Search results for ‘Author:"perry jonathan"’ Sort:
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Contact with primary care: the experience of people with intellectual disabilities
- Authors:
- PERRY Jonathan, et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 27(3), 2014, pp.200-211.
- Publisher:
- Wiley
Background: People with intellectual disabilities experi-ence disparities in their health and health care. Annual health checks are intended to counter such disparity by improving access to primary health care. However, little is known about their experience of having a health check or other types of contact with primary care services. Materials and Methods: The findings of two studies which used focus groups were combined. 102 people with intellectual disabilities participated in the focus groups. Results: Participants' experiences of primary care services generally, and health checks in particular, were positive. However, unanimity was rare on any of the topics discussed and a number of areas of dissatisfaction emerged. Conclusions: Further studies with larger and more representative samples are necessary as feedback from people with intellectual disabilities about their experience of contact with primary care staff might help to enhance GP knowledge about their health requirements. (Publisher abstract)
Promoting independence through the use of assistive technology
- Authors:
- BEYER Stephen, PERRY Jonathan
- Journal article citation:
- Tizard Learning Disability Review, 18(4), 2013, pp.179-185.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to evaluate the impact of assistive technology (AT) on social care services and on the quality of life (QOL), particularly the independence, of people with intellectual disabilities. In addition, to make recommendations about an ethical approach to implementing AT. Design/methodology/approach: The evaluation is based on consideration of relevant research, particularly, research undertaken at the Welsh Centre for Learning Disabilities at Cardiff University. Findings: AT can promote independence and prevent harm. There also appear to be benefits to social care services in terms of changes in staff input levels and reduced costs. However, the data are limited and existing studies have shown mixed results. Research limitations/implications – This is not a systematic review. Revised research methods may be needed to detect key outcomes from AT. Practical implications: A focus is needed on individual planning and robust and transparent processes to balance organisational and user benefits. There are implications for care management, person-centred planning and care commissioning to ensure good QOL outcomes are targeted by AT and that the delivery of these outcomes is monitored and ensured. Originality/value: Based on the existing literature on the impact of AT on people with intellectual disabilities, recommendations are made about an ethical approach to implementing AT. (Publisher abstract)
Targeted support and telecare in staffed housing for people with intellectual disabilities: impact on staffing levels and objective lifestyle indicators
- Authors:
- PERRY Jonathan, et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 25(1), January 2012, pp.60-70.
- Publisher:
- Wiley
The age profile of adults with learning disabilities more closely resembles that of the general population in the UK than at any time previously, and as a result increased provision of opportunities for adults with intellectual disabilities to live independently is required. The aim of this study was to evaluate the quality of life consequences of living with less intensive staff support following the introduction of more targeted support (referring to flexible staff allocation) coupled with telecare. A targeted support and telecare intervention was implemented at staggered intervals by an agency providing support for people with intellectual disabilities to live in the community. A range of equipment was installed which could monitor various aspects of the environment and provide alerts if support was needed, and a revised staffing model reducing support at particular times was introduced. Data was collected at 4 points over a two-year period, covering information about participants (collected through interviews with staff who knew them well), setting descriptors, quality of care and lifestyle indicators. The results of the analysis indicated that a combination of targeted support and assistive technology had no adverse short-term effect on participants' quality of life, but reduced staff input. The authors discuss the findings and their implications.
Resettlement outcomes for people with severe challenging behaviour moving from institutional to community living
- Authors:
- PERRY Jonathan, et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 24(1), January 2011, pp.1-17.
- Publisher:
- Wiley
The study investigated the quality of life of adults with severe challenging behaviour deemed to require continuous health care. These adults were resettled from a traditional learning disability hospital to new purpose-built NHS bungalows. Data were collected for 19 individuals on a variety of quality of care and lifestyle indicators when in hospital, and then after resettlement. Findings indicated no areas of significant deterioration in quality of care or lifestyle outcome when moving to the community. The community provision was more homelike and associated with some improvement in working methods and staff contact received by participants. There was also increased family contact, greater participant involvement in household activity and constructive activity generally and reduction in staff-reported challenging behaviour. Overall, health care provision was generally equivalent or superior to previous hospital levels. However, follow-up studies may be required as developing the working culture among staff from an institutional background may take longer than the length of this study.
Annual health checks: uptake in Wales and users' views
- Authors:
- PERRY Jonathan, et al
- Journal article citation:
- Llais, 92, Summer 2009, pp.6-10.
- Publisher:
- Learning Disability Wales
All adults with learning disabilities in Wales are entitled to annual health checks. This article reports on the outcome of a series of focus groups which were conducted with people with learning disabilities to find out their views about health checks. It also contains a table showing how many people in each local health board area of Wales had a health check in 2006/7 and 2007/8.
