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Relocating people with intellectual disability to new accommodation and support settings: contrasts between personalized arrangements and group home placements
- Authors:
- McCONKEY Roy, et al
- Journal article citation:
- Journal of Intellectual Disabilities, 20(2), 2016, pp.109-120.
- Publisher:
- Sage
- Place of publication:
- London
Internationally the relocation of people with intellectual disability from institutions has brought significant gains to their quality of life. This study contrasted three groups of persons in Ireland who moved either to personalised arrangements (n = 29) or to community group homes (n = 31) with those who remained in congregated settings awaiting relocation (n = 29). Persons moving to rented accommodation with personalized support tended to be younger and had fewer support needs than those in group homes. They had greater control and choice in their lives, more community engagement and increased personal relationships compared to residents in group homes but those remaining in congregated settings fared worse of all. However, average staff costs were significantly higher in the latter settings. The implications for the future provision of group living arrangements are discussed along with the need for further longitudinal research to assess the sustained impact of personalized arrangements and their funding. (Edited publisher abstract)
Quality of life and living arrangements for people with intellectual disability
- Authors:
- BERTELLI Marco, et al
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 7(4), 2013, pp.220-231.
- Publisher:
- Emerald
Recent international experiences of community inclusion have produced a major change in residential care for people with intellectual disability (ID). Assignment and outcome assessment through new person-centred measures are raising increasing interest; however, the information on quality of life and accommodation is still limited. This paper aims to provide an overview of the application of quality of life models and the size of the provision of different living arrangements using a systematic mapping of the literature of the last decade and expert guided review of the available evidence. Quality of life (QoL) outcomes measures of living arrangements in people with ID show conceptual and methodological challenges. The following key topics were identified: individual level: issues related to health status, behavioural problems and other personal factors (ageing, choice and empowerment); family and peers; local level: accommodation, architecture and urbanization, and economic aspects (deprivation and costs); macro level: social participation (community inclusion). The residential solutions that are currently considered of highest efficiency are small apartments in the community and “cluster centers”. (Edited publisher abstract)
Quality of life in group homes and older persons' homes
- Authors:
- HIGGINS Laura, MANSELL Jim
- Journal article citation:
- British Journal of Learning Disabilities, 37(3), September 2009, pp.207-212.
- Publisher:
- Wiley
A non-equivalent comparison group design was used to compare the quality of life of 59 people in three groups; older people without an intellectual disability living in older people's homes (n = 20), older people with an intellectual disability living in older people's homes (n = 19) and older people with an intellectual disability living in intellectual disability homes (n = 20). Data were collected on participant characteristics, adaptive behaviour and three aspects of quality of life; community involvement, participation in domestic living and choice making. The three groups were comparable in terms of gender, ethnicity and additional impairments but the older people without an intellectual disability were older and had more adaptive skills than the other groups. Older people with an intellectual disability experienced better quality of life outcomes in terms of participation in meaningful activity and community access when they lived in intellectual disability homes compared with older people's homes. It was not possible to achieve reliability on the measure of choice-making. This study provides some evidence to suggest that older people with an intellectual disability may be best served in intellectual disability homes rather than older people homes and that it is an area of research which needs further exploration.
Closure of the Challinor Centre ll: an extended report on 95 individuals after 12 months of community living
- Authors:
- YOUNG Louise, et al
- Journal article citation:
- Journal of Intellectual and Developmental Disability, 26(1), March 2001, pp.51-66.
- Publisher:
- Taylor and Francis
As part of an institutional closure programme, 95 individuals with an intellectual disability were relocated to community-based group homes. Each individual was assessed 6 months prior to the relocation and then again after 1, 6, and 12 months of community living. Assessments involved ratings of adaptive and maladaptive behaviour, choice-making, and life circumstances. The group means comparing institution to community ratings showed improvements in adaptive functioning but no significant change in maladaptive behaviour. There were also improvements in life circumstances and increased opportunities for choice-making following relocation to the community. These outcomes suggest that relocation to the community was associated with a more active and normalised lifestyle than experienced in the institutional setting.
Comparing costs and outcomes of supported living with group homes in Australia
- Authors:
- BIGBY Christine, BOULD Emma, BEADLE-BROWN Julie
- Journal article citation:
- Journal of Intellectual and Developmental Disability, 43(3), 2018, pp.295-307.
