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Sexual abuse and AIDS in the field of mental handicap: report of a workshop, November 13-14th 1990, Peebles
- Author:
- HUNTER Susan
- Publisher:
- Scottish Society for the Mentally Handicapped
- Publication year:
- 1991
- Pagination:
- 24p.
- Place of publication:
- Glasgow
Outlines the main issues emerging from a workshop held by the Scottish Society for the Mentally Handicapped in 1991. The report covers the nature and prevalence of sexual abuse in people with learning difficulties; links with child protection work and the implications for services. Also looks at the problem of HIV/AIDS; the adequacy of current health education programmes; and recommendations for the future.
Social work with people with learning difficulties: making a difference
- Authors:
- HUNTER Susan, ROWLEY Denis
- Publisher:
- Policy Press
- Publication year:
- 2015
- Pagination:
- 208
This book explores theoretical frameworks for working with people with learning difficulties and examines the role of services and the social worker, drawing on person-centred, community-centred and family involvement perspectives. It includes up-to-date case studies, practice examples and points for reflection. Chapters include: Transition to adulthood; Setting up a home; Getting a job: from occupation to employment; Founding families and having children; Growing older; Capacity, risk and protection; and Supporting people with complex needs. (Edited publisher abstract)
Subjective experiences of compulsory treatment from a qualitative study of early implementation of the Mental Health (Care & Treatment) (Scotland) Act 2003
- Authors:
- RIDLEY Julie, HUNTER Susan
- Journal article citation:
- Health and Social Care in the Community, 21(5), 2013, p.509–518.
- Publisher:
- Wiley
Compulsory psychiatric treatment is highly contested, and little research has focused specifically on direct experiences. The Mental Health (Care & Treatment) (Scotland) Act, 2003 introduced new roles and provisions including community treatment orders, and was designed to increase participation, ensure treatment was beneficial and was the ‘least restrictive’ alternative. This article draws on findings from semi-structured interviews with 49 individuals, who had experienced compulsion under this new legislation during 2007–2008, that were part of a broader cohort study. Interviews with service users were conducted at two stages with 80% agreeing to be interviewed twice. The sample included people on a variety of compulsory orders from four Health Board areas, some of whom had been detained for the first time, while others reported ‘revolving door’ experiences. Peer researchers who were mental health service users carried out the interviews in partnership with professional researchers. The findings suggest that legislation had a limited impact on participation in the process of compulsion. Consensus was that although service users felt there was increased opportunity for their voices to be heard, this was not matched by having increased influence over professional decision-making, especially in relation to drug treatments. According to people's direct experiences, the passing of the legislation in itself had done little to change the dominant psychiatric paradigm. While providing a foundation for improving the process of compulsion, the findings suggest that as well as legislative reform, fundamental shifts in practice are needed both in terms of the nature of therapeutic relationships, and in embracing more holistic and recovery perspectives. (Publisher abstract)
Self-directed support (SDS): preparing for delivery
- Authors:
- HUNTER Susan, WITCHER Sally
- Publisher:
- Institute for Research and Innovation in Social Services
- Publication year:
- 2012
- Pagination:
- 16p.
- Place of publication:
- Glasgow
In the context of the Social Care (Self-Directed Support) (Scotland) Bill, this document looks at the implications of introducing self-directed support in Scotland. It considers what self-directed support is and the background to the proposals, and describes self-directed support as a vehicle for personalisation. It notes that the Bill includes a range of options that local authorities will have a duty to offer, one of which is direct payments. It discusses the policy of enabling individuals and families to make an informed choice about the way support is provided to them, experience from pilot projects in England and Scotland, plans for and challenges of implementation, workforce implications and the role of social workers, support brokerage and advocacy, and financial aspects.
When self-directed support meets adult support and protection: findings from the evaluation of the SDS test sites in Scotland
- Authors:
- HUNTER Susan, et al
- Journal article citation:
- Journal of Adult Protection, 14(4), 2012, pp.206-215.
- Publisher:
- Emerald
Promoting self-directed support (SDS) is part of the Scottish Government’s policy programme to increase people’s choice and control over their community care and support arrangements. Adult support and protection is also a high profile policy priority for the Scottish Government. The aim of this paper was to explore the connections between SDS and adult support and protection. The study was part of the national evaluation of the SDS test sites commissioned by the Scottish Government. Interviews were conducted at 2 time points a year apart with adult protection leads in the 3 test sites. These interview data are set in the context of Scottish developments in adult support and protection. The findings suggest that SDS and adult protection had not been joined up initially. In the test sites, those responsible for adult safeguarding had not been engaged with the changes relating to the implementation of SDS. They were unclear about the new systems and were concerned about the implications of reduced monitoring of risks. Shared training between those implementing SDS and those carrying out adult protection work was viewed as a way of bridging these different areas of practice through enhancing mutual understanding and communication.
