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A critical appraisal of how occupational therapists can enable participation in adaptive physical activity for children and young people
- Authors:
- SHARP Naomi, DUNFORD Carolyn, SEDDON Lyndsey
- Journal article citation:
- British Journal of Occupational Therapy, 75(11), November 2012, pp.486-494.
- Publisher:
- Sage
This literature review researched adaptive physical activity (APA) for people with physical disabilities. It examined barriers to participation, potential solutions, and the role of occupational therapists in enabling participation. A systemic literature search identified eleven key articles. Each paper was critically analysed using the Critical Appraisal Skills Programme tool. The information was summarised and reviewed using an iterative approach to identify themes. Two key themes emerged. The first encompassed barriers to participation, lack of role models, family attitudes and transportation. The second identified potential solutions through integrating APA into health care interventions. The authors conclude that participation in APA improves physical, social and psychological skills, which in turn impacts on other occupations. They believe there is a role for occupational therapists in helping children with disabilities to start participating in APA. Key to this are occupational therapists’ core skills of assessment, collaboration, engagement, adaptation, education and advocacy.
Direct payments and older people: the principles of independent living
- Authors:
- HASLER Frances, ZARB Gerry
- Journal article citation:
- Research Policy and Planning, 18(2), 2000, pp.7-12.
- Publisher:
- Social Services Research Group
The main part of the paper focuses on the extension of the Community Care (Direct Payments Act) to older people, drawing on research carried out by PSI and others, the recent practice guide on local authority implementation of direct payments produced by PSI and NCIL, as well as as NCIL's development work on IL and older people. It then considers the specific issues of : interpreting key direct payment criteria such as consent and 'willing and able'; models of assessment compatible with IL principles and putting in place appropriate forms of advice and support to enable older people to manage their own support arrangements.
A challenge to change: practical experiences of building user-led services
- Editors:
- BERESFORD Peter, HARDING Tessa
- Publisher:
- National Institute for Social Work
- Publication year:
- 1993
- Pagination:
- 211p.,bibliog.
- Place of publication:
- London
Brings together contributions from a wide range of people with practical experience of building user-led services. Offers real-life examples and guidance on how-to-do-it. Contributors include disabled people and other service users, practitioners, trainers, managers, advisers and researchers. In 5 parts: setting the agenda; user-led initiatives; provider-led initiatives; building models for change; and involvement for empowerment.
Housing homeless people with high care needs
- Author:
- CHAR
- Publisher:
- CHAR
- Publication year:
- 1989
- Pagination:
- 22p., diags.
- Place of publication:
- London
Reports on a conference which addressed growing concern at the high care needs of users of DSS Resettlement Units.
Adult placements and person-centred approaches
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2005
- Place of publication:
- London
This web-based practice guide is aimed at local authority and health commissioners, practitioners, service users, adult placement scheme staff and carers in England. The guide is based on information from a practice survey that identified emerging and developing practice; a literature review that pulled together the key literature on adult placements; and an analytical report that identified the key messages from these two surveys. It identifies relevant national minimum standards, and highlights findings and case examples from the practice survey, as well as from the literature where available. The Guide contains practice points, including areas of conflict, on-going debate about roles and responsibilities, and the application of person-centred approaches to adult placements. It contains sections on: being person-centred, assessment and referral, matching and introductions, monitoring and review, moving on, adult placement carers, advocacy; and person-centred planning. (Previously published as SCIE Practice Guide no. 4).
Where do you think you're going: summary report of the John Grooms inquiry into the needs of young disabled people
- Author:
- ACKROYD Jane
- Publisher:
- John Grooms
- Publication year:
- 2003
- Pagination:
- 11p.
- Place of publication:
- London
The inquiry found that many disabled people have problems securing services as and when they need them. The care offered frequently limits their their opportunities for personal development and social integration. In particular: More than 8,000 young adults are living in care homes designed primarily for a different client group, usually elderly people. Nearly 80% of local authorities limit the cost of community care packages and 75% of them use the cost of alternative residential care as the ceiling. There are wide discrepancies between outcomes for disabled people with similarly high needs, depending on where they live and when their support packages were first set up. There is a shortage of services that provide emotional support, mentoring and advocacy. Young people are often not involved in planning for their future, particularly if they have communication and/or cognitive difficulties. Needs assessments often focus on the services available rather than individual support requirements, choices and aspirations. Services are poorly co-ordinated and inflexible. Rules governing assessment, provision, costs, and equipment supply and maintenance differ between departments and for age groups and this makes it difficult to obtain the right services at the right time or to secure continuity of care as needs change.
Where do you think you're going: report of the John Grooms inquiry into the needs of young disabled people
- Author:
- ACKROYD Jane
- Publisher:
- John Grooms
- Publication year:
- 2003
- Pagination:
- 109p.
- Place of publication:
- London
The inquiry found that many disabled people have problems securing services as and when they need them. The care offered frequently limits their their opportunities for personal development and social integration. In particular: More than 8,000 young adults are living in care homes designed primarily for a different client group, usually elderly people. Nearly 80% of local authorities limit the cost of community care packages and 75% of them use the cost of alternative residential care as the ceiling. There are wide discrepancies between outcomes for disabled people with similarly high needs, depending on where they live and when their support packages were first set up. There is a shortage of services that provide emotional support, mentoring and advocacy. Young people are often not involved in planning for their future, particularly if they have communication and/or cognitive difficulties. Needs assessments often focus on the services available rather than individual support requirements, choices and aspirations. Services are poorly co-ordinated and inflexible. Rules governing assessment, provision, costs, and equipment supply and maintenance differ between departments and for age groups and this makes it difficult to obtain the right services at the right time or to secure continuity of care as needs change.
Having a say: disabled children and effective partnership in decision making; section 1; the report
- Author:
- RUSSELL Philippa
- Publisher:
- Council for Disabled Children
- Publication year:
- 1998
- Pagination:
- 93p.,bibliog.
- Place of publication:
- London
Builds on issues raised at a seminar held in 1996 looking at giving disabled children a voice in the services they receive. Considers a range of practice examples and policy initiatives, relevant literature and personal experiences of the wider membership of the Council for Disabled Children. Includes chapters on: obtaining a user's perspective on assessment; consulting the children; styles of communication (including play and multimedia); working with disabled children from minority ethnic groups; advocacy, self advocacy and representation; mutual support between disabled children; using quality circles; an educational perspective on listening to disabled children; the children's perspective on partnership with pupils; creating a positive learning environment; issues for health services; the legal framework for determining consent; sharing information; access to information and confidentiality; disabled children living away from home; involving users in research and consultation; and practical approaches to consulting disabled children on service development and review.