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Journal article

The state of care management in learning disability and mental health services 12 years into community care

Authors:
CAMBRIDGE Paul, et al
Journal article citation:
British Journal of Social Work, 35(7), October 2005, pp.1039-1062.
Publisher:
Oxford University Press

This paper reports on the organization of care management from a longitudinal study of community care for people resettled from long-stay learning disability and psychiatric hospitals. The findings from a 12-year follow-up of care management arrangements in 12 learning disability and eight mental health study site services are described. The diversity of care management arrangements found at earlier points in the evaluation remained evident. Also, many of the former ‘care in the community’ service users were excluded from mainstream care management arrangements in their localities. The difficulty of developing person-centred arrangements in learning disability and the lack of integration of the Care Programme Approach and care management were evident. The findings and observations are placed in the wider policy and practice context, with suggestions for taking care management forward nationally and locally.

Book

Demonstrating successful care in the community

Editors:
CAMBRIDGE Paul, KNAPP Martin
Publisher:
University of Kent. Personal Social Services Research Unit
Publication year:
1988
Pagination:
66p., tables.
Place of publication:
Canterbury

A series of papers from regional seminars held in 1987-1988 which discussed the 28 1983 DHSS Care in the Community Projects.

Journal article

The sexual health needs of people with learning disabilities

Author:
CAMBRIDGE Paul
Journal article citation:
Nursing Times, 2.9.03, 2003, pp.48-49.
Publisher:
Nursing Times

Explores the strategies required to enable people with learning disabilities to lead healthier sexual lives.

Book

Evaluating the challenge: a guide to evaluating services for people with learning difficulties and challenging behaviour

Authors:
EMERSON Eric, CAMBRIDGE Paul, HARRIS Philip eds
Publisher:
King's Fund
Publication year:
1991
Pagination:
59p.,bibliog.
Place of publication:
London

Guidance for evaluators from health authorities, local authorities, the independent sector, university departments and elsewhere.

Journal article

Patterns of risk in adult protection referrals for sexual abuse and people with intellectual disability

Authors:
CAMBRIDGE Paul, et al
Journal article citation:
Journal of Applied Research in Intellectual Disabilities, 24(2), March 2011, pp.118-132.
Publisher:
Wiley-Blackwell

This study used adult protection monitoring data to investigate referrals for alleged sexual abuse for people with intellectual disability, and identify risk. Data was collected by two local authorities in Kent, England, as used in a previous study, and included 397 referrals to sexual abuse of people with intellectual disabilities. The data was analysed, with referrals for alleged sexual abuse compared to referrals for other types of abuse. Results indicated over a fifth of referrals related to alleged sexual abuse, two-thirds of these being for women. Sexual abuse was confirmed in just over a quarter. Similarities were found with previous findings across a range of key characteristics. In conclusion, adult protection monitoring data can be used to provide risk management information on the sexual abuse of people with intellectual disability. However, detailed case characteristics need to be included in order to maximise its potential.

Journal article

The case for a new 'case' management in services for people with learning disabilities

Author:
CAMBRIDGE Paul
Journal article citation:
British Journal of Social Work, 38(1), January 2008, pp.91-116.
Publisher:
Oxford University Press

Micro-organization is currently fragmented in services for people with learning disabilities. Care management, person-centred planning (PCP) and direct payments have developed through separate policy strands, with tasks and agency responsibilities blurred. A wide diversity of care management arrangements currently operate, with the relationship between care management, PCP and direct payments imprecisely defined. PCP and direct payments have also been variably implemented. This paper argues for a new ‘person-centred case management’, with these different devices better integrated and decision-making and action more person-centred. Drawing on practice experience from the original British case management experiments, the new ‘case’ management would be centred on the needs and wants of individuals, be conducted independently from assessment, operate outside the public sector and be able to access personal budgets. It would consequently have the capacity to further de-institutionalize services and support and transfer more control to people with learning disabilities.

Journal article

Managing abuse inquiries: methodology organisation process and politics

Author:
CAMBRIDGE Paul
Journal article citation:
Journal of Adult Protection, 3(3), August 2001, pp.6-20.
Publisher:
Emerald

Offers a framework for managing abuse inquiries in social care. Draws on the experience of an inquiry into the physical abuse of people with learning disabilities and challenging behaviours in a residential service and reviews the likely demands on inquiries, offers observations about stake-holding and makes suggestions about inquiry management and reporting.

Journal article

Building care management competence in services for people with learning disabilities

Author:
CAMBRIDGE Paul
Journal article citation:
British Journal of Social Work, 29(3), June 1999, pp.393-415.
Publisher:
Oxford University Press

This article examines care management arrangements in services for people with learning disabilities. Its perspective is informed by research on the long-term outcomes and costs of care in the community for people with learning disabilities. Focuses on the performance of mainstream care management services for people with learning disabilities, with an identification and review of critical dimensions for reviewing competence. Lessons from earlier experimentation and demonstration approaches are used to inform the analysis and to construct pointers for commissioners or providers who are looking to assess the effectiveness of care management arrangements in learning disability within their own service systems.

Journal article

A rights approach to supporting the sexual fetish of a man with learning disability: method, process and applied learning

Author:
CAMBRIDGE Paul
Journal article citation:
British Journal of Learning Disabilities, 41(4), 2013, pp.259-265.
Publisher:
Wiley-Blackwell

This paper reports on a psycho-educational intervention associated with the sexual fetish of a man with mild learning disability and autism which centred on his use of nappies and baby paraphernalia. It outlines the nature and expression of his sexual fetish and the risks perceived to be associated with it and describes the approach developed to support him, including the aims which underpinned the work and the methods and processes employed. It was found that a person-centred psycho-educational approach from a rights based perspective achieved important changes in his life and self-esteem and helped challenge assumptions about his sexual risk. The paper also reflects on the organisational location of this work and identifies the applied learning for supporting the sexual fetish of people with learning disabilities, of value for informing sex education and sexuality support for people with learning disabilities more widely. (Publisher abstract)

Journal article

A study of adult protection referrals in two local authorities: an overview of findings for managers and practitioners

Authors:
CAMBRIDGE Paul, et al
Journal article citation:
Journal of Adult Protection, 13(5), 2011, pp.238-250.
Publisher:
Emerald

This paper presents findings from a study of adult protection referrals collected by two English adult social services, Kent and Medway, during 1998-2005, and includes 6,148 referrals In Kent and Medway adult social services. Data were analysed for patterns relating to risk with client level data, supplemented by information from the local authority databases. The study also examined associations between adult protection processes and outcomes and looked at how adult protection monitoring data could be improved to better inform safeguarding management and practice at local and national level. Findings revealed that sexual abuse was most frequently reported for people with intellectual disabilities. They were at higher risk of abuse when living out of area. Older people were most at risk of financial abuse in community settings and of neglect in residential care. A discussion on improving the quality and comparability of adult protection monitoring data is presented.

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