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The first use of dementia care mapping in the care for older people with intellectual disability: a process analysis according to the RE-AIM framework
- Authors:
- SHAAP Feija D., et al
- Journal article citation:
- Aging and Mental Health, 22(7), 2018, pp.912-919.
- Publisher:
- Taylor and Francis
Introduction: The ageing of the population with intellectual disability (ID), with associated conseqences as dementia, creates a need for evidence-based methods to support staff. Dementia Care Mapping (DCM) is perceived to be valuable in dementia care and promising in ID-care. The aim of this study was to evaluate the process of the first use of DCM in ID-care. Methods: DCM was used among older people with ID and care-staff in 12 group homes of six organisations. The researchers obtained data on the first use of DCM in ID-care via focus-group discussions and face-to-face interviews with: care-staff (N = 24), managers (N = 10), behavioural specialists (N = 7), DCM-ID mappers (N = 12), and DCM-trainers (N = 2). The research used the RE-AIM framework for a thematic process-analysis. Results: All available staff (94%) participated in DCM (reach). Regarding its efficacy, staff considered DCM valuable; it provided them new knowledge and skills. Participants intended to adopt DCM, by continuing and expanding its use in their organisations. DCM was implemented as intended, and strictly monitored and supported by DCM-trainers. As for maintenance, DCM was further tailored to ID-care and a version for individual ID-care settings was developed, both as standards for international use. To sustain the use of DCM in ID-care, a multidisciplinary, interorganisational learning network was established. Conclusion: DCM tailored to ID-care proved to be an appropriate and valuable method to support staff in their work with ageing clients, and it allows for further implementation. This is a first step to obtain an evidence-based method in ID-care for older clients. (Edited publisher abstract)
System dynamics modeling for intellectual disability services: a case study
- Authors:
- DURYAN Meri, et al
- Journal article citation:
- Journal of Policy and Practice in Intellectual Disabilities, 9(2), June 2012, pp.112-119.
- Publisher:
- Wiley
Organisations providing services to persons with intellectual disabilities (ID) are complex entities with many interacting stakeholders with often different and competing interests. ID provider organisations, compared with healthcare providers, often require a higher level of resource planning, collaboration, and cooperation among social, health, and education services, mental health services, and other sectors. To manage the complexities and challenges ID provider organisations face, managers need to analyse and understand complex interdependencies among the systems with which they are dealing. The aim of this article is to explore the application of ‘system dynamic modelling’ when analysing decision-making processes within an ID provider organisation, with the intent of optimising allocation of existing resources so as to improve efficacy and effectiveness of resource utilisation. Specifically, the focus is on the use of systems archetypes, a class of systems thinking tools, which capture challenges common for any organisation. One generic systems archetype, ‘shifting the burden’, can be used to gain insight into dealing with the dilemma of waiting lists. To illustrate the application of SD modelling, a case study is provided of one ID provider organisation in the Netherlands. The case study demonstrates the need for better resource allocation policy, especially considering increased consumer demand and diminishing resources in ID care in the Netherlands.
The Netherlands
- Authors:
- VLASKAMP Carla, POPPES Petra
- Journal article citation:
- Tizard Learning Disability Review, 9(1), January 2004, pp.54-60.
- Publisher:
- Emerald
The policy on care for people with intellectual disabilities in the Netherlands has developed away from segregation and towards integration and inclusion. Changes have led to improvement for people with mild and moderate disabilities. At the same time, the situation for people with profound and multiple disabilities has deteriorated. For a real change in the support system, client-held budgets are believed to be of primary importance. However, this is still a slow development. This article covers: definition, legal status and eligibility; policy framework; service structures and funding of services.
Social work in the Netherlands: current developments
- Editors:
- HESSER Karl-Ernst H., KOOLE Wibo
- Publisher:
- Hogeschool van Amsterdam. Faculty of Social Work
- Publication year:
- 1994
- Pagination:
- 127p.,tables,bibliog.
- Place of publication:
- Amsterdam
Introduces social work in the Netherlands and goes on to look at: social work and drug addiction - the Amsterdam model; female social work or gender-specific social work with women and girls; gender-specific social work with men and boys; the office for children of drug addicted parents; Opstap, a preventive home based programme; social work with people with learning difficulties, older people, migrants, people with mental health problems, and young people; AIDS prevention; community development; child welfare; and an overview of social work education in the Netherlands.