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Day services and home care for adults with learning disabilities across the UK
- Author:
- HATTON Chris
- Journal article citation:
- Tizard Learning Disability Review, 22(2), 2017, pp.109-115.
- Publisher:
- Emerald
Purpose: This paper compares data from national social care statistics on day services and home care for people with learning disabilities across England, Scotland, Wales and Northern Ireland. Design/methodology/approach: National social care statistics (England, Scotland, Wales and Northern Ireland) reporting the number of adults with learning disabilities accessing day services and home care were reviewed, with data extracted on trends over time and rate of service use. Findings: Regarding day services, despite some variations in definitions, the number of adults with learning disabilities in England, Scotland and Wales (but not Northern Ireland) using building-based day services decreased over time. Data from Scotland also indicate that adults with learning disabilities are spending less time in building-based day services, with alternative day opportunities not wholly compensating for the reduction in building-based day services. Regarding home care, there are broadly similar rates of usage across the four parts of the UK, with the number of adults with learning disabilities using home care now staying static or decreasing. Social implications: Similar policy ambitions across the four parts of the UK have resulted (with the exception of Northern Ireland) in similar trends in access to day services and home care. (Edited publisher abstract)
Changing day services: do you agree?
- Author:
- CAMPBELL Martin
- Journal article citation:
- Journal of Intellectual Disabilities, 16(3), September 2012, pp.205-215.
- Publisher:
- Sage
- Place of publication:
- London
Models of day services for people with intellectual disabilities in Scotland are changing. Buildings-based day services are being replaced increasingly with community-based provision in the form of alternative day opportunities. There has been some concern that a move to more flexible ‘alternative day opportunities’ is driven more by reduced budgets than a policy of modernising day services in response to individual needs. The aim of this study was to rate and collect views on existing day services in Fife, Scotland in order to inform the change process. A total of 60 questionnaires were completed by 36 carers, 18 service users, and 6 care staff. The questions were designed to evaluate day activities, care plans, opening times, transport and the most valued aspects of existing day services. The respondents indicated general satisfaction with existing day services, although half believed that day services should be reviewed. The most valued parts of day services were forming and building friendships, and a safe place to go. Any changes to these services should be responsive to needs and should achieve outcomes that are valued. The day service review process should be robust and transparent so that all views can be heard and the rationale for modernising day services should be clearly explained.
Growing confidence
- Author:
- HOGG Hilary
- Journal article citation:
- Learning Disability Today, 10(5), June 2010, pp.30-31.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Border Links is a social enterprise limited company designed to promote social inclusion by enabling adults with learning disabilities to contribute to the community while developing skills as part of a trading enterprise. It was set up in January 2006 with small grants from DEFRA and the Leader Gold Fund. Initially a community club with just two members there are now 36 adults involved at four clubs; three in Northumberland and one in Scotland. The vegetable basket scheme is a key part of the day service programme and delivers fresh produce to around 70 homes near the Northumberland sites. Group members are involved in all aspects of the project from selecting, ordering and weighing to packing and delivering the produce. The benefits and skill development for clients and advantages for the wider community are discussed. Border Links is self-sustaining, clients are referred by care managers, schools, Connexions and other agencies and funding comes from local authorities and direct or personal payments. The organisers believe what makes them special is that they work with clients within a local and small groups context.
Day care at the crossroads: an evaluation of the local authority contribution to day care services for adults with mental handicaps in Scotland
- Author:
- SEED Philip
- Publisher:
- Costello
- Publication year:
- 1988
- Pagination:
- 304p., diags., tables.
- Place of publication:
- Tunbridge Wells
Sequel to the preliminary "Which best way.." report.
Is day care still at the crossroads?
- Author:
- SEED Philip
- Publisher:
- Jessica Kingsley
- Publication year:
- 1996
- Pagination:
- 135p.,bibliog.
- Place of publication:
- London
Updates 'Day care at the crossroads', the wide-ranging evaluation of day services for people with learning difficulties in Scotland. The update takes account of the NHS and Community Care Act 1990 and a changed economic and social culture.
