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Recording and evaluating occupational therapy outcomes in a social service setting
- Author:
- ARMSTRONG Sue
- Journal article citation:
- Managing Community Care, 9(4), August 2001, pp.39-43.
- Publisher:
- Pavilion
This article describes how social services occupational therapy team developed a method of documenting outcomes and evaluating results for equipment and adaptation services. The aims were to capture the qualitative nature of the work and to begin to create evidence on the practice of occupational therapy in social services.
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.
Mental health and employment: shaping a new agenda
- Author:
- GROVE Bob
- Journal article citation:
- Journal of Mental Health, 8(2), April 1999, pp.131-140.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Examines the principles which should underpin mental health employment services and suggests that they should be viewed through the conceptual framework of the social model of disability. Proposes a framework for a locality service constellation which focuses upon support into open employment and job creation measures.
Outcomes in community care practice number six: outcomes of social care for disabled people and carers
- Authors:
- BAMFORD Claire, QURESHI Hazel, NICHOLAS Elinor, VERNON Ayesha
- Publisher:
- University of York. Social Policy Research Unit
- Publication year:
- 1999
- Pagination:
- 44p.,bibliog.
- Place of publication:
- York
This report summarises the first phase of a research and development project on the outcomes of social care for younger disabled people (adults aged eighteen to sixty four) and their carers. The aims of the first phase were: to identify the desired outcomes of social care from the perspectives of a range of stakeholders; to explore preferred ways of collecting outcome information in routine practice; and to develop an understanding of the specific local context and identify opportunities for implementing an outcomes framework in the authority.
The community dependency index: a standardised assessment of need and measure of outcome for community occupational therapy
- Authors:
- EAKIN Pamela, BAIRD Helen
- Journal article citation:
- British Journal of Occupational Therapy, 58(1), January 1995, pp.17-22.
- Publisher:
- Sage
Key elements of the Government's community care policy are the assessment of disabled people's needs and the measurement of the outcome of any services provided. Describes the development of a standardised assessment which could be used by community occupational therapists both to assess the level of need and to measure outcome in relation to occupational therapy.
Family placement: models of effective partnership
- Author:
- HUNTER Anthony
- Publisher:
- Barnardo's
- Publication year:
- 1989
- Pagination:
- 130p., illus., bibliog.
- Place of publication:
- Ilford
Examines the work of eleven Barnardo's projects, looking at organisational aspects, processes, outcome and consumer studies. Client groups range from disturbed adolescents to children with severe physical and mental handicaps.
Predictors of adult quality of life for foster care alumni with physical and/or psychiatric disabilities
- Authors:
- ANCTIL Tina M., et al
- Journal article citation:
- Child Abuse and Neglect, 31(1), October 2007, pp.1087-1100.
- Publisher:
- Elsevier
This American study used quality of life and resilience as theoretical frameworks for evaluating predictors of outcomes for adults who received foster care services alumni of foster care and were diagnosed with a physical or psychiatric disability while in foster care. First, outcomes for foster care alumni with and without physical and psychiatric disabilities (N = 1,087) were compared according to quality of life variables. Second, using only participants with disabilities (N = 578), stepwise regression analyses were performed to determine whether risk and protective factors were associated with specific outcomes. Alumni with disabilities had significantly lower economic and health outcomes; and reported lower educational attainment, more difficulty paying monthly bills, more psychiatric diagnoses, lower self-esteem, and worse physical health than those without disabilities. For alumni with disabilities, receiving special education services and experiencing sexual abuse while in foster care were significant risk factors for poor self-esteem; conversely, receiving services and resources that prepared foster care alumni for leaving foster care (e.g., protective factors) predicted better outcomes. By expanding the quality of life outcomes analyses to investigate the impact of risk and protective factors on outcomes of foster care alumni with disabilities, this study fills a gap in the literature by assessing outcome differences within the foster-care population. The study found protective factors were associated with more educational attainment and higher self-esteem in adulthood. Conversely, those who received special education services and experienced sexual abuse while in foster care may be at the greatest risk of poor self-esteem and therefore, could benefit from services that enhance self-esteem.
Escape loneliness by going digital: a quantitative and qualitative evaluation of a Dutch experiment in using ECT to overcome loneliness among older adults
- Authors:
- FOKKEMA T., KNIPSCHEER K.
- Journal article citation:
- Aging and Mental Health, 11(5), September 2007, pp.496-504.
- Publisher:
- Taylor and Francis
This study evaluates the outcomes of an Internet-at-home intervention experiment that intended to decrease loneliness among chronically ill and physically disabled older adults through introducing them to the use of an electronic communication facility. To determine the effectiveness of the experiment in terms of reducing loneliness, 15 older adults were interviewed three times: shortly before the start, two years later and immediately after termination of the experiment, while their loneliness scores at zero and post-measurement were compared with those of a control group. Both the participants and the control persons experienced a reduction in loneliness over time. However, the reduction was only significant for the intervention participants. Moreover, the changes in loneliness were significantly greater among the participants compared to the control persons. When looking more in detail, the effect of the experiment was only significant regarding emotional loneliness and among the highest educated. Findings of the qualitative research enabled us to understand the mechanisms through which the intervention helped alleviate loneliness. E-mail was found to facilitate social contact. Furthermore, the computer and Internet were often used to pass the time, taking people's minds off their loneliness. Unexpectedly, the intervention also improved people's self-confidence. The decline in loneliness is likely to be greater if persons under more favourable circumstances are selected and if more social functions of the Internet are used.
A review of outcome measures in early childhood programs
- Authors:
- MANNAN Hasheem, et al
- Journal article citation:
- Journal of Policy and Practice in Intellectual Disabilities, 3(4), December 2006, pp.219-228.
- Publisher:
- Wiley
The authors undertook a review of measures available for assessing outcomes of early childhood services for children with disabilities and their families. With principles of family-centered practice mandating the inclusion of both family and child outcome measures in effective evaluation plans, the review examined measures with established psychometric properties for (a) documenting the effectiveness of partnerships with families, and (b) documenting the effectiveness of services and supports for families. Constructs and their associated measures related to partnerships include satisfaction with the overall program and empowerment. The constructs for outcomes of supports and services include social support, parenting, and family quality of life. The authors reviewed measures for each of the five constructs. They note that the selection of appropriate measures to assess the outcomes of family support and services depends on the specific configuration of support services provided by the program and that each program may have to be explicit about the outcomes it wants to impact and therefore measure.
Service coordination in family-centered childhood disability services: quality assessment from the family perspective
- Author:
- TRUTE Barry
- Journal article citation:
- Families in Society, 88(2), April 2007, pp.283-291.
- Publisher:
- The Alliance for Children and Families
A research strategy for the evaluation of service coordination in family-centered childhood disability services is proposed. The strategy is consistent with Donabedian’s classic framework for applied research in health care. Emphasis is given to process and outcome indicators that offer the parent or caregiver perspective on the quality of the service. The intent is to offer a parsimonious paradigm that will facilitate the operationalization of basic components of family-centered service coordination. Further, it is hoped that the proposed paradigm will serve to advance discussion of important themes in programs of professional training of service coordinators in childhood disability services.