Description
Book SynopsisThis book explores what happens to people with profound intellectual and multiple disabilities (PIMD) when they reach adulthood. It provides an examination of various terms and definitions in use and a critical exploration of current UK policies.
Table of ContentsPreface; Chapter One: The ‘ignored minority’; Introduction; Why terms and definitions are important; UK and International terms; PMLD > PIMD; Research issues; Definitions; PIMD Definition; Prevalence; PIMD overlooked; Bibliography; Chapter Two: Policy Frameworks; Introduction; Representation or overlooked?; Normalisation; Social model and ‘embodiment’ or second wave social model; Post-structural social model and ‘brute facts’ of genetics; Personalisation; Self-advocacy aka Speaking Up; Acknowledging difference in service provision; Beyond social model frameworks; Bibliography; Chapter Three: Disrupting the Illusion; The New Vision: Rights, Independence, Choice and Inclusion; Overview of storyline with reference to PIMD; Construction of target population; Spreading the Word, Advocacy, Personalisation and Employment; Implications for services for services for people with PIMD; Informal Family Carers; Formal Care Workers; Bibliography; Chapter Four: All In The Same Direction; Introduction; Background; Communication Communication Communication; Culture of personalised support; Consistency & Clarity =Trust; Routine = Consistency of approach; When ‘no’ means’no’; Echoed words rather than language; Guidelines, Charts, Feedback sheets; Physical Intellectual and Sensory access; Food and eating; Water and Aloe Vera juice / digestion and elimination; Physiotherapy and deep tissue massage; Blood tests; Music therapy; Behavioural Support Needs: Where does the ‘challenge’ lie?; Containment; Building a team; Training/Development; Goals; Task Breakdown; Conclusion; Resources; Bibliography; Chapter Five: Raising our Sights; Introduction; Settings and services; Personalisation; Why film is important; Raising our Sights; Families; ‘R’espite or ‘r’espite; Day / respite services; Still fighting; Community Specialist Health teams; Training; Bespoke training; Conclusion; Resources; Bibliography; Chapter Six: Raising The Bar: beyond the ‘burden of non productiveness’; Introduction; Abuse; Death by Indifference; Improving Health and Lives; CIPOLD > :LeDR; Advocacy Advocacy Advocacy; Core and Essential Service Standards: Raising The Bar; Conclusion; Resources; Bibliography; Index
