Purpose: The purpose of this paper is to explore experiences of team culture, structure and function of an intensive support service (ISS) within the context of the recent service guidance “Building the Right Support” (NHS England, Local Government Association and Association of Directors of Adult Social Services, 2015). Reflections on the Hampshire and Southampton ISS set up in 2010 are discussed with a view to informing a debate about frameworks for ISS services nationally.
Design/methodology/approach: A reflective piece, drawing on experience and case examples.
Findings: This paper describes that a key function of an ISS is making individuals safe and this is significantly assisted by using shared team formulation, which can enable information and perspectives to be shared between and within teams as rapidly as possible. Further, a case is made for recognising the importance of inter-disciplinary practice, as the Southampton and Hampshire ISS has removed the “old fashioned” demarcations that led to individuals seeing a “procession” of different professionals from different disciplines. This relates to team structure, but importantly is about a culture of holding a shared identity based on positive behavioural support values, rather than a traditional uni-disciplinary perspective.
Practical implications: ISS models are being proposed by NHS England and this paper suggests some important practical aspects.
Originality/value: Limited literature exists examining the team culture within ISSs, which contributes to desired outcomes for service users. This paper opens a debate about structural and functional aspects of service delivery in this service model.
(Publisher abstract)
Purpose: The purpose of this paper is to explore experiences of team culture, structure and function of an intensive support service (ISS) within the context of the recent service guidance “Building the Right Support” (NHS England, Local Government Association and Association of Directors of Adult Social Services, 2015). Reflections on the Hampshire and Southampton ISS set up in 2010 are discussed with a view to informing a debate about frameworks for ISS services nationally.
Design/methodology/approach: A reflective piece, drawing on experience and case examples.
Findings: This paper describes that a key function of an ISS is making individuals safe and this is significantly assisted by using shared team formulation, which can enable information and perspectives to be shared between and within teams as rapidly as possible. Further, a case is made for recognising the importance of inter-disciplinary practice, as the Southampton and Hampshire ISS has removed the “old fashioned” demarcations that led to individuals seeing a “procession” of different professionals from different disciplines. This relates to team structure, but importantly is about a culture of holding a shared identity based on positive behavioural support values, rather than a traditional uni-disciplinary perspective.
Practical implications: ISS models are being proposed by NHS England and this paper suggests some important practical aspects.
Originality/value: Limited literature exists examining the team culture within ISSs, which contributes to desired outcomes for service users. This paper opens a debate about structural and functional aspects of service delivery in this service model.
(Publisher abstract)
Subject terms:
teams, teamwork, service provision, case studies, models, learning disabilities, multidisciplinary services, attitudes;
The increasing number of children who have multiple and complex disabilities has highlighted the need for new systems of service provision in which health, education and social services and the voluntary sector join together to offer the child and the family a coordinated approach. Although this need is recognised by all tiers of government the call for coordination needs to be accompanied by more practical suggestions as to how to achieve it.
The increasing number of children who have multiple and complex disabilities has highlighted the need for new systems of service provision in which health, education and social services and the voluntary sector join together to offer the child and the family a coordinated approach. Although this need is recognised by all tiers of government the call for coordination needs to be accompanied by more practical suggestions as to how to achieve it.
Subject terms:
interagency cooperation, learning disabilities, mental health problems, multidisciplinary services, physical disabilities, service development, social care provision, teamwork, treatment, therapy and treatment, children, children in need, families;
Contains chapters on: young children with possible hearing loss; assessing language and communicative development; neurodevelopment; the nursing role within the interdisciplinary team; nutrition assessment; occupational therapy assessment; pediatric physiotherapy; psychological assessment; and the role of social work. Includes case studies on: an infant at increased risk; a child with Downs syndrome; an infant with phenylketonuria; a child with autism spectrum disorder; a child with fetal alcohol syndrome; a child with Prader-Willi syndrome; and a child with fragile X syndrome. The book concludes with a section on international perspectives, looking at Russia, Italy and Sweden.
