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Journal article

Variation in rates of inpatient admissions and lengths of stay experienced by adults with learning disabilities in England

Authors:
JAMES Elaine, HATTON Chris, BROWN Mark
Journal article citation:
Tizard Learning Disability Review, 22(4), 2017, pp.211-217.
Publisher:
Emerald

Purpose: The purpose of this paper is to analyse rates of inpatient admissions for people with learning disabilities in England and to identify factors associated with higher rates of inpatient admission. Design/methodology/approach: Secondary analysis of data submitted as part of the Transforming Care programme in England. Findings: 2,510 people with learning disabilities in England were inpatients on 31st March 2016. Findings indicate that people with learning disabilities are at risk of higher rate of inpatient admission than can be explained by prevalence within the general population; this risk may be associated with areas where there are higher numbers of inpatient settings which provide assessment and treatment for people with learning disabilities. Research limitations/implications: Variability in the quality of the data submitted by commissioners across the 48 Transforming Care Plan areas mean that greater attention needs to be paid to determining the validity of the common reporting method. This would improve the quality of data and insight from any future analysis. Practical implications: The study’s findings are consistent with the hypothesis that geographical variations in the risk of people with learning disabilities being admitted to inpatient services are not consistent with variations in prevalence rates for learning disability. The findings support the hypothesis that building alternatives to inpatient units should impact positively on the numbers of learning disabled people who are able to live independent lives. Originality/value: This is the first study which examines the data which commissioners in England have reported to NHS England on the experience of people with learning disabilities who are admitted as inpatients and to report on the possible factors which result in higher rates of inpatient admission. (Publisher abstract)

Journal article

Commentary on Valuing People and research: outcomes of the Learning Disability Research Initiative

Author:
HATTON Chris
Journal article citation:
Tizard Learning Disability Review, 14(2), April 2009, pp.35-38.
Publisher:
Emerald

The author, a university-based researcher involved with three of the LDRI projects, offers his perspective on whether the Learning Disability Research Initiative (LDRI) met its objectives in terms of programme coherence, the participation of people with intellectual disabilities and policy impact.

Book Full text available online for free

Religious expression, a fundamental human right: the report of an action research project on meeting the religious needs of people with learning disabilities

Authors:
HATTON Chris, et al
Publisher:
Foundation for People with Learning Disabilities
Publication year:
2005
Pagination:
50p.
Place of publication:
London

This report describes a two-year action research project running from January 2002 to December 2003, funded by the Foundation for People with Learning Disabilities. The aim of the project was to work with services to meet the religious needs of adults with learning disabilities, and to discover what worked particularly well.

Book

Residential provision for people with learning disabilities: a research review

Authors:
HATTON Chris, EMERSON Eric
Publisher:
University of Manchester. Hester Adrian Research Centre
Publication year:
1996
Pagination:
25p.
Place of publication:
Manchester

The aims of the review were fourfold: to produce an authoritative comprehensive summary of existing research relating to the characteristics, quality and costs of differing forms of residential provision for people with learning disabilities in the UK; to utilise 1991 Census data to describe the nature of current residential provision for this client group; to begin to map out, through a process of consultation with a wide range of organisations and visits to services, the defining characteristics and aims of differing approaches to residential provision; and to generate a list of recommendations concerning the conduct of future research  into alternative forms of residential provision for people with learning disabilities.

Book Full text available online for free

Strategies for change: implementing valuing people at the local level: developing housing and support options: lessons from research

Author:
HATTON Chris
Publisher:
University of Lancaster. Institute for Health Research
Publication year:
2003
Pagination:
24p.
Place of publication:
Lancaster

The White Paper Valuing People presents a wide-ranging agenda for change right across the spectrum of supports for people with learning disabilities. Much of this change is directed at the strategic planning level, including actions specified in the White Paper and forthcoming implementation guidance concerning housing services. Commissioners are clearly under considerable pressure to attend to the details of these actions and guidelines.

Journal article

Deinstitutionalisation

Authors:
EMERSON Eric, HATTON Chris
Journal article citation:
Tizard Learning Disability Review, 10(1), February 2005, pp.36-40.
Publisher:
Emerald

Over the last 50 years deinstitutionalisation has dominated social policy development for people with learning disabilities in most of the richest countries. This commemorative issue attempts to place what we have learned about the successes and failures of deinstitutionalisation in the light of 3 themes clearly evident in the work of Tizard and his colleagues: the unrealised potential of people with learning disabilities, the importance of measuring and analysing quality in residential services and the value of applied research.

Journal article

Residential provision for people with intellectual disabilities in England, Wales and Scotland

Authors:
EMERSON Eric, HATTON Chris
Journal article citation:
Journal of Applied Research in Intellectual Disabilities, 11(1), 1998, pp.1-14.
Publisher:
Wiley-Blackwell

Describes the nature and extent of residential provision for people with intellectual disabilities in 1991 in England, Scotland and Wales. Data from the OPCS Census suggest that: (1) substantial regional and national variation existed; (2) overall, the level of provision was significantly lower than Department of Health targets for 1991; (3) the majority of people with intellectual disabilities were living in relatively large-scale congregate care settings; (4) the majority of residents were younger and middle-aged adults; (5) young black men were significantly more likely to be placed in residential provision than their peers from other ethnic groups; (6) young Asian men, young Chinese/Other men and young Asian women were significantly less likely to be placed in residential provision than their peers from other ethnic groups; (7) rates of employment and marriage among residents were markedly lower than for the general population. The results are discussed in relation to national policy aims and existing and future demand for residential provision.

Journal article

Staff in services for people with learning disabilities: an overview of current issues

Authors:
HATTON Chris, EMERSON Eric
Journal article citation:
Mental Handicap Research, 8(4), 1996, pp.215-236.
Publisher:
BIMH Publications

Despite the obvious importance of high quality staff performance for achieving the aims of community care policy, it is only recently that attention in the UK has begun to be focussed on staffing issues in services for people with learning disabilities. Discusses possible reasons for this increase in activity and introduces the content of the issue - which concentrates on demonstrating the range of approaches currently being used in UK research concerning staff in-services for people with learning disabilities.

Journal article

Moving out

Authors:
HATTON Chris, EMERSON Eric
Journal article citation:
Health Service Journal, 19.5.94, 1994, pp.23-25.
Publisher:
Emap Healthcare

Reports on a Department of Health review of the impact of community care on the quality of life of people with learning difficulties and the lessons which should guide future provision.

Journal article

Day services and home care for adults with learning disabilities across the UK

Author:
HATTON Chris
Journal article citation:
Tizard Learning Disability Review, 22(2), 2017, pp.109-115.
Publisher:
Emerald

Purpose: This paper compares data from national social care statistics on day services and home care for people with learning disabilities across England, Scotland, Wales and Northern Ireland. Design/methodology/approach: National social care statistics (England, Scotland, Wales and Northern Ireland) reporting the number of adults with learning disabilities accessing day services and home care were reviewed, with data extracted on trends over time and rate of service use. Findings: Regarding day services, despite some variations in definitions, the number of adults with learning disabilities in England, Scotland and Wales (but not Northern Ireland) using building-based day services decreased over time. Data from Scotland also indicate that adults with learning disabilities are spending less time in building-based day services, with alternative day opportunities not wholly compensating for the reduction in building-based day services. Regarding home care, there are broadly similar rates of usage across the four parts of the UK, with the number of adults with learning disabilities using home care now staying static or decreasing. Social implications: Similar policy ambitions across the four parts of the UK have resulted (with the exception of Northern Ireland) in similar trends in access to day services and home care. (Edited publisher abstract)

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