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Service integration and co-ordination: a framework of approaches for the delivery of co-ordinated care to children with disabilities and their families
- Authors:
- KING G., MEYER K.
- Journal article citation:
- Child: Care, Health and Development, 32(4), July 2006, pp.477-492.
- Publisher:
- Wiley
This article clarifies the nature of 'service integration' and 'service co-ordination' and discusses how these aspects relate to the fundamental goal of providing co-ordinated care for children with disabilities and their families. Based on a review of the service delivery literatures in the fields of health, social services and rehabilitation, a framework is presented that outlines the scope of the co-ordination-related functions and activities encompassed in three common types of approaches to the delivery of co-ordinated care. These are a system/sector-based service integration approach, an agency-based service integration approach and a client/family-based service co-ordination approach. The functions outlined in the framework include aggregate-level planning of services (designed to map out the scope and plan for service provision in a community or geographical area), administrative functions (designed to ensure wise and equitable access to resources) and client-specific service delivery functions (designed to link clients/families to needed services). The framework is a tool that can be used to support policy making and decision making with respect to the design of efforts to provide co-ordinated care. It provides information about commonly used approaches and the essential elements of these approaches, which can be used in making choices about the scope and nature of an approach towards service integration/co-ordination.
Perspectives: shirking responsibility
- Author:
- ALIBHAI-BROWN Yasmin
- Journal article citation:
- Community Care, 21.5.98, 1998, p.12.
- Publisher:
- Reed Business Information
Argues the case for caution over direct payment schemes for disabled people.
Can there be such a thing as a 'wrongful birth'?
- Author:
- PRITCHARD Megan
- Journal article citation:
- Disability and Society, 20(1), January 2005, pp.81-93.
- Publisher:
- Taylor and Francis
With the growing application of modern genetic technology to everyday healthcare provision, concern over its moral defence is increasing. This paper discusses pre-natal genetic testing, currently the healthcare situation in which the technology is most frequently applied. In doing this it addresses the justification for the resulting marked increase in legal cases compensating those thought to have suffered a wrongful birth, as well as the fears surrounding these developments that, to some, resonate of the dangerous mind-set of the 19th and early 20th century, which led to the atrocities defended under the name 'eugenics'. The discussion is presented in terms of Beauchamp and Childress' (1994) ethical principles for healthcare: autonomy, beneficence, non-maleficence and justice. The conclusion emphasises the role of context, both societal and individual in shaping the outcome of the difficult decisions involved in undertaking pre-natal genetic testing.
A question of good practice? Community care law and occupational therapists
- Author:
- MANDELSTAM Michael
- Journal article citation:
- British Journal of Occupational Therapy, 61(8), August 1998, pp.351-358.
- Publisher:
- Sage
Occupational therapists working in social services departments and delivering community care continue to be subject to anxiety about the legality of some of their actions. This article considers aspects of relevant legislation decisions of the law courts and recommendations of the local ombudsmen.
Cabbage syndrome: the social construction of dependence
- Author:
- BARNES Colin
- Publisher:
- Falmer Press
- Publication year:
- 1990
- Pagination:
- 242p.,bibliog.
- Place of publication:
- London
Describes and evaluates the role of day centres in the lives of people aged 16 to 30 who have a physical disability. Looks at interactions between users and staff, level of user participation and decision-making, and puts forward recommendations for a national policy to clarify the role of day services.
A poorly understood condition: disability living allowance and people with CFS/ME
- Author:
- HAMMOND Cathie
- Journal article citation:
- Social Policy and Administration, 36(3), June 2002, pp.254-274.
- Publisher:
- Wiley
This paper questions the adequacy of administrative responses to poorly understood disabling conditions in the UK. It examines the administration of the Disability Living Allowance (DLA) to people with chronic fatigue syndrome or myalgic encephalomyelitis (CFS/ME). The history of DLA are outlined, and research evaluating its administration and impact is reviewed. Quantitative data from the DSS are combined with qualitative data obtained from interviews with claimants and non-claimants of DLA with CFS/ME and with benefits advisers. Additional data from a national survey of people with CFS/ME are incorporated into the analysis. The findings show how the adjudication of DLA is particularly problematic in relation to people with CFS/ME. Decisions are likely to be based on inadequate evidence. These and other relevant findings are discussed in the context of the stigma attached to CFS/ME and other poorly understood disabling conditions, and socio-legal research and theory.
Implementing adult protection policies in Kent and East Sussex
- Authors:
- BROWN Hilary, STEIN June
- Journal article citation:
- Journal of Social Policy, 27(3), July 1998, pp.371-396.
- Publisher:
- Cambridge University Press
- Place of publication:
- Cambridge
Reports on the extent and nature of adult protection cases dealt with by two social services departments during a twelve month period in 1995-6, within the framework of newly revised generic policies on abuse of vulnerable adults. The two counties varied in the level of reporting documented and in the number of cases logged for individuals who fall within the main four groups of 'vulnerable adults' covered by the policies. Arguments for consistent reporting are set out and the tension which exists between formal and informal approaches to the subsequent investigation of abuse discussed with reference to American vulnerable adult statutes.