The Scottish children's hearings tribunals system: a better forum for parents with learning disabilities?
- Authors:
- McGHEE Janice, HUNTER Susan
- Journal article citation:
- Journal of Social Welfare and Family Law, 33(3), September 2011, pp.255-266.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
It is well documented that parents with learning disabilities are over-represented in child care proceedings and are more likely to lose their children to state care. Evidence suggests that the adversarial forum of the court disadvantages these parents and limits their direct participation in the process. This qualitative study investigated whether the children's hearings tribunal system in Scotland could promote greater responsiveness to parental needs and support fuller direct participation in decisions about the welfare of their child. Semi-structured interviews were completed with 7 parents with learning disabilities who had experience of attending children’s hearings. The views of 3 children’s reporters, 4 lawyers and 11 tribunal decision makers were also included. Findings revealed a mixture of views, but the potential for the parental voice to be heard was dependent on the support of advocates. The authors concluded that deficits in legal representation highlighted the importance of structured time and skill in communicating with people with learning difficulties as a requirement for the effectiveness of legal representation for parents.
The ambiguities of professional and societal wisdom
- Authors:
- HUNTER Susan, KENDRICK Michael
- Journal article citation:
- Ethics and Social Welfare, 3(2), July 2009, pp.158-169.
- Publisher:
- Taylor and Francis
- Place of publication:
- Abingdon
This paper examines the potential limitations of professional wisdom alongside those of society more generally with respect to upholding the well-being of vulnerable and marginalized people. It presents the dangers, referring to four well-documented illustrations of professional failure, that services and service systems pose when both professionals and society at large do not demonstrate sufficient measures of positive values and ethics to ensure the protection of vulnerable people within care systems. While it argues that reform of service systems and the repair of such breaches are always possible, even such system reform may fail if it is not ultimately guided by wisdom not only from professionals but society itself. Several recent international examples of this wisdom are noted. It sees such wisdom as being located in the inherited values and social ethics of a society and the power of these to guide human conduct in the face of the profound and ongoing limitations of human nature.
Supported employment in Scotland: some issues from research and implications for development
- Authors:
- HUNTER Susan, RIDLEY Julie
- Journal article citation:
- Tizard Learning Disability Review, 12(2), April 2007, pp.3-13.
- Publisher:
- Emerald
This article arises from the authors' experience of undertaking research for the Scottish Executive, following the deliberations of a national working group focusing on employment set up to progress the recommendations of the 'Same as You?' review, Scotland’s equivalent of 'Valuing People'. The article aims to contribute to a debate about the achievements and under-achievements of supported employment in the contemporary Scottish context. The research findings are used to discuss where we are now, some of the main problems, and how policy and practice need to move forward and develop. The author suggest that the time is right to initiate a strategic change in policy and professional practice. Supported employment must be firmly embedded in the wider employment landscape and the practice agenda of professionals, in order to ensure that real, paid jobs in integrated settings become a routine for people with learning disabilities who express these aspirations.
Response to 'Progress with learning disability hospital closures in Scotland'
- Authors:
- HUNTER Susan, STALKER Kirsten
- Journal article citation:
- Tizard Learning Disability Review, 8(1), January 2003, pp.10-12.
- Publisher:
- Emerald
Comments on an article in this issue of Tizard Learning Disability Review. The authors draw on their own research mapping the progress of hospital closures in Scotland and argue that progress remains slow. They find there is a long way to go before recommendations of the Scottish Executive publication 'The same as you?' will be met.
To close or not to close. The future of learning disability hospitals in Scotland
- Authors:
- STALKER Kirsten, HUNTER Susan
- Journal article citation:
- Critical Social Policy, 19(2), May 1999, pp.177-194.
- Publisher:
- Sage
This article deals with the resettlement of people with learning difficulties from Scottish hospitals. First it outlines the policy background, tracing the rise and demise of the long-stay institution. It then reports on a study examining current resettlement policies in Scotland, where there is no national closure programme. The research found that resettlement is largely in disarray, with particular difficulties in planning, financial arrangements and inter-agency collaboration. Argues that there is a great risk of hospitals being perpetuated or reconstructed, particularly through the activities of NHS Trusts, and of people with dual labels remaining resident in them for years to come.