Search results for ‘Subject term:"residential care"’ Sort:
Results 1 - 6 of 6
The mental health residential care study: the 'hidden costs' of provision
- Authors:
- CHISHOLM Daniel, et al
- Journal article citation:
- Health and Social Care in the Community, 5(3), May 1997, pp.162-172.
- Publisher:
- Wiley
Reforms to the organization and funding of health and social care in the UK have placed new responsibilities on social and health care purchasers to undertake assessment of the accommodation and care needs of people with mental health problems who are living in the community. This responsibility is hampered by a lack of reliable or complete data on the range of services and costs associated with residential care, in particular the non-accommodation or costs which are hidden in the sense that they are often unaccounted for by individual. This article focuses on these 'hidden costs' and describes a survey of residential care for people with mental health problems in eight areas across England and Wales. Describes the methodology adopted in the costing of residential care, presents the findings and then considers the factors that determine the level of hidden costs in different residential settings, sectors or areas.
Mental health and deafness: an investigation of current residential services and service users throughout the UK
- Authors:
- McCLELLAND Roy, CHISHOLM Daniel, POWELL Stephen
- Journal article citation:
- Journal of Mental Health, 10(6), December 2001, pp.627-636.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
This study aimed to identify and assess all residential facilities that provide services to deaf people with mental health problems, and to elicit detailed information on the demography, clinical characteristics and service needs of the residents. The survey covered a total of 555 residents living in 44 centres, of whom 372 were deaf adults in the age range 16-65. Twenty facilities and 80% of their residents were assessed in more detail. Residents had high levels of functional impairment, with two-thirds having moderate or severe problems in at least one domain of personal functioning including cleanliness, cooking, shopping, use of transport and budgeting. The domains of social activity and risk of harm to self and others differentiated residents in psychiatric wards from those in staffed hostels.
Use and cost of primary care services by people in residential mental health care
- Author:
- CHISHOLM Daniel
- Journal article citation:
- Mental Health Research Review, 5, May 1998, pp.23-25.
- Publisher:
- Personal Social Services Research Unit
Discusses how the continuing shift of care for people with mental health problems from hospital to community-based settings raises the question of the extent to which this relocation has affected the workloads of not only community mental health professionals but also primary health care workers. Using data from a large, collaborative survey of residential care needs and costs for people with mental health problems in eight areas across England and Wales, the annual GP contract rate for a number of these residential care settings are reported, together with an estimate of the costs associated with these contacts.
The mental health residential care study: the costs of provision
- Authors:
- CHISHOLM Daniel, et al
- Journal article citation:
- Journal of Mental Health, 6(1), February 1997, pp.85-99.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
This article sets out the methods used to undertake the costing of mental health residential care and describes the accommodation and non-accommodation costs of facilities covered by the survey and the people resident within them. The costs of accommodation tended to be lowest in the private sector, followed by the voluntary sector. The highest accommodation costs were observed for NHS facilities. This is in contrast to non-accommodation costs, which are lowest for residents in specialised hospital settings and highest for those in community settings with lower levels of on-site support, such as group homes. Comments that these cost differences between alternative settings and sectors may reflect different resident, facility and area characteristics, an hypothesis which is under further investigation.
The mental health residential care study: classification of facilities and description of residents
- Authors:
- LELLIOTT Paul, AUDINI Bernard, KNAPP Martin, CHISHOLM Daniel
- Journal article citation:
- British Journal of Psychiatry, 169, August 1996, pp.139-147.
- Publisher:
- Cambridge University Press
The NHS is no longer a virtual monopoly provider of mental health residential care. This makes it difficult to assess the volume, range and adequacy of provision. In this study facilities providing residential care in eight districts were compared on levels of staffing, staff qualifications, and the characteristics of their residents. Results found that there was great variation between districts in the number of places available per unit of the population, especially in those with 24-hour waking cover. It is suggested that one consequence of the diversification in provision of mental health residential accommodation has been a relative reduction in the proportion of provision available to the most severely disabled, particularly those who pose a risk of acting violently.
Mental health residential care in the 1990s: beds and balances
- Authors:
- LELLIOTT Paul, KNAPP Martin, AUDINI Bernard, CHISHOLM Daniel
- Journal article citation:
- Mental Health Research Review, 3,, April 1996, pp.24-31.
- Publisher:
- Personal Social Services Research Unit
A study of mental health residential facilities in eight areas of England and Wales was completed by the Royal College of Psychiatrists' Research Unit and the Centre for the Economics of Mental Health. The work brings together detailed descriptions of the full range of residential care available to mentally ill people in each area - from hospital admission beds to group homes, the characteristics of their residents and the costs, both of providing the facilities and services used by residents. The information provides a base on which to build more rational commissioning strategies.