Contains chapters on: young children with possible hearing loss; assessing language and communicative development; neurodevelopment; the nursing role within the interdisciplinary team; nutrition assessment; occupational therapy assessment; pediatric physiotherapy; psychological assessment; and the role of social work. Includes case studies on: an infant at increased risk; a child with Downs syndrome; an infant with phenylketonuria; a child with autism spectrum disorder; a child with fetal alcohol syndrome; a child with Prader-Willi syndrome; and a child with fragile X syndrome. The book concludes with a section on international perspectives, looking at Russia, Italy and Sweden.
Subject terms:
interagency cooperation, joint working, learning disabilities, multidisciplinary services, physical disabilities, Prader-Willi syndrome, psychology, social care provision, teamwork, assessment, babies, child development, children, deafness, health care;
British Journal of Occupational Therapy, 60(3), March 1997, pp.111-114.
Publisher:
Sage
Discusses one approach to measuring therapeutic impact - Goal Attainment Scaling (GAS). The authors forward the case for GAS based on their own research regarding occupational therapy with children with learning disabilities. GAS is described and the factors relating to the setting of goals are examined. The main advantages are identified and GAS is seen to have benefits beyond those relating specifically to occupational therapy. The implications for multidisciplinary teamworking are examined and, in particular, it is asserted that co-workers may acquire, through the goal-setting process, realistic expectations of clients. The audit of therapeutic goals is seen to have the potential to inform decision making regarding treatment options. In conclusion, GAS is advocated as a particularly appropriate evaluative tool for the 1990s.
Discusses one approach to measuring therapeutic impact - Goal Attainment Scaling (GAS). The authors forward the case for GAS based on their own research regarding occupational therapy with children with learning disabilities. GAS is described and the factors relating to the setting of goals are examined. The main advantages are identified and GAS is seen to have benefits beyond those relating specifically to occupational therapy. The implications for multidisciplinary teamworking are examined and, in particular, it is asserted that co-workers may acquire, through the goal-setting process, realistic expectations of clients. The audit of therapeutic goals is seen to have the potential to inform decision making regarding treatment options. In conclusion, GAS is advocated as a particularly appropriate evaluative tool for the 1990s.
Subject terms:
learning disabilities, multidisciplinary services, occupational therapy, outcomes, research methods, teamwork, treatment, therapy and treatment, children, decision making, evaluation;
British Medical Journal, 1.3.97, 1996, pp.672-675.
Publisher:
British Medical Association
Discusses the possible opportunities for general practices to extend and develop their services with the new white papers on primary care. Outlines two examples of new services: a practice led proposal to develop an integrated service for people with learning disability across a whole district, and a community health trust's contribution to extend primary care in an inner city area.
Discusses the possible opportunities for general practices to extend and develop their services with the new white papers on primary care. Outlines two examples of new services: a practice led proposal to develop an integrated service for people with learning disability across a whole district, and a community health trust's contribution to extend primary care in an inner city area.
Subject terms:
integrated services, learning disabilities, joint planning, multidisciplinary services, primary care, social services, social care provision, teamwork, community health care, general practitioners, government policy;
Collection of papers exploring current challenges facing practitioners across a broad spectrum of the caring professions. Includes chapters on: reshaping welfare; the public administration model of welfare delivery; community care in the 1990s; changes in maternity policy; human behaviour and social policy; theory and practice in health and social care; applying reflective practice; reflection and reflective practice; requirements of a caregiver; social work values; anti oppressive theory and practice in social work; working with diversity; keys to collaboration; collaboration and conflict within the treatment team; using psychotherapeutic concepts to understand team conflict; the missing link in quality assurance for disabled people; developing the role of user involvement in the UK; the role of women support staff in relation to men with learning difficulties who have difficult sexual behaviour; care costs; confidentiality, accountability and the boundaries of client worker relationships; obstacles to medical audit; the accreditation experience; the resettlement of people with severe learning difficulties; the creative work of care package purchasing; voluntary sector boards in a changing public policy environment; professional practice in social work and health care; a new social basis for welfare; and user voice, interprofessionalism and postmodernity.
