Search results for ‘Subject term:"physical disabilities"’ Sort:
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Getting it straight
- Author:
- PEARSON Charlotte
- Journal article citation:
- Care and Health Magazine, 07.12.04, 2004, p.36.
- Publisher:
- Care and Health
Disabled People and Direct Payments is a two-year study currently being undertaken by researchers at the universities of Edinburgh, Glasgow and Leeds. It is the first to identify the differences in the positioning of policy, and experiences of the disabled people across the UK and includes a comparative study on the use of direct payments across the UK.
Direct payments: the impact on choice and control for disabled people
- Authors:
- WITCHER Sally, et al
- Publisher:
- The Stationery Office
- Publication year:
- 2000
- Place of publication:
- Edinburgh
Independence pays: a cost and resource analysis of direct payments in two local authorities
- Authors:
- STAINTON Tim, BOYCE Steve, PHILLIPS Ceri J.
- Journal article citation:
- Disability and Society, 24(2), March 2009, pp.161-172.
- Publisher:
- Taylor and Francis
Although there is an increasing amount of literature on direct payments (DP), to date there have been few studies which have examined in any detail the costs and resources associated with them. This paper presents findings from a two year study conducted in two Welsh local authorities that jointly fund an Independent Living Support (ILS) scheme. The main study was not designed to provide definitive cost comparisons with conventional services, however, cost and resource implications of DP were considered and an analysis to determine comparative costs between DP and traditional services was undertaken. The study notes the difficulty in identifying the true cost of DP and reasonable comparators with traditional services. A set of four case studies are presented comparing actual costs of DP and in-house and independent sector services in the two local authorities studied. The comparison of costs and resources, which did not include significant costs for traditional local authority services but included the cost of the DP support scheme, found that DP was cheaper than traditional in-house service provision and relatively cost neutral when compared with independent sector provision. User satisfaction, however, was significantly greater with DP than traditional service delivery methods. The paper also examines factors which can potentially influence the cost of DP. The study suggests that DP represent a substantial improvement over traditional arrangements from a cost-benefit perspective. There is strong evidence to suggest that greater 'opportunity cost' savings can be anticipated when DP schemes become more fully integrated into policy, practice and procedures.
A review of the impact of direct payments on independent living for disabled people and the implications for future social work practice
- Author:
- PERKINS Joanne
- Publisher:
- University of Warwick; Social Care Association
- Publication year:
- 2003
- Pagination:
- 56p., bibliog.
- Place of publication:
- Coventry
Literature review and evaluation of impact of direct payments on independent living for disabled people. Direct payments can be used in a number of ways, but only for meeting the needs assessed for. The report looks at the benefits and limitations of this policy. Also summary of legal and practice issues.
Money talks, but what does it say?: direct payments and the commodification of care
- Author:
- LEECE Janet
- Journal article citation:
- Practice: Social Work in Action, 16(3), September 2004, pp.211-221.
- Publisher:
- Taylor and Francis
The development of direct payments has been greatly influenced by the combined pressure of governments' determination to create a mixed economy in social care and action from the disability movement in its quest for independent living and social justice. The extent to which the ideals of these perspectives have been realised by the reality of direct payments is unclear. One outcome of the shift to a market economy is that social care provision is treated progressively as a commodity to be bought and sold. Charts the background to cash payments, explores the issues and considers what the future may hold.
Taking on and taking over: choice and control for physically disabled young adults
- Authors:
- MITCHELL Wendy, et al
- Publisher:
- NIHR School for Social Care Research
- Publication year:
- 2015
- Pagination:
- 4
- Place of publication:
- London
Summarises the findings of a study on approaches to supporting physically disabled young adults to achieve their preferred levels of control over care and support arrangements. The study took place between July 2012 and January 2014 and involved semi-structured interviews with young adults, parents and social care professionals. It examined physically disabled young adults experiences of managing their care and support arrangements and explored how they can be better supported. Key findings and practice implications are included. While welcoming the opportunities afforded by personalised approaches within adult social care, almost all the young adults described feeling daunted by the associated responsibilities, with managing personal assistants/carers consistently identified as the most difficult aspect of having a Direct Payment. Young adults found information from statutory services was typically targeted at other audiences, for example, older people and only a minority believed transition planning/support services had played a significant role in preparing them for taking on a Personal Budget. Social workers with more experience of working with young adults identified specific issues that need to be accommodated including: young adults’ relative lack of life skills and experience; young adults’ preferences regarding parental involvement; and addressing parents’ support needs. (Edited publisher abstract)
Personal assistance: direct payments or alternative public service: does it matter for the promotion of user control?
- Author:
- ASKHEIM Ole Petter
- Journal article citation:
- Disability and Society, 20(3), May 2005, pp.247-260.
- Publisher:
- Taylor and Francis
Personal assistance organised as direct payments is seen as an important means for securing user control and freeing disabled people from their reliance on welfare professionals and unpaid carers. The hypothesis put forward in the article is that just looking at whether personal assistance is organised as direct payments or as an alternative service represents an overly restricted approach to judge how the user’s preferences are taken care of. By comparing models of personal assistance in the US, the UK, Sweden and Norway it will show that several other factors influence user control. In the final part of the article the question is raised as to whether paternalism is always negative for welfare service users. Since the users constitute a broad group it might be questioned if the assumption of the service users as rational, well informed and competent to make the best choices is always valid.
Direct payments: the impact on choice and control for disabled people
- Authors:
- WITCHER Sally, et al
- Publisher:
- Scotland. Scottish Executive. Central Research Unit
- Publication year:
- 2000
- Pagination:
- 6p.
- Place of publication:
- Edinburgh
This research examines the implementation of direct payment across Scotland and their impact on the choice and control which disabled people can exercise in their lives. Presents the findings.
Direct payments in England: factors linked to variations in local provision
- Authors:
- FERNANDEZ Jose-Luis, et al
- Journal article citation:
- Journal of Social Policy, 36(1), January 2007, pp.97-121.
- Publisher:
- Cambridge University Press
- Place of publication:
- Cambridge
Direct payments have moved to the heart of the government's drive for increased user choice. At the same time, implementation has remained disappointing. This article explores the demand, supply and related factors associated with patterns of local variability in uptake and intensity of care package provision. Statistical analyses are conducted for key client groups – people with physical disabilities, older people, people with learning disabilities and people who use mental health services – using data for England from 2000–01 to 2002–03. The results suggest that direct payments variability reflects a complex array of factors, both within and beyond the control of local public actors. In particular, while local policy preferences appear to shape the extent of direct payments growth, the results also demonstrate that understanding levels of activity requires attention to local circumstances.
Direct payments for young disabled people
- Author:
- JOSEPH ROWNTREE FOUNDATION
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2003
- Pagination:
- 4p.
- Place of publication:
- York
The Carers and Disabled Children Act 2000 extended access to direct payments to 16- and 17-year-old disabled young people. A project carried out at the Norah Fry Research Centre, sought to collate the work going on in this area; to highlight the main issues facing young disabled people who would like to access direct payments; and to produce a resource with and for young disabled people to promote take-up. The extension of direct payments to 16- and 17-year-olds aims to provide opportunities for young disabled people to increase their independence and choice. Some young disabled people saw direct payments as a potentially significant means to achieving greater autonomy and control but they were also concerned about the obstacles they would confront in trying to access them.