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Care home census 2013: statistics on adult residents in care homes in Scotland
- Publishers:
- ISD Scotland, Information Services Division, NHS National Services Scotland
- Publication year:
- 2013
- Pagination:
- 35
- Place of publication:
- Edinburgh
This publication presents information on adult residents in Care Homes in Scotland collected as part of the annual Scottish Care Home Census (SCHC) held at 31st March 2013. The census covers all adult care homes in Scotland that are registered with the Care Inspectorate and data are collected via the Care Inspectorate’s web based “eForms” system. The report also includes care homes for older people, and care homes for other main client groups (adults with physical disabilities, adults with mental health problems or adults with learning disabilities). As at 31st March 2013 there were 1,282 care homes for adults in Scotland providing 42,755 places to 36,578 residents. This report notes that for the 2011 census, ISD Scotland (Ihe Information Services Division of NHS National Services Scotland) published two reports: an interim report and a detailed findings report. For the 2012 census onwards, ISD has produced a single annual report. (Edited publisher abstract)
Developing mental health occupational therapy practice to meet the needs of people with mental health problems and physical disability
- Authors:
- MILES Helen, MORLEY Mary
- Journal article citation:
- British Journal of Occupational Therapy, 76(12), 2013, pp.556-559.
- Publisher:
- Sage
It is well documented and evidenced that individuals with serious mental illness have an increased risk of developing a range of physical illnesses and conditions. This practice analysis describes how an initial audit of mental health occupational therapists identified a lack of clarity and protocols around working with individuals with associated physical conditions. Local joint care pathways and a skills development programme were introduced, and a follow-up audit completed to assess progress to date. The advancement in practice and production of a clear physical care pathway has made a positive difference to service users. (Publisher abstract)
Developing an outcomes model for disabled children in Scotland
- Author:
- CHILDREN IN SCOTLAND
- Publisher:
- Scotland. Scottish Government Social Research
- Publication year:
- 2013
- Pagination:
- 67
- Place of publication:
- Edinburgh
Disabled children have broadly the same aspirations as non-disabled children and the outcomes they would like to achieve are therefore similar. However, for many disabled children and young people, there are fundamental outcomes that need to be achieved as a foundation for others, including and especially, communication. This project focused on better understanding ‘outcome models’ for all children and young people and for children and young people in the diverse and challenging context of disability. This research was commissioned by the Scottish Government’s Children’s Rights and Wellbeing Division to identify and develop an outcomes model based on Getting It Right for Every Child (GIRFEC), and the SHANARRI indicators of wellbeing (“Safe, Healthy, Achieving, Nurtured, Active, Respected, Responsible, Included”) for disabled children and young people in Scotland. It was to include both children with disabilities as defined by the Equality Act 2010 and those defined as having additional support needs in the context of the Education (Additional Support for Learning) (Scotland) Act 2004. The project was modified early on to focus on mapping outcomes work that is already in progress, and to identify the essential components of outcomes models. (Edited publisher abstract)
Developing an outcomes model for disabled children in Scotland
- Author:
- CHILDREN IN SCOTLAND
- Publisher:
- Scotland. Scottish Government Social Research
- Publication year:
- 2013
- Pagination:
- 3
- Place of publication:
- Edinburgh
This research was commissioned by the Scottish Government’s Children’s Rights and Wellbeing Division to identify and develop an outcomes model based on Getting It Right for Every Child (GIRFEC), and the SHANARRI indicators of wellbeing, for disabled children and young people in Scotland. It was to include both children with disabilities as defined by the Equality Act 2010 and those defined as having additional support needs in the context of the Education (Additional Support for Learning) (Scotland) Act 2004. The project was modified early on to focus on mapping outcomes work that is already in progress, and to identify the essential components of outcomes models. These research findings summarises the main report's findings. (Edited publisher abstract)
Changes in the patterns of social care provision in England: 2005/6 to 2012/13
- Authors:
- FERNANDEZ Jose-Luis, SNELL Tom, WISTOW Gerald
- Publishers:
- University of Kent. Personal Social Services Research Unit, London School of Economics
- Publication year:
- 2013
- Pagination:
- 40
- Place of publication:
- Canterbury
