Search results for ‘Subject term:"learning disabilities"’ Sort:
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From long-stay hospitals to community care: reconstructing the narratives of people with learning disabilities
- Authors:
- LEARNING Brian, ADDERLEY Hope
- Journal article citation:
- British Journal of Learning Disabilities, 44(2), 2016, pp.167-171.
- Publisher:
- Wiley
Raymond, a 62 year old gentleman diagnosed with severe and profound learning disabilities, autistic spectrum disorder and severe challenging behaviour, who had lived in long stay campus-based hospital accommodation for 46 years was supported to move to a community project developed to support people to live in their own bespoke flat. This narrative case study describes the journey that Raymond took from institutionalised care to community life. (Publisher abstract)
Back in the community
- Author:
- MURISON Sanchi
- Journal article citation:
- Learning Disability Today, October 2011, pp.34-35.
- Publisher:
- Pavilion
- Place of publication:
- Hove
This article describes the journey from chemical and physical restraint to community living for Jason, a 29 year old man with a diagnosis of autism spectrum disorder and moderate learning disability. In 2009, Jason was sectioned and remained in an assessment and treatment centre where he was managed using physical restraint and frequent sedative medication with serious side-effects. This changed in 2010 when Jason moved into a flat in Wolverhampton supported by not-for-profit autism and learning disability support provider Dimensions. The flat is in a purpose-built block for people with autism specifically engineered to create a low arousal environment to meet their sensory needs and to encourage independent living. The Dimensions behaviour support team comprises behaviour analysts whose role is to help individuals with autism to achieve their goals. The article describes the improvements to Jason’s quality of life and his increased involvement in the community using this care approach.
Commissioning services for adults with learning disabilities or autism: the views and experiences of commissioners
- Authors:
- BEADLE-BROWN Julie, et al
- Publisher:
- Quality and Outcomes of Person-centred Care Policy Research Unit
- Publication year:
- 2018
- Pagination:
- 32
- Place of publication:
- London
Research to explore commissioning practice for services for people with learning disabilities and autism in England, focusing on the information used to help make decisions about services to commission and the challenges to commissioning effective services. The study explores the following questions: is quality or outcomes of services part of the commissioning process?; What sources of quality information are used in the commissioning process?; What are the barriers and facilitators of using quality information in commissioning?; and What are the main challenges to commissioning high quality services? The results are based on completed surveys from 45 local authorities and 25 clinical commissioning groups. The main findings explore three categories of service: residential care, supported living, and day services. The results found that quality was reported to be the most common selection criterion for providers. The top three factors considered by LA and CCGs commissioners to support their purchasing decisions were quality, safety, and suitability to the needs of the individual, with two thirds of respondents saying that cost was a very important consideration in their decisions. Most respondents reported using quality assessment frameworks and monitoring checklists of some type, with the frequency of quality assessment ranging from quarterly to yearly. Identified challenges to commissioning included restructuring, spending cuts, skills shortages, demographic changes. Suggested ways dealing with these challenges included more collaboration and partnership working, integrated/joint commissioning with pooled budgets, greater flexibility and innovation in procurement and contracting, and evidence-based commissioning. (Edited publisher abstract)
Building the right home
- Authors:
- NHS ENGLAND, LOCAL GOVERNMENT ASSOCIATION, ASSOCIATION OF DIRECTORS OF ADULT SOCIAL SERVICES
- Publisher:
- NHS England
- Publication year:
- 2016
- Pagination:
- 34
Issued as part of the Transforming Care Programme, this guidance supports NHS and local authority commissioners to expand the housing options available for people with learning disabilities and/or autism who display behaviour that challenges. The guidance supplements ‘Building the right support' and the accompanying service model, to enable people with learning disabilities and/or autism to access the right home and support at the right time. The document covers the key housing principles in Transforming Care, to increase housing options and achieve reductions in inpatient capacity. It explains different models of settled accommodation through supported living and the provision short-term accommodation in the community. It then looks at developing the housing market for the Transforming Care, including negotiate with housing providers and agreeing key terms such as rent levels. It recommends Transforming Care Partnerships should consider producing a housing strategy, with a clear understanding of the types and volume of accommodation required Case studies are included to give examples of different housing approaches that could be applied to housing for people with a learning disability and/or autism with behaviour that challenges. Annexes also set out key housing principles designed by people with a learning disability and/or autism and their families and a list of useful resource. (Edited publisher abstract)
The same as you?: partnership in practice agreements 2004-2007: national overview and next steps
- Author:
- SCOTLAND. Scottish Executive
- Publisher:
- Scotland. Scottish Executive
- Publication year:
- 2006
- Pagination:
- 33p.
- Place of publication:
- Edinburgh
One of the 29 recommendations of the 'The same as you?' review was that local authorities and health boards should draw up Partnership in Practice agreements (PiPs). The aim of this national overview report is to provide feedback on the key messages that emerge from a review of all of the 2004-2007 PiPs, taking account of additional evidence from other sources. Key themes identified are: health promotion and improving access to health, Local Area Coordination, carers, short breaks or respite, autism spectrum disorders, Direct Payments, day services, further education and employment, supported living and vulnerable adults. This report aims to highlight positive developments that can be shared to support improvement across Scotland, and to inform the next round of plans for 2007-2010.