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Multiagency protocols in intellectual disabilities transition partnerships: a survey of local authorities in Wales
- Author:
- KAEHNE Axel
- Journal article citation:
- Journal of Policy and Practice in Intellectual Disabilities, 7(3), September 2010, pp.182-188.
- Publisher:
- Wiley
Local authorities in Wales have undertaken various efforts to improve the experience of transition for young people with intellectual disabilities as they leave school and enter the general marketplace. This paper presents the findings of a study of transition protocols in place for intellectual disability partnerships in 22 local authorities in Wales. The study consisted of a survey of existing protocols and a documentary analysis of the content of the obtained protocols. The article outlines the relevant legal and policy context of school to marketplace transition in England and Wales, then reviews the results of the survey of all 22 Welsh local authorities, and presents the findings of a documentary content analysis. The results highlight the difficulties in formulating effective protocols for transition partnerships at the local authority level. Criteria applied in the documentary analysis have been, among others, person-centred planning, involvement of young people and carers, accessibility of the protocol, and the inclusion of external agencies in transition planning. The analysis shows wide-ranging discrepancies in the quality and content of transition protocols across Wales.
Diverse conceptualizations of deinstitutationalization as a barrier to the implementation of discharge policies
- Author:
- PARLAIS Stavros K.
- Journal article citation:
- Journal of Policy and Practice in Intellectual Disabilities, 6(3), September 2009, pp.199-211.
- Publisher:
- Wiley
Using a case study approach, the author undertook to identify the particular barriers that arose in one specific discharge programme which relocated people with intellectual disabilities from an institution into the community. Data were collected by means of interviews, and a grounded theory approach was employed for their analysis. It was found that the main obstacles to deinstitutionalization in this particular discharge program included: (1) a lack of a coherent approach; (2) a failure to develop discharges consistently according to professionals' plans or service users' needs; (3) a lack of holistic support for professionals undergoing transition; (4) ambiguous model of management; and (5) a lack of interest in joint working. It was concluded that the different conceptualizations of what deinstitutionalization meant constituted the main barrier to policy and practice. The two diverse conceptualisations are identified as the "close down approach" and the "community relocation approach". Professionals need to reach a shared understanding and conceptualization of the discharge program, and, in order to proceed with the huge workload of a discharge program, there should be a consortium approach in place among the main stakeholders.
Out of sight, out of mind: a report on the limited public profile of Learning Disability Partnership Boards
- Author:
- BODDY Susan
- Publisher:
- Mencap
- Publication year:
- 2003
- Pagination:
- 9p.
- Place of publication:
- London
The White Paper, Valuing People, was published in March 2001, setting out a broad strategy which promised a better future for people with a learning disability, based on better access to the same opportunities, choices and rights as everyone else in society. Implementation of Valuing People is carried out via Learning Disability Partnership Boards in each local authority area. Mencap is becoming concerned that these Boards are not as effective as they should be.
Researching Valuing People
- Authors:
- GRANT Gordon, RAMCHARAN Paul
- Journal article citation:
- Tizard Learning Disability Review, 7(3), July 2002, pp.27-33.
- Publisher:
- Emerald
Prior to the launch of Valuing People, the authors were appointed by the Department of Health as co-coordinators of the learning disability research initiative People with Learning Disabilities: Services, Inclusion and Partnership, which was intended to inform the implementation and outcome of the White Paper Valuing People during its early years. In this article the authors describe the development of the research initiative, the research commissioning process and intentions for a research communication strategy.
Primary care and mental health needs
- Author:
- BROOKS David
- Journal article citation:
- Tizard Learning Disability Review, 6(3), July 2001, pp.31-35.
- Publisher:
- Emerald
There is evidence that the mental health needs of people with learning disabilities are not adequately met. Primary health care is seen as the way forward to ensure full consideration of psychosocial factors in the promotion of health care. This article explores how this evidence is being translated through professional and national policy initiatives into innovative mental health of learning disability services that build bridges between primary and specialist services and ensure a comprehensive strategy to meet the mental health needs of people with learning disabilities.
Protection tops agenda
- Author:
- VALIOS Natalie
- Journal article citation:
- Community Care, 23.9.99, 1999, p.12.
