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Commissioning services for people with learning disabilities in Scotland: linking evidence and practice
- Author:
- CAMPBELL Martin
- Journal article citation:
- British Journal of Learning Disabilities, 37(1), March 2009, pp.28-33.
- Publisher:
- Wiley
This paper describes the development of some practical guidance for people involved in commissioning services for individuals with learning disabilities. A national conference was organised in November 2005 to look at the question of 'What works in learning disability services?', i.e. what approaches have proven effectiveness in the planning, commissioning and provision of services for people with learning disabilities. This was followed by four workshops around Scotland to seek practitioners' views on commissioning, at a strategic and at an individual level. From this, written and online guidelines were devised, based on seven steps with a number of associated key questions. These guidelines aim to inform commissioners about available research and good practice, and provide a method of recording the basis on which commissioners make their decisions for models of care and their experiences in a way that could be shared with others.
Decisions about technology: principles and guidance on good practice when considering the use of telecare and assistive technology for people with dementia, learning disability and related disorders
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2015
- Pagination:
- 23
- Place of publication:
- Edinburgh
This guidance is for those considering the use of technology to assist with care and maintain independence when the individual concerned may lack the capacity to make the decision. It examines the human right and legal implications of assistive technology and sets out key principles of good practice. These are: the intervention must provide a benefit that cannot otherwise be achieved; it must be the least restrictive in relation to the person’s freedom in order to achieve the desired benefit; the past and present wishes of the person must be taken into account; the views of relevant others should be taken into account; and the intervention should encourage the person to use existing skills and develop new ones. The document examines the use of electronic location devices and the use of CCTV to monitor the actions of an adult or of staff. A brief overview of assistive technology currently available is also included. (Edited publisher abstract)
The keys to life: improving quality of life for people with learning disabilities
- Author:
- SCOTLAND. Scottish Government
- Publisher:
- Scotland. Scottish Government
- Publication year:
- 2013
- Pagination:
- 178
- Place of publication:
- Edinburgh
‘The same as you?’ (2000) was the original 10-year programme designed to meet the needs of people with learning disabilities in Scotland. It was highly successful in shifting the balance of care to support more people to live in the community. This new 10-year strategy sets out a vision for improved partnership working to deliver better outcomes for people with learning disabilities, and their families and carers. It has more than 50 recommendations, most of which are aimed at health. The strategy also covers commissioning of public services; independent living; shifting the culture and keeping safe; breaking stereotypes; the needs of people with profound and multiple disabilities; criminal justice; and complex care. It includes good practice examples and case studies. Appendices include a glossary and weblinks to key organisations. (Edited publisher abstract)
"Go for it!": supporting people with learning disabilities and/or autistic spectrum disorder in employment
- Authors:
- RIDLEY Julie, HUNTER Susan, INFUSION CO-OPERATIVE
- Publisher:
- Scotland. Scottish Executive. Social Research
- Publication year:
- 2005
- Pagination:
- 114p., bibliog.
- Place of publication:
- Edinburgh
This report aimed to investigate the employment support available for people with learning disabilities or autistic spectrum disorders (ASD) in paid and unpaid jobs in Scotland. The study aimed to map the nature and availability of employment support; to identify aspects of good practice; and to explore the direct experiences of individuals and their families. The study used both quantitative and qualitative methods and involved a review of the literature published in the past 5 years; telephone interviews with 10 key stakeholders; a postal questionnaire survey of 204 employment support providers; in-depth qualitative interviews with 15 supported employees, their families and 10 employees. The report concludes that there is some way to go before the aspirations of people with learning disabilities or ASD for real paid jobs are met. Examples of good practice were identified and, while the results were life changing for the individuals involved and their families, supported employment as originally intended was not being put into practice. There is a need for a more strategic and coordinated approach to developing and funding supported employment in Scotland so that its implementation can be more widespread.
Service for all: making it happen; a report from the Service for All conference held on 18 June 2003 in Edinburgh
- Author:
- SERVICE FOR ALL CONFERENCE
- Publisher:
- Scottish Human Services Trust
- Publication year:
- 2003
- Pagination:
- 42p.
