Search results for ‘Subject term:"learning disabilities"’ Sort:
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Improving quality of life outcomes in supported accommodation for people with intellectual disability: what makes a difference?
- Authors:
- BIGBY Christine, BEADLE-BROWN Julie
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 31(2), 2018, pp.e182-e200.
- Publisher:
- Wiley
Background: The quality of life (QOL) of people with intellectual disability living in supported accommodation services is variable, influenced by many possible factors. Various frameworks have attempted to identify these factors without assigning value, direction of influence or relative impact on outcomes. Methods: A realist review of the literature aimed to expose different propositions about variables influencing QOL outcomes and review the strength of supporting evidence for these, to identify their relative influence. Evidence was reviewed for and against each of five clusters. Results: Evidence was strongest for the presence of staff practices (use of Active Support), front-line management practice (use of practice leadership), culture (enabling and motivating), human resources policies and practice (that support front-line leaders and recruitment of staff with the right values), adequate resources, and small, dispersed and homelike settings. Conclusions: The evidence informs policy and practice but in some clusters remains limited, warranting further research which measures outcomes on all QOL domains. (Publisher abstract)
Quality of life and living arrangements for people with intellectual disability
- Authors:
- BERTELLI Marco, et al
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 7(4), 2013, pp.220-231.
- Publisher:
- Emerald
Recent international experiences of community inclusion have produced a major change in residential care for people with intellectual disability (ID). Assignment and outcome assessment through new person-centred measures are raising increasing interest; however, the information on quality of life and accommodation is still limited. This paper aims to provide an overview of the application of quality of life models and the size of the provision of different living arrangements using a systematic mapping of the literature of the last decade and expert guided review of the available evidence. Quality of life (QoL) outcomes measures of living arrangements in people with ID show conceptual and methodological challenges. The following key topics were identified: individual level: issues related to health status, behavioural problems and other personal factors (ageing, choice and empowerment); family and peers; local level: accommodation, architecture and urbanization, and economic aspects (deprivation and costs); macro level: social participation (community inclusion). The residential solutions that are currently considered of highest efficiency are small apartments in the community and “cluster centers”. (Edited publisher abstract)
Housing choices discussion paper 1: what is the evidence for the cost or cost-effectiveness of housing and support options for people with care or support needs?
- Authors:
- HARFLETT Naomi, et al
- Publisher:
- National Development Team for Inclusion
- Publication year:
- 2017
- Pagination:
- 12
- Place of publication:
- Bath
A brief summary of evidence on the costs and cost-effectiveness of residential care and other housing and support options for older people, people with learning disabilities and people with mental health problems. It draws on a review of peer reviewed and grey literature in the UK and Ireland from 2000 onwards. The paper highlights limitations in the available evidence, which include limitations in terms of quantity; quality; lack of reliability of unit costs used in the research, and difficulties of making comparisons across studies. It then provides a broad summary of the evidence that is available. The paper finds that limitations in quality and quantity mean that there is not sufficient, reliable evidence in which to inform housing and support decisions on the basis of cost. It concludes that there is therefore a strong argument that decisions about an individual’s housing and support should be based on other factors supported in current health and social care policy such as rights, inclusion, choice and control. (Edited publisher abstract)
Supported accommodation for people with intellectual disabilities and quality of life: an overview
- Authors:
- WALSH Patricia Noonan, et al
- Journal article citation:
- Journal of Policy and Practice in Intellectual Disabilities, 7(2), June 2010, pp.137-142.
