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Changes in the provision of residential care for adults with an intellectual disability: a national longitudinal study
- Authors:
- KELLY Fionnola, McCONKEY Roy
- Journal article citation:
- Tizard Learning Disability Review, 17(1), 2012, pp.4-10.
- Publisher:
- Emerald
The Republic of Ireland has a National Intellectual Disability Database (NIDD) of persons with an intellectual disability, which is updated annually. It records people living in various forms of residential provision as well as those living with family carers. This study used NIDD data to explore changes in provision of residential care from 1999 to 2009 for nearly 8,000 adults with intellectual disability in Ireland living in congregated or community-based accommodation. The analysis found that the largest area of growth over the ten-year period was in the provision of community group homes, with just under 50% of people living in community settings by 2009. There was a reduction in the number of places in congregated options, but more people were living in new forms of congregated provision designated specialist units. The article points out that a move from congregated living arrangements to more homely, community-based accommodation is a policy objective in many developed countries, and asserts that outmoded models of residential provision are likely to persist unless there is sustained investment in new forms of provision.
Does the daily choice making of adults with intellectual disability meet the normalisation principle?
- Authors:
- SMITH Rosanne, MORGAN Michaela, DAVIDSON John
- Journal article citation:
- Journal of Intellectual and Developmental Disability, 30(4), December 2005, pp.226-235.
- Publisher:
- Taylor and Francis
This study examined whether daily choice availability for adults with intellectual disability was consistent with Nirje's (1973) normalisation principle. Ratings of the daily choice availability of 59 people with intellectual disability in group homes and 198 individuals without intellectual disability in family homes were obtained. Level of disability, rather than age, affected choice availability of adult participants. Choice availability was significantly lower for adults with more severe intellectual disability, but no significant difference was found between adults with milder disability and those without intellectual disability. Quadratic and bilinear models were fitted to data from 198 adults and children without disability. The better fitting bilinear model showed an increase in choice availability during childhood that plateaued on reaching adulthood. Choice availability age-equivalents were calculated, which were age-appropriate for adults with milder intellectual disability, but substantially lower than expected for adults with moderate to severe disability. The normalisation principle was met for adults with milder intellectual disability, but not for adults with more severe disability.
Statistics on community care for adults in Northern Ireland 2017/18
- Author:
- NORTHERN IRELAND. Department of Health. Community Information Branch
- Publisher:
- Northern Ireland. Department of Health. Community Information Branch
- Publication year:
- 2018
- Pagination:
- 93
- Place of publication:
- Belfast
Statistical information on community care services gathered from health and social care (HSC) trusts. It includes details of contacts with HSC trusts, the number of care packages in effect, number of people in receipt of meals on wheels services, residential and nursing accommodation and day care registrations. It reports that between 1 April 2017 and 31 March 2018, 29,228 people in the Elderly Care, Learning Disability and Physical & Sensory Disability were in contact with HSC Trusts in Northern Ireland. (Edited publisher abstract)
Statistics on Community Care for Adults in Northern Ireland 2016 - 2017
- Author:
- NORTHERN IRELAND. Department of Health. Community Information Branch
- Publisher:
- Northern Ireland. Department of Health. Community Information Branch
- Publication year:
- 2017
- Pagination:
- 92
- Place of publication:
- Belfast
Statistical information on community care services gathered from health and social care (HSC) trusts. It includes details of contacts with HSC trusts, care packages in effect, meals on wheels services, residential and nursing accommodation and day care registrations. It reports that between 1 April 2016 and 31 March 2017, 28,653 people in the Elderly Care, Learning Disability and Physical and Sensory Disability POC’s were in contact with HSC Trusts. As at 30 June 2017, there were 5,238 residential places available, a 1 per cent increase from the previous year. Of these 59 per cent were in independent residential homes, while 21 per cent were in statutory residential homes and 20 per cent in dual registered nursing homes. (Edited publisher abstract)
Commentary on "Changes in the provision of residential care for adult persons with an intellectual disability: a national longitudinal study"
- Author:
- TURNPENNY Agnes
- Journal article citation:
- Tizard Learning Disability Review, 17(1), 2012, pp.11-13.
