Search results for ‘Subject term:"learning disabilities services"’ Sort:
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More than pictures: developing an accessible resource
- Authors:
- CAMERON Lois, MATTHEWS Rhona
- Journal article citation:
- Tizard Learning Disability Review, 22(2), 2017, pp.57-65.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to describe the process of developing an accessible communication resource which enables people with a learning disability to reflect on their lives and raise issues of concern. Design/methodology/approach: The process of making the resource and the facets that contribute to making it accessible are explored, e.g. design specification, the relationship between pictures and meaning, the order in which concepts are presented. The paper goes on to describe how the resource is put into practice using the format of a “Talking Mat”.® Talking Mats is a communication framework which has a strong evidence base that shows it improves the quality and quantity of information a person with a learning disability gives in a conversation. It provides practitioners with a consistent framework to support implementation. The impact of using the resource is explored through feedback from practitioners trained to use it and the stories that resulted. Findings: A well-constructed resource can support people with a learning disability to express their views on what matters to them at a specific time and raise concerns they may have. The individual views that have emerged from people are varied. This resource enabled them to be genuinely included in planning the steps required to bring about positive change in their lives. Originality/value: There is much emphasis on the development of accessible resources in the field of learning disability but little on the actual development process and the context of how resources are introduced. This paper aims to contribute to this knowledge base. (Publisher abstract)
Learning disabilities market position statement: good practice checklist
- Author:
- OXFORD BROOKES UNIVERSITY. Institute of Public Care
- Publisher:
- Oxford Brookes University. Institute of Public Care
- Publication year:
- 2017
- Pagination:
- 4
- Place of publication:
- Oxford
A learning disability market position statement checklist that takes into account the Institute of Public Care's approach to ‘Commissioning Ordinary Lives for People with Learning Disabilities and/or Autism’. It provides a quick way of assessing whether a market position statement, which summarises the supply and demand in a local area or region, covers the right areas and the extent to which it is market facing. It can be used to review statements which take account of all ages across the whole system, such as health, education, social care, housing and communities. The checklist can be used by local areas use it to review their own market position statements and could also be used as part of a wider discussion with neighbouring authorities. (Edited publisher abstract)
Learning disability market position statements, are they fit for purpose?
- Author:
- GIRAUD-SAUNDERS Alison
- Journal article citation:
- Tizard Learning Disability Review, 22(4), 2017, pp.206-210.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to provide a commentary on the issues raised in the article 'Learning disability market position statements (MPS), are they fit for purpose?' Design/methodology/approach: The commentary draws on the literature and the author’s experience in developing commissioning. Findings: Published documents such as MPS and joint strategic needs assessments do not give an encouraging picture of progress in commissioning with and for people with learning disabilities. Actual commissioning practice may or may not be stronger than the documents suggest; however, more robust planning may help to sustain progress through times of organisational and social change. Originality/value: The commentary sets MPS in the context of other guidance on commissioning and development of services. It addresses questions about the need for published statements and the factors that help or hinder development of commissioning. (Edited publisher abstract)
Learning disability market position statements, are they fit for purpose?
- Authors:
- BROADHURST Sarah, LANDAU Keri
- Journal article citation:
- Tizard Learning Disability Review, 22(4), 2017, pp.198-205.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to review whether current learning disability market position statements (MPS) are actually helping to shape the market and explore their implications for people with learning disabilities and their families. Design/methodology/approach: Published learning disability MPS were identified via the Institute of Public Care’s MPS database. The quality of the MPS was analysed using a good practice checklist developed by a range of stakeholders. Findings: Learning disability MPS are not currently fit for purpose. They demonstrate that local authorities are not fully engaging in their market-shaping duties, as required under The Care Act 2014. It is suggested that this is in part due to the lack of recognition that market shaping is a council-wide responsibility and can only be successful if senior officers across the council (and their partners) acknowledge this and are held accountable. Unless this happens, people with learning disabilities will continue to lack the enablers that support them to lead the lives they choose in their communities. Originality/value: This is the first review of the quality and potential impact of learning disability MPS. (Edited publisher abstract)
Commentary on "A family's battle to understand 'challenging behaviour'"
- Author:
- KIERNAN Joann
- Journal article citation:
- Tizard Learning Disability Review, 22(2), 2017, pp.105-108.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to provide a commentary on issues raised in the paper "A family’s battle to understand ‘challenging behaviour'". Design/methodology/approach: Drawing on literature associated with issues identified in the paper this commentary will reflect on the evidence associated with providing specialist support to people with intellectual disabilities and challenging behaviour. Findings: Families, individuals and services are unable to access timely and appropriate specialist support for individuals with intellectual disabilities and challenging behaviour. As individuals go on to develop behaviours associated with a lack of intervention their levels of vulnerability increase due to their exclusion from services and their local communities. Originality/value: The commentary provides a discussion on the issues faced by individuals and their families in relation to intellectual disabilities and challenging behaviour. (Publisher abstract)
Sector pulse check: the impact of the changes to the social care sector 2017
- Author:
- CEBR
- Publisher:
- Hft
- Publication year:
- 2017
- Pagination:
- 19
- Place of publication:
- London
Sets out findings of a survey of CEOs and senior managers within the care sector, exploring whether beliefs and attitudes towards cost pressures, workers’ pay and impact of Brexit on the care sector have changed over the past 12 months. The majority of respondents (89 per cent) said the current model for commissioning care packages is not fit for purpose. The study also found more than treble the amount of providers are now operating at a loss compared to 2016-17. Of those not yet in deficit, 67 per cent expect to run a deficit in the next two to five years. The report also highlights that: in response to measures to deal with cost pressures, more than half the sector has already begun to curb investment; almost one in four stated that their organisation would have to close if they were required to pay the full amount owed for sleep-ins, and a further 22 per cent said they would have to hand back contracts to local authorities; recruitment and retention of staff remains a challenge for the sector with 93 per cent citing difficulties; 77 per cent of respondents said that they are concerned about the impact of Brexit on the care sector, with most saying that it is the loss of staff from overseas that is their main concern. (Edited publisher abstract)
The experiences of staff who support people with intellectual disability on issues about death, dying and bereavement: a metasynthesis
- Authors:
- LORD Ailsa J., FIELD Stephen, SMITH Ian C.
