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Fluctuating needs: the Care Act 2014
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2015
- Pagination:
- 6 minutes 56 seconds
- Place of publication:
- London
Under the Care Act 2014, assessments should reflect more accurately a comprehensive picture of people's needs - including how they change over time. In this film two people, one with mental health needs, the other with a physical disability, talk about their conditions, assessment, how their needs can fluctuate and the impact this has on the level of care and support they need. The film illustrates how the new requirement aims to recognise people as individuals by endorsing a much-needed degree of flexibility and responsive care, as well as offering valuable support for people with mental health and physical health conditions which may vary over time. (Edited publisher abstract)
Developing mental health occupational therapy practice to meet the needs of people with mental health problems and physical disability
- Authors:
- MILES Helen, MORLEY Mary
- Journal article citation:
- British Journal of Occupational Therapy, 76(12), 2013, pp.556-559.
- Publisher:
- Sage
It is well documented and evidenced that individuals with serious mental illness have an increased risk of developing a range of physical illnesses and conditions. This practice analysis describes how an initial audit of mental health occupational therapists identified a lack of clarity and protocols around working with individuals with associated physical conditions. Local joint care pathways and a skills development programme were introduced, and a follow-up audit completed to assess progress to date. The advancement in practice and production of a clear physical care pathway has made a positive difference to service users. (Publisher abstract)
Living the dream
- Author:
- SALE Anabel Unity
- Journal article citation:
- Community Care, 22.02.07, 2007, p.30.
- Publisher:
- Reed Business Information
Pathways Community Interest Company is a social enterprise providing personalised training to people with mental health problems and physical disabilities. They also work with employers to help them address discrimination. The author looks at the work of the company, which operates throughout Cheshire and the Wirral.
Back to life
- Author:
- JACKSON Catherine
- Journal article citation:
- Mental Health Today, December 2006, pp.16-17.
- Publisher:
- Pavilion
- Place of publication:
- Hove
The Coventry Client Support Unit is currently working to help people with health problems and disabilities, including mental health and learning disabilities, back into employment, though its Healthy Horizons project. The four week programme of group and individual work has now been extended to 12 weeks. The author profiles the work and success of the Unit which was winner of the NIMHE Positive Practice 2005 award for diversity,
'Long-termness' with regard to sickness and disability: an example of the value of longitudinal data for testing reliability and validity
- Authors:
- COLLETT Tracey, et al
- Journal article citation:
- International Journal of Social Research Methodology, 9(3), July 2006, pp.229-243.
- Publisher:
- Taylor and Francis
Longitudinal data are used to explore the reliability of long-term illness measures using information on ‘long-term/permanent sickness or disability’ as recorded via the question on economic activity in the Census of England and Wales. Specifically it is asked ‘what evidence is there that individuals answer the item on long‐term sickness or disability in the same way at different time points?’. The research is based on data from the Office for National Statistics Longitudinal Study (LS) and the responses of persons who reported long‐term sickness or disability in 1971 are tracked to see if they also reported long-term sickness or disability in 1981 and 1991. That a large number of people reported long-term sickness or disability at three Census points suggests that the measure was reliable. In addition, it is suggested that a degree of content validity has been achieved with respect to the understanding of the concept of ‘long-termness’. It is concluded that longitudinal data provide a valuable way of investigating the reliability and validity of frequently used categorical measures and can help to distinguish between the extent to which a phenomenon such as long-term sickness is ‘new’ or ‘ongoing’.
Contemporary advocacy: providing advocacy for young people with verbal and communication difficulties
- Authors:
- BOYLAN Jane, DALRYMPLE Jane, STARLIING Ros
- Journal article citation:
- Childright, 225, April 2006, pp.28-31.
- Publisher:
- Children's Legal Centre
This article looks at Xpress, a well established advocacy service in East Sussex which provides advocacy for children and young people between the ages of eight and 21 years old. These children are either 'looked after' by a local authority or have left care, or have a learning or physical disability or a mental health difficulty. Many of the children have serious difficulties communicating verbally.
