Search results for ‘Author:"stancliffe roger j."’ Sort:
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Provision of residential services for people with intellectual disability in Australia: an international comparison
- Author:
- STANCLIFFE Roger J.
- Journal article citation:
- Journal of Intellectual and Developmental Disability, 27(2), June 2002, pp.117-124.
- Publisher:
- Taylor and Francis
National data on the provision of services to Australians with a disability under the Commonwealth/State Disability Agreement (CSDA) have been gathered since 1995 using the Minimum Data Set (MDS). This paper analyses MDS data on residential services for people with intellectual disability between 1995 and 1999. Trends include: a steady growth in the number of recipients of CSDA-funded residential services; a slow decline in the proportion of people housed in large residentials; a gradual increase in the number of people served in community group homes; and a more rapid growth in outreach/drop-in services such as semi-independent living. Makes comparisons with the USA and United Kingdom and concludes that Australia needs to increase the provision of residential services to people with intellectual disability.
Does talking about end of life with adults with intellectual disability cause emotional discomfort or psychological harm?
- Authors:
- STANCLIFFE Roger J., et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 34(2), 2021, pp.659-669.
- Publisher:
- Wiley
Background: Caregivers often avoid involving people with intellectual disability in end‐of‐life discussions and activities. One reason is fear that the person may become upset or psychologically harmed. Methods: Pre and post a 6‐month intervention about end of life, we assessed depression, anxiety, and fear of death among intervention (n = 24) and comparison (n = 20) participants with intellectual disability. End‐of‐life ‘encounters’ (conversations/activities about end of life) were monitored, including comfort ratings. Results: Overall, 79% of encounters were rated very comfortable/somewhat comfortable. Participants initiated 69% of encounters. There was no significant pre–post change in depression or fear of death. Anxiety improved significantly. Conclusions: This is the first controlled, longitudinal study providing robust evidence about whether discussing end of life leads to emotional discomfort or psychological harm. Data showed adults with intellectual disability can safely engage in conversations/activities about end of life. The high percentage of participant‐initiated encounters showed participants wanted to talk about end of life. (Edited publisher abstract)
An evaluation of employment outcomes achieved by transition to work service providers in Sydney, Australia
- Authors:
- XU Tianxi, STANCLIFFE Roger J.
- Journal article citation:
- Journal of Intellectual and Developmental Disability, 44(1), 2019, pp.51-63.
- Publisher:
- Taylor and Francis
Background: Very few studies have evaluated the performance of transition to work (TTW) service providers after the TTW program was implemented in New South Wales, Australia since 2005. This paper examines employment outcomes achieved by 35 TTW service providers in Sydney. Method: Descriptive statistics and chi-square were used to analyse the TTW outcome data. Results: We found that (a) there was a constant growth in the number of TTW program entrants and an overall increase in the employment rate of TTW clients; (b) many TTW service providers in Sydney served fewer than four clients annually on average; and (c) huge differences were evident in the employment outcome performance of individual TTW service providers. Conclusion: The TTW programme in Sydney allowed more school leavers to achieve employment. However, further research is needed to examine the associations between TTW program features and different employment outcomes to build an optimal TTW program. (Edited publisher abstract)
Staffing numbers and active support: a case study
- Authors:
- STANCLIFFE Roger J., et al
- Journal article citation:
- Tizard Learning Disability Review, 16(3), 2011, pp.21-30.
- Publisher:
- Emerald
This is the first study to examine the impact of staffing levels on resident engagement and staff assistance. The study examined the effect of staffing levels on the amount of assistance provided to residents in a learning disability group home, and associated levels of resident engagement in activities prior to and following the implementation of active support. Participants included 4 residents, 7 direct support staff, and one manager from a private group home in Sydney, Australia. Data on staff assistance with one or two members of staff and resident engagement were collected using direct observation across six pre-test and post-test 80-minute sessions. Results indicated that there was no obvious benefit from additional staffing prior to active support training, in terms of staff assistance or resident engagement in activity. However, at post-test, having two staff increased staff assistance, but with limited evidence of increased resident engagement, despite more continuous staff assistance. Implications for group home service management are discussed.
Active support, participation and depression
- Authors:
- STANCLIFFE Roger J., et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 23(4), July 2010, pp.312-321.
