How to Achieve Best Practice
for People with a Dual Diagnosis
of Learning Disabilities and
Schizophrenia
By Jemma Pogson
University of York
Twitter: @jemmapogson
Email: jp756@york.ac.uk
jemma.pogson@
active999.com
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
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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 dualdiagnosis 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
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National Institute for Health and Care Excellence. (2013). Setting up for good
practice. Available:
http://www.nice.org.uk/usingguidance/implementationtools/howtoguide/settingupforgo
odpractice.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.