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Psychiatry of learning disability — a future with mental health?

Leicester Frith Hospital, Leicester LE3 9QF

Adrienne Regan, Consultant Psychiatrist

Harrow Learning Disability Team

Satheesh Gangadharan, Specialist Registrar and Lecturer and Sabyasachi Bhaumik, Consultant Psychiatrist and Honorary Senior Lecturer

University of Leicester

Declaration of interest

None.

See editorial, pp. 283-284 this issue and pp. 302-304.

AIMS AND METHOD

A postal survey was sent to all consultants in the psychiatry of learning disability from four English regions. Their views on job satisfaction, their core roles and the management re-structuring of services were elicited.

RESULTS

The proportion agreeing or strongly agreeing with each management option was 79% for integrated mental health—learning disability trusts, 61% for specialist learning disability trusts, 47% for care trusts, 10% for primary care trusts and 5% for social services. Only 34% felt consulted or able to influence the process of change and only 33% were satisfied with the current management changes within their trust but 67% were satisfied overall with their jobs.

CLINICAL IMPLICATIONS

Management from integrated mental health—learning disability trusts is the most preferred option for psychiatrists in learning disability. A large number of consultants, though otherwise satisfied with their jobs, feel excluded or unable to influence the current changes in management structures. A model of integrated service provision in line with the government's learning disability strategy is presented.

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				M. Lindsey and A. Flynn A survey of consultants in the psychiatry of learning disability Psychiatr. Bull., September 1, 2003; 27(9): 342 - 345. [Abstract] [Full Text] [PDF]

				S. Hollins What is the future of the psychiatry of learning disability? Psychiatr. Bull., August 1, 2002; 26(8): 283 - 284. [Full Text] [PDF]