- Publisher:
- Wiley
The authors review evidence relating to quality of life outcomes in models of supported accommodation for adults with intellectual disabilities. A literature search for English language, peer-reviewed articles published between 1995 and 2005 was conducted to: (1) review the outcome of deinstitutionalisation and post-institutionalisation studies; (2) examine instruments used to measure outcomes for individuals; and (3) compare costs and benefits associated with different models of supported accommodation. A total of 86 articles reported on 67 studies; forty nine of the articles focussed on deinstitutionalisation. Together the US and the UK accounted for 75% of the studies discussed. In the deinstitutionalisation studies, there was consistent evidence of greater choice and self-determination, participation in social networks or relationships and community-based activities, and personal satisfaction in community-based settings. Post-deinstitutionalisation studies provided consistent evidence for greater choice, self-determination, and participation in community-based activities in smaller settings, but no evidence for greater physical health or material well-being, and little evidence for a relationship between type of setting and employment. The authors identified five key factors for consideration when planning future research. They suggest work is needed to meet methodological challenges they identified, to investigate the apparent failure of smaller residences to improve residents’ well-being, and to study systematically factors not directly addressed in the studies reviewed: poverty and income, organisational culture, and geographical variation.
Education and training in housing related support: the extent of continuing vocational education and training in integrated housing and support in the EU
- Authors:
- PLEACE Nicholas, MITCHELL Wendy
- Publisher:
- University of York. Department of Social Policy and Social Work
- Publication year:
- 2015
- Pagination:
- 42
- Place of publication:
- York
Report describing the results of a scoping exercise to determine the range and nature of vocational education and training (CVET) on the management and delivery integrated housing and support services (IHS). The scoping exercise was designed to support the European Core Learning Outcomes for the Integration of Support and Housing (ELOSH) project, which is focused on developing new CVET to improve the delivery of housing and support services for disabled people, people with mental health needs and those homeless people who have support needs. The research focused particularly on the impact of training on service users' choice and control, and also training focused on enabling social integration to improve, quality of life, health and wellbeing and enabling independent living through promoting personalisation of services. For the scope searches on specialist databases and a survey of organisations which represented providers of housing and support across the EU were conducted. The report provides background to the development and nature of IHS service provision for disabled people, people with mental health needs and homeless people who have support needs; discusses the results of the scoping exercise on the nature and extent of IHS training available in the EU and elsewhere; and discussing the implications of the findings of the scoping exercise for the ELOSH project. The scope identified a small number of supported housing accredited courses. Evidence suggests that IHS services are concentrate in Northern and North Western Europe, with training provision for practitioners is frequently generalist covering general principles of supported housing, with less training around specific groups of clients and consideration of their needs. (Edited publisher abstract)
The view from Arthur's seat: review of services for people with learning disabilities; a literature review of housing and support options beyond Scotland
- Authors:
- SIMONS Ken, WATSON Debbie
- Publisher:
- Scottish Executive Central Research Unit
- Publication year:
- 1999
- Pagination:
- 138p.
- Place of publication:
- Edinburgh
This report argues that a 'modernised' housing and support system for people with learning disabilities should encompass the following principles: citizenship and civil rights; supported living models such as 'active' support; person centred planning; access to other services such as employment, continuing education and supported leisure activities; coherent and flexible funding; and regulatory reform.
Learning for care homes from alternative residential care settings: report
- Authors:
- BURTNEY Liz, et al
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2014
- Pagination:
- 72
- Place of publication:
- York
This review uses a rapid evidence assessment to investigate the scope for improving the quality of care provided by residential care homes in the United Kingdom through learning from other providers. The review focused on three settings: residential services for children and young people; residential services and supported housing for people with learning disabilities; and hospice care. The review looked at the international and national literature, evaluations and opinions of people using services; and feedback from frontline practitioners on the accuracy of findings and transferability of learning from others. Findings are discussed in the following areas: regulation, risk management, safeguarding, person-centred approaches, co-ordination of care and advanced care planning, staff selection and skills, and ongoing support for staff. The report found that although evidence of effectiveness is limited, there are promising ideas that could improve the culture of care homes, experiences of care and support for staff. It presents evidence of how residential care homes in other sectors have created positive organisational cultures and increased relationship-based care to improve the quality of care offered. It also discusses how how greater involvement of people who use services and their families can improve experiences of care. Examples of practice are included throughout the report. (Edited publisher abstract)