Sexual Health and Learning Disability

1. Sexual Health and Learning Disability Shona Connell Sexual Health Development Officer Michelle Bell Sexual Health Nurse for Learning Disabilities

2. Aims • Share where we have come from • How did we get here • Training information • The future?

3. Strategies, Policies and Guidelines The Same as You? (2000) Scottish Executive Adults with Incapacity (Scotland) Act (2000) Scottish Executive The McCabe Report (2000) Scottish Executive Caring for Scotland (2001) Scottish Executive Promoting Health, Supporting Inclusion (2002) Scottish Executive The Health Needs Assessment Report (2004) Health Scotland

4. Strategies, Policies and Guidelines Respect & Responsibility (2005) Scottish Executive People should tell you stuff? (2005) NHS Scotland Ayrshire & Arran Sexual Health Strategy (2005-2010) & (2011-2016) Adult Support & Protection (Scotland) Act (2007) Scottish Executive

5. Strategies,Policies and Guidelines • The sexual health needs of Young People with Learning Disabilities (2007) NHS Scotland • ‘we want good health…..the same as you’ A strategy to improve the health of children with learning difficulties & adults with a learning disability. NHS Ayrshire and Arran (2008)

6. Action plans • Training Needs Analysis- pan Ayrshire multi-agency • Improve access to sexual health information and services for vulnerable groups e.g. people with a learning disability • Sexual Health Nurse for LD post created within Sexual Health Department • Need for training for staff in relation to sexual health and LD identified, at various levels

7. Action plans • Identified a multi-agency group • Discussions on the learning needs • Reflection on past achievements • LD and sexual health training development group formed • Developed tiered approach • Identified target groups

8. Training Dissemination • All training included in NHS Ayrshire and Arran Sexual Health Training Brochure • Disseminated to all NHS Ayrshire and Arran staff, our 3 local Authority partners and other multi-agency partners across Ayrshire and Arran

9. Training Development • Basic awareness raising of Sexual Health and LD ½ day Course Aim • To increase awareness of the issues around sexual health and disabilities.

10. Training Development • Learning Outcomes • Have a greater awareness of sexual health • and disabilities • Have increased confidence to communicate • on issues around sexual health • Have an understanding of referral pathways • Have an awareness of relevant policies and • guidelines • Gain information regarding sexual health and • relationships

11. Training Development 2 Day Sexuality, LD and Sexual Health Training COURSE AIMS • to increase awareness of personal values and attitudes and how these influence the way we communicate about sex and relationships, particularly in relation to individuals with learning disability. • to increase awareness of the impact of language on the way we communicate about sexual health.

12. Training Development 2 Day Sexuality, LD and Sexual Health Training COURSE AIMS • to have greater understanding of the barriers individuals with learning disability face with regards sexuality, relationships and sex and relationship education • to dispel myths and assumptions about the sexuality of learning disabled people

13. Training Development 2 Day Sexuality, LD and Sexual Health Training Learning Outcomes • be more aware of own sexual identity • be aware of own personal prejudices with regards to sexuality and how these may impact on others • be aware of current sexual vocabulary used to describe sexual organs and acts and the emotions attached to using such words

14. Training Development 2 Day Sexuality, LD and Sexual Health Training Learning Outcomes • have an increased understanding of factors influencing the sexual development of individuals with learning disability • have increased awareness of protection issues and sex and the law.

15. Training Development • Evaluations • Feedback Need for further training and resources identified, to support staff in passing on sexual health education and information to clients

16. Training Development • 3 day Train the Trainers course • Training resource development

17. Training Development 3 day Relationships, Sexual Health and Learning Disability Training for Trainers AIM To equip trainers with the knowledge, skills and resources to plan and deliver a programme of Sexual Health and Relationships education for people with Learning Disabilities

18. Training Development 3 day Relationships, Sexual Health and Learning Disability Training for Trainers Outcomes • Have raised awareness of the strategies and policies which are pertinent to Sexuality, Learning Disability and Sexual Health • Be able to identify appropriate participants • Be familiar with the Pre and Post Assessment Tools • Be familiar and comfortable with the course content and resource materials

19. Training Development 3 day Relationships, Sexual Health and Learning Disability Training for Trainers Outcomes • Completed the allocated course work • Demonstrated an understanding of session planning • Prepared and delivered 1 session from the 30 week course

20. Training statistics • ½ day Basic Awareness delivered to 39 multi-agency staff • 2 day Sexuality, LD and Sexual Health delivered to 65 multi-agency staff, parents and carers • 3 day Train the Trainers delivered to 9 multi-agency staff

21. The Future • 2 day training on offer Ayrshire wide • Train the Trainers successfully piloted Ayrshire wide • Refinements made to Train the Trainers • Resource development ongoing with plans for professional printing • Training calendar in place for 2012 • Ongoing trainer support, focus groups and annual updates

22. Contact Details • Michelle Bell 01294 323485 michelle.bell@aapct.scot.nhs.uk • Shona Connell 01292 885945 shona.connell@aapct.scot.nhs.uk • Karen Gribben 01290 424790 karen.gribben@aapct.scot.nhs.uk • Carol Fennell 01563 578590 carol.fennell@east-ayrshire.gov.uk