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An uneasy dwelling: the story of the Philadelphia Association community houses
- Author:
- GORDON Paul
- Publisher:
- PCCS Books
- Publication year:
- 2010
- Place of publication:
- Ross-on-Wye
The Philadelphia Association has been providing places of asylum for over 40 years. Hundreds of men and women, whether formally designated ‘mentally ill’, or experiencing serious emotional distress, have entered a PA community house and been allowed to “go through whatever they have to go through”, in their own time and in their own way, free from the interventions of psychiatry or family. Despite the longevity and the radically different nature of the project, little has been written about the work. This book is an attempt to correct that. It is in part a history of the houses but also an account of how the houses work today and an exploration of their underpinning ethos. The most famous of the houses was the first, Kingsley Hall, which opened in 1965 and which has come to have an almost iconic status in the world of what has come to be called critical psychiatry. More than 15 houses have been run under PA auspices. In the past the PA was most closely identified with one of its founders, the highly public figure RD Laing. This book is an attempt to explain more about the PA and reveal misperceptions.
Families of children with serious emotional disorder: maternal reports on the decision and impact of their child's placement in residential treatment
- Authors:
- TAHHAN Julia, et al
- Journal article citation:
- Residential Treatment for Children and Youth, 27(3), July 2010, pp.191-213.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This study investigated the experiences of mothers of seriously emotionally disordered child both before and after residence in a children's mental health treatment facility in Canada. The mothers of 8 clients who had been discharged from one residential treatment facility were interviewed. Findings revealed that, prior to placement, the mothers had exhausted all non-residential forms of intervention and, increasingly, became concerned not only for their child's welfare, but also for that of themselves and other siblings in the home. Regardless of whether their child's stay in residential treatment yielded positive or negative outcomes, the mothers viewed the intensive short-term treatment as a valuable and necessary service. Recommendations for improvement in residential services include reduced waiting times, availability of services to children at a younger age, more parental education regarding effective child management. The findings, as they relate to policy and practice for residential treatment, are discussed.
Institutions remain dumping grounds for forgotten people
- Author:
- TAVANIER Yana Buhrer
- Journal article citation:
- Tizard Learning Disability Review, 15(2), April 2010, pp.4-14.
- Publisher:
- Emerald
This article highlights a study conducted undercover in institutions for adults with intellectual and mental health disabilities in Bulgaria, Romania and Serbia. It found evidence of human rights abuses, inhuman and degrading treatment, and severe neglect. The author suggests that reform is coming too slowly to institutions for adults with intellectual and mental health disabilities in these countries, where chronic neglect, filthy conditions, and the use of physical restraints and high-dosage drugs to control behaviour remain routine. The author describes, from a personal perspective, many of the failings in the care system with the three countries, and highlights how much of the abuse is conducted behind closed doors, in an effort to hide the true extent of the problem – which, if disclosed, may have ramifications for EU grants to these countries.
A clear view ahead...
- Author:
- BOWLER Shirley
- Journal article citation:
- Connect, 39, Spring 2010, p.13.
- Publisher:
- Homeless Link
Clear-view is a dual diagnosis supported housing project which provides 24-hour support for 14 men and women who are committed to becoming and staying free of drugs. While there are day centres offering support to people with both a mental illness and a substance misuse problem, Clear-view is the only residential service specifically set-up to support dual diagnosed clients. The project, which began in 2006, is the result of a partnership between ECHG, Hull City Council, Hull Supporting People, Hull City Safe and the Housing Corporation. Residents are referred to Clear-view, and, once accepted on the waiting list, encouraged to attend pre-tenancy support. Residents must provide a commitment to remain drug-free. When residents move in they are provided with fully furnished and equipped apartments, supported to cook healthy meals, encouraged to take regular exercise, and have the opportunity to gain ICT skills to help them prepare for education and employment. Every resident must attend 5 group meetings a week, and peer support and role models are an important element of resident’s recovery.
Managers' and staff experiences of adult protection allegations in mental health and learning disability residential services: a qualitative study
- Authors:
- REES Paul, MANTHORPE Jill
- Journal article citation:
- British Journal of Social Work, 40(2), March 2010, pp.513-529.
- Publisher:
- Oxford University Press
Adult protection policy slowly developed in England and Wales during the 1990s. In the same decade specialist residential services expanded for people with mental health problems and with learning disabilities. Many referrals to adult protection systems emanate from this sector but few result in conclusive outcomes. This article reports on a small study exploring the impact of adult protection legislation and guidance within a small number of residential adult mental health and learning disability units in England and Wales. The focus of the article is the issues for staff who have been accused of abuse and for the managers of such services during investigations. Data from interviews with 13 residential unit managers and 10 care workers, who were suspended following an allegation but later exonerated, are presented. Perceptions of the development of adult protection practice, policy and legislation were that these have generally led to positive outcomes. However, these data reveal other outcomes including service disruption, stress for residents, staff and managers. Multi-agency collaboration, transparency of practice, training, reflective practice, and effective supervision of frontline staff, appeared to assist managers and care workers in negotiating the positive and negative experiences of the implementation of adult protection systems.
Community care statistics 2008-09: social services activity report, England
- Author:
- NATIONAL HEALTH SERVICE. Information Centre for Health and Social Care
- Publisher:
- National Health Service. Information Centre for Health and Social Care
- Publication year:
- 2010
- Pagination:
- 78p.
- Place of publication:
- London
This report collates data on the social care activity of Councils with Adult Social Services Responsibilities (CASSRs) in England. Information is drawn from two sources, the Referrals, Assessments and Packages of Care (RAP) and the new Adult Social Care Combined Activity Return (ASC-CAR). This report is new for 2008-09 and replaces a number of reports based on separate data collections that were published previously. The data is reported under the following headings: access to care; packages of care; community based services; residential care; and carers. An estimated 2.04 million contacts from new clients were made to CASSRs in England in 2008-09, down 1% from the previous year. There were an estimated 1.78 million clients receiving services, a slight increase from 2007-08. Overall 1.54 million clients were receiving home care of various kinds. Most services were received by clients with physical disabilities, frailty or sensory impairment (72%) the remaining 18% had mental heath problems; 86,000 adults aged over 18 received direct payments. Since 2003 there has been a steady decline in the number of residents supported in care homes; 229,000 in 2008-09. During the year 398,000 carers received a carer’s assessment or review.