The impact on objective technology of life outcomes of assistive technology in residential services for people with learning disabilities
- Authors:
- PERRY Jonathan, BEYER Stephen
- Journal article citation:
- Journal of Assistive Technologies, 3(1), March 2009, pp.5-14.
- Publisher:
- Emerald
The UK government is committed to preventative technologies and increasingly they are being incorporated into residential services for people with learning disabilities. This paper describes an evaluation of a sample of settings in which various assistive technology (AT) devices have been installed following the assessment of individual residents' needs. The impact of this on residents' objective quality of life was assessed using a range of quantitative measures and through some qualitative questions. Despite some positive consequences of the AT being reported by staff in response to the qualitative items, there was no significant impact on any of the quantitative measures. In isolation, AT does not appear to be sufficient to significantly improve objective quality of life outcomes for people with learning disabilities in residential services. Equally, AT does not appear to reduce objective quality of life outcomes. The challenge to service providers is to ensure that the introduction of AT and any associated change to staffing levels or support procedures translates into improvements in residents' overall quality of life. To detect such improvements future research might have to broaden the range of quantitative methods used and supplement them with qualitative techniques.
Resource input,sService process and resident activity indicators in a Welsh national random aample of staffed housing services for people with intellectual disabilities
- Authors:
- FELCE David, PERRY Jonathan
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 17(1), June 2004, pp.127-132.
- Publisher:
- Wiley
The aims were to: (i) explore the association between age and size of setting and staffing per resident; and (ii) report resident and setting characteristics, and indicators of service process and resident activity for a national random sample of staffed housing provision. Sixty settings were selected randomly from those accommodating six or fewer adults with intellectual disabilities in Wales. Nine settings subsequently withdrew. Information from the remaining 51 was obtained on resident ages, gender, adaptive behaviour, physical and sensory disabilities, social impairment and challenging behaviour, the number and working hours of staff, staff:resident ratios at different times of the day, working practices, resident receipt of attention and assistance from staff and resident activity. The sample of 51 residences was divided into four groups of 12, 13, 13 and 13 settings each, according to ascending average adaptive behaviour scale scores. Age of residence was associated with larger size of residence and fewer staff hours per resident. Higher staffing per resident was associated with smaller setting size. Staffing per resident differed across adaptive behaviour groups to a limited extent. Size and age of residence, working practices, resident receipt of attention and assistance from staff did not differ across groups but resident engagement in activity did. Considerable within-group variation was found. The data illustrate trends in provision over time. In addition, they give a picture of recent practice and raise questions about whether staff input, on one hand, and staff training and performance, on the other hand, are well enough matched to the different needs of residents at different points of the adaptive behaviour spectrum.
Quality of Life Outcomes for People with Intellectual Disabilities Living in Staffed Community housing services: a stratified random sample of statutory, voluntary and private agency provision
- Authors:
- PERRY Jonathan, FELCE David
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 16(1), March 2003, pp.11-28.
- Publisher:
- Wiley
This study compared sectors in terms of the processes operating within residential services, and objectively and subjectively assessed quality of life (QOL) resident outcomes. It was found that provider agencies did not differ in terms of the characteristics of the residents they served, the structure of settings, the processes underlying service operation or resident outcomes. However, across agencies there was considerable variation in residents' life conditions when they were measured objectively. Better outcome tended to be significantly correlated with the ability of residents. This was not the case with results on subjective measures (which were also higher than those on objective measures).
Characteristics of staffed community housing services for people with learning disabilities: a stratified random sample of statutory, voluntary and private agency provision
- Authors:
- PERRY Jonathan, et al
- Journal article citation:
- Health and Social Care in the Community, 8(5), September 2000, pp.307-315.
- Publisher:
- Wiley
Within the staffed housing model relatively little is known about the characteristics of different types of provider agency. Reports on a study which collected data on size, homeliness, organisational structure, working methods, staffing levels and resident characteristics on a sample of providers in South West England and Wales. Results found significant differences between providers on the variables of working methods and staffing levels. Resident ability correlated with staffing levels and organisational culture, but not with staff working methods. Discusses the results and their implications in the context of other research.
Strategic service change: development of core services in Wales, 1983-1995
- Authors:
- PERRY Jonathan, et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 11(1), 1998, pp.15-33.
- Publisher:
- Wiley
National strategies for the development of services for specific client groups are rare in Britain, particularly strategies to which governments pledge significant long term financial investment. This article attempts to gauge the impact of one such strategy, the All Wales Strategy for the Development of Services for Mentally Handicapped People (AWS) by comparing the goals of the AWS with changes in the nature and coverage of services which have followed its inception. Finds that although the pace of change quickened between 1988 and 1995 compared to that in the first five years of the AWS, a wholesale orientation of traditional services is far from complete. Changes in service provision in Wales during the course of the AWS are compared where possible to development elsewhere in Britain.