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Named Social Worker: ten steps to creating your own cost benefit analysis
- Authors:
- RODGER John, STEWART Brian
- Publisher:
- York Consulting
- Publication year:
- 2018
- Pagination:
- 22
- Place of publication:
- Leeds
This guide developed by York Consulting to help Named Social Worker (NSW) teams to conduct their own economic assessment using a predictive cost benefit analysis (CBA) methodology. CBA aims to quantify in monetary terms as many of the costs and benefits. Both hard outcomes - such as savings on care home places, GP visits and police callout; and soft benefits - such as confidence, wellbeing, satisfaction, independence, aspiration of an intervention as feasible. The approach presented recognises that NSW teams had limited opportunities, given the short time scales, to collect much client outcome information. The initial focus is therefore on constructing a model of impact based on a range of assumptions. This provides an illustrative projection which can be checked with actual outcomes data at a later date. While the methodology presented is not definitive, it should provide NSW teams, and others piloting a similar approach, with sufficient information to get started and specify their own cost benefit models. (Edited publisher abstract)
Psychiatry and intellectual disabilities: navigating complexity and context
- Authors:
- JONES Jo, JEENKERI Kiran, CUTAJAR Peter
- Journal article citation:
- Journal of Mental Health Training Education and Practice, 12(4), 2017, pp.224-236.
- Publisher:
- Emerald
Purpose: The paper is a review, for the general adult mental health practitioner, of the issues to consider when managing a mental health presentation of a person with intellectual disability (PWID). The paper aims to discuss these issues. Design/methodology/approach: A neurodevelopmental model is outlined to assist practitioners in unravelling the wide range of potential factors relevant to intellectual disabilities (IDs). This includes an emphasis on complexity and interdisciplinary formulation within an individual’s context, and implications of the current policy changes. Findings: In practice, managing the mental health of PWID can be challenging within usual mainstream services; there is more to consider than is usual for the general population. Originality/value: The paper provides general mental health practitioners with a framework for a greater depth of understanding of the issues involved in the management of people with intellectual disability (ID). This includes discussion of the current policy context in ID, and some of its limitations. (Publisher abstract)
Keys to citizenship: a guide to getting good support services for people with learning difficulties
- Author:
- DUFFY Simon
- Publisher:
- Paradigm
- Publication year:
- 2003
- Pagination:
- 157p.,bibliog.
- Place of publication:
- Birkenhead
A better way of thinking about the organisation of service delivery to people with learning difficulties is offered by the Citizenship Model of service delivery. This model assumes that the starting point for our thoughts must be the individual living as a member of their community. The role of both the provider and purchaser of services is to enable the individual to play a full part in the community and not to cut the individual off from their community. It has the following features: the individual is an active part of their community and is supported by that community; the purchaser and the provider are "off-stage" providing support or finance and at times leadership, but without disabling the community; there is a balance of power between the different legitimate interests of the individual, the purchaser and the provider; the individual negotiates with the purchaser and the provider to agree a fair level of resources and appropriate professional inputs; and the community provides the purchaser with the resources to enable it to give individuals the resources they are entitled to.