- Publisher:
- Wiley
Active Support is a model of support intended to bring about meaningful everyday activities by people with intellectual disabilities. The aim of this study was to examine the medium-term effect of implementation of Active Support on domestic participation, adaptive behaviour, challenging behaviour and depression in adults with intellectual disabilities who lived in community group homes. It investigated the effect of staff training in Active Support in 9 group homes. Outcome data were obtained for 41 clients. The effectiveness of Active Support was evaluated with a pre-test:post-test design, using a number of standardised assessments and other questionnaires, with group home staff as informants. These assessments were conducted before Active Support training and an average of 6.5 months later. The results showed that following implementation of Active Support residents experienced significant increases in domestic participation and adaptive behaviour. There were significant decreases in internalised challenging behaviour, overall challenging behaviour and depression. There was no significant pre–post change in other forms of challenging behaviour.
Australian implementation and evaluation of active support
- Authors:
- STANCLIFFE Roger J., et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 20(3), May 2007, pp.211-227.
- Publisher:
- Wiley
In this article the implementation and evaluation of Active Support in Australia is reported, the first such formal evaluation outside the UK. Residents and staff of five group homes participated. Active Support was introduced by training staff in one home at a time. Effectiveness was assessed using direct observation of resident engagement in activity and of staff help, as well as written assessments of resident outcomes. Staff help and resident engagement increased in four of five group homes. There was significantly greater participation in a wider variety of domestic activities, as well as more frequent and varied community participation. Change in resident engagement was positively related to change in staff help, but not related to residents’ level of adaptive behaviour. Most of the findings were consistent with earlier UK studies. There was evidence of the successful transfer of Active Support training skills to an Australian training team. Nonsignificant trends towards reduced depression and increased adaptive behaviour warrant further investigation.
Planning and action
- Authors:
- EMERSON Eric, STANCLIFFE Roger J.
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 17(1), March 2004, pp.23-26.
- Publisher:
- Wiley
Raises a a number of concerns about the possible impact of the systematic introduction of person-centred planning (PCP) across services for people with intellectual disabilities in the UK. The authors foresee a danger that system-wide adoption of PCP will be characterised over zealous 'selling' of the purported benefits without sufficient attention to the difficulties and without the necessary changes to system architecture to ensure that those involved in PCP have the authority or resources to achieve the plan's goals. If so, PCP will become another fad, and service users, and their families will become even more discouraged, disheartened and alienated by a system characterised by rhetoric rather than meaningful action. Where the authors differ, is in the interpretation of the existing evidence regarding the impact of individual planning systems in general and, perhaps, in the way forward.
The co-worker training model: outcomes of an open employment pilot project
- Authors:
- FARRIS Bryan, STANCLIFFE Roger J.
- Journal article citation:
- Journal of Intellectual and Developmental Disability, 26(2), June 2001, pp.143-159.
- Publisher:
- Taylor and Francis
Evaluates the viability of trained co-workers providing direct job training and support to employees with a disability in open employment. Selected staff from 11 KFC restaurants in Australia attended a 2 day co-worker training course. Following training they placed a modestly but significantly higher value on persons with a disability in the workplace than previously. Subsequently, an individual with a disability was employed in each of 10 KFC restaurants and received job training and support from a co-worker trainer. Employment outcomes for consumers with co-worker support were as good as for a comparison group who worker in similar jobs at KFC restaurants with job coach support. Comparison group members received substantially mores support hours from job coaches. Consumers with co-worker support experienced high levels of involvement with co-workers. Concludes that the co-worker training model may provide a viable, cost-effective alternative to the traditional place and train model.
Outcomes and costs of community living: a matched comparison of group homes and semi-independent living
- Authors:
- STANCLIFFE Roger J., KEANE Sian
- Journal article citation:
- Journal of Intellectual and Developmental Disability, 25(4), December 2000, pp.281-305.
- Publisher:
- Taylor and Francis
Consumer outcomes and recurrent (non-capital) service costs were compared for matched groups of Australian adults with intellectual disability living in group homes or semi-independently. Outcomes examined included quality of life, safety, aloneness, social dissatisfaction, personal care, domestic management, health care, money management, social network, use of mainstream community services, community participation, domestic participation, stability of place of residence, living companion turnover, and natural support.
The Choice Questionnaire: a scale to assess choices exercised by adults with intellectual disability
- Authors:
- STANCLIFFE Roger J., PARMENTER Trevor R.
- Journal article citation:
- Journal of Intellectual and Developmental Disability, 24(2), June 1999, pp.107-132.
- Publisher:
- Taylor and Francis
This article presents information on the development and evaluation of the Choice Questionnaire. The scale can be administered by interviewing the consumer or may be completed by a knowledgeable proxy. Used in either of these ways, the Choice Questionnaire was found to have very satisfactory reliability and validity. Its use as a research and evaluation tool is discussed.