Search results for ‘Subject term:"learning disabilities"’ Sort:
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Learning disabilities: the fundamental facts
- Authors:
- EMERSON Eric, HATTON Chris, FELCE David, MURPHY Glynis
- Publisher:
- Mental Health Foundation
- Publication year:
- 2001
- Pagination:
- 56p.
- Place of publication:
- London
- Edition:
- Rev. ed.
Practical text defining providing basic facts and statistics on people with learning difficulties, concepts of learning disability, community, health needs, service provision and its costs.
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.
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.
Close to home: a local housing service and its impact on the lives of nine adults with severe and profound mental handicaps
- Authors:
- FELCE David, TOOGOOD Sandy
- Publisher:
- British Institute of Mental Handicap
- Publication year:
- 1988
- Pagination:
- 191p., bibliog.
- Place of publication:
- Kidderminster
Discusses the experiences of nine people who moved from institutional care to a community based house. Looks at managing difficult behaviour, improving the quality of life, and helping individuals to adapt to a normal life in the community.
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).
Exploring the relationships between costs and quality of services for adults with severe intellectual disabilities and the most severe challenging behaviours in Wales: a multivariate regression analysis
- Authors:
- FELCE David, et al
- Journal article citation:
- Journal of Intellectual and Developmental Disability, 25(4), December 2000, pp.307-326.
- Publisher:
- Taylor and Francis
A survey in Wales of people with severe intellectual disabilities and the most severe challenging behaviour identified adults living in new specialist community housing and 19 in traditional services. This study explored the relationships between resident characteristics, service characteristics, service processes, quality of life outcome and costs in a series of mutivariate regression analyses.
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.
Association between the provision characteristics and operation of supported housing services and resident outcomes
- Authors:
- FELCE David, LOWE Kathy, JONES Edwin
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 15(4), December 2002, pp.404-418.
- Publisher:
- Wiley
Variation in outcome between community housing services indicates the need for research on the factors that predict quality of life. The associations between service sector, staffing levels, staff characteristics, internal organization, non-institutional milieu, staff activity, the nature and extent of staff attention to residents and a range of resident outcomes were explored in a study of 10 statutory, 10 voluntary and nine private sector community housing schemes. There were no significant differences between sectors after differences in resident abilities were taken into account. Smaller residence size was associated with lower resident engagement in activity, and did not predict social or community integration. Higher staff to resident ratios predicted lower resident participation in household tasks but a greater frequency of community activities. A higher proportion of qualified staff was not shown to be a positive attribute. Measures of the internal organization of the settings were not strongly related to outcome. Residents receiving more attention from staff predicted greater participation in domestic activities and residents receiving more assistance from staff predicted higher engagement in activity.
Primary health care for people with a learning disability: a keynote review
- Authors:
- KERR Mike, FRASER William, FELCE David
- Journal article citation:
- British Journal of Learning Disabilities, 24(1), 1996, pp.2-8.
- Publisher:
- Wiley
The delivery of health care to people with a learning disability living in the community has come under increasing scrutiny. Concerns have been raised over both the current quality of this care and its future organisation. This article reviews the evidence on current practice focusing on epidemiology, health status and policy directives affecting primary health care. Four specific areas for service developments are identified: an individual focus within an epidemiological framework, the evaluation of the effectiveness of current therapies, practice organisations and the awareness of health within social care. It is proposed that an effective model of primary health care is possible, supported by research, training, inter-service collaboration and purchasing guidelines.