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Literature Review on Provision of Appropriate and Accessible ...

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PAGE 155<br />

Research indicates that learning disabled mothers are poor attenders<br />

<strong>of</strong> services <strong>and</strong> vulnerable to hospital admissi<strong>on</strong> resulting from medical<br />

complicati<strong>on</strong>s (McGaw, 1997). Therefore, preparing the mother for the<br />

birth <strong>and</strong> encouraging her to attend ante-natal classes is vital. Good<br />

practice occurs when GPs, community midwives <strong>and</strong> health visitors<br />

work closely al<strong>on</strong>gside parents (as part <strong>of</strong> a core team <strong>of</strong> pr<strong>of</strong>essi<strong>on</strong>als<br />

across learning disabilities <strong>and</strong> children’s specialisms), especially during<br />

the early stages <strong>of</strong> pregnancy. Campi<strong>on</strong> (1996) issues a note <strong>of</strong> cauti<strong>on</strong><br />

regarding pr<strong>of</strong>essi<strong>on</strong>al services in that there can be a multitude <strong>of</strong><br />

pr<strong>of</strong>essi<strong>on</strong>als involved with a pregnant woman with intellectual disability,<br />

such as child protecti<strong>on</strong> specialists, midwives, community nurses, GPs,<br />

psychiatrists, <strong>and</strong> clinical psychologists, who may give c<strong>on</strong>flicting advice<br />

<strong>and</strong> create different expectati<strong>on</strong>s (Campi<strong>on</strong>, 1996).<br />

Support to People with an Intellectual Disability who are<br />

<strong>Accessible</strong><br />

<strong>and</strong> <strong>Appropriate</strong> <strong>of</strong> Provisi<strong>on</strong> <strong>on</strong> <str<strong>on</strong>g>Review</str<strong>on</strong>g> <str<strong>on</strong>g>Literature</str<strong>on</strong>g><br />

Experiencing Crisis Pregnancy<br />

4.8.2 Tailoring services to intellectual disability<br />

According to Tarlet<strong>on</strong> et al., (2006), writing in the UK, many women with<br />

learning difficulties have not previously been in c<strong>on</strong>tact with services.<br />

According to Green <strong>and</strong> Vetere (2002) this means that many pr<strong>of</strong>essi<strong>on</strong>als<br />

in generic services who do come into c<strong>on</strong>tact with them have little<br />

knowledge or underst<strong>and</strong>ing about their support needs as people with<br />

learning difficulties. A number <strong>of</strong> tools for identifying parents with<br />

learning disabilities have been developed to help staff identify whether or<br />

not a pers<strong>on</strong> has a learning difficulty (Tarlet<strong>on</strong> et al., 2006). [87]<br />

Similarly, Campi<strong>on</strong> suggests that <strong>on</strong>ce women become involved with<br />

maternity services, the issue arises <strong>of</strong> whether or not her learning<br />

disability will be identified. When a service identifies that a client has<br />

a learning disability it can either be sensitively incorporated into the<br />

tailoring <strong>of</strong> individualised support for the woman or it can be used as<br />

a label which creates c<strong>on</strong>cern in the pr<strong>of</strong>essi<strong>on</strong>als, depending <strong>on</strong> the<br />

approach <strong>of</strong> the service in questi<strong>on</strong> (Campi<strong>on</strong>, 1996).<br />

According to Baum & Burns (2007: 12) it is essential to raise awareness<br />

<strong>of</strong> parents with learning disabilities’ support <strong>and</strong> communicati<strong>on</strong> needs<br />

with generic services such as ante-natal providers <strong>and</strong> midwifery, health<br />

visiting, <strong>and</strong> child social work services. Writing in the UK c<strong>on</strong>text, the<br />

87 Tools for identifying parents with learning disabilities are discussed in Secti<strong>on</strong> 5.3.

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