Search results for ‘Subject term:"learning disabilities"’ Sort:
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Evaluating community care: services for people with learning difficulties
- Authors:
- WRIGHT Ken, HAYCOX Alan, LEEDHAM Ian
- Publisher:
- Open University Press
- Publication year:
- 1994
- Pagination:
- 202p.,tables,bibliog.
- Place of publication:
- Buckingham
Describes and discusses the principles of evaluating community care services for people with learning difficulties and explores how they have been applied in the development of policy in the last 10 years. Also looks closely at outcomes and at cost measurement.
The economic costs of a normal life: the case of Dr.Barnardo's Intensive Support Unit
- Authors:
- SHIELL A., WRIGHT K.
- Journal article citation:
- Mental Handicap Research, 1(1), 1988, pp.91-101.
- Publisher:
- BIMH Publications
Barnardo's Intensive Support Unit is a residential unit on a housing estate which accommodates children with severe handicaps with a view to finding foster homes for them. Compares the cost with that of an NHS Unit.
Quality and costs of community-based residential support for people with learning difficulties and challenging behaviour
- Authors:
- ROBERTSON Janet, et al
- Publisher:
- University of Lancaster. Institute for Health Research
- Publication year:
- 2002
- Pagination:
- 24p.
- Place of publication:
- Lancaster
The aim was to compare the quality and costs of two approaches to providing community-based residential supports to people with learning disabilities and challenging behaviour: non-congregate settings where the minority of residents have challenging behaviour; and congregate settings where the majority of residents have challenging behaviour. Congregate care was associated with higher costs, higher staffing ratios, and better quality internal working practices. However, these inputs did not translate to better outcomes for residents. Non-congregate care was associated with greater access to day activities, less reliance of medication and physical restraint to control challenging behaviour, and less risk. Levels of staff contact and participant engagement were low across both models of care.
Quality and costs of residential supports for people with learning disabilities: a comparative analysis of quality and costs in village communties, residential campuses and dispersed housing schemes
- Author:
- UNIVERSITY OF LANCASTER. Institute for Health Research
- Publisher:
- University of Lancaster. Institute for Health Research
- Publication year:
- 1999
- Pagination:
- 128p.
- Place of publication:
- Lancaster
This report provides the results of a large-scale research project commissioned by the Department of Health. The aims of the project were to identify or explore the nature, quality and costs of residential or village communities and community-based dispersed housing schemes for people with learning disabilities.
Quality and costs of residential support for people with learning difficulties: comparative analysis of quality and costs in village communities, residential campuses and dispersed housing schemes: summary and implications
- Authors:
- EMERSON Eric, et al
- Publisher:
- University of Lancaster. Institute for Health Research
- Publication year:
- 1999
- Pagination:
- 24p.
- Place of publication:
- Lancaster
This report provides a brief summary of the results of a large-scale research project commissioned by the Department of Health. The aims of the project were to identify or explore the nature, quality and costs of residential or village communities and community-based dispersed housing schemes for people with learning disabilities.
Caring for people with learning difficulties in Scotland: comparative costs
- Author:
- RYAN Mandy
- Journal article citation:
- British Journal of Learning Disabilities, 22(2), 1994, pp.57-61.
- Publisher:
- Wiley
Compares the costs of alternative forms of residential care for people with a learning difficulty in Scotland. The results suggest that whilst it costs less to care for adults with a severe and profound learning difficulty in hospital, it is cheaper to care for adults with a moderate or mild learning difficulty in the community. Evidence of economies of scale was found in providing care for these latter two groups in the community. Foster care placements were the cheapest form of care for children with a severe and profound learning difficulty. Other research has shown that community based small homes provide a superior quality of care.
Unit costs of community care 1992/93
- Authors:
- NETTEN Ann, SMART Steve, comps
- Publisher:
- University of Kent. Personal Social Services Research Unit
- Publication year:
- 1993
- Pagination:
- 62p.,bibliog.
