Search results for ‘Subject term:"learning disabilities"’ Sort:
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Commissioning person-centred, cost-effective, local support for people with learning disabilities
- Authors:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE, EMERSON Eric, et al
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2008
- Pagination:
- 54p.
- Place of publication:
- London
SCIE knowledge review on commissioning person-centred, cost-effective, local support for people with learning disabilities who are labelled as having complex needs and/or challenging behaviour. This review addresses concerns about the number of adults with learning disabilities receiving various forms of supported accommodation services who are living away from the communities to which they belong (ie, are ‘placed out-of-area’).
A financial cost:benefit analysis of Kent supported employment: establishing a framework for analysis: an interim report
- Authors:
- KILSBY Mark, BEYER Stephen
- Publisher:
- Kent County Council
- Publication year:
- 2010
- Pagination:
- 26p.
- Place of publication:
- Maidstone
The aim of this study, commissioned by Kent County Council, is to develop a cost benefit framework that is robust enough to accurately identify the potential costs and savings to the local authority and taxpayer of delivering supported employment for people with learning disabilities through the Kent Supported Employment Agency service. The first phase of the 3 phase study, focusing on people with learning disability who had gained work from March 2009 to February 2010, is summarised in this report. The report sets out the method used, descriptive results, and cost benefit outcomes. The estimates show that there is a notional saving on average for people going into supported employment compared with average day service costs. The discussion of results notes that there are a number of uncertainties in the data, and that further work will be needed in phase 2 to obtain more detailed information and refine the analysis.
Tell it like it is: what the crisis in social care really means for people with a learning disability
- Author:
- LEARNING DISABILITY COALITION
- Publisher:
- Learning Disability Coalition
- Publication year:
- 2008
- Pagination:
- 17p.
- Place of publication:
- London
The Learning Disability Coalition's report details people's experiences of cuts to services and the impact that the underfunding of the social care system is having on the lives of people with a learning disability.
Early positive approaches to support for families of young children with intellectual disability: the E-PAtS feasibility RCT
- Authors:
- COULMAN Elinor, et al
- Journal article citation:
- Public Health Research, 10(2), 2022,
- Publisher:
- National Institute for Health Research
- Place of publication:
- Southampton
Background: Parents of children with intellectual disability are 1.5–2 times more likely than other parents to report mental health difficulties. There is a lack of clinically effective and cost-effective group well-being interventions designed for family carers of young children with intellectual disability. Aim: To examine the feasibility of a randomised controlled trial of the clinical effectiveness and cost-effectiveness of the Early Positive Approaches to Support (E-PAtS) intervention. Design: A feasibility study (including randomisation of families into a two-arm trial), questionnaires to assess the feasibility of proposed outcome measures (including resource use and health-related quality of life) and practitioner/family carer interviews. An additional question was included in an online UK survey of families, conducted by the research team to assess usual practice, and a survey of provider organisations. Setting: Families recruited from community contexts (i.e. third sector, local authority services, special schools) and self-referral. The E-PAtS intervention was delivered by trained community-based providers. Participants: Families with at least one child aged 1.5-5 years with an intellectual disability. At least one parent had to have English-language ability (spoken) for E-PAtS programme participation and participants had to provide informed consent. Interventions: E-PAtS intervention – two caregivers from each family invited to eight 2.5-hour group sessions with usual practice. Usual practice – other support provided to the family, including other parenting support. Objectives: To assess randomisation willingness/feasibility, recruitment of providers/parents, retention, usual practice, adherence, fidelity and feasibility of proposed outcome measures (including the Warwick–Edinburgh Mental Well-Being Scale as the proposed primary outcome measure, and parent anxiety/depression, parenting, family functioning/relationships, child behavioural/emotional problems and adaptive skills, child and parent quality of life, and family services receipt as the proposed secondary outcome measures). Results: Seventy-four families (95 carers) were recruited from three sites (with 37 families allocated to the intervention). From referrals, the recruitment rate was 65% (95% confidence interval 56% to 74%). Seventy-two per cent of families were retained at the 12-month follow-up (95% confidence interval 60% to 81%). Exploratory regression analysis showed that the mean Warwick–Edinburgh Mental Well-Being Scale well-being score was 3.96 points higher in the intervention group (95% confidence interval –1.39 to 9.32 points) at 12 months post randomisation. High levels of data completeness were achieved on returned questionnaires. Interviews (n = 25) confirmed that (1) recruitment, randomisation processes and the intervention were acceptable to family carers, E-PAtS facilitators and community staff; (2) E-PAtS delivery were consistent with the logic model; and (3) researchers requesting consent in future for routine data would be acceptable. Recorded E-PAtS sessions demonstrated good fidelity (96% of components present). Adherence (i.e. at least one carer from the family attending five out of eight E-PAtS sessions) was 76%. Health-related quality-of-life and services receipt data were gathered successfully. An online UK survey to assess usual practice (n = 673) showed that 10% of families of young children with intellectual disability received any intervention over 12 months. A provider survey (n = 15) indicated willingness to take part in future research. Limitations: Obtaining session recordings for fidelity was difficult. Recruitment processes need to be reviewed to improve diversity and strategies are needed to improve primary outcome completion. Conclusions: Study processes were feasible. The E-PAtS intervention was well received and outcomes for families were positive. A barrier to future organisation participation is funding for intervention costs. A definitive trial to test the clinical effectiveness and cost-effectiveness of E-PAtS would be feasible. (Edited publisher abstract)
