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Participation opportunities for adults with intellectual disabilities provided by disability services in one Australian state
- Authors:
- CHENOWETH Lesley, CLEMENTS Natalie
- Journal article citation:
- Journal of Policy and Practice in Intellectual Disabilities, 8(3), September 2011, pp.172-182.
- Publisher:
- Wiley
Many countries aim to include service users in the planning and delivery of disability services. Turning this aim into effective participation is often challenging and not fully realised. This study examined the nature and extent of service user participation opportunities within a range of organisations that provide disability services in one Australian state. An idea of how services were involving service users and their families, carers, and advocates in all aspects of their service, including service planning, development, and delivery, was obtained via a mailed survey of 200 agencies or services receiving funding from the state government. Findings revealed that service providers overall were providing a broad range of opportunities and activities for service user participation in the service, but their effectiveness was variable across different organisations and subject to differing conditions. The authors concluded that characteristics of the service, the community, and the service users and their families all effected the level of participation.
Where's the money gone?: patterns of expenditure on learning disability services
- Author:
- OXFORD BROOKES UNIVERSITY. Institute of Public Care
- Publisher:
- Oxford Brookes University. Institute of Public Care
- Publication year:
- 2010
- Pagination:
- 38p., bibliog.
- Place of publication:
- Oxford
This report explores patterns of public expenditure on learning disability services and the relationship between expenditure and service delivery. While there clearly been a considerable increase in expenditure on learning disability across the public sector, there is limited evidence available to demonstrate where such additional funding has been spent and if it has resulted in an enhancement or an extension of the services offered to a greater number of people. The report, commissioned in order to explore these questions by reviewing a set of hypotheses using national data sources, covers expenditure, people, and service activity. The report concluded that considerable quantities of data is captured concerning learning disability, however, through a lack of consistency between data sets it is hard to compare data across organisations. Overall, the report suggests that, in terms of the existing national data collection, there should be an inter-departmental government group that looks at how existing data sets can be better aligned to provide a clearer picture.
Good practice guidance on the assessment and management of risk in mental health and learning disability services
- Author:
- NORTHERN IRELAND. Department of Health, Social Services and Public Safety
- Publisher:
- Northern Ireland. Department of Health, Social Services and Public Safety
- Publication year:
- 2009
- Pagination:
- 101p.
- Place of publication:
- Belfast
A core function of mental health services is to assess treatment and care needs, and an integral part of this is consideration of risk posed by some people to themselves or others. This guidance covers good practice principles, fundamentals of risk management, working with risk in everyday practice, learning from adverse incidents, improving the quality of risk management and the way forward.
Developing and implementing research as a lever for integration: the impact of service context
- Authors:
- JARRETT Dominic, et al
- Journal article citation:
- Journal of Integrated Care, 17(5), October 2009, pp.38-48.
- Publisher:
- Emerald
There has been a growing emphasis on partnership working between health and local authority services. Integration has intrinsic political and practical appeal, but there is little evidence that it actually benefits services users. This project looks at integration in learning disability services in Ayrshire and Arran with the aim of identifying evidence which could be used to improve services. The research looked at the status of integrated practice in 3 community teams using focus groups, interviews and workshops to gather data. The results showed that people were developing integration in a pragmatic manner without management support, and were also concerned about the dilution of their own roles as health staff took on care management responsibilities. A range of recommendations were made on the strength of the project results, mainly reflecting a need for clear direction and leadership in integration, and clarity over practice issues. However, no direct action was taken by local services in response to these recommendations. This paper discusses the reasons why this project failed to have any impact, arguing that it fell prey to the same lack of direction that characterised the local development of integration.
Staff stress and burnout in intellectual disability services: work stress theory and its application
- Authors:
- DEVEREUX Jason, HASTINGS Richard, NOONE Steven
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 22(6), November 2009, pp.561-573.
- Publisher:
- Wiley
A search of the literature identified five stress theories that have been applied in intellectual disability research: person–environment, demand–support–control, cognitive-behavioural, emotional overload, and equity theory. Each of the five work stress theories is described and the extent to which data within intellectual disability research relates to these theories is explored. Some of the key theoretical constructs within these work stress models have been explored in intellectual disability research but frequently the underlying processes within work stress models have not been fully tested. Partial exploration of work stress theories means that theoretical understanding of how best to explain work stress in intellectual disability staff is limited. Suggestions for future research are discussed, particularly concerning the relationship between empirical research and work stress theory.
Supporting people with learning disability and dementia: a training resource pack for managers, team leaders and trainers
- Authors:
- CHAPMAN Alan, CURTICE Lisa
- Publisher:
- University of Stirling. Dementia Services Development Centre; Scottish Consortium for Learning Disability
- Publication year:
- 2008
- Pagination:
- 205p.
- Place of publication:
- Stirling
This pack is intended to help managers and teams to consider wide practice issues with team member when a person with learning disability develops dementia. It is designed to be a useful focus for learning within a team and addresses key aspects of the values, knowledge, understanding and skills required of a social care worker by the Scottish Social Services Council, but also has relevance to other professional groups. Part1 describes the knowledge base, Part 2 gives a best practice case study, and part three describes seven "discussions": working with the person, communicating, seeing meaning in behaviour, responding to behaviours, pathways to support, positive risk assessment and management, and teams and multidisciplinary working.
Indicators for learning disability trusts: performance assessment 2009/10
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2009
- Pagination:
- 11p.
- Place of publication:
- London
This document outlines the first and second phases of national priority indicators for learning disability trusts to be used by the Care Quality Commission in the 2009/10 periodic review. Each indicator includes details of why it is included, the data source, the period of time assessed by the indicator and the technical specification of the indicator. Indicators included are: access to healthcare for people with a learning disability; campus provision; data quality on ethnic group; delayed transfers of care; number of people with a care plan. The indicators apply to all trusts and primary care trusts that provide learning disability services, where it is appropriate for them to be assessed.
Good practice guidance on the assessment and management of risk in mental health and learning disability services: pilot version
- Author:
- NORTHERN IRELAND. Department of Health, Social Services and Public Safety
- Publisher:
- Northern Ireland. Department of Health, Social Services and Public Safety
- Publication year:
- 2009
- Pagination:
- 48p.
- Place of publication:
- Belfast
A core function of mental health services is to assess treatment and care needs, and an integral part of this is consideration of risk posed by some people to themselves or others. This guidance covers good practice principles, fundamentals of risk management, working with risk in everyday practice, learning from adverse incidents, improving the quality of risk management and the way forward.
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.
Spatial perspectives on voluntarism in learning disability services in Ireland
- Author:
- POWER Andrew
- Journal article citation:
- Journal of Social Policy, 38(2), April 2009, pp.299-315.
- Publisher:
- Cambridge University Press
- Place of publication:
- Cambridge
This article explores the rise of voluntarism and voluntary sector in adult learning disability services in Ireland. Ireland experienced the ‘community turn’ much earlier than most Western states, in that the state advocated a ‘hands-off’ approach in learning disability services from the outset. It uses data from 40 interviews with local health agencies, voluntary organisations and informal carers. It critically examines the complex geographical factors that have contributed to the particular form of voluntarism that has evolved, thus demonstrating that understanding levels of voluntary activity requires attention to local circumstances.