Search results for ‘Subject term:"learning disabilities"’ Sort:
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What is standard care for people with learning disabilities and behaviour that challenges and what does it cost?
- Authors:
- IEMMI Valentina, et al
- Journal article citation:
- British Journal of Learning Disabilities, 44 (4), 2016, pp.309-321.
- Publisher:
- Wiley
Background: This article describes current care arrangements in England for children, young people and adults with learning disabilities and behaviour that challenges, and estimate their comparative costs. Materials and Methods: A two-round Delphi exercise was performed in March and April 2014, followed by a costing exercise. Results: The study finds a mixed picture: participants reported that 60-87% of children, 66-88% of young people and 34-47% of adults were likely to be living within the community. Annual cost of care would range between £39 612 and £74 876 for children, between £35 235 and £52 832 for young people and between £81 478 and £94 799 for adults. Conclusion: While residential-based care may continue to be necessary for respite or for individuals with particular needs, community-based care may be an economically attractive alternative, supporting the inclusion of people with learning disabilities and behaviour that challenges within their communities, potentially at a lower cost. (Edited publisher abstract)
Assessing quality of life and mortality in adults with intellectual disability and complex health problems following move from a long-stay hospital
- Authors:
- BHAUMIK Sabyasachi, TYRER Freya, GANGHADARAN Satheesh
- Journal article citation:
- Journal of Policy and Practice in Intellectual Disabilities, 8(3), September 2011, pp.183-190.
- Publisher:
- Wiley
In England, residents of long-stay hospitals for adults with an intellectual disability (ID) now live in the community. The success of this can be assessed based on factors such as quality of life and mortality. This study measured quality of life at 6 months prior to moving, and at 6 months and 1 year after relocation in 51 adults with ID with complex health problems who had moved from a long-stay hospital into various community supported living accommodations. Mortality and causes of death were investigated in those who died within 2 years of relocation. Findings revealed that quality of life improved between baseline and 6 months follow-up but levelled off at 1 year follow-up. Three adults died during the first 2 years of moving to the community; all had complex problems. The authors concluded the need for careful and considered planning when relocating people with ID who had complex health problems, irrespective of their current residence.
Why are people with intellectual disability moved "out-of-area"?
- Authors:
- PERRY David W., et al
- Journal article citation:
- Journal of Policy and Practice in Intellectual Disabilities, 4(3), September 2007, p.203–209.
- Publisher:
- Wiley
Some people with intellectual disabilities (ID) continue to be provided with accommodations that are outside their local area, away from familiar people and places. Although studies have been scarce on this topic, there is evidence to suggest that this does not always provide the best outcome for individuals in terms of quality of life. The authors undertook a survey to look at the personal characteristics of 89 persons with ID originally from the city of Coventry in the UK, and now situated by local health or social services authorities in locations other than the immediate Coventry area. The authors found that the number of people being placed "out-of-area" is increasing; among them are persons with autistic spectrum disorder (particularly those transitioning into adulthood), those with a past history of behaviour resulting in action by the criminal justice system, and those with a history of aggression toward others. There are concerns that the commissioning and provision of "out-of-area" services echo the dehumanizing institutionalization policies that dominated the first part of the 20th century, are lacking in coordination, and are proving to be more expensive than locally provided services.
Service innovation: assertive outreach teams for adults with learning disability
- Authors:
- PRAKASH Jamuna, ANDREWS Tim, PORTER Ian
- Journal article citation:
- Psychiatric Bulletin, 31(4), April 2007, pp.138-141.
- Publisher:
- Royal College of Psychiatrists
Assertive community treatment (ACT) was developed in the early 1970s as a means of coordinating the care of people with severe mental illness in the community. A Cochrane review of the effectiveness of ACT for the general adult population found that people receiving ACT were more likely to engage with services, and were less likely to be admitted to hospital. This article describes the development and operation of the learning disability assertive outreach team in Oxfordshire. This could be used as a framework for setting up similar teams for working with people with learning disability and mental health problems. The results of an audit comparing a period of assertive outreach care with standard community care are discussed.
