By Jemma Pogson University of York

1. How to Achieve Best Practicefor People with a Dual Diagnosisof Learning Disabilities and Schizophrenia By Jemma Pogson University of York Twitter: @jemmapogsonEmail: jp756@york.ac.ukjemma.pogson@ active999.com

2. 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

3. 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)

4. 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

5. 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

6. 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

7. Implementation • Individuals in charge of their own plans. • Named nurses supported where needed • Ward-rounds and MDTs supported where needed

8. 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

12. 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.

13. Thank you!!!Any Questions?

14. 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.