- Place of publication:
- Canterbury
First in a planned series of reports bringing together the most up-to-date information on the unit costs of community care. Uses the economic concept of opportunity cost to define what should be measured and how. In 4 sections: services for older people; services for people with mental health problems; services for people with learning difficulties; and generic services.
Building the right support: an analysis of funding flows
- Author:
- REDQUADRANT
- Publisher:
- Great Britain. Department of Health and Social Care
- Publication year:
- 2022
- Pagination:
- 129
- Place of publication:
- London
An independent report that analyses funding flows associated with 'Building the Right Support' for people with a learning disability and autistic people. Building the Right Support seeks to support an overall reduction in the number of people with a learning disability and autistic people who are in specialist inpatient mental health care by improving their access to community support. The report seeks to examine the funding flows, and any related financial incentives and disincentives, that a) enable people to move out of hospital into homes with care and support, and b) develop the infrastructure of community services that prevent unnecessary hospital admissions and enable people to live ordinary lives in the community. This research highlights the problems arising from the inability to access national comparative data to provide comprehensive financial information, which would enable financial performance monitoring and the ability to identify trends and initiate corrective actions relating to BtRS. The study concludes that the moral case for change remains overwhelming - people need to move out of inpatient settings and have the right to live an ordinary life. Savings generated by inpatient bed reductions are unlikely to be sufficient to meet the costs of many people still to be discharged from inpatient care. Careful consideration needs to be given to how Integrated Care Boards (ICBs) can be supported and incentivised to enable as many people as possible to be discharged to live ordinary lives in the community. Similarly, continued high admission rates (particularly of autistic people) need to be addressed, and greater focus placed on investing in support that is available at an early stage with greater control for people and their families to find solutions that do not rely on inpatient stays, especially through transition. (Edited publisher abstract)
Deinstitutionalisation and community living: position statement of the Comparative Policy and Practice Special Interest Research Group of the International Association for the Scientific Study of Intellectual Disabilities
- Authors:
- MANSELL Jim, BEADLE-BROWN Julie
- Journal article citation:
- Journal of Intellectual Disability Research, 54(2), February 2010, pp.104-112.
- Publisher:
- Wiley
The process of “deinstitutionalisation”; that is the abandonment of large residential institutions and their replacement by small scale services allowing people to live in the community, is well advanced in Scandinavia, the US, Canada, the UK and Australasia. Although here the debate is largely resolved, questions remain about whether newer kinds of supported accommodation replicate institutional features and themselves need reform. In other countries the debate has never really begun because those with intellectual disabilities are mostly cared for by their families. In a third group of countries the dominant form of care remains institutional and how to replace this is at the heart of the debate. The purpose of this position statement by the Comparative Policy and Practice Special Interest Research Group of the International Association for the Scientific Study of Intellectual Disabilities was to set out concisely the evidence for comparing institutional to community services and to draw out implications for policy makers. The UN Convention on the Rights of Persons with Disabilities obliges states to develop community living to replace institutional care. The authors suggest that in addressing this task, policy makers should be aware of the evidence that; community living offers the prospect of an improved lifestyle and quality of life over institutional care for people with intellectual disabilities, that this applies to old and new institutions alike whatever they are called; that community care is no more expensive than institutional care on the basis of comparative need and quality of care; and successful community living requires close attention to the way services are set up and run, especially the quality of staff support.
A treatment service for sex offenders and abusers with intellectual disability: characteristics of referrals and evaluation
- Authors:
- LINDSAY William R., et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 15(2), 2002, pp.166-174.
- Publisher:
- Wiley
With the advent of community care policies, alternative systems for treatment and management are needed to deal with the problems associated with sex offenders and abusers with intellectual disability. This article describes such a service which attempts to maintain clients' community placements. Concludes that it is possible to set up a relatively cost-effective community service for sex offenders with intellectual disability. In terms of re-offending, the outcomes for alternative disposals reported in the literature.