Bespoke STOMP training for learning disability teams—Does it work?
Accessible summary: ·There is significant concern about medication being given to people with intellectual disability (ID) inappropriately particularly to manage their behaviours which needs to stop.·This needs people who work and support people with ID with their distress to be aware of the nationa...
| Publicado en: | British Journal of Learning Disabilities Vol. 47; no. 3; pp. 181 - 188 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Sep2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=137943670&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 137943670 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13544187 F04 jtl: British Journal of Learning Disabilities issn: 13544187 maglogo: Y pubinfo: dt: Sep2019 vid: 47 iid: 3 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 137943670 137943670 137943670 10.1111/bld.12272 137943670 ppf: 181 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Bespoke STOMP training for learning disability teams—Does it work? aug: au: Nancarrow, Thomas Rencher, Joshua Wilcock, Mike Bonell, Simon Wolke, Tony Shankar, Rohit affil: University of Exeter Medical School, Royal Cornwall Hospital, Truro UK sug: subj: Intellectual Disability Drug Therapy Psychotropic Drugs Therapeutic Use Inappropriate Prescribing Treatment Termination Multidisciplinary Care Team Education Persons with Disabilities Education Human Questionnaires England Health Knowledge Surveys Psychology Allied Health Personnel Health Priorities ab: Accessible summary: ·There is significant concern about medication being given to people with intellectual disability (ID) inappropriately particularly to manage their behaviours which needs to stop.·This needs people who work and support people with ID with their distress to be aware of the national concerns and guidance.·We checked whether NHS staff who work with people with ID , that is the ID service, are aware of the latest guidance and whether training them will help improve their knowledge.·We found that there were differences in knowledge in some groups such as nurses and psychologists compared to others and training can make a positive change. This is important as training can possibly deliver better care to people with ID . Background: Intellectual disability (ID) is associated with polypharmacy particularly off‐label psychotropics for "challenging behaviour." NHS England introduced the "stopping over medication of people with a learning disability (LD), autism or both" (STOMP) initiative. As ID services are a professionally diverse group, it is important to know whether teams have suitable knowledge to deliver STOMP. The impact of delivering bespoke STOMP training was evaluated. Methods: A 21‐item multiple‐choice questionnaire was distributed to three specialist ID teams in the south‐west of England. Current best practice and national guidance knowledge on psychotropic medication use in ID were assessed. One team received bespoke training covering the content of the questionnaire prior to completion. Results: Survey participation was 44% (21/48) by the trained team, 34% (15/44) and 70% (7/10) in the untrained teams. The trained team participants scored over 80% on 19/21 questions compared to 15/21 and 16/21 in the untrained teams. Subspeciality analysis of pooled data (n = 43) showed nursing scored more than 80% on 16/21 questions, psychology 15/21 and allied health professionals (AHPs) 19/21. Nursing and psychology both reported STOMP to be a priority. Majority responded "yes" to potentially being involved in STOMP. Conclusions: Better STOMP knowledge and understanding of best practice and guidelines are associated with training. Nursing and psychology are essential to STOMP delivery but scored lower than AHPs. We recommend semi‐structured STOMP training developed locally with national underpinnings for all specialist ID teams, particularly focussed on front‐line staff directly involved in the management of challenging behaviour. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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