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Barriers to using personalised technology with people with learning difficulties
- Authors:
- BARNARD Steve, BEYER Stephen
- Journal article citation:
- Journal of Assistive Technologies, 3(3), September 2009, pp.50-57.
- Publisher:
- Emerald
The TATE (Through Assistive Technology to Employment), project demonstrated the potential of assistive technology for people with learning difficulties; in particular a number of areas where personalised technology is appropriate. These included more accessible forms of information, more creativity in helping people to try out and use technology, increased co-ordination between personalised technology providers and social care provider staff, a greater need for an ethical framework to guide installation and delivery, greater emphasis on the impact of staff changes on client social isolation and management of workforce expectation of change due to technology. A number of case studies supported these findings. The barriers to effective use of personalised technology were found to include lack of understanding of technology among statutory and voluntary social care providers, amounting in some cases to positive resistance, funding problems in the sense of confusion as to who should fund which aspects, the ethical questions caused partly by the involvement of manufacturers of the equipment , the need for provider leadership and good practice in understanding funding streams, capital and revenue cost implications, staff roles and responsibilities, and working with and understanding other stakeholder agencies, a need for workforce training at various levels, lack of comprehensive policy (for example the UK having only recently ratified the UN Convention on Disability Rights), and lack of experience of personal budget use to provide personalised technology.
Making connections
- Authors:
- SWIFT Paul, MATTINGLY Molly
- Journal article citation:
- Learning Disability Today, 10(2), April 2009, pp.28-30.
- Publisher:
- Pavilion
- Place of publication:
- Hove
The Life in the Community project is described. The three-year project, funded by the Mental Health Foundation and the Baily Thomas Trust, aimed to explore how 40 people with complex support needs could be helped to lead more inclusive lifestyles in their local communities.
What good support is all about
- Authors:
- WILLIAMS Val, et al
- Journal article citation:
- Learning Disability Today, November 2009, pp.36-39.
- Publisher:
- Pavilion
- Place of publication:
- Hove
'Skills for Support' was a research study conducted between 2005 and 2007 to find out what people with learning disabilities want from their personal assistants or other one-to-one supporters. The research methods used included surveys, individual and group interviews and video sessions of people with learning disabilities interacting with their personal assistants. This article focuses on the final video stage of the project and its practical findings. Five of the key outcomes identified were showing respect, giving choices, being friendly, giving good advice and supporting people to speak up. A resource pack was produced which includes a DVD of extracts from the videos to illustrate the five key themes.
A positive approach to risk requires person-centred thinking
- Authors:
- NEILL Max, et al
- Journal article citation:
- Tizard Learning Disability Review, 14(4), October 2009, pp.17-24.
- Publisher:
- Emerald
This article examines the question of risk in the lives of people who are supported by human services. It responds to the way in which risk, as it has traditionally been approached by these services, imposes a barrier to social inclusion and to an interesting and productive life. The article proposes an alternative person-centred risk process. The authors argue that, by beginning with a focus on who the person is, their gifts and skills, and offering a positive vision of success, it could be possible to avoid the implied aversion to any form of risk embedded in the traditional approaches and attitudes. The article asks what is risk, and what is wrong with traditional risk assessment? It examines the involvement of services users and relatives in risk assessment, and positive and informed risk taking. It describes a person-centred approach to risk uses questions in a framework of: purpose; people; process; and progress. It tells how the thinking about how the process can be used to enable the person to have choice and control in their life, and to be a citizen in the community, will influence which people are called to participate in the process.
A positive approach to risk requires person-centred thinking
- Authors:
- NEILL Max, et al
- Journal article citation:
- Tizard Learning Disability Review, 14(4), October 2009, pp.17-24.
