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Understand the adjustments which may be necessary in care delivery relating to an individual who may have a mental health condition, dementia or learning disability


This page is designed to answer the following questions:

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Individuals with mental health conditions, dementia and learning disabilities may need adjustments made to their care provision. This can mean different health and social care organisations working in partnership to find solutions.


Example adaptations for individuals with learning disabilities


Individuals with learning disabilities may have an occupational therapy assessment provided in-house or by the local authority. This will identify their capabilities and what they may need help with to live as full and independent a life as possible. Simple adjustments like creating a pictorial activity planner or preparing individuals for particular situations using social stories can be very beneficial.

Example adaptations for individuals with dementia


An individual with dementia may need their carers to communicate with them by speaking clearly and slowly and giving them plenty of time to respond. They may need their finances to be managed by an independent appointee or have reminders set on their phone so that they do not forget to perform daily living tasks. They may wish to carry GPS trackers so that they can be located safely if they get lost.

Example adaptations for individuals with psychosis


An individual with psychosis may require a staff team that has had specialist training or experience in behaviour management (e.g. PROACT-SCIPr). Staff may need additional training to gain a better understanding of the condition.

Example adaptations for individuals with anxiety or depression


An individual with anxiety or depression may need access to support networks that can offer counselling services. This could be one-to-one or as part of a group provided by the staff team or an outside agency. It could be face-to-face or via phone, text or even social media. Working together to create and maintain regular routines that include going outside and getting exercise can be beneficial. Working with a Cognitive Behavioural Therapy (CBT) specialist may help to manage the effects.

Reporting concerns about needs not being met


Your employer’s agreed ways of working (policies and procedures) will explain how you should report concerns if you feel that an individual’s needs are not being met. In most cases, this will involve informing your manager or supervisor of your concerns. It is also prudent to make a record of your concerns using whatever information systems are provided by your organisation. Records should be accurate, factual, legible and signed and dated.

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