Group-based cognitive-behavioural anger management for people with mild to moderate intellectual disabilities: cluster randomised controlled trial
- Authors:
- WILNER Paul, et al
- Journal article citation:
- British Journal of Psychiatry, 203(4), 2013, pp.288-296.
- Publisher:
- Cambridge University Press
A cluster-randomised trial of group-based 12-week cognitive-behavioural therapy (CBT), which took place in day services for people with intellectual disabilities and was delivered by care staff, was evaluated to assess its effectiveness as an intervention for anger management in people with intellectual disabilities. Participants were 179 service users identified as having problems with anger control randomly assigned to either anger management or treatment as usual. Participants were recruited from services in parts of Scotland, England and Wales. Assessments were conducted before the intervention, and at 16 weeks and 10 months after randomisation. The intervention had only a small, and non-significant, effect on participants’ reports of anger on the Provocation Index, the primary outcome measure. However, keyworker Provocation Index ratings were significantly lower in both follow-up assessments, as were service-user ratings on another self-report anger measure based on personally salient triggers. Both service users and their keyworkers reported greater usage of anger coping skills at both follow-up assessments and keyworkers and home carers reported lower levels of challenging behaviour. The intervention provides evidence of the effectiveness of a CBT intervention for this client group and demonstrates that the staff who work with them can be trained and supervised to deliver such an intervention with reasonable fidelity. (Edited publisher abstract)
Family life and the impact of previous and present residential and day care support for children with major cognitive and behavioural challenges: a dilemma for services and policy
- Authors:
- BROWN R.I., et al
- Journal article citation:
- Journal of Intellectual Disability Research, 55(9), September 2011, pp.904-917.
- Publisher:
- Wiley
Policy changes around inclusion and integration mean that many children with severe disabilities, including those with very challenging behaviour, now live in the community cared for by their parents. Families report experiencing stress and frustration with service and community support, and some have turned to residential and specialised day care services. This study examined experiences of these services in terms of the child and the impact on the family. It involved individual interviews (n=19) and focus groups (n=7) with parents in Aberdeen. The child sample included 23 children with an average of 12.7 years, all had multiple diagnoses of intellectual disability plus major challenging behaviour. The results demonstrate the difficulties facing families when the children spent most or all of their time at home. This contrasted starkly with the changes in perceived quality of family life once the children were in residential care and day support. Improvements in behaviour of the children were noted and children began to return home for periods of time. Parents reported increased stability of family life, involvement of siblings in more normal community life and increased opportunities for spouses to function more effectively in one or more life domains. The authors discuss questions of policy concerning family well-being, as well as the needs of the child.
Activity, aging, and retirement: the views of a group of Scottish people with intellectual disabilities
- Authors:
- JUDGE Joe, et al
- Journal article citation:
- Journal of Policy and Practice in Intellectual Disabilities, 7(4), December 2010, pp.295-301.
- Publisher:
- Wiley
The structuring of daytime activities for older people with intellectual disabilities is often at odds with the views or needs of the people involved with these activities. The aim of this study was to understand the perceptions of people with intellectual disability with respect to the mandatory retirement from attending day centres. The participants were drawn from two Scottish local authorities, where local policy dictates that when an adult reaches the age of 65 they must retire from day services. Semi-structured interviews were conducted with 16 adults aged 41 to 64 and the resultant transcripts subjected to interpretive phenomenological analysis. Five themes emerged from the analysis: the importance of activity; the day centre as a social hub; confusion concerning retirement; desire for continuity; and the value of independence. The adults placed great value on participation in daytime activity and on attendance at local authority-run day centres. They wished to remain active well into old age and wished to contribute to their local communities. Disconcertingly, the participants highlighted the difficulties with their understanding of retirement and those who demonstrated a level of understanding felt that they had a disconnected role in the process. The article suggests that the provision of daytime activity for older people with intellectual disabilities should be scrutinised closely with respect to what people do as retirees and how they prepare for a change in lifestyle.
Their face to the wind: service developments for older people with learning disabilities in Grampian region
- Authors:
- LAMBE Loretto, HOGG James
- Publisher:
- ENABLE
- Publication year:
- 1995
- Pagination:
- 87p.
- Place of publication:
- Glasgow
Research study based on user and carer views. Looks at residential and day care and at present and future needs.
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.