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Characteristics of the most expensive residential placements for adults with learning disabilities in South East England: a follow-up survey
- Authors:
- DEVEAU Roy, McGILL Peter, POYNTER Jo
- Journal article citation:
- Tizard Learning Disability Review, 20(2), 2015, pp.97-102.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to investigate the characteristics of the highest cost residential placements provided for adults with learning disabilities in the South East of England, comparing findings with a previous survey. Design/methodology/approach: Lead commissioners for NHS and Local Authority teams in the South-East of England were asked to provide information on the five highest cost placements that they currently commissioned. Findings: The average placement cost was £200,000 per annum with a range from £81,000 to £430,000 per annum. Individual characteristics of people placed were broadly similar to those identified in previous studies. The paper also reports on differences between in and out-of-area-placements and factors associated with higher costs. Originality/value: Significant resources are used to support relatively few individuals. These individuals’ needs and characteristics suggest areas for research and practice development. (Edited publisher abstract)
Does size matter? or staffing levels or costs?
- Author:
- FELCE David
- Journal article citation:
- Llais, 67, Winter 2003, pp.3-7.
- Publisher:
- Learning Disability Wales
Describes recent work which has sought to understand why quality of life in staffed community group homes varies. A sample of 51 houses in Wales accommodating 6 or fewer people were surveyed. The survey particularly looked at staff-service user rations and costs; size related to cost; and provider agency.
Exploring the relationships between costs and quality of services for adults with severe intellectual disabilities and the most severe challenging behaviours in Wales: a multivariate regression analysis
- Authors:
- FELCE David, et al
- Journal article citation:
- Journal of Intellectual and Developmental Disability, 25(4), December 2000, pp.307-326.
- Publisher:
- Taylor and Francis
A survey in Wales of people with severe intellectual disabilities and the most severe challenging behaviour identified adults living in new specialist community housing and 19 in traditional services. This study explored the relationships between resident characteristics, service characteristics, service processes, quality of life outcome and costs in a series of mutivariate regression analyses.
Residential and nursing home care of elderly people with cognitive impairment: prevalence, mortality and costs
- Authors:
- NETTEN A., et al
- Journal article citation:
- Aging and Mental Health, 5(1), February 2001, pp.14-22.
- Publisher:
- Taylor and Francis
Cognitive impairment among residents has considerable resource implications for both individuals and those responsible for publicly funded care. Reports on two linked surveys carried out in England: a longitudinal study followed 2500 admissions to publicly funded care up to 42 months after admission; and a cross-sectional survey of 618 homes collected information about 11,900 residents. Results found cognitive impairment was associated with source of funding and type of home. Although level of cognitive impairment has some effect, fees and costs were most influenced by type of home. At the same level of impairment, self-funded residents were more likely to be located in relatively low-cost settings than publicly funded residents. Concludes that more information is needed about the effect of quality of care on people with cognitive impairment in different settings.