Search results for ‘Subject term:"learning disabilities"’ Sort:
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Ageing, end-of-life care, and the National Disability Insurance Scheme: what can we learn from overseas?
- Author:
- WARK Stuart
- Journal article citation:
- Journal of Intellectual and Developmental Disability, 40(1), 2015, pp.92-98.
- Publisher:
- Taylor and Francis
The author of this conceptual article was awarded a Churchill Fellowship to travel to the United States, Ireland, and United Kingdom to meet with researchers, practitioners, and community agencies and review how support for people with intellectual disability is provided. A specific focus was upon provision of care for individuals who were either ageing or requiring palliative care. The project took place from June to August 2013 and involved face-to-face interviews and site visits with key academics, government representatives, and community providers in Los Angeles, Chicago, New York, New Jersey, Dublin, Edinburgh, London, Oxford, Cambridge, Bath, Bristol, Birmingham, and Stoke-on-Trent. A priority was placed upon examining how the key features of leading practice models could be implemented within the Australian environment featuring a National Disability Insurance Scheme (NDIS). On the basis of the observations of practice, key points are discussed regarding the potential for improvements to the support of people with intellectual disability within the Australian context of the NDIS (Publisher abstract)
Re-thinking community care: the Camphill Village model. A critical appraisal
- Author:
- LYONS Maria
- Publisher:
- Centre for Welfare Reform
- Publication year:
- 2015
- Pagination:
- 37
- Place of publication:
- Sheffield
This discussion paper summarises research on Camphill Communities and looks at some of the positive learning that can be gained from the movement. It ask questions about how we think about concepts like inclusion, community and love. It finds that there is good evidence that there is much to learn from the Camphill movement and that these communities do offer a way of respecting human diversity and equality. It calls for greater openness from researchers and advocates the possibility of greater dialogue and learning. (Edited publisher abstract)
Does supported living work for people with severe intellectual disabilities?
- Authors:
- MARLOW Elizabeth, WALKER Nina
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 9(6), 2015, pp.338-351.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to look at whether a move to a supported living model of care from traditional residential group homes could improve the quality of life for those with a severe intellectual disability and other challenging needs. Design/methodology/approach: Six men with severe intellectual disabilities moved from two residential homes into new-build individual flats. Their quality of life was measured using a battery of assessments looking at; environment, relationships, community participation, interactions, mood interest and pleasure, activities, physical health and challenging behaviour. These measures were taken before the move, immediately after and six months after the move. The views of staff and family carers were also assessed at each stage. Findings: The move had a positive effect on the tenants in that it caused an improvement in their mood and a decrease in their challenging behaviours. Further improvements could be made in the tenant’s quality of life by introducing more activities. The initial concerns of family members about the move decreased over time. However staff found the changes to their working practices stressful. Research limitations/implications: The study was a small scale one because of the small number of tenants. The tenants were unable to express their own views because of their limited communication abilities so a combination of direct observation and indirect measures were used. Practical implications: In the light of the Winterbourne view report by Stephen Bubb this study looks at the impact on quality of life of a move to supported living for a group of people with complex and challenging needs who might otherwise be placed in an out of borough placement similar to Winterbourne view. Social implications: The study also looks at the impact of such a move on the family members of the individuals and on the staff who had to change their working practices to adapt to both a new working environment and model of care. Originality/value: This study also looks at the impact of a model of supported living for people with severe intellectual disabilities and complex needs rather than those with mild intellectual disabilities. This is particularly important in the post Winterbourne view climate when the authors need to look carefully at positive alternative models of care for these individuals. (Publisher abstract)
Project SEARCH: a new model of supported employment?
