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Project SEARCH: a new model of supported employment?
- Author:
- KAEHNE Axel
- Journal article citation:
- Learning Disability Today, 15(1), January 2015, pp.22-24.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Reports on the evaluation of Project SEARCH UK programme, an intern-based supported employment programme originally devised in the USA. The evaluation examined employment outcome data from 17 participating sites in the South West of England. In the programme a business, often a hospital, takes the lead in developing the internships. It also commits to take on 60 per cent of its interns after graduation for full time employment. The programme is primarily open to young people with learning disabilities and autistic spectrum conditions who are in their last year of school or college. Outcomes found that Project SEARCH graduates had a significantly higher rate of finding employment than in other supported employment programmes. It was also successful in offering opportunities to people with a range of learning disabilities. Interns also found work in a variety of roles. The evaluation demonstrates that Project Search is a valuable addition to supported employment programmes in the UK. (Edited publisher abstract)
Service audit pilot report
- Author:
- McCUE Michael
- Publisher:
- Joint Improvement Team
- Publication year:
- 2011
- Pagination:
- 16p.
- Place of publication:
- Edinburgh
The Scottish Government Mental Health Division established the National Co-Morbidity Working Group in 2007. The initial focus of this working group was on the use of in-patient and related services for people with a learning disability with mental health needs. This document provides an overview of efforts to expand the remit of the National Co-Morbidity Working Group to include a re-consideration of the scope of services for people with a learning disability, offending behaviour and autistic spectrum difficulties. A work plan was developed, which included the aim of identifying the most responsive models of service for this client group via a detailed analysis of existing international, national and local service models and key service model characteristics. The outcome of this modelling work was the development of a set of 22 Key Service Model Characteristics (KSMC), which appear to be predictive and reflective of responsive services for individuals with complex support needs. The KSMC was used to evaluate the quality and service governance processes of Turning Point Scotland (TPS). In addition, a workshop event was held with the Risk Management Team of TPS which aimed to evaluate the KSMC as a template for real service review and development.
Named Social Worker: findings from six pilot sites report
- Authors:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE, INNOVATION UNIT
- Publishers:
- Innovation Unit, Social Care Institute for Excellence
- Publication year:
- 2017
- Pagination:
- 36
- Place of publication:
- London
This report sets out the findings from the six sites involved in the Named Social Work programme during the six months from October 2016 to March 2017. The programme aimed to explore how having a named social worker could contribute to individuals with learning disabilities, autism or mental health needs achieving better outcomes and being in control of decisions about their own future. The report provides a summary of the impact achieved and a cost benefit analysis in each of the six sites, which developed their own approaches based on their local context. The sites cover: Calerdale, Camden, Hertfordshire, Liverpool, Nottingham and Sheffield. It also includes a set of programme level insights which show how a Named Social Worker model can shift outcomes; by providing permission for social workers to work in new ways; by setting expectations around working more closely with individuals; by opening up visibility across the system for named social workers to engage at different stages of an individual’s journey; and by being an endeavour of the whole team. The report also outlines some of the tools used by the sites. (Edited publisher abstract)
A case study of an embedded system in prison to support individuals with learning difficulties and disabilities in the criminal justice system
- Authors:
- KIRBY Amanda, SAUNDERS Lisette
- Journal article citation:
- Journal of Intellectual Disabilities and Offending Behaviour, 6(2), 2015, pp.112-124.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to describe first the rationale for an embedded process for learning difficulties and disabilities in the criminal justice system (CJS). This is followed by an example of how this approach has been delivered in one offender setting. The use of a novel computerised assessment tool is described, and the way it has been used to undertake the initial screening processes and provide person centred guidance for staff and the individuals. The bio-psychosocial approach to supporting individuals moving through the CJS is suggested as an approach that could be potentially used in other prisons settings. The paper also highlights some of the current challenges in doing so. Design/methodology/approach: This paper presents a review of the currently literature to provide a rationale for the example of the embedded approach taken. Findings: The approach, aligns to the challenges cited in much of the research. Practical implications: The model presented can be used as a basis for potentially delivering such a system in other prisons settings and to highlight areas that remain contentious. Social implications: The embedded model represents a bio-psychosocial approach to supporting individuals moving through the CJS so has important implications. (Publisher abstract)
Housing people with complex needs: finding an alternative to traditional service models
- Authors:
- SERGEANT E V, BROWN Garry
- Journal article citation:
- Housing Care and Support, 7(1), February 2004, pp.25-30.
