Search results for ‘Subject term:"learning disabilities"’ Sort:
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So good, so far?: a study of quality of life of residents discharged from Llanfrechfa Grange
- Authors:
- JONES Clare, BASSETT Sandra
- Publisher:
- Gwent Health Authority. Clinical Psychology Department
- Publication year:
- 1988
- Pagination:
- 84p., tables, bibliog.
- Place of publication:
- Pontypool
Transforming care in Cornwall: a review of the quality of the lives of people with learning disabilities a decade post‐discharge from hospital
- Authors:
- NIVEN Abigail, et al
- Journal article citation:
- British Journal of Learning Disabilities, 48(4), 2020, pp.315-322.
- Publisher:
- Wiley
Background: In the light of the current national guidance to reduce the number of inpatient learning disability beds, a review was completed of the quality of lives of the people who had been former inpatients in Cornwall at the time of closure of the learning disability inpatient facilities almost 10 years before transforming care. Materials and Methods: All former inpatients who were discharged from the learning disability inpatient setting in Cornwall were invited to participate either directly or through their carers or family members. Measures of current activity levels and semi‐structured interviews on quality of life were conducted. Results: The majority interviewed had person‐centred plans, health action plans and positive behaviour support plans. Guernsey Community Participation & Leisure Assessment showed overall the study group did not meet comparative standards laid out by the scale in any of the subdomains (p < .05). Peoples' lives were varied, with a lack of informal relationships, meaningful occupation, homeownership and advocacy being relatively poor for all. Alongside this, to enable people to have safer lives, restrictive practices were commonplace particularly continuous supervision and use of psychotropic medication to manage behavioural risk. Conclusions: This study highlights that people with complex concerns with a history of placement breakdowns and past institutionalisation can be settled successfully and safely in local communities. However, it is difficult for many of them to achieve a satisfactory quality of life long term. The obligation for this lies with service providers to provide adequate support to overcome that difficulty. (Edited publisher abstract)
Northern Ireland care in the community
- Author:
- KAVANAGH Shane
- Journal article citation:
- Mental Health Research Review, 3,, April 1996, pp.32-33.
- Publisher:
- Personal Social Services Research Unit
Describes a study in Northern Ireland which compares the quality of life of people with mental health problems and learning difficulties whilst living in hospital with subsequent findings at six, twelve and twenty-four months after discharge.
Developing friendships and social integration through leisure for people with moderate severe and profound learning disabilities transferred from hospital to community care
- Author:
- SRIVASTAVA Angela K.
- Journal article citation:
- Tizard Learning Disability Review, 6(4), October 2001, pp.19-27.
- Publisher:
- Emerald
This article looks at the quality and value of leisure and friendships that people with learning disabilities experience in the community. It provides an overview of the problems in developing friendships for people with moderate, severe and profound learning disabilities transferred from hospital to community care and identifies recommendations for commissioners, providers, staff and carers for the development of friendships through for commissioners, providers, staff and carers for the development of friendships through leisure in the community.
Changes in the quality of life of people with learning disabilities six months after transfer from long-stay hospital into the community
- Authors:
- SRIVASTAVA Angela K., COOKE Zana M.
- Journal article citation:
- Tizard Learning Disability Review, 4(3), July 1999, pp.40-44.
- Publisher:
- Emerald
This article outlines the significant interim findings of a three-year longitudinal study of the effects of resettlement on people with learning disabilities. Overall, trends were found to be generally positive, particularly in areas related to environmental factors, and it is hoped that the findings will suggest pointers to monitoring quality in community integration, of use to commissioners and providers.
A home of your own: moving from community residential services to supported living for people with learning disabilities in the North West
- Author:
- HOWARD Jacqueline
- Journal article citation:
- Tizard Learning Disability Review, 1(3), July 1996, pp.18-25.
- Publisher:
- Emerald
The replacement of long-stay hospitals by Care in the Community provides an opportunity to reflect on the quality of people's lives in the community and use of resources. New ways of assisting people with learning disabilities to live in their own home are emerging. These 'supported living' arrangements do not offer a model but rather some guiding principles for finding out how people want to live, and the design, development and co-ordination of informal and formal supports. The conditions working for and against developing supported living as a mainstream option are reviewed, and what is being learnt about person-centred planning; supporting people with complex needs; managing costs and service effectiveness; and the enabling of purchasers.
One and two year outcomes for adults with learning disabilities discharged to the community
- Authors:
- DONNELLY M, et al
- Journal article citation:
- British Journal of Psychiatry, 168, May 1996, pp.598-606.
- Publisher:
- Cambridge University Press
Looks at a study which assessed long-stay patients with learning disabilities in hospital and 12 and 24 months after discharge in Northern Ireland, to examine the effects of relocation. Results found that there was little or no change in people's low pre-discharge skill levels. There were also few changes in the pattern of activities or the social networks of people 12 months later. Little or no further change in outcomes was reported 24 months after discharge. Concludes that the implementation of the deinstitutionalisation policy in Northern Ireland has been limited by the predominance of residential and nursing homes and the lack of 'ordinary' accommodation. Argues that there is a need for purchasers and providers to give more attention to the ways in which the principles of normalisation could be incorporated in the process of contracting and delivering services.