Costs and economic consequences of Parent Pioneers, a pilot Mellow Futures programme for mothers with learning difficulties
- Authors:
- BAUER Annette, WILLIAMS Gemma
- Publisher:
- Personal Social Services Research Unit
- Publication year:
- 2015
- Pagination:
- 20
- Place of publication:
- London
This report presents estimates of the costs of delivering the pilots of the Mellow Futures programme in Islington and Northumberland, looking at the costs of providing the intervention, the outcomes achieved by the intervention and the economic consequences. The Mellow Futures programme is a group based parenting programme that has been adapted to specifically meet the needs of parents with learning difficulties and consists of two distinct parts: the antenatal group is a six weeks course that aims to help mothers-to-be identify their own needs and to access support in pregnancy and after birth; the postnatal group aims to provide parents with the support they need to develop strong relationships with their newborn babies and lasts 14 weeks. In both localities the costs of the professionally provided programme were only up to one-third of the care package costs. They thus presented a relatively small part of the overall cost of support that these mothers with learning difficulties accessed during the perinatal period. The findings indicate that there could be short-term reductions in costs to public sector because of reduced child welfare activities. (Edited publisher abstract)
Learning disability services efficiency project: delivering savings in learning disability services
- Publication year:
- 2014
- Pagination:
- 20
- Place of publication:
- London
The Learning Disability Services Efficiency Project was set up by the Local Government Association in 2014 to enable local authorities to develop and share new and innovative approaches to making savings in learning disability services. Five councils were selected to take part in the project: London Borough of Barking and Dagenham, Cumbria County Council, Darlington Council, Kent County Council and Wiltshire Council. This report provides a summary of each pilot sites after six months of the programme. Short case studies are included throughout. The report also builds on the findings from the Adult Social Care Efficiency (ASCE) programme to draw out some initial messages for adult social care: reducing costs, reducing demand and ongoing challenges. (Edited publisher abstract)
Citizenship in further education: next steps in personalised transition: a discussion paper in association with ibk iniatives and Maddocks Associates
- Authors:
- MURRAY Pippa, SHEPHERD Jane
- Publisher:
- Centre for Welfare Reform
- Publication year:
- 2011
- Pagination:
- 12p.
- Place of publication:
- Sheffield
This discussion paper outlines the need for, and the possibility of, significant progress in personalising support in further education for young disabled people. Currently, many young people with profound and multiple learning disabilities are not provided opportunities to extend their learning, but instead are offered day centre provision or out of area residential placements. Residential colleges and care homes cost a great deal, seldom have a positive impact on people’s lives, and rarely lead to improved outcomes. This proposal supports the development of local further education in order that young people with profound and multiple learning disabilities going to Further Education colleges are helped to create meaningful and fulfilling lives. It argues that a personalised response creates a greater chance of disabled adults remaining within their communities as opposed to going into residential care homes. In addition, a personalised package is likely to offer significant cost savings over residential care.
Cheshire East Council: enabling adults with a learning disability
- Author:
- DH CARE NETWORKS. Care Services Efficiency Delivery
- Publisher:
- DH Care Networks. Care Services Efficiency Delivery
- Publication year:
- 2010
- Pagination:
- 8p.
- Place of publication:
- London
The Cheshire East Learning Disability service wanted to explore new ways of improving their delivery to service users in line with the personalisation agenda. In particular they wanted to improve risk management within the service working with providers who were looking to continue to support people with changing needs, for example dementia and to offer a service to new service users with challenging or difficult behaviours. The use of assistive technology with older people, especially those with dementia is well documented. Cheshire’s integrated approach to discover the potential for telecare with people with learning disabilities has been successful in developing a different set of service solutions. This report, evaluating a pilot programme providing telecare equipment to those with learning disabilities, outlines the benefits and cost savings, includes a table of perceived benefits and several case studies. In conclusion Cheshire East found that use of assistive technology ensures value for money solutions that can and do deliver improved personal outcomes for customers, carers and families.
'It makes life more ordinary'
- Authors:
- VALIOS Natalie, AHMED Maria
- Journal article citation:
- Community Care, 2.11.06, 2006, pp.26-27.
- Publisher:
- Reed Business Information
The authors report on a recent evaluation of the In Control pilots, which show they have improved the quality of life for people with learning difficulties at no extra cost for councils.
The emergence of person centred planning as evidence-based practice
- Authors:
- SANDERSON Helen, THOMPSON Jeanette, KILBANE Jackie
- Journal article citation:
- Journal of Integrated Care, 14(2), April 2006, pp.18-25.
- Publisher:
- Emerald
Recent research has demonstrated that person-centred planning leads to positive changes for people. This research shows how person centred planning is associated with benefits in the areas of community involvement, contact with friends, contact with family and choice. This paper briefly describes this research and its recommendations. In addition it explores the implications for managers and professional supporting people with learning disabilities. The research took place over two years in four localities in England.