- Place of publication:
- Edinburgh
The conference aimed to bring people together to exchange information, examples of good practice and ideas about making NHS services more accessible. The main elements of the event were to: understand access from the perspective of people with disabilities, people with mental health problems and older people, what helps and what are the main problems?; identify good practice in Scotland and start a database of good practice; share ideas around practical solutions and on ways to get advice and help from others; and inform ongoing development of policies and advice for the Scottish Executive and the NHS in Scotland on how the NHS and people who use services can work together to improve access. Under the Disability Discrimination Act 1995, the NHS and other service providers have to think actively about how to make services accessible. This legislation is important but making this happen is not just about following legislation. It is about people sharing a vision of what a service for all looks like, of imagining better and working together to make it real.
Home at last?: the same as you?: National Implementation Group report of the short-life working group on hospital closure and service reprovision
- Author:
- SCOTLAND. Scottish Executive. Community Care Division. National Implementation Group
- Publisher:
- Scotland. Scottish Executive,|Stationery Office
- Publication year:
- 2004
- Pagination:
- 63p.
- Place of publication:
- Edinburgh
The same as you? review of services for people with learning disabilities was published in May 2000. A key recommendation was that all long-stay learning disability hospitals should close by 2005. People should not have a hospital as their home. In order to achieve this successfully, appropriate arrangements have to be in place in the community, not just for people leaving hospital, but also for those who in the past would have relied on hospitals for support. The needs of all people with learning disabilities should be considered as part of the hospital closure strategy. This recommendation is only one of 14 recommendations that relate directly to hospital closures, and implementation of these other recommendations impact on this programme. This report starts with a brief look at the role of learning disability hospitals in Scotland. It goes on to describe the work of the short-life working group, the information gathered, and the recommended action to ensure successful implementation by the end of 2005. It includes real stories from people with learning disabilities and carers. Their views and experiences have influenced the key objectives in setting out what now needs to happen.
Adults with Incapacity (Scotland) Act 2000: implementation guide for senior management
- Author:
- SCOTLAND. Scottish Executive
- Publisher:
- Scottish Executive
- Publication year:
- 2002
- Pagination:
- 139p.
- Place of publication:
- Edinburgh
Adults with Incapacity (Scotland) Act 2000: briefing paper for local authority elected members
- Author:
- SCOTLAND. Scottish Executive
- Publisher:
- Scottish Executive
- Publication year:
- 2002
- Pagination:
- 12p.
Use of seclusion: good practice guide
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2019
- Pagination:
- 26
- Place of publication:
- Edinburgh
Updated good practice guidance for health and social care professionals in Scotland on the use of seclusion when working with people who are being treated for mental illness, dementia, learning disability or related conditions in health and social care settings. The view of the Mental Welfare Commission is that services should minimise the use of all forms of restrictive practice, and that in most cases, proactive behavioural support plans would mean that the use of seclusion would be unnecessary. The guidance aims to ensure that where seclusion takes place, the safety, rights and welfare of the individual are safeguarded. It looks at what any policy for seclusion should cover, including: maintaining the safety of the secluded person, care planning, record keeping, assessment and review during a period of seclusion, the impact of seclusion and staff training. The guide also provides a summary of good practice points, a summary of relevant legislation in Scotland and case studies to illustrate areas of good and poor practice. (Edited publisher abstract)
Does it matter? Decision-making by people with learning disabilities
- Authors:
- PEOPLE FIRST (SCOTLAND), ANIMATE
- Publisher:
- Animate
- Publication year:
- 2017
- Pagination:
- 84
- Place of publication:
- Glasgow
This research examines whether supported decision making for people with learning disabilities offers a practical and safe alternative to substitute decision following a guardianship order. It aims to present their views within the current debate about the need to revise Scotland’s incapacity legislation. Peer researchers conducted interviews with 128 people who had a learning disability about their experiences of decision making. Overall, participants felt making decisions for themselves was important, emphasising the need to have choice and the freedom to be independent. Good practice examples of supported decision making are included. However, participants reported that they commonly experienced decisions being made about them without people asking, which left many participants feeling powerless and angry. The report also discusses the barriers to people with learning disabilities taking greater control of their decision making; challenges within the current guardianship system in Scotland; and the challenges to delivering supported decision making. The findings suggest that supported decision-making for people with learning disabilities can offer a safe and realistic alternative to substitute decision-making, but requires a significant change in mindsets as to the rights, resources and risks involved. (Edited publisher abstract)