A series of broken promises, apparently driven by cost cutting policies, means that today some 400 people are still languishing in large institutions in Wales. The number is slowly declining but this is due to mortality rather than resettlement rates. Charts the course that took Wales from the top to the bottom of the league for learning difficulties services.
A series of broken promises, apparently driven by cost cutting policies, means that today some 400 people are still languishing in large institutions in Wales. The number is slowly declining but this is due to mortality rather than resettlement rates. Charts the course that took Wales from the top to the bottom of the league for learning difficulties services.
Subject terms:
learning disabilities, policy, rehabilitation, residential care, social care provision, community care, financing;
British Journal of Learning Disabilities, 27(2), 1999, pp.64-69.
Publisher:
Wiley
Describes the specialist learning disabilities health services provided by the NHS Trusts in England and Wales which have completed their resettlement programme. Comparisons showed that NHS Trusts which had completed the resettlement process had significantly fewer long stay placements and employed significantly fewer learning disabilities psychiatrists than did other NHS Trusts. However, similar numbers of other learning disabilities health professionals were employed by the two groups of NHS Trusts to work with people with learning disabilities in the community. This suggests that when institutions close, the development of community health services has not been accompanied by the increase in resources that one might have expected.
Describes the specialist learning disabilities health services provided by the NHS Trusts in England and Wales which have completed their resettlement programme. Comparisons showed that NHS Trusts which had completed the resettlement process had significantly fewer long stay placements and employed significantly fewer learning disabilities psychiatrists than did other NHS Trusts. However, similar numbers of other learning disabilities health professionals were employed by the two groups of NHS Trusts to work with people with learning disabilities in the community. This suggests that when institutions close, the development of community health services has not been accompanied by the increase in resources that one might have expected.
Features 15 original contributions from leading disabled activists, international development planners and practitioners, and researchers working on disability issues in 'developing countries' (the majority world). The book asks: What do we know about disability in a global context? What are the issues that face disabled people, their families, and those who work with them in 'developing countries'? What happens when western ideas and practices around disability migrate to non-western settings? Issues explored include: strategies for social change; empowerment and rights; disabled people's organisations; community-based rehabilitation; inclusive education; cultural perceptions of impairment and disability; disability services in historical perspective; and the difficulties inherent in disability action and research in the majority world. Contributions are based on work in a wide range of countries including: Afghanistan, Jordan, Lesotho, Nepal, China and India.
Features 15 original contributions from leading disabled activists, international development planners and practitioners, and researchers working on disability issues in 'developing countries' (the majority world). The book asks: What do we know about disability in a global context? What are the issues that face disabled people, their families, and those who work with them in 'developing countries'? What happens when western ideas and practices around disability migrate to non-western settings? Issues explored include: strategies for social change; empowerment and rights; disabled people's organisations; community-based rehabilitation; inclusive education; cultural perceptions of impairment and disability; disability services in historical perspective; and the difficulties inherent in disability action and research in the majority world. Contributions are based on work in a wide range of countries including: Afghanistan, Jordan, Lesotho, Nepal, China and India.
Subject terms:
learning disabilities, organisations, physical disabilities, rehabilitation, social inclusion, communities, cultural identity, developing countries, disabilities, education;
Reports on the Fortune Centre of Riding Therapy which uses horses and an intensive 24-hour curriculum to create a unique learning environment for people with learning and emotional difficulties.
Reports on the Fortune Centre of Riding Therapy which uses horses and an intensive 24-hour curriculum to create a unique learning environment for people with learning and emotional difficulties.
Subject terms:
independence, learning disabilities, rehabilitation, therapies, therapy and treatment, young people, children, empowerment;
Critically examines seven standards proposed by the National Service Framework for Mental Health covering, mental health promotion, primary care and access to services, effective services for severe mental illnesses, caring for carers, and preventing suicide.
Critically examines seven standards proposed by the National Service Framework for Mental Health covering, mental health promotion, primary care and access to services, effective services for severe mental illnesses, caring for carers, and preventing suicide.
