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Living under the strategy: do outcomes for users of Welsh Community Residential Services lives up to the All Wales Strategy's underlying principles?
- Authors:
- PERRY Jonathan, FELCE David
- Journal article citation:
- British Journal of Learning Disabilities, 23(3), 1995, pp.102-105.
- Publisher:
- Wiley
The results of a two-year study which assessed quality of life outcomes for residents of fourteen small-scale staffed houses in Wales are discussed in the context of the principles which underlie the All Wales Strategy for the Development of Services for Mentally Handicapped People.
Resettlement outcomes for people with severe challenging behaviour moving from institutional to community living
- Authors:
- PERRY Jonathan, et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 24(1), January 2011, pp.1-17.
- Publisher:
- Wiley
The study investigated the quality of life of adults with severe challenging behaviour deemed to require continuous health care. These adults were resettled from a traditional learning disability hospital to new purpose-built NHS bungalows. Data were collected for 19 individuals on a variety of quality of care and lifestyle indicators when in hospital, and then after resettlement. Findings indicated no areas of significant deterioration in quality of care or lifestyle outcome when moving to the community. The community provision was more homelike and associated with some improvement in working methods and staff contact received by participants. There was also increased family contact, greater participant involvement in household activity and constructive activity generally and reduction in staff-reported challenging behaviour. Overall, health care provision was generally equivalent or superior to previous hospital levels. However, follow-up studies may be required as developing the working culture among staff from an institutional background may take longer than the length of this study.
Strategic service change: development of core services in Wales, 1983-1995
- Authors:
- PERRY Jonathan, et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 11(1), 1998, pp.15-33.
- Publisher:
- Wiley
National strategies for the development of services for specific client groups are rare in Britain, particularly strategies to which governments pledge significant long term financial investment. This article attempts to gauge the impact of one such strategy, the All Wales Strategy for the Development of Services for Mentally Handicapped People (AWS) by comparing the goals of the AWS with changes in the nature and coverage of services which have followed its inception. Finds that although the pace of change quickened between 1988 and 1995 compared to that in the first five years of the AWS, a wholesale orientation of traditional services is far from complete. Changes in service provision in Wales during the course of the AWS are compared where possible to development elsewhere in Britain.
Measure for measure: how do measures of quality of life compare?
- Authors:
- PERRY Jonathan, FELCE David
- Journal article citation:
- British Journal of Learning Disabilities, 23(4), 1995, pp.134-137.
- Publisher:
- Wiley
This paper is intended to provide some guidance to people wishing to monitor quality in small scale community residential settings. It describes the results of a study in which 14 objective quality of life indicators were conducted in a sample of 14 community-based staffed houses in order to assess the degree of overlap between measures within each of six quality of life domains: activity, autonomy and choice, housing quality, personal development, social and community integration, and social interactions. Overall, there was fairly high overlap within domains. Reasons for the lack of overlap which was sometimes found are discussed.
Quality of Life Outcomes for People with Intellectual Disabilities Living in Staffed Community housing services: a stratified random sample of statutory, voluntary and private agency provision
- Authors:
- PERRY Jonathan, FELCE David
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 16(1), March 2003, pp.11-28.
- Publisher:
- Wiley
This study compared sectors in terms of the processes operating within residential services, and objectively and subjectively assessed quality of life (QOL) resident outcomes. It was found that provider agencies did not differ in terms of the characteristics of the residents they served, the structure of settings, the processes underlying service operation or resident outcomes. However, across agencies there was considerable variation in residents' life conditions when they were measured objectively. Better outcome tended to be significantly correlated with the ability of residents. This was not the case with results on subjective measures (which were also higher than those on objective measures).
Characteristics of staffed community housing services for people with learning disabilities: a stratified random sample of statutory, voluntary and private agency provision
- Authors:
- PERRY Jonathan, et al
- Journal article citation:
- Health and Social Care in the Community, 8(5), September 2000, pp.307-315.
- Publisher:
- Wiley
Within the staffed housing model relatively little is known about the characteristics of different types of provider agency. Reports on a study which collected data on size, homeliness, organisational structure, working methods, staffing levels and resident characteristics on a sample of providers in South West England and Wales. Results found significant differences between providers on the variables of working methods and staffing levels. Resident ability correlated with staffing levels and organisational culture, but not with staff working methods. Discusses the results and their implications in the context of other research.
Outcomes of ordinary housing services in Wales: objective indicators
- Authors:
- PERRY Jonathan, FELCE David
- Journal article citation:
- Mental Handicap Research, 7(4), 1995, pp.286-311.
- Publisher:
- BIMH Publications
Outcome data were collected on fourteen, recently provided staffed houses for people with mild, moderate, severe or profound learning disabilities in order to assess the quality of service provided. Quality indicators reflected the quality of the housing provision, social and community integration, social relationships within the houses, resident engagement in activity, developmental progress over time and opportunities for autonomy and choice. The data show that the quality of the houses investigated was broadly similar to that reported for other housing services in British research which has accompanied deinstitutionalisation. Quality levels on many indicators were related to the ability of residents and the data illustrate the difficulty in providing services for people with more severe or profound learning difficulties, which are capable of achieving outcomes comparable with those attained in services for more able residents. The research provides further evidence that the extent of staff support for resident activity is critical to how much residents are able to participate fully in the everyday activities which arise in the conduct of their lives.