- Publisher:
- Emerald
In this paper, the author provides a commentary on an article by Kelly and McConkey describing their findings about changes in residential care for adults with intellectual disabilities in Ireland over the last 10 years. The paper outlines some of the challenges of developing residential care to move away from institutional care and towards provision of community-based supports. It discusses international developments in deinstitutionalisation and community living. The author concludes that the United Nations Convention on the Rights of Persons with Disabilities and international organisations which fund investment in social care can potentially drive the replacement of institutions with community-based services for people with intellectual disabilities, and that community living for people with intellectual disabilities should be a global agenda with an emphasis on human rights.
An incredible journey
- Author:
- SLY Sam
- Journal article citation:
- Learning Disability Today, 10(8), October 2010, pp.14-16.
- Publisher:
- Pavilion
- Place of publication:
- Hove
This article considers the impact on support workers of the move from caring from people with learning disabilities in institutional settings to supporting them in the community, particularly highlighting the success stories. Workers transferring from institutional care settings may have a number of fears and hopes about the move, and these fears and hopes are discussed in the article. Their careers and livelihoods become inextricably entangled with the lives of the people they support, and the decisions being made often include changes to their job and working environment. What is expected of workers has changed. They are expected to support people to get a good life through building on the individual’s strengths and skills to make and sustain community connections. They are also expected to maximise the individual’s income, through state benefits or employment, so that the best opportunities are available to them. This is on top of any personal support that the person they support may require. This article discusses training and support to help support workers with the transfer to support in the community.
NHS learning disability services: implications of the Cornwall report
- Author:
- DOW John
- Journal article citation:
- Journal of Integrated Care, 15(3), June 2007, pp.37-40.
- Publisher:
- Emerald
'NHS bodies who run care homes or domiciliary agencies must immediately seek to register their services with CSCI'. This was the first of a number of national recommendations in a report by the Heathcare Commission last year following and investigation into services for people with learning disabilities in Cornwall. This article considers the implications of this recommendation in the context of the requirements of the Care Standards Act.
Social services statistics Wales 2012-13
- Author:
- WALES. Welsh Government
- Publisher:
- Welsh Government
- Publication year:
- 2014
- Pagination:
- 73
- Place of publication:
- Cardiff
An annual report collating the social services statistical returns from local authorities in Wales. The report includes information on children, adults receiving services, people with physical, sensory of a learning disability, mental health services and staff directly employed by local authority social services departments. (Edited publisher abstract)
Statistics on community care for adults in Northern Ireland 2011-2012
- Author:
- NORTHERN IRELAND. Department of Health, Social Services and Public Safety
- Publisher:
- Northern Ireland. Department of Health, Social Services and Public Safety
- Publication year:
- 2012
- Pagination:
- 142
- Place of publication:
- Belfast
An annual statistical report presenting information on a range of community activity gathered from HSC Trusts. It also includes comparisons over the past five years for the main activities. Activities covered include: contacts with HSC Trusts; residential and nursing home care packages; meals on wheels services; residential and nursing home care accommodation; and day care facilities. Services provided include those for older people, people with mental health problems, people with learning disabilities and people with physical and sensory disability. (Original abstract)
Caring for older people: developing specialist practice
- Editors:
- MARR Jim, KERSHAW Betty
- Publisher:
- Arnold
- Publication year:
- 1998
- Pagination:
- 352p.,tables,bibliog.
- Place of publication:
- London
Addresses the care of older people in the community, nursing and residential homes and in hospital settings from a nursing perspective. Contains a broad range of evidence based material covering aspects such as quality of life, mobility, social interaction, sexuality, community perspectives and the care of people with learning difficulties or mental health problems. Adopts a positive, modern role to nursing older people and recognises throughout that the goals of older people are concentrated on independence.