Even before the current public spending austerity programme was introduced, the adequacy of adult social care spending was of concern. This report quantifies what changes have taken place in net local spending and provision (recipients of care) between 2005/06 and 2012/13. The authors produced two sets of indicators of social care coverage over time: an observed and a standardised data series. The first is based on the raw data for the number of adult social care recipients collected by the Health and Social Care Information Centre. The second was generated using multivariate regression analysis to ‘control for’ the influence of socioeconomic indicators of social care need. Recent trends in the number of adults receiving social care services indicate that across all user groups, some 320,000 fewer people received local authority brokered social care in 2012/13 than in 2005/6, a 26% reduction in the number of care recipients. 260,000 or 31% fewer older people received services in 2012/13 than in 2005/6 (observed data). The standardised estimate of reduction was greater: 333,000 or 39% fewer clients. Some 37,000 or 24% fewer adults aged 18-64 with physical disabilities received social care support in 2012/13 than in 2005/6. The standardised estimate showed a reduction of 50,000 or 33%. A reduction of 30,000 (21%) was observed in the number of service recipients aged 18-64 with mental health problems. The standardised estimate for this group showed the largest proportional fall in the volume of service recipients (48%). In contrast with other client groups, the observed data for adults aged 18-64 with learning disabilities receiving services increased by about 7,000 (5%). However, the standardised indicator suggests a fall in activity: some 7,000 fewer service recipients in 2012/13 than in 2005/6. Recent trends in net adult social care expenditure demonstrate that changes in levels of expenditure vary significantly, depending on the user group considered. Aggregated across all user groups, the analysis suggests a drop in need-standardised net social care expenditure between 2005-06 and 2012/13 of approximately £1.5 billion at 2012/13 prices. Moreover, almost all reductions in expenditure are concentrated in 2010/11 and 2011/12. The largest reduction in expenditure is concentrated on care services for older people: an £890 million reduction between 2005/06 and 2012/13. The shortfall increases to just above £1.6 billion using the standardised estimate. Local changes in social care coverage find marked differences in patterns of changes across local authorities and between service user groups. Some 95% of local authorities in England were observed to have reduced the number of older people receiving services in the period 2005/6 to 2012/13: in 35% of authorities, the decrease was 40% or more. Overall, the findings indicate significant reductions in service provision, both in terms of coverage (numbers of people receiving care) and in terms of the amount of public resources invested (net expenditure). This analysis was partly funded with a grant from the Care and Support Alliance. (Edited publisher abstract)
Irish attitudes to sexual relationships and people with intellectual disability
- Authors:
- McCONKEY Roy, LEAVEY Gerry
- Journal article citation:
- British Journal of Learning Disabilities, 41(3), 2013, pp.181-188.
- Publisher:
- Wiley
Limited progress has been made in supporting people with intellectual disabilities to form intimate relationships. A critical factor that has been rarely researched is the attitude of the general public which likely has a significant influence on public policy on this issue. Unique to Ireland, are the five-yearly national surveys commissioned by the National Disability Authority that recruit representative samples of over 1000 adult persons. On three occasions in the past 10 years, respondents were asked to rate their agreement that people with various disabilities and with mental health difficulties had the right to fulfilment through sexual relationships and to have children if they wished. Secondary analysis of the 2011 data set identified those persons who were more likely to be in agreement and also the concerns raised by respondents. The findings are discussed in relation to priorities for future research and actions needed to reduce the stigma associated with disability or mental ill health. (Publisher abstract)
Physical health, mental health, and behaviour problems among early adolescents in foster care
- Authors:
- WOODS S.B., FARINEAU H.M., McWey L.M
- Journal article citation:
- Child: Care, Health and Development, 39(2), 2013, pp.220-227.
- Publisher:
- Wiley
Background: Adolescents with chronic illness in the general population are at increased risk of mental health and behaviour problems. Depression is also associated with delinquency. Adolescents in foster care are more at risk for chronic illness and mental health issues. The authors investigated whether adolescents in long-term foster care with chronic illness have associated higher rates of internalizing and externalising problems and delinquency. We also investigated if depression mediates the relationship between physical health and externalising behaviours. Methods: Data are from the National Survey of Child and Adolescent Well-Being; adolescents age 11 and older residing in long-term foster care (n= 188). Children whose caregivers reported on the occurrence of a chronic illness were compared using anova on internalising and externalizing subscale scores and total scores of the Youth Self Report (YSR) and Child Behavior Checklist (CBCL), and modified Self-Report of Delinquency (MSRD) scores of delinquency and total number of delinquent acts. Bootstrapping analyses were used to test our hypothesis that depressive symptoms (Children's Depression Inventory) function as a mediator. Results: Adolescents with a chronic illness reported greater internalizing (YSR: F= 7.069, P= 0.009; CBCL: F= 4.660, P= 0.032) and externalizing (YSR: F= 5.878, P= 0.016; CBCL: F= 3.546, P= 0.061) problems, a greater number of delinquent acts (6.66, F= 5.049, P= 0.026) and heightened overall delinquency (F= 5.049, P= 0.026). Depression significantly mediated the effects of overall health on delinquency (95% CI, 0.03–1.76). Conclusions: It is important to consider the complex interrelationships between physical health, mental health, and behaviour for adolescents in foster care. These findings support the need for comprehensive services for these youths, including specialised assessments and collaboration between protective services and healthcare systems. (Publisher abstract)