Collection of papers exploring current challenges facing practitioners across a broad spectrum of the caring professions. Includes chapters on: reshaping welfare; the public administration model of welfare delivery; community care in the 1990s; changes in maternity policy; human behaviour and social policy; theory and practice in health and social care; applying reflective practice; reflection and reflective practice; requirements of a caregiver; social work values; anti oppressive theory and practice in social work; working with diversity; keys to collaboration; collaboration and conflict within the treatment team; using psychotherapeutic concepts to understand team conflict; the missing link in quality assurance for disabled people; developing the role of user involvement in the UK; the role of women support staff in relation to men with learning difficulties who have difficult sexual behaviour; care costs; confidentiality, accountability and the boundaries of client worker relationships; obstacles to medical audit; the accreditation experience; the resettlement of people with severe learning difficulties; the creative work of care package purchasing; voluntary sector boards in a changing public policy environment; professional practice in social work and health care; a new social basis for welfare; and user voice, interprofessionalism and postmodernity.
Subject terms:
interagency cooperation, joint working, interprofessional relations, learning disabilities, mixed economy of care, NHS, nurses, multidisciplinary services, physical disabilities, prevention, quality assurance, reflective practice, severe learning disabilities, social policy, social services, social welfare, social care, social care provision, social work methods, social work theories, staff-user relationships, teamwork, voluntary sector, accountability, anti-discriminatory practice, anti-oppressive practice, black and minority ethnic people, community care, ethics, health care;
University of Lincolnshire and Humberside. Schools of Social Policy and Social S
Publication year:
1997
Pagination:
424p.,bibliogs.
Place of publication:
Kingston upon Hull
Includes papers on: lawyers and social work serving the poor; research on low income women in Brazil; ethical issues in community care practice; research in the context of human services in crisis; boundary crossing in community care; citizen participation models; schizophrenia in a cultural context; the paradigm shift in the delivery of public services and the crisis of professionalism; partnerships with service users - considerations for research; education and labour; methodological issues for the qualitative health researcher of diaspora communities; elderly women prisoners; evaluating for empowerment; solving the problem of health care costs; services for people with learning difficulties; deinstitutionalisation policies in Queensland; debt and budget deficit reduction policies in the USA; the impact of constitutional change in South Africa on social work services; new trends in human services in America; health promotion in Cuba; the anti-rape movement on campus; protecting children against sexual abuse; distance learning; developing human services managers through work based learning; multidisciplinary services in primary care; partnerships with users; teamwork across disciplines; the attack on social work in New York hospitals and the fight back; government guidance in the construction of the social work profession; the provision of psychosocial care after major incidents; and crisis, change and innovation in social work education.
Includes papers on: lawyers and social work serving the poor; research on low income women in Brazil; ethical issues in community care practice; research in the context of human services in crisis; boundary crossing in community care; citizen participation models; schizophrenia in a cultural context; the paradigm shift in the delivery of public services and the crisis of professionalism; partnerships with service users - considerations for research; education and labour; methodological issues for the qualitative health researcher of diaspora communities; elderly women prisoners; evaluating for empowerment; solving the problem of health care costs; services for people with learning difficulties; deinstitutionalisation policies in Queensland; debt and budget deficit reduction policies in the USA; the impact of constitutional change in South Africa on social work services; new trends in human services in America; health promotion in Cuba; the anti-rape movement on campus; protecting children against sexual abuse; distance learning; developing human services managers through work based learning; multidisciplinary services in primary care; partnerships with users; teamwork across disciplines; the attack on social work in New York hospitals and the fight back; government guidance in the construction of the social work profession; the provision of psychosocial care after major incidents; and crisis, change and innovation in social work education.
Subject terms:
interagency cooperation, law, learning disabilities, managers, men, low income, multidisciplinary services, poverty, primary care, rape, schizophrenia, service users, severe mental health problems, social policy, social work, social work education, social care provision, social workers, teamwork, user participation, women, black and minority ethnic people, budgetary control, change management, community care, deinstitutionalisation, disaster services, distance learning, health care;