- Author:
- KAEHNE Axel
- Journal article citation:
- Learning Disability Today, 15(1), January 2015, pp.22-24.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Reports on the evaluation of Project SEARCH UK programme, an intern-based supported employment programme originally devised in the USA. The evaluation examined employment outcome data from 17 participating sites in the South West of England. In the programme a business, often a hospital, takes the lead in developing the internships. It also commits to take on 60 per cent of its interns after graduation for full time employment. The programme is primarily open to young people with learning disabilities and autistic spectrum conditions who are in their last year of school or college. Outcomes found that Project SEARCH graduates had a significantly higher rate of finding employment than in other supported employment programmes. It was also successful in offering opportunities to people with a range of learning disabilities. Interns also found work in a variety of roles. The evaluation demonstrates that Project Search is a valuable addition to supported employment programmes in the UK. (Edited publisher abstract)
Working together: making the case for integrated forensic services for people with intellectual disabilities
- Authors:
- MacMAHON Kenneth, McCLEMENTS Ricky
- Journal article citation:
- Journal of Intellectual Disabilities and Offending Behaviour, 6(3/4), 2015, pp.204-210.
- Publisher:
- Emerald
Purpose: There is a general consensus that healthcare for people with intellectual disabilities should be provided by multi-disciplinary teams. Within a forensic setting, recommendations are often made for separate or "parallel" forensic teams, operating independently of generic mental health or intellectual disability teams. An alternative to this model is an "integrated" service, where specialist forensic clinicians work within the general intellectual disability service, to provide support for clients with forensic needs. For clients with intellectual disabilities and forensic needs, there may be advantages to providing access to a wider multi-disciplinary team, through the application of an integrated model. The purpose of this paper is to illustrate the working of an integrated forensic service within a learning disability team, to identify positive aspects of this model, and how potential shortcomings may be overcome. Design/methodology/approach: Literature review, description of service outline with case example. Findings: Although some studies have compared parallel and integrated forensic models within mental health services, there are no evaluations that compare models of forensic services for individuals with intellectual disabilities. However, specific advantages of an integrated model may include availability of multi-disciplinary clinicians, development of forensic skills across wider groups of clinicians, reduction in stigma and avoidance of delay in transfer of care between services. In addition, in areas with smaller populations, parallel services may not be feasible due to low case numbers. Originality/value: There has been no formal evaluation of parallel vs integrated forensic services within an intellectual disability setting. However, the authors describe a fully integrated service and suggest means by which the potential shortcomings of an integrated model may be overcome. (Publisher abstract)
A case study of an embedded system in prison to support individuals with learning difficulties and disabilities in the criminal justice system
- Authors:
- KIRBY Amanda, SAUNDERS Lisette
- Journal article citation:
- Journal of Intellectual Disabilities and Offending Behaviour, 6(2), 2015, pp.112-124.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to describe first the rationale for an embedded process for learning difficulties and disabilities in the criminal justice system (CJS). This is followed by an example of how this approach has been delivered in one offender setting. The use of a novel computerised assessment tool is described, and the way it has been used to undertake the initial screening processes and provide person centred guidance for staff and the individuals. The bio-psychosocial approach to supporting individuals moving through the CJS is suggested as an approach that could be potentially used in other prisons settings. The paper also highlights some of the current challenges in doing so. Design/methodology/approach: This paper presents a review of the currently literature to provide a rationale for the example of the embedded approach taken. Findings: The approach, aligns to the challenges cited in much of the research. Practical implications: The model presented can be used as a basis for potentially delivering such a system in other prisons settings and to highlight areas that remain contentious. Social implications: The embedded model represents a bio-psychosocial approach to supporting individuals moving through the CJS so has important implications. (Publisher abstract)
Transforming care for people with learning disabilities: next steps
- Authors:
- NHS ENGLAND, et al
- Publisher:
- NHS England
- Publication year:
- 2015
- Pagination:
- 27
- Place of publication:
- London
A joint report from the Association of Directors of Adult Social Services, Care Quality Commission, Department of Health, Health Education England, local Government Association, and NHS England which sets how they intend to improve the quality of life of people learning disabilities following the 'Winterborne view: time for change' report by Sir Stephen Bubb. The report outlines key aims of reducing the number of people placed in hospital, reducing the length of time those admitted spend there, and improving the quality of both hospital and community settings. Plans include: empowering people and families to challenge their admission or continued placement in inpatient care; working with local authorities and other providers to get the right care in the right place; raising the quality of care through regulation and inspection; and increasing workforce capability by improving their skills and practice. (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)