- Publisher:
- Emerald
This article examines the question of risk in the lives of people who are supported by human services. It responds to the way in which risk, as it has traditionally been approached by these services, imposes a barrier to social inclusion and to an interesting and productive life. The article proposes an alternative person-centred risk process. The authors argue that, by beginning with a focus on who the person is, their gifts and skills, and offering a positive vision of success, it could be possible to avoid the implied aversion to any form of risk embedded in the traditional approaches and attitudes. The article asks what is risk, and what is wrong with traditional risk assessment? It examines the involvement of services users and relatives in risk assessment, and positive and informed risk taking. It describes a person-centred approach to risk uses questions in a framework of: purpose; people; process; and progress. It tells how the thinking about how the process can be used to enable the person to have choice and control in their life, and to be a citizen in the community, will influence which people are called to participate in the process.
Caring for older people in the community
- Editors:
- HUDSON Angela, MOORE Lesley, (eds.)
- Publisher:
- Wiley-Blackwell
- Publication year:
- 2009
- Pagination:
- 245p.
- Place of publication:
- Chichester
This book is a compilation from 9 academics and practitioners, including the two editors. The first section (Chapters 1-3) discusses the past and current influences on physical, psychological and social ‘nursing’ practices and ethical tensions, when working with older people. Topics covered in the second section (chapters 4-6) with regard to contemporary challenges with older people who may have learning disabilities and dementia as well as experiencing ageing are, health education, sexual health, substance misuse, and the role of assistive technology. Examples of lived scenarios from service users and reflections from professionals are included. Current issues of kinship care for older people, ethics, palliative care and end of life decision making, complementary therapies, vulnerability, citizenship, informed consent, advocacy, empowerment, personalisation and a person centre approach are also mentioned. The third section from the joint editors, is on future challenges and covers: community hospitals, bringing diagnostic technology and chemotherapy interventions closer to cancer patients, the national panel for information and communications technology, ‘whole system demonstrators’, moving towards seamless care, and partnership with older people projects.
A positive approach to risk requires person-centred thinking
- Author:
- METHVEN Shonagh
- Journal article citation:
- Tizard Learning Disability Review, 14(4), October 2009, pp.25-28.
- Publisher:
- Emerald
This short article offers counterpoint and commentary on, and should be read in conjunction with, “A positive approach to risk requires person-centred thinking” (Neill, Tizard Learning Disability Review, October 2009). It argues that while a person-centred approach is crucial, social care providers must also foster a culture of positive risk-taking, in contrast to the current risk adverse culture which often predominates. The article suggests the Neill presents a false differentiation between experts in risk assessment and the people involved in an individual’s life, citing the Management of Health and Safety at Work regulations 1999 – which already provides useful guidance. This article notes that a properly trained and well-managed support worker can bring a wealth of experience to the risk management process, thus a joint approach will produce a suitable and sufficient assessment of risk, to enable the person to try something new.
Basic personal care MOT
- Authors:
- CARR Deborah, WELLINGTON Sam
- Publisher:
- Nottinghamshire Council. Learning Disability Partnership Board
- Publication year:
- 2009
- Pagination:
- 16p.
- Place of publication:
- Sutton-in-Ashfield
The aim of this document is to provide advice and guidance to staff assisting people with a learning disability in aspects of basic personal care. It covers the topics of personal hygiene, oral hygiene, fingernail and hand care, toenail and foot care, shaving, hair care, clothing. This supplements policy and guidance in the development of a personal support plan which forms part of the person centred plan.
Where is I.T A.T
- Author:
- JONES Kai
- Journal article citation:
- Llais, 93, Autumn 2009, pp.6-10.
- Publisher:
- Learning Disability Wales
An development of assistive technology and its potential to enable more control for disabled people is discussed.
Inclusion: progress and promise. Beyond the disability bubble
- Authors:
- GARDNER James F., MATHIS Elizabeth A.
- Journal article citation:
- International Journal of Leadership in Public Services, 5(2 Supplement), July 2009, pp.38-45.
- Publisher:
- Emerald
This paper focuses on people with learning and developmental disabilities. It explores the ideas of inclusion, social networks and social capital; discusses the feasibility of using person-centred quality of life measures to examine inclusion and social networks; and presents strategies for increasing inclusion and social capital beyond the disability bubble and other important strategies for making inclusion a reality. Finally, four complementary strategies for collaboration for inclusion are highlighted: asset-based community development, organisation development, person-directed services and public policy.