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 30(6), 2017, pp.1007-1021.
- Publisher:
- Wiley
Background: Historically, people with intellectual disabilities have tended to be excluded from knowing about death, dying and bereavement. Staff in intellectual disability services can play a valuable role in improving understanding of these issues in those they support. This qualitative metasynthesis aimed to understand the experiences of staff supporting adults with intellectual disabilities with issues of death, dying and bereavement. Method: Thirteen papers were identified following a systematic review of six databases. Results: Three themes were developed following a lines-of-argument synthesis: (i) talking about death is hard: negotiating the uncertainty in death, dying and bereavement; (ii) the commitment to promoting a “good death”; and (iii) the grief behind the professional mask. “A cautious silence: The taboo of death” was an overarching theme. Conclusions: A more open culture around issues of death, dying and bereavement in intellectual disability settings is essential and could be promoted through staff training and support. (Publisher abstract)
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)
Value for money? An examination of the relationship between need and cost in intellectual disability services
- Authors:
- CRONIN Jodi, BOURKE Jane
- Journal article citation:
- Health and Social Care in the Community, 25(3), 2017, pp.1227-1236.
- Publisher:
- Wiley
The recent economic crisis along with changing demographic trends has stimulated an increased interest in the value obtained from social care expenditure so as to ensure the sustainability of systems in the future. In Ireland, the Department of Health, further to a recent review of its disability services, committed to a new approach that will reshape and redesign its disability service provision. It specifically outlined a reorganisation of financing services, from a model of prospective block grant funding to a system of individualised budgeting based on an assessment of need. This paper examines the relationship between need, service utilisation and cost for high-cost users of adult intellectual disability residential services in an Irish county under the current model of block grant financing. The analysis reported is based on primary data collected from 68 high-cost users of adult intellectual disability residential services in an Irish county in 2013. Statistical analysis was performed to identify the relationship between need and cost, and also to examine the variations in the cost of support between the service provider organisations. The analysis determined an association between need and cost, with poorer levels of psychological well-being related to higher costs. However, the study found no evident relationship between staff/client ratios, the numbers of staff engaged at the residential units and need. An examination of cost variations between the service provider organisations revealed that agency status; service unit size; client and staff characteristics all contributed to variations in the cost of care. This study supports the development of a national resource allocation framework as being fundamental to the equitable and transparent distribution of scarce resources, as recommended by the Department of Health in Ireland. (Publisher abstract)
Local support for people with a learning disability
- Author:
- NATIONAL AUDIT OFFICE
- Publisher:
- National Audit Office
- Publication year:
- 2017
- Pagination:
- 54
- Place of publication:
- London
This report examines how the NHS in England and local authorities seek to improve the lives of the 129,000 people aged 18 to 64 who use local authority learning disability support services. It also assesses the setting up of the Transforming Care programme, which aims to move some of the 2,500 people with a learning disability and/or autism out of mental health hospitals, and progress of the programme. Key findings include: central and local government spend £8 billion each year supporting adults with a learning disability; the Department, NHS England and local authorities have limited measures to assess the quality and impact of health and social care support; from 2012 to 2015, the Department’s progress in moving people out of mental health hospitals and into the community was poor; early indications are that the Transforming Care programme is making progress in reducing the number of people in mental health hospitals; however, programme partners do not yet have confidence that partnerships can close the planned number of beds by 2019 and a number of complex challenges need to be resolved if the ambition of a substantial shift away from reliance on inpatient care is to be achieved. (Edited publisher abstract)