Guidance: commissioning accommodation and support for a good life for people with a learning disability
- Author:
- WELSH LOCAL GOVERNMENT ASSOCIATION
- Publisher:
- Welsh Local Government Association
- Publication year:
- 2019
- Pagination:
- 88
- Place of publication:
- Cardiff
This guidance, commissioned by the National Commissioning Board, provides advice on commissioning accommodation and support services for people with a learning disability that support independent living promote well-being. It aims to redefine the accommodation and support model to a more person-centred, flexible set of principles which considers a wide range of places to live and deliver the support person want and need. It builds upon the overarching guidance on ‘Commissioning Services for People with Learning Disabilities’ published in November 2017 and will contribute to Welsh Government’s ‘Learning Disability Improving Lives Programme’. The guidance is structured around 12 questions across five themes which cover: person centred pathway; models of accommodation and support; what makes good quality support; developing innovative and progressive procurement processes; effective strategic commissioning, including commissioning services that improve well-being and that are cost effective. (Edited publisher abstract)
Supporting people with a learning disability and/or autism who display behaviour that challenges, including those with a mental health condition: service model for commissioners of health and social care services
- Authors:
- NHS ENGLAND, LOCAL GOVERNMENT ASSOCIATION, ASSOCIATION OF DIRECTORS OF ADULT SOCIAL SERVICES
- Publishers:
- NHS England, Local Government Association, Association of Directors of Adult Social Services
- Publication year:
- 2015
- Pagination:
- 41
- Place of publication:
- London
This service model brings together good practice taking place in local areas to describe what good services should look like for children, young people and adults with a learning disability and/or autism who display behaviour that challenges. It covers all aspects of commissioning: strategic, operational and individual/micro commissioning. The model is organised around nine principles from the perspective of the people using services. These are: a good and meaningful life; person-centred care and support; choice and control; support for family carers and care staff; choice of housing; good health care; access to specialist community health and social care; getting support in staying out of trouble when at risk of being in contact with the criminal justice system; and having access to high quality assessment and treatment in a hospital setting where necessary. The model gives people a clear picture of what they can expect from the services they use. It also allows those designing and commissioning services flexibility to ensure services work for local areas. The new model, which was co-produced by people using services, commissioners and health and social care system leaders, has been finalised using the feedback from early implementation by six ‘fast track’ areas. (Edited publisher abstract)
Supporting people with a learning disability and/or autism who have a mental health condition or display behaviour that challenges: draft service model for commissioners of health and social care services
- Authors:
- LOCAL GOVERNMENT ASSOCIATION, ASSOCIATION OF DIRECTORS OF ADULT SOCIAL SERVICES, NHS ENGLAND
- Publishers:
- Local Government Association, Association of Directors of Adult Social Services, NHS England
- Publication year:
- 2015
- Pagination:
- 49
- Place of publication:
- London
A draft national framework designed to improve the care of people with learning disabilities, shifting services away from hospital care and towards community-based settings. The document outlines a service model designed to ensure a degree of national consistency, while giving commissioners the flexibility to design services that best fit the needs of their local population. It sets out to provide clarity on ‘what good looks like’ for health, social care and housing services for people with a learning disability and/or autism and a mental illness or behaviour that challenges. It focuses on services and packages of care and support funded by the NHS and local government, as well as NHS/local government interfaces with other services (e.g. education), but not those services funded by other public sector agencies themselves (e.g. schools). The model comprises nine principles that should underpin the design of good services, and these are: planned, proactive and coordinated care; service users’ choice and control over their care; support in the community; service users’ choice over where they live; fulfilling and purposeful everyday life; good care from mainstream NHS services; access to specialist health and social care support in the community; access to services aimed at preventing or reducing anti-social or offending behaviour; and access to high-quality hospital treatment. (Edited publisher abstract)
Guide for commissioners of services for people with learning disabilities who challenge services
- Author:
- NATIONAL DEVELOPMENT TEAM FOR INCLUSION
- Publisher:
- National Development Team for Inclusion
- Publication year:
- 2010
- Pagination:
- 42p.
- Place of publication:
- Bath
This good practice advice is intended primarily for NHS and local authority commissioners of services to assist them to commission high quality, cost effective services for people with learning disabilities whose behaviour challenges services. It follows the principles of Department of Health policy as described in the Mansell Report and is based on reviewing the experience and learning from commissioners in several locations in England who have made progress in implementing that policy. The report is divided into sections based on the factors that were identified to be important for success in the selected locations, with descriptors of good practice and advice for specific actions that, based on experience elsewhere, are likely to result in more effective commissioning and thus better life outcomes for people who are labelled as challenging. Seven broad areas of evidence are explored: vision and values; strong, knowledgeable and empowered leadership; strong relationships and a ‘no blame’ culture; an evidence based service model; skilled providers and support staff; evidence based commissioning; areas of high risk.