Search results for ‘Subject term:"learning disabilities"’ Sort:
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Service use and cost of mental disorder in older adults with intellectual disability
- Authors:
- STRYDOM Andre, et al
- Journal article citation:
- British Journal of Psychiatry, 196(2), February 2010, pp.133-138.
- Publisher:
- Cambridge University Press
The cost of caring for people with intellectual disability, which is already high, may rise as more people with intellectual disability live to old age. In addition the rates of mental illness and dementia are thought to be higher in this group than in the general population. This study reports service use patterns and costs for people (n=212) with intellectual disability (excluding Down syndrome) over 60 years of age living in London. It covered costs of accommodation, health and personal care, physical as well as mental illness, dementia, sensory impairment and disability and aimed to explore the influence of sociodemographic and illness-related determinants. The average weekly cost per older person was £790 (£41080 per year); accommodation accounted for 74%. Overall costs were highest for those living in congregate settings, such as nursing or residential homes. Gender, intellectual disability severity, hearing impairment, physical disorder and mental illness had significant independent relationships with costs. Mental health problems were associated with an additional weekly cost of £202. The authors note that older adults with intellectual disability comprise 0.15–0.25% of the population of England but consume up to 5% of the total personal care budget. They suggest interventions that meet needs and might prove to be cost-effective should be sought.
Unit costs of community care 1992/93
- Authors:
- NETTEN Ann, SMART Steve, comps
- Publisher:
- University of Kent. Personal Social Services Research Unit
- Publication year:
- 1993
- Pagination:
- 62p.,bibliog.
- Place of publication:
- Canterbury
First in a planned series of reports bringing together the most up-to-date information on the unit costs of community care. Uses the economic concept of opportunity cost to define what should be measured and how. In 4 sections: services for older people; services for people with mental health problems; services for people with learning difficulties; and generic services.
People with intellectual disabilities at the end of their lives: the case for specialist care?
- Authors:
- FORRESTER-JONES Rachel, et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 30(6), 2017, pp.1138-1150.
- Publisher:
- Wiley
Background: People with intellectual disabilities have a shorter life expectancy, but healthcare improvements mean that they are beginning to live longer, with associated health difficulties. This means that there is an urgent need to focus research on ageing as well as end-of-life care. This study aimed to explore a specialist intellectual disability service for older people who are dying and how it related to their quality of life and to costs associated with care provided. Method: Data were collected for nine residents and 15 staff members of the specialist service. A single case study design with mixed methods including observations, interviews, standardised questionnaires and costs analysis was utilised. Results: The study found positive results regarding overall quality of life, although individuals had limited social networks. Placement fees paid by local health trusts and social services departments were slightly higher than the estimated cost of care reflecting good financial management by a small voluntary sector organisation. Conclusion: Whilst the philosophical arguments around “specialist” care persist, this service fills a gap in intellectual disability care provision. (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)
Personal social services: expenditure and unit costs, England: 2013-14, final release
- Author:
- HEALTH AND SOCIAL CARE INFORMATION CENTRE. Adult Social Care Statistics
- Publisher:
- Health and Social Care Information Centre
- Publication year:
- 2014
- Pagination:
- 53
- Place of publication:
- London
This summary provides information about the money spent on adult social care by the social services departments of councils with adult social services responsibilities (CASSRs) in England. It contains information taken from CASSR administrative systems used to record personal social services expenditure and income. Gross current expenditure by CASSRs on adult social care in England in 2013-14 was £17.2 billion. This represents an increase of half of one per cent in cash terms from 2012-13, which is the equivalent of a one per cent decrease in real terms. Over the five year period from 2008-09, there has been a decrease of three per cent in real terms. 51 per cent (£8.8 billion) of expenditure in 2013-14 was on older people (those aged 65 and over), compared to 52 per cent in 2012-13. The average cost per adult aged 18 and over supported in residential care, nursing care or intensively in their own home was £597 per week in 2013-14, compared to the real term figure of £613 in 2012-13; a three per cent decrease in real terms and one per cent in cash terms. (Edited publisher abstract)
Unit costs of health and social care 1996
- Authors:
- NETTEN Ann, DENNETT Jane, comps
- Publisher:
- University of Kent. Personal Social Services Research Unit
- Publication year:
- 1996
- Pagination:
- 147p.,tables,bibliog.
- Place of publication:
- Canterbury
The fourth volume in a series of reports which aim to improve unit cost estimates over a period of time. Includes sections on services for: elderly people; people with mental health problems; people with learning difficulties; services for children and families; and people with AIDS/HIV.
Unit costs of community care 1994
- Authors:
- NETTEN Ann, comp
- Publisher:
- University of Kent. Personal Social Services Research Unit
- Publication year:
- 1994
- Pagination:
- 104p.
- Place of publication:
- Canterbury
Contains sections on services for: older people; people with mental health problems; people with learning difficulties; children and families; and generic services.
Unit costs of health and social care 2008
- Authors:
- CURTIS Lesley, (comp.)
- Publisher:
- Personal Social Services Research Unit
- Publication year:
- 2008
- Pagination:
- 192p., bibliog.
- Place of publication:
- Canterbury
Aims to improve unit cost estimates for health and social services. Includes sections on services for: elderly people; people with mental health problems; people with learning difficulties; services for children and families; and substance misusers. Also provides a breakdown of costs of health care staff in the community and in hospitals.
Unit costs of health and social care 2007
- Authors:
- CURTIS Lesley, (comp.)
- Publisher:
- Personal Social Services Research Unit
- Publication year:
- 2007
- Pagination:
- 208, bibliog.
- Place of publication:
- Canterbury
Aims to improve unit cost estimates for health and social services. Includes sections on services for: elderly people; people with mental health problems; people with learning difficulties; services for children and families; and substance misusers. Also provides a breakdown of costs of health care staff in the community and in hospitals.
Unit costs of health and social care 2005
- Authors:
- CURTIS Lesley, NETTEN Ann, (comps.)
- Publisher:
- University of Kent. Personal Social Services Research Unit
- Publication year:
- 2006
- Pagination:
- 203p., bibliog.
- Place of publication:
- Canterbury
Aims to improve unit cost estimates for health and social services. Includes sections on services for: elderly people; people with mental health problems; people with learning difficulties; services for children and families; and substance misusers. Also provides a breakdown of costs of health care staff in the community and in hospitals.