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Personalisation briefing: implications for occupational therapists in social care
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2010
- Pagination:
- 5p.
- Place of publication:
- London
This briefing examines the implications of the personalisation agenda for occupational therapists. Personalisation for occupational therapists in social care means: understanding and embracing the social model of disability; providing choice, control and a person-centred approach to assessment/review and delivery of support and services. A number of brief case studies illustrate the ways in which occupational therapists can support personalisation.
Working with lesbian, gay, bisexual and transgender people: people with physical disabilities: Doug's story
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2010
- Place of publication:
- London
In this film we meet Doug, a gay man with physical disabilities who is in residential accommodation eight miles away from his friends and family. Doug carefully considered when to ‘come out’ within residential care and explains that this is a continual process because of the high turnover of residential care staff.
Discrimination and insensitivity about Doug’s being ‘out’ to other residents and suggestions by his providers to ‘keep quiet’ around other residents are highlighted in the film. Doug feels he has little opportunity to meet other gay people, so he feels isolated and cut off from the gay community.
Doug believes that a cultural shift and change in attitudes in social care is vital in order to provide relevant care for LGBT people. He also feels that direct payments are only one part of a solution to offer more choice and control to the user of services.
Delivering personal budgets for adult social care: reflections from Essex
- Author:
- OFFICE FOR PUBLIC MANAGEMENT
- Publisher:
- Office for Public Management
- Publication year:
- 2010
- Pagination:
- 9p.
- Place of publication:
- London
Essex County Council (ECC) has commissioned a three year study to investigate the impact of personal budgets taken as cash payments by older and disabled people and their families. This paper reflects on some of the issues raised through face-to-face interviews, conducted between November 2009 and January 2010, with 46 older and/or disabled people who were receiving cash payments and/or interviews with their relatives. In addition four interviews were conducted with older service users whose personal budgets were being managed by the council. The majority had only been receiving cash payments for a couple of months at the time of interview. Generally service users reported positive outcomes. The predictors of take-up of self-managed budgets appeared to be the confidence of service users, based on their own sense of rights, their skills and support available from close relatives and wider social networks. For older service users and those with learning disabilities family members often played a central role in making the initial decision about whether to opt for cash payments. Findings suggested that frontline staff may be making implicit assumptions about which service users are capable of managing cash payments which may influence what choices, if any, are offered. A lack of clarity was found about what is meant by ‘choice and control’ leading to open interpretation by individual frontline staff. The importance of ensuring frontline staff are clear about choice and control and confident in explaining the principles underpinning self-directed support is stressed.
Paying the piper and calling the tune: power and the direct payment relationship
- Author:
- LEECE Janet
- Journal article citation:
- British Journal of Social Work, 40(1), January 2010, pp.188-206.
- Publisher:
- Oxford University Press
This paper provides empirical evidence from original research, which investigated the impact on the support relationship of the direct employment of workers, by direct payment users. The study used a grounded theory approach, with questionnaires to measure job satisfaction and stress, and in-depth interviews with respondents. It explored and compared the experiences of eight direct payment relationships with eight traditional service delivery homecare relationships. The research reveals the importance of the concept of power in helping us to understand the effect of direct employment and, based on this research, makes some suggestions for policy and practice.