Search results for ‘Subject term:"vulnerable adults"’ Sort:
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Worlds forever apart? Using vulnerable adult protection policies to deliver better health and social services to street prostitutes
- Authors:
- CLARK Michael, SQUIRES Sandra
- Journal article citation:
- Journal of Adult Protection, 7(1), June 2005, pp.24-31.
- Publisher:
- Emerald
This article makes the case for using existing adult protection provision to improve the wellbeing of street prostitutes, whose circumstances often render them vulnerable and in need of better coordinated support. Four case study examples of street prostitutes in one city are reviewed to illustrate the argument.
The Great Recession and the changing distribution of economic vulnerability by social class: the Irish case
- Author:
- WHELAN Christopher T.
- Journal article citation:
- Journal of European Social Policy, 25(4), 2015, pp.470-485.
- Publisher:
- Sage
Ireland represents a particularly interesting case study of the distributional impact of pronounced macroeconomic fluctuations. In this article, the authors use the Irish case to show that in contrast to periods of relative equilibrium, an understanding of the distributional consequences of economic turbulence requires going beyond conventional measures of income poverty or inequality. Here, the focus is on a conception of ‘economic vulnerability’ that identifies a sub-set of the population as characterised by a distinctive multi-dimensional risk profile in relation to income poverty, material deprivation and economic stress. The author's analysis reveals a doubling of levels of economic vulnerability in the post-recession period. However, the degree of polarisation between vulnerable and non-vulnerable classes was significantly reduced. Economic vulnerability is highly stratified by social class for both periods. Over time, the higher salariat, the non-agricultural self-employed, the semi-unskilled manual and those who never worked gained relative to the remaining classes. This provides support for the notion of ‘middle-class squeeze’. This was also true in relation to household work intensity. The impact of the latter on economic vulnerability declined sharply, while it came to play an increasing role in mediating the consequences of membership of the non-agricultural middle classes. Responding to the political pressures likely to be associated with ‘middle-class squeeze’ while sustaining the social welfare arrangements that have traditionally protected the economically vulnerable presents formidable challenges in terms of maintaining social cohesion and political legitimacy. (Edited publisher abstract)
Deafblind and neglected or deafblindness neglected? Revisiting the case of Beverley Lewis
- Authors:
- SIMCOCK Peter, MANTHORPE Jill
- Journal article citation:
- British Journal of Social Work, 44(8), 2014, pp.2325-2341.
- Publisher:
- Oxford University Press
Deafblindness is a particularly complex impairment and deafblind people are considered to be some of the most vulnerable members of society; this includes vulnerability to abuse and harm. This paper explores this unique impairment in the illustrative case of Beverley Lewis, by reviewing archived published and audio material about the life and circumstances of the death of this young woman, including media reports, parliamentary debates and commentaries. Whilst it appears that the implications of Beverley's deafblindness may have been ‘overshadowed’ in media reports and inquiries, the paper suggests that further lessons for practice can be learned from the case by focusing on this condition. Drawing on contemporary research by specialist charitable organisations (Sense and Deafblind UK), the authors identify research highlighting deficiencies in support for many deafblind adults, which have implications for safeguarding policy and practice. It is concluded that attention is needed in three areas: increased awareness amongst social care and health practitioners of the particular vulnerability to abuse of deafblind adults; improved access to specialist assessment and specialist social care support, including one-to-one human support; and improved communication between social care and health agencies, alongside more tangible signs of acceptance of shared responsibility for supporting deafblind adults. (Publisher abstract)
Combating elder and dependent adult mistreatment: the role of the clinical psychologist
- Authors:
- WIGLESWORTH Aileen, KEMP Bryan, MOSQUEDA Laura
- Journal article citation:
- Journal of Elder Abuse and Neglect, 20(3), 2008, pp.207-230.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The experiences of a clinical psychologist attached to a medical response team and an elder abuse forensic centre are used to provide insight into the complex and multi-faceted role of this professional. Detailed case examples are used to illustrate the wide range of referral questions that a clinical psychologist may need to address in relation to presenting problems of alleged financial abuse, physical abuse, neglect and sexual abuse. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Qualitative case study: a pilot program to improve the integration of care in a vulnerable inner-city community
- Authors:
- WILLIAMSON Margaret Frances, et al
- Journal article citation:
- International Journal of Integrated Care, 22(2), 2022, p.15. Online only
- Publisher:
- International Foundation for Integrated Care
Introduction: There is a strong correlation between vulnerable populations and poor health outcomes. Growing evidence suggests that person-centred interventions using 'link workers' can support communities to navigate and engage with health and community services, leading to improved health service access. We describe the initial phase and qualitative evaluation of a Healthy Living Program, supported by a link worker role. The Program aimed to improve health service access for residents of an Australian inner-city suburb. Methods: To inform future program development, semi-structured interviews were conducted with clients and stakeholders (n = 21). The interviews were analysed thematically to understand program impact, success factors, constraints and potential improvements. Results: Key themes relating to impacts were a new model of working with community, improved access to services, and responsiveness to community need. Key factors for success included being a trusted, consistent presence, having knowledge of the community and health system, and successful engagement with the community and stakeholders. The constraints included difficulty influencing health system change and lack of community input. Suggested improvements were expanding the service, enhancing health system change and increasing community involvement. Conclusion: Knowledge gained from this study will inform future integrated approaches in health districts to address health inequities in areas of need. (Edited publisher abstract)
Representations of vulnerability, innocence and evil in the murder of a disabled person
- Author:
- MATHEWS Ian
- Journal article citation:
- Disability and Society, 33(10), 2018, pp.1620-1638.
