Critical Social Policy, 44/45, Autumn 1995, pp.7-21.
Publisher:
Sage
Community Care reforms have revived interest in service quality. Argues that the definition of service quality is valued-led and that dominant ideologies have contributed to the continued oppression of disabled people. The design of quality assurance systems is considered and it is suggested that organisations controlled by disabled people have a central role to play in providing disablement services. Two conclusions are drawn. First, service quality cannot on its own be a sufficient condition for disabled people's emancipation. Second, 'quality' has been used as a policy substitute for the necessary condition of 'equality'.
Community Care reforms have revived interest in service quality. Argues that the definition of service quality is valued-led and that dominant ideologies have contributed to the continued oppression of disabled people. The design of quality assurance systems is considered and it is suggested that organisations controlled by disabled people have a central role to play in providing disablement services. Two conclusions are drawn. First, service quality cannot on its own be a sufficient condition for disabled people's emancipation. Second, 'quality' has been used as a policy substitute for the necessary condition of 'equality'.
Subject terms:
physical disabilities, policy, quality assurance, quality of life, anti-discriminatory practice, community care, equal opportunities;
Washington State's initiatives to increase the availability and quality of community residential care presented an opportunity to describe clients entering adult family homes, adult residential care, and assisted living and to identify outcomes of care. We enrolled 349 residents, 243 informal caregivers, and 299 providers in 219 settings. We conducted interviews at enrollment and 12 months later, and we collected data from state databases. The average resident was a 78yearold woman reporting dependence in two of six activities of daily living. Residents in adult family homes demonstrated significantly more disability. Seventy-eight percent of residents survived at the 12-month follow-up. In analyses that controlled for differences at enrollment, residents in the three types of settings were very similar in health outcomes at follow-up. State policies should reflect the wide range of needs of residents seeking care in these settings. Choices among type of setting can be based on the match of needs to individual preferences.
Washington State's initiatives to increase the availability and quality of community residential care presented an opportunity to describe clients entering adult family homes, adult residential care, and assisted living and to identify outcomes of care. We enrolled 349 residents, 243 informal caregivers, and 299 providers in 219 settings. We conducted interviews at enrollment and 12 months later, and we collected data from state databases. The average resident was a 78yearold woman reporting dependence in two of six activities of daily living. Residents in adult family homes demonstrated significantly more disability. Seventy-eight percent of residents survived at the 12-month follow-up. In analyses that controlled for differences at enrollment, residents in the three types of settings were very similar in health outcomes at follow-up. State policies should reflect the wide range of needs of residents seeking care in these settings. Choices among type of setting can be based on the match of needs to individual preferences.
Subject terms:
older people, outcomes, physical disabilities, policy formulation, quality assurance, social care provision, activities of daily living, carers, care homes, community care, decision making;
Presents an overview of the Department of Health's centrally commissioned research programme and its future direction. Goes on to list projects and programmes funded from April 1991 - March 1994 under the following headings: the strategy for health; health and lifestyles; the health of children; community care; child care; mental health policy; health care for older people, disabled people and people with learning difficulties; and central initiatives aimed at securing quality in health care.
Presents an overview of the Department of Health's centrally commissioned research programme and its future direction. Goes on to list projects and programmes funded from April 1991 - March 1994 under the following headings: the strategy for health; health and lifestyles; the health of children; community care; child care; mental health policy; health care for older people, disabled people and people with learning difficulties; and central initiatives aimed at securing quality in health care.
Subject terms:
learning disabilities, life style, mental health, older people, physical disabilities, quality assurance, child care, community care, children, health, health education;
Guide providing information to help advisers and residential care providers to understand the main changes brought about by the community care reforms. Includes sections on: assessment; who provides or arranges services; day and domiciliary care services; independent living fund; aids for people with disabilities; residential care; quality; local authority contracts for residential care; social security benefit changes; and local authority charging procedures for residential accommodation.
Guide providing information to help advisers and residential care providers to understand the main changes brought about by the community care reforms. Includes sections on: assessment; who provides or arranges services; day and domiciliary care services; independent living fund; aids for people with disabilities; residential care; quality; local authority contracts for residential care; social security benefit changes; and local authority charging procedures for residential accommodation.
Subject terms:
home care, inspection, local authorities, physical disabilities, quality assurance, residential care, registration, social care provision, assessment, assistive technology, benefits, community care, day services;
GREAT BRITAIN. Department of Health. Social Services Inspectorate
Publisher:
HMSO
Publication year:
1995
Pagination:
102p.
Place of publication:
London
Subject terms:
HIV AIDS, inspection, learning disabilities, looked after children, mental health problems, multidisciplinary services, older people, physical disabilities, quality assurance, social services, social welfare law, social care provision, staff development, training, alcohol misuse, child protection, community care, children, domestic violence, drug misuse;
Collection of papers exploring current challenges facing practitioners across a broad spectrum of the caring professions. Includes chapters on: reshaping welfare; the public administration model of welfare delivery; community care in the 1990s; changes in maternity policy; human behaviour and social policy; theory and practice in health and social care; applying reflective practice; reflection and reflective practice; requirements of a caregiver; social work values; anti oppressive theory and practice in social work; working with diversity; keys to collaboration; collaboration and conflict within the treatment team; using psychotherapeutic concepts to understand team conflict; the missing link in quality assurance for disabled people; developing the role of user involvement in the UK; the role of women support staff in relation to men with learning difficulties who have difficult sexual behaviour; care costs; confidentiality, accountability and the boundaries of client worker relationships; obstacles to medical audit; the accreditation experience; the resettlement of people with severe learning difficulties; the creative work of care package purchasing; voluntary sector boards in a changing public policy environment; professional practice in social work and health care; a new social basis for welfare; and user voice, interprofessionalism and postmodernity.
Collection of papers exploring current challenges facing practitioners across a broad spectrum of the caring professions. Includes chapters on: reshaping welfare; the public administration model of welfare delivery; community care in the 1990s; changes in maternity policy; human behaviour and social policy; theory and practice in health and social care; applying reflective practice; reflection and reflective practice; requirements of a caregiver; social work values; anti oppressive theory and practice in social work; working with diversity; keys to collaboration; collaboration and conflict within the treatment team; using psychotherapeutic concepts to understand team conflict; the missing link in quality assurance for disabled people; developing the role of user involvement in the UK; the role of women support staff in relation to men with learning difficulties who have difficult sexual behaviour; care costs; confidentiality, accountability and the boundaries of client worker relationships; obstacles to medical audit; the accreditation experience; the resettlement of people with severe learning difficulties; the creative work of care package purchasing; voluntary sector boards in a changing public policy environment; professional practice in social work and health care; a new social basis for welfare; and user voice, interprofessionalism and postmodernity.
Subject terms:
interagency cooperation, joint working, interprofessional relations, learning disabilities, mixed economy of care, NHS, nurses, multidisciplinary services, physical disabilities, prevention, quality assurance, reflective practice, severe learning disabilities, social policy, social services, social welfare, social care, social care provision, social work methods, social work theories, staff-user relationships, teamwork, voluntary sector, accountability, anti-discriminatory practice, anti-oppressive practice, black and minority ethnic people, community care, ethics, health care;