- Publisher:
- Taylor and Francis
Background: Supported living is perceived as more flexible than group homes for people with intellectual disability. This study identified costs and factors associated with quality of life (QOL) in supported living and compared this with group homes. Method: Thirty-one residents in supported living participated in a survey incorporating measures of service user characteristics and QOL. Participants in supported living were compared to a sample of 397 people in 96 group homes, and QOL outcomes compared for a matched sample of 29 people in supported living and group homes. Results: QOL differed little, supported living was cheaper, and 30–35% of both groups had similar support needs. Being younger, having autism, better health, family support, and participation in structured activities were associated with better outcomes in supported living. Conclusions: Supported living holds potential for group home residents, but greater support is required in domains such as health and interpersonal relationships. (Edited publisher abstract)
Outcomes and costs of residential services for adults with intellectual disabilities in Taiwan: a comparative evaluation
- Authors:
- CHOU Yueh-Ching, et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 21(1), March 2008, pp.114-125.
- Publisher:
- Wiley
The disability policy in Taiwan has traditionally emphasized residential care in large institutions and, more recently, medium-sized group homes. This paper compares the relative costs, services provided and outcomes between the traditional institutions, medium-sized group homes and new small-scale community living units that were launched in 2004 in Taiwan. Cross-sectional analysis was used to investigate the three current residential service models. A total of 248 participants with intellectual disabilities were interviewed, including all residents from the existing 25 small residential units and purposively sampled respondents from the other two residential models. Outcomes for the Taiwanese participants were consistent with the existing literature on deinstitutionalization from Western societies. Small homes provided better subjective and objective quality of life than both medium-sized community-based units and traditional institutions. Participants living in small residential homes experienced better outcomes at lower cost than persons living in medium-sized group homes or institutions.
Quality and costs of residential supports for people with learning disabilities: an observational study of supports provided to people with severe and complex learning disabilities in residential campuses and dispersed housing schemes
- Authors:
- EMERSON Eric, et al
- Publisher:
- University of Manchester. Hester Adrian Research Centre
- Publication year:
- 1999
- Pagination:
- 64p.,tables,bibliog.
- Place of publication:
- Manchester
Report providing a summary of selected results from a large scale research project aiming to examine the quality and costs of residential support provided for people with severe and complex learning difficulties. Contains sections on: methodology; the organisations; the characteristics and needs of service users; the nature of the support provided to service users; costs of service provision; and outcomes for service users.
Quality and costs of residential supports for people with learning disabilities: a comparative analysis of quality and costs in group homes and supported living schemes
- Authors:
- EMERSON Eric, et al
- Publisher:
- University of Manchester. Hester Adrian Research Centre
- Publication year:
- 1999
- Pagination:
- 86p.,tables,bibliog.
- Place of publication:
- Manchester
Report providing a summary of selected results from a large scale research project looking at the quality and costs of residential supports provided for people with learning difficulties. Contains sections on: the organisations; characteristics and needs of service users; nature of the support provided to service users; costs of service provision; outcomes for services users; and user views.
Quality and costs of residential supports for people with learning disabilities: summary and implications
- Authors:
- EMERSON Eric, et al
- Publisher:
- University of Manchester. Hester Adrian Research Centre
- Publication year:
- 1999
- Pagination:
- 30p.,bibliog.
- Place of publication:
- Manchester
Presents a brief summary of the results of a large scale research project identifying and exploring the nature, quality and costs of residential or village communities and community based dispersed housing schemes for people with learning difficulties.
Quality and costs of residential supports for people with learning disabilities: a comparative analysis of quality and costs in village communities, residential campuses and dispersed housing schemes
- Authors:
- EMERSON Eric, et al
- Publisher:
- University of Manchester. Hester Adrian Research Centre
- Publication year:
- 1999
- Pagination:
- 146p.,tables,bibliog.
- Place of publication:
- Manchester
Report providing a summary of selected results from a large scale research project aiming to examine the quality and costs of residential support provided for people with learning difficulties. This report provides a comparative analysis of the relative quality and costs of village communities, residential campuses and community based dispersed housing schemes. Contains sections on: the organisations; characteristics and needs of service users; nature of the support provided to service users; costs of service provision; outcomes for service users; views of users; and views of relatives.