- Publisher:
- Taylor and Francis
This article uses the murder of a young man with learning disabilities as a case study to comment on the representations used in the reporting of crime against disabled people. It uses social representations theory as a theoretical lens to assist us to see that portrayals of both victim and perpetrators by the media and others serves to distance them from each other, and from mainstream society. It highlights how this process of ‘othering’ serves to disadvantage disabled people and places a disproportionate emphasis on individual characteristics. (Publisher abstract)
Adult Support and Protection (Scotland) Act 2007: reflections on developing practice and present day challenges
- Authors:
- MACKAY Kathryn, NOTMAN Mary
- Journal article citation:
- Journal of Adult Protection, 19(4), 2017, pp.187-198.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to outline the duties and powers of the Adult Support and Protection (Scotland) Act (ASPSA) 2007 and place them in the wider Scottish adult protection legislative framework. It considers the potential value of a standalone adult safeguarding statute. Design/methodology/approach: The authors draw upon their research and practice expertise to consider the merits of the ASPSA 2007. They take a case study approach to explore its implementation in one particular Scottish local authority, drawing on the qualitative and quantitative data contained in its annual reports. Findings: Skilled, knowledgeable and well-supported practitioners are key to effective screening, investigations and intervention. Protection orders are being used as intended for a very small number of cases. Research limitations/implications: The lack of national statistical reports means that there is limited scope for comparison between the local and national data. Practical implications: Adult support and protection requires ongoing investment of time and leadership in councils and other local agencies to instigate and maintain good practice. Aspects that require further attention are self-neglect; capacity and consent and residents in care homes who pose potential risks to other residents and staff. Social implications: ASPSA 2007 has helped to raise awareness of adults at risk of harm within the local communities and as social issue more generally. Originality/value: The authors provide a critical appraisal of the implementation of Scottish adult safeguarding legislation over the last six years. They consider similar developments in England and Wales and argue for comparative research to test these out. Finally, they signpost future directions for bridging separate policy streams. (Publisher abstract)
Making safeguarding personal 2013/14: case studies
- Author:
- LOCAL GOVERNMENT ASSOCIATION
- Publisher:
- Local Government Association
- Publication year:
- 2014
- Pagination:
- 34
- Place of publication:
- London
Eighteen case studies from 18 different councils are presented to illustrate outcome-focused practice in safeguarding adults in line with the Making Safeguarding personal approach. Each case study is linked to 8 key headings based on the combined key statements from the main findings that are set out in the 'Making Safeguarding Personal 2013/14: report of the findings' to highlight which examples best reflect these key statements. (Edited publisher abstract)
Working with vulnerable children, young people and families
- Editors:
- BROTHERTON Graham, CRONIN Mark
- Publisher:
- Routledge
- Publication year:
- 2013
- Pagination:
- 198
- Place of publication:
- Abingdon
The potential for early intervention to prevent social problems later in life has become the focus of much debate in recent years and finds itself at the centre of contemporary social policy. The meaning of ‘vulnerability’ – one of the key concepts in this drive – is examined in this book, as well as the relationship between vulnerability and the individual, communities and society. This book introduces students to a broad debate around what constitutes vulnerability and related concepts such as risk and resilience, and examines how vulnerability has been conceptualised by policy makers with a clear focus on early intervention. Adopting a case study approach, it begins with chapters examining the concept of vulnerability from sociological, psychological and social policy perspectives. It then looks at examples around special educational needs, disabilities, homelessness, leaving care, victims of violence, sexual abuse, children of prisoners, the Internet and drug use. (Edited publisher abstract)
Significant Incident Learning Process (SILP) – the experience of facilitating and evaluating the process in adult safeguarding
- Authors:
- CLAWSON Rachael, KITSON Deborah
- Journal article citation:
- Journal of Adult Protection, 15(5), 2013, pp.237-245.
- Publisher:
- Emerald
Purpose: In recent years a variety of methods have been used to review cases where a vulnerable adult has died or been seriously harmed, the method chosen largely depending upon whether a single agency or multi-agency approach is required. Serious Case Reviews (SCRs) are more frequently used in cases requiring a multi-agency approach; however, their effectiveness in terms of being timely, value for money and a means of learning lessons has been questioned. Safeguarding Adult Boards (SAB) in the East Midlands have sought alternative means for reviewing some cases including the Significant Incident Learning Process (SILP). The purpose of this paper is to explore the experience of facilitating and evaluating a pilot SILP. Design/methodology/approach: The paper explores the purpose and function of the SILP and then examines the process of facilitating a “live” event. A range of issues are explored including who should be involved, concerns around participation and working alongside criminal/police investigations and/or therapeutic intervention. Findings: The findings are discussed and highlight the need for skilled, independent facilitators and robust “ground rules”. The paper evaluates the process and makes recommendations for further use of SILP. Originality/value: This paper explores a new approach to reviewing cases previously reviewed using SCR, as such it will be of interest to all agencies and organisations represented on SAB. The evaluation of the SILP found it to be favourable in comparison with SCRs in terms of cost, being a process that can be completed within three months of an incident occurring and in terms of timely dissemination of lessons learned. (Publisher abstract)