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Developing better commissioning for individuals with behaviour that challenges services: a scoping exercise
- Authors:
- McGILL Peter, COOPER Vivien, HONEYMAN Gemma
- Publisher:
- Tizard Centre; Challenging Behaviour Foundation
- Publication year:
- 2010
- Pagination:
- 35p., bibliog.
- Place of publication:
- Canterbury
The main problems faced by people with learning disabilities whose behaviour presents challenges are community placements breakdown, increasing use of out of area placements, and persistence of poor quality institutional solutions. The Department of Health commissioned this report and the work it describes as part of the delivery plan for the Government's strategy for people with learning disabilities. As a scoping exercise, the overall aim was to map out the issues and determine where future work was most likely to be useful. The report draws on 3 sources: in-depth consultations with the families of 6 individuals with behaviour that challenges services to provide a picture of the outcomes of services for individuals and families, extended interviews with 8 local authority and health commissioners of learning disability services to identify obstacles to progress and the kinds of supports that might assist local service development, and the literature on both challenging behaviour and commissioning. It provides an overview of the problems, and presents the findings from the family consultation and commissioner interviews. It makes recommendations about national action and support for commissioners.
Community care: developing services for people with a mental handicap
- Author:
- AUDIT COMMISSION
- Publisher:
- HMSO
- Publication year:
- 1987
- Pagination:
- 11p., diags, bibliog.
- Place of publication:
- London
Back to the future: developing competent residential services for people with intellectual disabilities and challenging behaviour
- Author:
- JONES Edwin
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 7(1), 2013, pp.5-17.
- Publisher:
- Emerald
The author offers a viewpoint on what needs to be done to develop competent residential services for people with intellectual disabilities and challenging behaviour. He draws on several previous formulations. Although these have some differences in emphasis, their similarities are striking and they have a high level of agreement on core components. Together they highlight the need to work on various levels simultaneously, such as clear informed commissioning and professional clinical leadership with a focus on positive behavioural support (PBS) to implement a shared person centred value base. The author acknowledges that these ideas and concepts have been available for decades and are still valid but he does not think they have been fully implemented; hence his theme of “Back to the Future”. The discussion points to the need to continue developing small-scale, community-based services that have a clear value base and are committed to taking person-centred action. The paper focuses on the need to enhance service quality through the dissemination and implementation of PBS and discusses some key issues regarding this with reference to recent work in Wales.
Planning for life: involving adults with learning disabilities in service planning
- Author:
- CONCANNON Liam
- Publisher:
- Routledge
- Publication year:
- 2005
- Pagination:
- 211p.
- Place of publication:
- London
Can social care practitioners effectively involve people with learning disabilities in planning their services? Does user involvement for people with learning disabilities really benefit anyone? Policy and practice guidelines for working with people with learning disabilities state that users and carers must be consulted in the provision of services. However, whether this is useful or effective in practice has not yet been adequately considered. This book traces the development of services for people with disabilities and discusses how much things have really changed for today's 'service users' since the days of asylums. It also assesses whether the policy of involvement, such as that outlined in Valuing People, is achievable in practice or simply places unrealistic burdens on professionals and service users. Based on findings from original research and interviews, the author argues that involving people with learning disabilities in service planning is difficult to achieve successfully and is currently, to a large extent, tokenistic. This area of challenging practice and emotive debate is brought to life by the voices of service providers, carers and the service users themselves, and illustrates the realities of working with people with learning disabilities.
Developing services for people with challenging behaviour: the Special Projects Team
- Authors:
- ALLAN David, et al
- Journal article citation:
- Llais, 73, Summer 2004, pp.11-14.
- Publisher:
- Learning Disability Wales
Supporting people with learning disabilities who have complex behavioural or mental health needs in non-institutional settings is one of the greatest challenges facing services today. Reports on the work of Bro Morgannwg NHS Trust which has established a Special Project Team to meet this challenge.
People, plans and possibilities: exploring person centred planning
- Authors:
- SANDERSON Helen, et al
- Publisher:
- Scottish Human Services Trust
- Publication year:
- 2002
- Pagination:
- 213p.
- Place of publication:
- Edinburgh
Aimed at care managers and other professionals, managers and support staff, parents and carers, and anyone else involved in planning and implementing services for people with learning difficulties. Based on projects in Manchester and Scotland, the book begins by looking at what person centred planning is; the beliefs and values on which it is based; the methods it uses; and its consequences. It then goes on to look in depth at the practice of person centred planning and what makes it different; provides descriptions and illustrations of the five planning styles (essential lifestyle planning, individual service design, personal futures planning, Maps, and PATH); looks at how it can create change for all those involved, including service providers; and concludes by putting person centred planning into the broader policy and practice context in the UK.
Next steps in developing services for people with learning disabilities in Greater Glasgow
- Author:
- -
- Journal article citation:
- Integrate News, 67, December 1997, pp.15-17.
Provides extracts from a consultation paper on the future development of services for people with learning disabilities issued by Greater Glasgow Health Board.
Developing mental health services for people with learning disabilities in England
- Author:
- SIMPSON Neill
- Journal article citation:
- Tizard Learning Disability Review, 2(2), April 1997, pp.35-42.
- Publisher:
- Emerald
Many people with learning disabilities experience mental health problems, and the outcome is likely to be better if they have a good mental health service. Opinions vary about what form of good mental health service for people with learning disabilities would take. Great changes have occurred in services, but research about the effect of these changes is sparse. This article explores the nature of mental health problems which require services and compares two models for providing a specialist mental health service for people with learning disabilities.
Developing models for day services
- Authors:
- SHAW Ian, et al
- Journal article citation:
- Social Policy and Administration, 26(1), March 1992, pp.73-86.
- Publisher:
- Wiley
Reports an evaluation of a rural activity project for people with learning difficulties funded by the All Wales Strategy for the Mentally Handicapped and discusses the various views about normalisation and models for the scheme which have implications for service delivery.
Co-producing technology: harnessing digital solutions for social care
- Authors:
- VOLUNTARY ORGANISATIONS DISABILITY GROUP, NATIONAL CARE FORUM
- Publisher:
- Voluntary Organisations Disability Group
- Publication year:
- 2017
- Pagination:
- 18
- Place of publication:
- London
This paper explores ways in which people who use services can contribute to the design of successful digital solutions and how these solutions are changing the way that social care and health services are being delivered. The paper provides examples good practice covering three perspectives. The locality perspective shows how Leeds is using technology to support the health and wellbeing of older and disabled people. Through a “smart city” approach it is looking at how to use data to deliver a more coordinated approach to health and social care. The integration perspective describes how technology is being used in the vanguard sites to support the integration health and social care in the vanguard sites. The practitioner perspective describes how Camphill Village Trust have invested in their own app to support people with learning disabilities to develop the skills and confidence to use social media safely. The report identifies key messages from the examples that can help to help maximise the benefits of technology. These include: the importance of user engagement and co-production; leadership that promotes co-production and champions technology; and the need to consider the benefits of digital technology for older and disabled people, who often have the most to gain from the technology. (Edited publisher abstract)