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Paying the piper and calling the tune? Commissioners’ evaluation of advocacy services for people with learning disabilities
- Authors:
- HUSSEIN Shereen, et al
- Journal article citation:
- Journal of Intellectual Disabilities, 10(1), March 2006, pp.75-91.
- Publisher:
- Sage
- Place of publication:
- London
Increases in funding of advocacy schemes are leading to their general expansion in the UK. Little is known of how their activities are evaluated by funders. This article examines how local authorities evaluate the outcomes of advocacy schemes. It reports on and discusses the findings of a survey of local authorities. Respondents identified the types of support they provided to advocacy schemes and their requirements for service reports. Data are presented on the length of time that schemes have been funded, geographical variations and whether schemes are generalist or specialist. This analysis is set in the context of discussion with stakeholders. The authors conclude that monitoring and review systems are not well known or extensively used, that while user involvement in evaluation is seen as appropriate this is not well developed, but that advocacy services themselves are interested in contributing to processes of improvement and accountability.
Following the IMCA trail
- Author:
- HAYES Derren
- Journal article citation:
- Community Care, 29.3.07, 2007, pp.24-25.
- Publisher:
- Reed Business Information
On the eve of a roll out of the Independent mental capacity advocate (IMCA) service, the author looks back at the development of the service and asks whether it will be up to the task.
Learning disability and advocacy: obstacles to client empowerment
- Author:
- JACKSON R.
- Journal article citation:
- Journal of Learning Disabilities for Nursing Health and Social Care, 3(1), March 1999, pp.50-55.
Citizen Advocacy, with its aim to empower, has the potential to transform the lives of people with learning disabilities, but an inevitable consequence of client empowerment is professional disempowerment. Professional workers are unlikely to relinquish power, control and influence without some resistance. This article seeks to show there are a number of ways for statutory agencies to neutralise the effect of citizen advocacy.
Election '97: the fight to vote
- Author:
- GEORGE Mike
- Journal article citation:
- Community Care, 13.3.97, 1997, pp.18-19.
- Publisher:
- Reed Business Information
If more users of social services voted at election time, they could damage majorities in marginal seats. But a series of obstacles means they may face a struggle to use their vote. Asks what social services can do to help.
The right to advocacy: a review of how local authorities and NHS Boards are discharging their responsibilities under the Mental Health (Care and Treatment) (Scotland) Act 2003
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2018
- Pagination:
- 53
- Place of publication:
- Glasgow
This report investigates access to independent advocacy services for people with mental health problems, learning disability, dementia and related conditions in Scotland. It is based on information received from health boards, local authorities, and from the new health and social care partnerships (HSCPs). The report also investigates whether the integrated children’s services plans of local authorities cover the provision of independent advocacy services for children and young people with mental illness, learning disability or related conditions. The results show that the planning and provision of advocacy services across Scotland is variable and lacks clarity. It found services for adults were often prioritised for those who were receiving compulsory care or treatment .There is a lack of clarity on which organisation is responsible for co-ordinating the preparation of strategic advocacy plans, and on how advocacy providers and people using advocacy services will be involved in planning. The report identifies significant gaps in service provision for children and young people, with some of the services not providing independent advocacy and very restricted eligibility criteria. (Edited publisher abstract)
The second year of the Independent Mental Capacity Advocacy Service 2008/2009
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2009
- Pagination:
- 54p.
- Place of publication:
- London
The Mental Capacity Act 2005 created the Independent Mental Capacity Advocate (IMCA) service as a safeguard for people without the capacity to make certain important decisions and without family or friends to support them. The Act also introduced a legal duty on NHS bodies and local authorities to refer eligible people to the IMCA service. The service started on 1st April 2007 and this is the report on its second year’s work. There was a 27 percent rise (to 6582) in the number of people receiving representation from the IMCA service compared to the first year. This comprised a 14 percent increase (to 3496) for decisions relating to accommodation moves; a 102 percent increase (to 387) for decisions relating to care reviews; a 43 percent increase (to 968) for decisions relating to serious medical treatment; and a 29 percent increase (to 960) in adult protection proceedings. There is concern that the service is not yet reaching all the people who would benefit, particularly with regard to the continuing low rate of referrals for serious medical treatment. A small study revealed that commissioners were mainly pleased with the service though they wanted IMCAs to be more available and to deliver reports faster. MCA leads in local authorities commented on the professionalism of IMCAs and the benefits to the client group. However, there was a perception within health care settings that involving an IMCA delayed treatment..