Search results for ‘Subject term:"learning disabilities"’ Sort:
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Promoting independence, preventing dependency
- Author:
- PARROTT Richard
- Journal article citation:
- Tizard Learning Disability Review, 18(4), 2013, pp.161-170.
- Publisher:
- Emerald
Purpose – There are major pressures on social care funding for people with learning disabilities. It is unsustainable to continue working in the same way. The need to promote independence and prevent the need for social care for people with a learning disability is urgent. The purpose of this paper is to highlight key issues, stimulate debate and strengthen the evidence base. Design/methodology/approach: The paper takes evidence from research, literature reviews, statistics and policy debates. It illustrates key points with case studies. The argument for change has been developed in discussion with key stakeholders including the chief executive of a leading self-advocacy organisation. Findings: Demand is increasing whilst funding is reducing. Policy, practice and evidence on prevention of the need for social care for people with a learning disability are underdeveloped. Nevertheless, there are many examples of good practice, and of emerging opportunities for local partnerships to work together to build a new approach. Research limitations/implications: Research on the benefits and costs of prevention of social care for people with a learning disability is underdeveloped. There is a need to extend the evidence base on the range of interventions and their effectiveness. Originality/value: The paper argues for a step change in culture, practice and the focus of research. (Publisher abstract)
Prevention: wrestling with new economic realities
- Author:
- KNAPP Martin
- Journal article citation:
- Tizard Learning Disability Review, 18(4), 2013, pp.186-191.
- Publisher:
- Emerald
Purpose : The purpose of this paper is to discuss the economic pressures on long-term care systems, and describe how an economic case might be made for better care, support and preventive strategies. Design/methodology/approach: Discussion of recent developments and research responses, with illustrations from previous studies. Findings: Economics evidence is highly relevant to decision makers in health, social care, and related systems. When resources are especially tight, economics evidence can sometimes persuade uncertain commissioners and others to adopt courses of action that improve the wellbeing of individuals, families, and communities. Originality/value: The paper uses long-established approaches in economic evaluation to discuss preventive and other strategies in today's challenging context. (Publisher abstract)
A problem shared: making the best use of resources in adult social care
- Author:
- THINK LOCAL ACT PERSONAL
- Publisher:
- Think Local Act Personal
- Publication year:
- 2013
- Pagination:
- 76
- Place of publication:
- London
This report aims to help political and managerial leadership in councils make the best use of the available resources for developing and delivering adult social care, whilst promoting a personalisation approach. It reviews the evidence about how budget reductions have been achieved so far, and draws out lessons that can be learned. Specific sections discuss: supporting people with learning disabilities; understanding demand management; the potential impact of culture changes and working together with the NHS the role of Health and Wellbeing boards. The report shows that while some traditional methods have been used to deliver a large part of the cash releasing savings, more fundamental changes are now required, and this involves people remaining independent for as long as possible and building the capacity of communities to support people in new ways. Some suggestions for next steps are also made, including further tools and guidance that could help the sector manage future budget pressures. The report was commissioned by the Think Local Act Personal Partnership (TLAP) and the Local Government Association's Towards Excellence in Adult Social Care Programme (TEASC). It is one of a series of reports designed to support sector-led improvement. (Edited publisher abstract)
Urban adolescents with intellectual disability and challenging behaviour: costs and characteristics during transition to adult services
- Authors:
- BARRON Diana A., et al
- Journal article citation:
- Health and Social Care in the Community, 21(3), 2013, pp.283-292.
- Publisher:
- Wiley
Young persons with intellectual disabilities and challenging behaviour in transition usually have complex needs, which may not be served well within existing resources. In this article, we present a survey of all the young people, between 16 and 18 years of age with intellectual disabilities and challenging behaviour identified in one inner London borough. They were in transition to adult services at the time of the study (between 2006 and 2008). The objective was to examine their socio-demographic and clinical characteristics, pattern of service use and associated costs of care. An assessment toolkit was devised to measure the mental and physical health, challenging behaviour and service use of the sample. Instruments within the toolkit included the Strengths and Difficulties Questionnaire, challenging behaviour scale, Client Service Receipt Inventory (CSRI) and socio-demographic data form. Twenty-seven individuals in transition to adult services had challenging behaviour, 23 of whom had mental health diagnoses and 18 of whom had physical diagnoses. Severity of challenging behaviour did not correlate with cost of care. Informal care accounted for the highest proportion of the total cost of care (66%) with education being the second largest contributor at 22%. Evidence on transition outcomes for young people with complex needs and intellectual disabilities and associated costs is lacking. This article illustrates some of the relevant issues in this area. Further research is required to investigate these aspects and guide commissioning of appropriate services. (Publisher abstract)
Unit costs of health and social care 2013
- Author:
- CURTIS Lesley
- Publisher:
- Personal Social Services Research Unit
- Publication year:
- 2013
- Pagination:
- 289
- Place of publication:
- Canterbury
This publication provides unit costs for a wide range of health and social care services using a standardised methodology. The report is organised into five main sections. Section I covers services used by a particular client group, and includes services for older people, people with mental health problems, people who misuse drugs/alcohol, people with learning disabilities, younger adults with physical and sensory impairments, services for children and their families, hospitals, and care packages. Sections II, III and IV deal with the unit costs of professionals in community-based health care, community-based social care, and hospital-based health care. Section V details the sources of information used. This volume also includes three articles which explore: information on the costs of: cognitive behaviour therapy, residential child care and telecare and telehealth. (Original abstract)