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Quality and costs of community-based residential support for people with learning difficulties and challenging behaviour
- Authors:
- ROBERTSON Janet, et al
- Publisher:
- University of Lancaster. Institute for Health Research
- Publication year:
- 2002
- Pagination:
- 24p.
- Place of publication:
- Lancaster
The aim was to compare the quality and costs of two approaches to providing community-based residential supports to people with learning disabilities and challenging behaviour: non-congregate settings where the minority of residents have challenging behaviour; and congregate settings where the majority of residents have challenging behaviour. Congregate care was associated with higher costs, higher staffing ratios, and better quality internal working practices. However, these inputs did not translate to better outcomes for residents. Non-congregate care was associated with greater access to day activities, less reliance of medication and physical restraint to control challenging behaviour, and less risk. Levels of staff contact and participant engagement were low across both models of care.
My life: a person-centred approach to checking outcomes for people with learning difficulties
- Authors:
- CATTERMOLE Martin, BLUNDEN Roger
- Publisher:
- British Institute of Learning Disabilities
- Publication year:
- 2002
- Pagination:
- 79p.
- Place of publication:
- Plymouth
Enables the user and carer to: find out about the quality of a person's life; assess and improve the quality of services run by a single organisation; take an overview of what life is really like for people with learning disabilities who use services; and to inform individual planning.
Using my life: a guide to conducting a Quality Network review
- Authors:
- CATTERMOLE Martin, et al
- Publisher:
- British Institute of Learning Disabilities
- Publication year:
- 2002
- Pagination:
- 101p.
- Place of publication:
- Plymouth
This guide has been written to help people undertake a Quality Network Review. It is a guide to the resource material in 'My life: a person centred approach to checking outcomes for people with learning disabilities.
Clinical governance review: North Cumbria mental health and learning disabilities NHS trust; October 2002
- Author:
- COMMISSION FOR HEALTH IMPROVEMENT
- Publisher:
- Commission for Health Improvement
- Publication year:
- 2002
- Pagination:
- 21p.
- Place of publication:
- London
North Cumbria Mental Health and Learning Disabilities NHS Trust serves a population of 310,000 with middling levels of affluence and less than 0.5% ethnic minorities. This report gives an independent assessment of how well the trust is ensuring high standards of care and what it is doing to continuously improve the quality of services. It takes account of the previous investigation by acknowledging that the trust is not only developing as a new organisation, but that some of its services start from a very low baseline. This review considered mental health services for working age adults in and around Carlisle, and for older adults in and around Whitehaven. CHI is developing methods for assessing clinical governance in learning disability,substance misuse and child and adolescent mental health services.
Supporting people with multiple impairments
- Author:
- MATTINGLY Roger
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2002
- Pagination:
- 68p.bibliog.
- Place of publication:
- York
This monograph summarises the work and conclusions of an exploration into services supporting adults living in the community who have two or more significant impairments. It found that people with multiple impairments are on the margin of service structures and provision,. No professional group has responsibility for meeting their needs comprehensively. Consequently the support is not available, provision inadequate and funding is poorly negotiated between agencies.
What was it like for you? Former pupils' reflections on their placement at a residential school for pupils with emotional and behavioural difficulties
- Authors:
- POLAT Filiz, FARRELL Peter
- Journal article citation:
- Emotional and Behavioural Difficulties, 7(2), May 2002, pp.97-108.
- Publisher:
- Taylor and Francis
As LEAs and school develop their inclusive policies and practices, arguments about how to provide the most effective education for pupils with emotional and behavioural difficulties (EBD) continue. This article draws on findings from 26 interviews with former pupils of an EBD residential school. Reports their opinions about the quality of education and care they received at the school and the impact of the placement on their experiences as young adults. Overall, despite some concerns, the former pupils had positive memories of the school and felt that it had helped them to overcome their learning and behavioural difficulties. Discusses the implications for policy and practice.