Research Policy and Planning, 14(1), 1996, pp.62-68.
Publisher:
Social Services Research Group
Examines the differences in the planning and delivering children's and adults' services. While there is evidence that the developments of the 'new public policy' are moving children's services in the direction of their adult counterpart, there is still need for closer cooperation and communication between the two service areas.
Examines the differences in the planning and delivering children's and adults' services. While there is evidence that the developments of the 'new public policy' are moving children's services in the direction of their adult counterpart, there is still need for closer cooperation and communication between the two service areas.
Subject terms:
planning, policy formulation, social services, social care provision, adults, children, communication;
Local authorities must adhere to new regulations and guidance for people entering residential or nursing homes. Asks whether this will mean greater choice or autonomy for residents.
Local authorities must adhere to new regulations and guidance for people entering residential or nursing homes. Asks whether this will mean greater choice or autonomy for residents.
Subject terms:
local authorities, nursing homes, private sector, regulation, residential care, social care provision, community care;
Review of rehabilitation policy and practice. Examines policy trends, discusses the changing concept of rehabilitation, changing patterns of responsibility for provision and trends in the availability of rehabilitation services. Makes recommendations for future practice.
Review of rehabilitation policy and practice. Examines policy trends, discusses the changing concept of rehabilitation, changing patterns of responsibility for provision and trends in the availability of rehabilitation services. Makes recommendations for future practice.
Subject terms:
NHS, policy formulation, rehabilitation, social policy, social care provision, health care;
In the light of the debate about funding long-term care, the authors put domiciliary care charging policies in six local authorities under the microscope.
In the light of the debate about funding long-term care, the authors put domiciliary care charging policies in six local authorities under the microscope.
Subject terms:
home care, local authorities, local government, local government finance, local government policy, mixed economy of care, needs, policy, service users, social policy, social welfare, social care provision, community care, financing;
Research report looking at charging for domiciliary services and the policy issues around this. Looks at why and how local authorities have developed new charging policies, examines what the policies look like, and compares policies. Also examines how the policies have been implemented and at systems developed for assessing financial liability and collecting charges.
Research report looking at charging for domiciliary services and the policy issues around this. Looks at why and how local authorities have developed new charging policies, examines what the policies look like, and compares policies. Also examines how the policies have been implemented and at systems developed for assessing financial liability and collecting charges.
Subject terms:
home care, local authorities, policy, policy formulation, social services, assessment, charges, community care;
HMSO/Great Britain. Scottish Office. Social Work Services Inspectorate
Publication year:
1994
Pagination:
84p.,bibliog.
Place of publication:
London
A literature review of social support for disabled children and their families commissioned by the Social Services Inspectorate at the Scottish Office from the Social Services Research Unit at the University of York
A literature review of social support for disabled children and their families commissioned by the Social Services Inspectorate at the Scottish Office from the Social Services Research Unit at the University of York
Extended abstract:
BALDWIN Sally, CARLISLE Jane. Social support for disabled children and their families: a review of the literature. HMSO/Great Britain. Scottish Office. Social Work Services Inspectorate, 1994.
Summary
A literature review of social support for disabled children and their families commissioned by the Social Services Inspectorate at the Scottish Office from the Social Services Research Unit at the University of York.
Method
The literature review was compiled as a quick exercise to take an overview of material produced in the previous 10 years to identify important themes and gaps, drawing on a small number of important research reports and key policy guidance. Medical care and education were excluded from the reviews.
Contents
Topics addressed are
The development of social care for disabled children and their families
Defining and conceptualising childhood disability
The population of disabled children - numbers and characteristics
Living with disability - the experiences of parents and children
Needs for support
The allocation of resources
Developing services for disabled children and their families
New developments
Future developments - early lessons from the Children Act, 1989.
Findings
The authors comment on the importance of the conceptual frameworks and definitions used in relation to disability in influencing and structuring the support provided. The size and characteristics of the population in question vary according to the criteria used but the commonest individual disabilities appear to be behaviour, communication, mobility, continence, and sensory - often in combination, especially at higher severity levels. The multiple nature of disability is marked, and increases with the overall severity of disability. The population's characteristics are changing because of advances in medical technology - the survival of very disabled children is increasing while the incidence of some conditions is decreasing
The presence of disabled children poses significant financial problems for a family. The risk of marital breakdown is greater when a child is disabled and rises with the severity of the disability. More needs to be discovered as to how parents improve their coping strategies and how the disabled child adapts to and copes with the experiences of disability. Existing research has shown that 'many, many' disabled children are very unhappy and have not found ways of coping with their disability. Research so far has neglected both the child's perspective and the role of external determinants of well-being.
Parents' support needs are for
Information, support and counselling
Support to help the disabled child
Practical support, as in adapting the home environment or providing special equipment and aids
The need for a break, with or without the disabled child
Social support
Financial support
Parents act simultaneously as resources, co-workers and clients and professional practice needs to respond appropriately. Parents need coordination and continuity , 'a single door'. The needs of children have been inferred from parents and professionals rather than by asking directly.
The authors found considerable deficits in the quantity of social support available and in the organisation and delivery of services. Parents want care management, an individually designed and coordinated package of services to help them support the child at home.
Parents 'want a form of service which
Is based on sensitive and comprehensive assessment of both child's and family's needs, with re-assessment from time to time and particularly at times of transition
Allows families some choice in the services they can have
Makes a formal agreement with them to deliver an agreed package of services and does so to an acceptable standard
Identifies a key worker who will get to know family and child; maintain contact; act as a link across the different agencies and professionals who might be involved; act as their advocate and representative when necessary.
Future demand for services will be affected by
Changes in the population of disabled children
Growing recognition of the prevalence of problems among both disabled and non-disabled children
Demands for improved service in terminal care
Better services for children from linguistic and cultural minorities
Need for better support to those in long term care
Need for child protection work to children in all settings
Pressure to recognise human rights of the disbaled child
Effects of the new philosophy of service delivery underlying Caring for People and the Children Act
Changes in targets and service priorities
A changing economic and social context.
Conclusion
The Children Act 1989 is welcomed as a good and progressive piece of legislation and one which should improve the social support of families with disabled children.
280 refs
Subject terms:
literature reviews, needs, parents, physical disabilities, resource allocation, short break care, social care provision, children, families;
HMSO/University of York. Social Policy Research Unit
Publication year:
1994
Pagination:
148p.,tables,bibliog.
Place of publication:
London
Research report drawing on a nationally representative survey to compare disabled young people's circumstances, life-styles and aspirations with those of non-disabled young people. Reports on the views of the young people surveyed, assesses their social integration, personal autonomy and self-esteem, and looks at the continuity of provision for their health and social care needs.
Research report drawing on a nationally representative survey to compare disabled young people's circumstances, life-styles and aspirations with those of non-disabled young people. Reports on the views of the young people surveyed, assesses their social integration, personal autonomy and self-esteem, and looks at the continuity of provision for their health and social care needs.
Subject terms:
independence, needs, physical disabilities, social care provision, user views, young people, health care;