Changes in the patterns of social care provision in England: 2005/6 to 2012/13
- Authors:
- FERNANDEZ Jose-Luis, SNELL Tom, WISTOW Gerald
- Publishers:
- University of Kent. Personal Social Services Research Unit, London School of Economics
- Publication year:
- 2013
- Pagination:
- 40
- Place of publication:
- Canterbury
Even before the current public spending austerity programme was introduced, the adequacy of adult social care spending was of concern. This report quantifies what changes have taken place in net local spending and provision (recipients of care) between 2005/06 and 2012/13. The authors produced two sets of indicators of social care coverage over time: an observed and a standardised data series. The first is based on the raw data for the number of adult social care recipients collected by the Health and Social Care Information Centre. The second was generated using multivariate regression analysis to ‘control for’ the influence of socioeconomic indicators of social care need. Recent trends in the number of adults receiving social care services indicate that across all user groups, some 320,000 fewer people received local authority brokered social care in 2012/13 than in 2005/6, a 26% reduction in the number of care recipients. 260,000 or 31% fewer older people received services in 2012/13 than in 2005/6 (observed data). The standardised estimate of reduction was greater: 333,000 or 39% fewer clients. Some 37,000 or 24% fewer adults aged 18-64 with physical disabilities received social care support in 2012/13 than in 2005/6. The standardised estimate showed a reduction of 50,000 or 33%. A reduction of 30,000 (21%) was observed in the number of service recipients aged 18-64 with mental health problems. The standardised estimate for this group showed the largest proportional fall in the volume of service recipients (48%). In contrast with other client groups, the observed data for adults aged 18-64 with learning disabilities receiving services increased by about 7,000 (5%). However, the standardised indicator suggests a fall in activity: some 7,000 fewer service recipients in 2012/13 than in 2005/6. Recent trends in net adult social care expenditure demonstrate that changes in levels of expenditure vary significantly, depending on the user group considered. Aggregated across all user groups, the analysis suggests a drop in need-standardised net social care expenditure between 2005-06 and 2012/13 of approximately £1.5 billion at 2012/13 prices. Moreover, almost all reductions in expenditure are concentrated in 2010/11 and 2011/12. The largest reduction in expenditure is concentrated on care services for older people: an £890 million reduction between 2005/06 and 2012/13. The shortfall increases to just above £1.6 billion using the standardised estimate. Local changes in social care coverage find marked differences in patterns of changes across local authorities and between service user groups. Some 95% of local authorities in England were observed to have reduced the number of older people receiving services in the period 2005/6 to 2012/13: in 35% of authorities, the decrease was 40% or more. Overall, the findings indicate significant reductions in service provision, both in terms of coverage (numbers of people receiving care) and in terms of the amount of public resources invested (net expenditure). This analysis was partly funded with a grant from the Care and Support Alliance. (Edited publisher abstract)
Primary-care based participatory rehabilitation: users’ views of a horticultural and arts project
- Authors:
- BARLEY Elizabeth A., ROBINSON Susan, SIKORSKI Jim
- Journal article citation:
- British Journal of General Practice, 62(595), February 2012, pp.88-89.
- Publisher:
- Royal College of General Practitioners
Sydenham Garden is a primary care based horticultural and arts rehabilitation project for people with significant mental or physical illness. The project comprises a garden, a nature reserve, and weekly arts groups. Users are referred to the project by local professionals, such as general practitioners. The aim of this study was to determine the views of the users on participation in the project. In-depth interviews were held with 16 participants. Thematic analysis of the transcripts revealed 6 themes: joining and motivations; improved wellbeing; relationships; ownership; being outdoors; and transferrable skills. The findings were overwhelmingly positive. On referral to the project, the users reported considerable need and social isolation. The project promoted wellbeing by providing purposeful and enjoyable activity and interest, improved mood and self-perceptions, and providing escape from life’s pressures. Many users developed transferable skills and gained nationally recognised qualifications. The opportunity for social contact was especially valued.
Disabled prisoners: a short thematic review on the care and support of prisoners with a disability
- Author:
- HM INSPECTORATE OF PRISONS
- Publisher:
- HM Inspectorate of Prisons
- Publication year:
- 2009
- Pagination:
- 66p.
- Place of publication:
- London
The National Offender Management Service is subject to the requirements of the Disability Discrimination Act. This thematic report draws together information from prisoner surveys and inspection reports between 2006 and 2008, together with responses from 82 prison disability liaison officers (DLOs), to examine how well prisons are currently able to discharge these duties. Areas covered include: environment and relationships; safety; health services; activities; and resettlement. The report makes a number of recommendations.
Supporting disabled parents: a family or a fragmented approach?
- Author:
- COMMISSION FOR SOCIAL CARE INSPECTION
- Publisher:
- Commission for Social Care Inspection
- Publication year:
- 2009
- Pagination:
- 55p.
- Place of publication:
- London
This CSCI report seeks to examine the experiences of disabled parents and their families and to see how far council policies, services and practice are providing appropriate support. The findings in this report are taken from a national survey of 50 councils; of the 70 interviews, 36 were conducted with representatives of adults’ services and 32 of children’s services, and two were conducted with a representative from each service jointly. To supplement the national picture, in-depth study workshops of services were conducted in four council areas. The report finds that many councils do not fully support disabled parents and their children.