- Publisher:
- Emerald
Describes the findings of research on the housing support needs of people with challenging behaviour, undertaken between 1998 and 2001 and completed in Aberdeen as part of the closure of long-term hospitals for people with learning disabilities. The research looked at long-stay hospital residents and service users whose community placements had broken down and who had been admitted to the acute sector of the hospital. The problem faced at the beginning of the research was the failure of the traditional models of supported housing to meet more complex and challenging needs. Solutions were required that allowed for choice and which are cost-effective, provide high levels of support and have flexibility. Key to this was the housing and support model. The findings have enabled Aberdeen to develop flexible solutions offering a range of support options, including the use of assistive technology to enhance support.
The multi-component model of harmful sexual behaviour for people with autism and co-morbid intellectual disabilities – a theory and practice guide
- Author:
- WORTHINGTON Rachel
- Journal article citation:
- Journal of Forensic Practice, 21(1), 2019, pp.1-13.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to explore to what extent neuro-typical theories of sexual offending apply to clients with Levels 2 and 3 autism with a co-morbid intellectual disability (ID). The paper develops a model of harmful sexual behaviour (HSB) for this client group and makes suggestions for how these behaviours can be understood and reduced. Design/methodology/approach: The revised Integrated Theory of Sexual Offending (ITSO) (Ward and Beech, 2016) is used as a starting framework to understand HSB in this client group. This attends to specific neuropsychological systems, brain development, motivation and emotional processing. Findings: The revised ITSO has some utility in understanding HSB in this client group. This is improved when neuro-atypical specific state factors are identified. Practical ways of establishing these state factors are made which attend to the function of the behaviour in line with “Good Lives” model of rehabilitation. Research limitations/implications: Recommendations for ways in which the function of HSB in this client group can be identified are made as well as recommendations for how treatment can be tailored dependent on the function of behaviour in this client group. Practical implications: The paper makes practical recommendations for how interventions for people with ID and autism in line with Ward, Clack and Haig’s (2016) Abductive Theory of Method which noted that interventions should be adopted to consider wider explanations for offending thus acknowledging that treatment could extend beyond cognitive behavioural therapy for clinical phenomena. Future treatments for clients with autism and LD are suggested which attend to sensory needs, teaching alternative communication strategies for seeking out “deep pressure” or attention in ways that do not involve sexual offending, using picture communication, information technology or Makaton to communicate needs or using social stories to explain the consequences of behaviour. In addition, neuro-atypical interventions which attend to the neuropsychological functioning of clients could also be included in treatment for neuro-typical clients, thus ensuring that interventions attend to every aspect of the ITSO and not purely clinical phenomena. Social implications: Enhancing treatment interventions for clients with ID and autism could both reduce risk and enhance quality of life for this client group. Originality/value: Much of the work to date exploring HSB in clients with autism has attended to clients with Level 1 autism or those without an additional ID. This paper provides practitioners with a theory upon which to understand HSB in clients with a dual diagnosis of Levels 2/3 autism and an ID as well as practical recommendations for reducing HSB in this client group. (Edited publisher abstract)
Gap analysis of service needs for adults with neurodevelopmental disorders
- Author:
- BURKE Shanna L.
- Journal article citation:
- Journal of Intellectual Disabilities, 23(1), 2019, pp.97-116.
- Publisher:
- Sage
- Place of publication:
- London
In Florida, the Agency for Persons with Disabilities provides waivers for adults with the following types of disabilities: intellectual disability, autism spectrum disorder, cerebral palsy, spina bifida, Down syndrome, and Prader–Willi syndrome. This review examined the peer-reviewed literature to indicate and assess the common needs for individuals with intellectual and developmental disabilities. Current models of service delivery, the efficacy of these services, and remaining gaps in the need fulfilment of individuals within the six diagnostic categorizations of interest were examined. Severity level within each diagnostic category was plotted on a matrix according to whether the needs of individuals were minimal, moderate, severe, or universal. The study found that sexual health education, socialization, and adult-focused medical care are universal needs among the six conditions. The study indicates that health-care professionals must work toward addressing the many unmet needs in comprehensive life span care services for adult individuals with neurodevelopmental disorders. (Edited publisher abstract)