title: Men with severe learning disabilities and challenging behaviour in long-stay hospital care: qualitative study.
abstract: BACKGROUND
  Community-based health and social care professionals have little knowledge of the past experiences of people with severe learning disabilities and challenging behaviour who are living in institutions.
  
  
  OBJECTIVE
  To gain a greater understanding of the experiences and needs of men who are living in a locked ward.
  
  
  METHODS
  The study sample consisted of 20 men who were living in a locked ward of a long-stay institution. Qualitative (ethnographic) methods were used, involving participant observation (for around 250 hours) on the ward. All traceable families were interviewed. The analysis used grounded theory, and material was fed back into the resettlement process throughout.
  
  
  RESULTS
  The men's lives were emotionally, socially and physically deprived. Their individual, gender and social identities were not recognised, and their general health and mental healthcare needs were inadequately addressed.
  
  
  CONCLUSIONS
  People who live in long-stay institutions, segregated from society, lose their individual and social identity, which complicates the presentation of mental health and behavioural problems, and raises important adult protection issues.
authors.affiliation: Division of Mental Health, St George's, University of London, Cranmer Terrace, London SW17 0RE, UK. jhubert@sgul.ac.uk
authors.forename: Jane
authors.initials: J
authors.lastname: Hubert
authors.forename: Sheila
authors.initials: S
authors.lastname: Hollins
mesh_terms: D000328:Adult; D004644:Emotions; D004739:England; D006301:Health Services Needs and Demand; D006801:Humans; D007326:Institutionalization; D008607:Intellectual Disability / Q000451:nursing / Q000523:psychology*; D007859:Learning Disabilities / Q000451:nursing / Q000523:psychology*; D008134:Long-Term Care; D008297:Male; D028701:Patient Rights; D012920:Social Behavior Disorders / Q000451:nursing; D013222:State Medicine