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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)
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.
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.
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
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.
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.
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.
Not such an ordinary life: a comparison of employment, marital status and housing profiles of adults with and without intellectual disabilities
- Authors:
- McMAHON Martin, BOWRING Darren Lee, HATTON Chris
- Journal article citation:
- Tizard Learning Disability Review, 24(4), 2019, pp.213-221.
- Publisher:
- Emerald
Purpose: Having paid work, relationships and a choice of where to live are common policy priorities for adults with intellectual disabilities. The purpose of this paper is to compare outcomes with respect to these three priorities between adults with intellectual disability and the general population in Jersey. Design/methodology/approach: Data were collected from 217 adults with intellectual disability known to services, and 2,350 adults without intellectual disability using a stratified random sample. Data on employment, marital status and accommodation profiles were compared. Findings: In sum, 87 per cent of adults with intellectual disability were currently single vs 16 per cent of adults without intellectual disability; 23 per cent of working-age adults with intellectual disability were in paid employment vs 92 per cent of working-age adults without intellectual disability; and 57 per cent of adults with intellectual disability lived-in sheltered housing vs 2 per cent of adults without intellectual disability. Social implications: Very few adults with intellectual disability are in paid employment or intimate relationships, and the majority live in sheltered, supported housing, with very few owning their own home. There is a significant disconnect between policy and reality. Considerable work is required to make an ordinary life the reality for adults with intellectual disability. Originality/value: This study adds to the body of evidence that suggests people with intellectual disabilities are less likely to experience an ordinary life. Furthermore, it illustrates that despite Jersey being an affluent society, the same difficulties and barriers exist there for persons with an intellectual disability as in other jurisdictions. (Publisher abstract)
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)
Trends in the identification of children with learning disabilities within state schools in England
- Authors:
- HATTON Chris, EMERSON Eric
- Journal article citation:
- Tizard Learning Disability Review, 21(2), 2016, pp.108-112.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to present data drawn from the Department for Education (DfE)concerning trends in the number of children identified as having a learning disability within state schools in England. Design/methodology/approach: Data based on the school census conducted by the DfE was examined annually for 2009/2010 to 2014/2015, to determine the number of children identified as having moderate learning difficulty (MLD), severe learning difficulty (SLD) or profound multiple learning difficulty (PMLD) within state schools in England, at two levels: having a Statement of Educational Needs/Education Health Care Plan, or at School Action Plus. Findings: The number of children identified as MLD reduced substantially over time, for both statemented children and children identified at the School Action Plus level. In contrast, the smaller number of statemented children with SLD or PMLD increased over time, in line with increasing school rolls and epidemiological trends. Research limitations/implications: Further work is needed to understand the sharp reduction in the number of children being identified as having MLD within schools, and the educational support being offered to this group of children. Better information is also needed on children with learning disabilities not being educated in the state school sector. Originality/value: This paper highlights important trends in the identification of children with learning disabilities in state schools in England, with consequences for how large groups of children are being supported.
Trends and variations in self-directed support and direct payments for adults with learning disabilities
- Author:
- HATTON Chris
- Journal article citation:
- Tizard Learning Disability Review, 19(1), 2014, pp.35-38.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to provide information concerning trends over time and geographical variations in the number of adults with learning disabilities in England using self-directed support (SDS) and direct payments (DPs). Design/methodology/approach: Analysis of local authority returns to the Health and Social Care Information Centre (RAP Table SD1) concerning the number of working age adults with learning disabilities accessing SDS and DPs from 2009/2010 to 2011/2012. Findings: From 2009/2010 to 2012/2013 there has been a rapid increase in the number of working age adults with learning disabilities using SDS, particularly in the form of council services only, with the number of people using DPs staying largely static. There are wide geographical variations in the likelihood of adults with learning disabilities accessing all forms of SDS/DP. Originality/value: This paper analyses trends over time and geographical variations that have not previously been published in a peer-reviewed journal. (Publisher abstract)