What can we do: the legal framework of community care services for adults with learning disabilities; a guide for families, advocates and support personnel in England and Wales
- Authors:
- ROBERTS Gwyneth, GRIFFITHS Aled
- Publisher:
- National Development Team
- Publication year:
- 1993
- Pagination:
- 47p.
- Place of publication:
- Manchester
Guide to community care services.
The costs of community residential facilities for adults with a mental handicap in England
- Authors:
- SHIELL Alan, et al
- Journal article citation:
- Mental Handicap Research, 5(2), 1992, pp.115-129.
- Publisher:
- BIMH Publications
Estimates the economic costs of a random sample of 123 community residential facilities for people with a mental handicap indicating variations across health authority, local authority, private and voluntary providers. Gives preliminary results of an analysis of the reasons for differences found.
Caring for mentally disabled people in Scotland
- Author:
- TITTERTON M.
- Journal article citation:
- Social Policy and Administration, 25(2), June 1991, pp.136-148.
- Publisher:
- Wiley
Describes differences in policy and practice from the situation in England and Wales in caring for the young mentally disabled.
Arranging services for people with a learning disability and behaviour that challenges: a quick guide for commissioners
- Authors:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE, SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publishers:
- National Institute for Health and Care Excellence, Social Care Institute for Excellence
- Publication year:
- 2018
- Pagination:
- 4
- Place of publication:
- London
People with a learning disability and behaviour that challenges should have the support they need to live how and where they want. Organising and developing services in the right way is the first step to making this happen. This quick guide focuses on achieving good outcomes for people through effective commissioning of services. It looks at planning and delivering services, providing services in the community, and considering housing options. The content is based on NICE’s guideline on learning disabilities and behaviour that challenges: service design and delivery. (Edited publisher abstract)
Building the right support for people with a learning disability and autistic people action plan: briefing
- Author:
- NHS PROVIDERS
- Publisher:
- NHS Providers
- Publication year:
- 2022
- Pagination:
- 9
- Place of publication:
- London
This briefing summarises the 'Building the right support for people with a learning disability and autistic people action plan', with a particular focus on the key commitments and timescales for delivery in each of the chapters and sets out NHS Providers' view. The action plan brings together into one document key elements from existing reports, recommendations and announcements from across government and public services aimed at improving care and support for people with a learning disability and autistic people, to provide a clear view as to what must be delivered. The action plan is divided into six chapters: 1. keeping people safe and ensuring high quality health and social care; 2. making it easier to leave hospital; 3. living an ordinary life in the community; 4. a good start to life; 5. working with changes to the system; 6. national and local accountability to deliver. (Edited publisher abstract)
Transforming care: how can progress be improved?
- Author:
- BUNN Jonathan
- Publisher:
- Association of Directors of Adult Social Services
- Publication year:
- 2020
- Pagination:
- 8
- Place of publication:
- London
The paper aims to highlight local government and housing provider perspectives on the challenges in the current Transforming Care system. The ambition set out in the Building the Right Support plan was to significantly increase the pace of systemic change by shifting funding from inpatient services to community support though a new financial framework. This aimed to encourage Transforming Care Partnerships (TCPs) to reach agreement on how to invest the money available across local systems to facilitate discharges from hospital and reduce admissions. However, the limited progress in reducing the numbers of people receiving inpatient care suggests these arrangements have not been consistently effective. Some of the challenges identified in this report include: the supply of suitable accommodation; the impact of regulation; access to capital funding; the difficulty of finding alternative settings for those individuals with the most complex needs and challenging behaviour, particularly as their circumstances have also led to them becoming institutionalised; workforce capacity; and a leadership capable of providing a clear, assertive and ambitious narrative. The report makes a series of recommendations, including establishing a clear collective understanding on how funding for Transforming Care will move down from the government and through CCGs and local authorities. This would help streamline the discharge process and ensure individuals receive appropriate community-based support. (Edited publisher abstract)