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Commentary on “Assisting individuals ageing with learning disability: support worker perspectives”
- Author:
- STEVENS Martin
- Journal article citation:
- Tizard Learning Disability Review, 20(4), 2015, pp.223-227.
- Publisher:
- Emerald
Purpose: This paper explores some of the themes identified by Wark et al.’s paper and to highlight commonalities and differences between the Australian and the UK social and health care regimes. It also points to evidence about other implications for policy and practice of the increasing numbers of people growing older who have learning disabilities. Design/methodology/approach: The commentary analyses some policy and practice documents and identifies a range of other research and commentary on this topic. Findings: Wark et al. have identified areas of importance for supporting older people with learning disabilities, particularly access to suitable and acceptable services and the importance of sufficient support worker time. They also identify gaps in the research on people’s needs and service responses. The commentary also highlights other factors for consideration in work with this group of people, particularly the implementation of personalisation policies in social care and integration between health and social care services. Research limitations/implications: There is a need for further research into developing policy and practice for health and social care for older people with learning disabilities. Some of the evidence supports the case for specialist involvement, particularly by nursing professionals. Originality/value: The paper and this commentary highlight the challenges associated with the increasing number of older people with learning disabilities in contemporary debates about the role of the state and professional specialists. (Edited publisher abstract)
Adult safeguarding policy and law: a thematic chronology relevant to care homes and hospitals
- Authors:
- MANTHORPE Jill, STEVENS Martin
- Journal article citation:
- Social Policy and Society, 14(2), 2015, pp.203-216.
- Publisher:
- Cambridge University Press
Elder abuse is a 'social problem', as illustrated by the production of policy documents and legislation that define and revise the scope and nature of the problem. This article synthesises and discusses the policy documents and legal changes that have taken place in England since 2000, when the first policy guidance to address adult safeguarding as a whole was produced. The focus of this article is on particular locations, namely care home and hospital settings, and the applicable policy and legislation. The policy documents and legal changes identified are analysed using Blumer's five phases of policy implementation and Matland's ambiguity-conflict matrix to explore their implications for policy implementation and coherence. The analysis suggests that responses to elder abuse have created different kinds of ambiguity and conflict, requiring both top-down and bottom-up policy interventions. (Publisher abstract)