numerous resources such as; NICE guidelines, NMC, National Libraries of Health, NHS Evidence, etc. (Nursing Times, 2010).
• Person-centered
Learning disability Nursing
• One size doesn't’t fit all• Movement away from the
medicalized model of care to the social model (Slevin and Sines, 2005).
• Valuing People (2001:2009)• Mansell Report (2007)
My Placement
• Medium Secure Unit• Rehabilitation ward• Yorkshire• Males• Dual Diagnosis of learning disabilities
and mental health Conditions• Sectioned Under the Mental Health
Act• High functioning learning disabilities
How does Learning Disability and Mental Health best practice co-inside?
• Limited Evidence-base• Person-Centered Approach• Working with the service users
and the staff team
What We Did
• Identified an area of practice that could be developed (Service Improvement)
• Spoke to the service users about their participation
• Person centered plans – which they had control over
Implementation
• Individuals in charge of their own plans.
• Named nurses supported where needed
• Ward-rounds and MDTs supported where needed
Results
• The newly named ‘My Health Plan’ were successfully implemented in the two learning disability wards
• Patients reported satisfaction in gaining control of their health status
Future of best practice for dual diagnosis
• The future of outlined guidance for dual-diagnosis is looking promising
• NICE guidelines to be produced in 2015
• The Royal College of Psychiatrists has been commissioned further evidence-base in mental health conditions including those with a diagnosed co-morbid learning disability.
Thank you!!!
Any Questions?
References • National Institute for Health and Care Excellence. (2013). Setting up for
good practice. Available: http://www.nice.org.uk/usingguidance/implementationtools/howtoguide/settingupforgoodpractice.jsp. Last accessed 11/09/13.
• 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 (42), 415–427.
• Mansell, J (2007). Services for people with learning disability and challenging behaviour or mental health needs. London: Department of Health. 1-43.
• Department of Health (2001) 'Valuing People: a New Strategy for Learning Disability for the 21st Century. Cm 5086.' London: Department of Health.
• Department of Health (2006) 'Our Health. Our Care, Our Say 'London: Department of Health
• Emerson E, Hatton C (2008) People with learning disabilities in England. Lancaster: Centre for Disability Research (CEDR) Lancaster
• Royal College of Nursing (RCN). (2012). Learning Disabilities. Available: http://www.rcn.org.uk/development/practice/social_inclusion/learning_disabilities. Last accessed 13/09/13.