Subject terms:
learning disabilities, mental health problems, mental health services, multidisciplinary services, quality assurance, rehabilitation, severe mental health problems, social care provision, standards, user participation, assessment, attempted suicide, carers, diagnosis, health care, health education;
Mental Health and Learning Disabilities Care, 2(11), July 1999, pp.389-392.
Publisher:
Pavilion
A risk-free environment may be safe, but it can also be impoverished. This article describes how structured risk assessment and management allows people with learning disabilities to maximise their potential for independence.
A risk-free environment may be safe, but it can also be impoverished. This article describes how structured risk assessment and management allows people with learning disabilities to maximise their potential for independence.
Subject terms:
independence, learning disabilities, management, nurses, policy, rehabilitation, residential care, risk, risk assessment, risk management, severe learning disabilities, training, assessment;
Tizard Learning Disability Review, 4(1), January 1999, pp.13-23.
Publisher:
Emerald
Knowledge of what makes for quality in adult learning disabilities services does not cascade directly down into grassroots practice. It is instead severely filtered and variously diluted through layers of national policy, local strategy and administrative complexity. In the current difficult climate, quality is not obtained without exposure to the strains and stresses inherent in the dynamics of the health and welfare bureaucracies and their attempts at partnership. Following a largely chronological and descriptive account of attempts to change and develop services in the Greater Glasgow area in the mid-1990s, consideration is given to the effect of these 'filters' in the context of the Greater Glasgow Joint Learning Disability Project.
Knowledge of what makes for quality in adult learning disabilities services does not cascade directly down into grassroots practice. It is instead severely filtered and variously diluted through layers of national policy, local strategy and administrative complexity. In the current difficult climate, quality is not obtained without exposure to the strains and stresses inherent in the dynamics of the health and welfare bureaucracies and their attempts at partnership. Following a largely chronological and descriptive account of attempts to change and develop services in the Greater Glasgow area in the mid-1990s, consideration is given to the effect of these 'filters' in the context of the Greater Glasgow Joint Learning Disability Project.
Subject terms:
housing, joint working, learning disabilities, local authorities, hospital discharge, policy, quality assurance, rehabilitation, social care provision, standards, community care, deinstitutionalisation, financing, health authorities;
Report based on a joint initiative by the Department of Health, Department for Education and Employment, Employment Service, and voluntary organisations to develop inter-agency partnerships and user involvement in rehabilitation, education, training and employment services for disabled people, people with learning difficulties, people with mental health problems, and people with sensory impairments.
Report based on a joint initiative by the Department of Health, Department for Education and Employment, Employment Service, and voluntary organisations to develop inter-agency partnerships and user involvement in rehabilitation, education, training and employment services for disabled people, people with learning difficulties, people with mental health problems, and people with sensory impairments.
Subject terms:
joint working, learning disabilities, joint planning, mental health problems, physical disabilities, rehabilitation, sheltered employment, social care provision, supported employment, training, user participation, voluntary organisations, adults, central government, education, employment;
GREAT BRITAIN. Department of Health. Social Services Inspectorate
Publisher:
Great Britain. Department of Health. Social Services Inspectorate
Publication year:
1999
Pagination:
2p.
Place of publication:
London
Letter accompanying a report based on a joint initiative to develop inter-agency partnerships and user involvement in rehabilitation, education, training, and employment services for people with learning difficulties, people with mental health problems, disabled people, and people with sensory impairments.
Letter accompanying a report based on a joint initiative to develop inter-agency partnerships and user involvement in rehabilitation, education, training, and employment services for people with learning difficulties, people with mental health problems, disabled people, and people with sensory impairments.
Subject terms:
joint working, learning disabilities, joint planning, mental health problems, physical disabilities, rehabilitation, sheltered employment, social care provision, supported employment, training, user participation, voluntary organisations, adults, central government, education, employment;
Circular accompanying national service framework setting out standards for mental health service provision by health and social services.
Circular accompanying national service framework setting out standards for mental health service provision by health and social services.
Subject terms:
joint working, learning disabilities, mental health services, multidisciplinary services, performance evaluation, performance management, primary care, quality assurance, rehabilitation, social care provision, standards, treatment, therapy and treatment, assessment, carers, diagnosis, health care, health education;