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Access to health care within secure learning disability and mental health services: appropriateness of provision and perspectives of service users, staff and carers/advocates (PenhaleU17SF)

  • Full or part time
  • Application Deadline
    Applications accepted all year round
  • Self-Funded PhD Students Only
    Self-Funded PhD Students Only

Project Description

Adults with complex needs who are placed in secure settings are likely to have a range of healthcare needs, both physical and psychological (Kahn, 2010; Sainsbury Centre for Mental Health, 2008). A number of these individuals are likely to experience chronic long-term conditions such as epilepsy and diabetes and it is possible that the provision of institutional care may assist with the management of these conditions, or indeed, that admission into these units may result in poor or inadequate treatment of conditions. There has been some discussion about the use of institutional care for adults with learning disabilities (Scottish Executive, 2004) and debate about whether the healthcare provided to adults with learning disabilities is better if the person is living in an institutional setting (NACRO, 2007).

This study will explore the extent and nature of such health needs and examine access to health-care within such settings. It will also examine views and perceptions concerning the healthcare received (and associated issues such as access), with a specific focus on choice and dignity within provision. Using a mixed methods approach the study will determine the range of health care needs and obtain the perspectives and experiences of service users, staff members, families and carers and/or advocates in relation to access to healthcare and associated issues. The study will obtain valuable information about the health of adults with learning disabilities who live in secure institutional settings and will inform the debate about the management of long-term conditions of these adults.

Application deadline 31st July 2018.

For more information on the supervisor of this project, please go here: https://www.uea.ac.uk/health-sciences/people/profile/b-penhale
Type of programme: PhD.
Start date of project: Flexible.
Mode of study: Full time.

Acceptable first degree: Health (nursing, allied health professions, medicine); Social work and/or Social care; Social Sciences (including anthropology).

Minimum entry requirement: 2:1

Funding Notes

This PhD project is offered on a self-funding basis. It is open to applicants with funding or those applying to funding sources. Details of tuition fees can be found at View Website.

A bench fee may also payable on top of the tuition fee to cover specialist equipment or laboratory costs required for the research. The amount charged annually will vary considerably depending on the nature of the project and applicants should contact the primary supervisor for further information about the fee associated with the project.

References

i) Kahn, L. (2010) Reaching Out, reaching in: promoting mental health and emotional wellbeing in secure settings, London: Centre for Mental Health

ii) NACRO (2007) Mentally Disordered Offenders, Standard 5: In the Community, London: NACRO

iii) NPIA (2010) Briefing note on Recognising Mental Ill-health and learning disabilities, London: NPIA

iv) Sainsbury Centre for Mental Health (2008) In the dark: the mental health implications of imprisonment for Public Protection (IPP), London: Sainsbury Centre for Mental Health

v) Scottish Executive (2004) On the Borderline? People with learning disabilities and/or autistic spectrum disorders in Secure, Forensic and Other Specialist settings, Edinburgh: Scottish Executive Social Research

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