- Publisher:
- Reed Business Information
The government's consultation document on a multi-agency strategy to tackle the abuse of vulnerable adults has been broadly welcomed. Reports on what it will mean to social services.
In their shoes
- Author:
- BOND Henrietta
- Journal article citation:
- Community Care, 21.8.97, 1997, p.22.
- Publisher:
- Reed Business Information
Reports on a joint initiative between Greenwich Council and the Metropolitan Police which aims to help people with learning difficulties who have been victims of abuse.
It takes leaders to break down siloes: integrating services for children's services
- Authors:
- ALLARD Amanda, et al
- Publisher:
- Council for Disabled Children
- Publication year:
- 2019
- Pagination:
- 52
- Place of publication:
- London
A report from the Council for Disabled Children to examine the factors that are helping and hindering the integration of services around special educational needs and disabilities (SEND) for children and young people in England. The report draws on a consultation with 76 education, health and care professionals and parent carers in three local authority areas in England. The results find that the system around SEND is highly complex and fragmented, with a historical focus on specific groups or services that is difficult to shift. It identifies leadership and data and information sharing as key factors in helping and hindering the integration of services. It also identifies a number of ways in which local areas are working to enable some level of integration through joint working, joint commissioning and involving families in decision making. The report makes recommendations in the areas of leadership, data and information sharing, funding structures and commissioning arrangements, and involving families in decision-making. (Edited publisher abstract)
Implementation of the care programme approach across health and social services for dual diagnosis clients
- Authors:
- KELLY Michael, HUMPHREY Charlotte
- Journal article citation:
- Journal of Intellectual Disabilities, 17(4), 2013, pp.314-328.
- Publisher:
- Sage
- Place of publication:
- London
Care for clients with mental health problems and concurrent intellectual disability (dual diagnosis) is currently expected to be provided through the care programme approach (CPA), an approach to provide care to people with mental health problems in secondary mental health services. When CPA was originally introduced into UK mental health services in the 1990s, its implementation was slow and problematic, being hampered in part by problems occurring at a strategic level as health and social service organizations attempted to integrate complex systems. This article reports on a more recent attempt to implement CPA for dual diagnosis clients in one mental health foundation trust in a large English city. The Trust was implementing a joint mental health and intellectual disability CPA policy across five of its constituent boroughs. Semi-structured interviews with key informants at Trust and borough levels focused on the Trust’s overall strategy for implementing CPA and on how it was being put into practice at the front line. Documentary analysis and the administration of the Partnership Assessment Tool were also undertaken. Data were analysed using a framework approach. Progress in implementing CPA varied but overall was extremely limited in all the boroughs. The study identified six key contextual challenges that significantly hindered the implementation progress. These included organizational complexity; arrangements for governance and accountability; competing priorities; financial constraints; high staff turnover and complex information and IT systems. The only element of policy linked to CPA that had been widely taken up was the Greenlight Framework and Audit Toolkit (GLTK). The fact that the toolkit had targets and penalties associated with its implementation appeared to have given it priority. None of the contextual challenges identified in this study were specifically related to CPA as a policy or to the needs and circumstances of dual diagnosis clients. Nevertheless, they inhibited the types of organizational change and partnership working that implementing CPA for a client group of this kind required. Unless these more generic factors are acknowledged and addressed when introducing policies such as CPA, the chances of effective implementation will inevitably be compromised. (Edited publisher abstract)
Social work with older people
- Authors:
- CRAWFORD Karin, WALKER Janet
- Publisher:
- Learning Matters
- Publication year:
- 2008
- Pagination:
- 190p., bibliog.
- Place of publication:
- Exeter
- Edition:
- 2nd ed.
This book is an interactive resource with activities and case studies throughout the text. Contemporary research is used to illustrate key points. It covers all aspects of social work with older people and provides suggestions for further reading and links to current guidance and policy documents. The publication is part of a series written specifically to support students on social work degree courses. Contents include: values and ethics in social work with older people; the changing context of social work practice with older people; the legal, policy and political context of social work with older people; mental health and learning disability; sensory impairment and physical impairment; vulnerability and abuse; partnership and participation.