Too far to go: out-of-area placements for people with intellectual disabilities.

This mainly exploratory study was a one-point-in-time survey of the situation in one English county. This study involved a survey of all social care homes in the county, followed by measures of quality of life/service for a random sample of 30 people identified by the survey, interviews with home ma...

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Publicado en:Learning Disability Review Vol. 11; no. 1; pp. 24 - 35
Autores principales: Beadle-Brown J, Mansell J, Whelton B, Hutchinson A, Skidmore C
Formato: case study research tables/charts Journal Article
Publicado: Emerald Publishing Limited Feb2006
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2006
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      pub: Emerald Publishing Limited
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        atl: Too far to go: out-of-area placements for people with intellectual disabilities.
      aug:
        au:
          Beadle-Brown J
          Mansell J
          Whelton B
          Hutchinson A
          Skidmore C
        affil: Lecturer, Learning Disability, Tizard Centre, University of Kent
      sug:
        subj:
          Health Services Accessibility Trends
          Health Services Needs and Demand Trends
          Intellectual Disability Therapy
          Adolescence
          Adult
          Aged
          Attitude of Health Personnel
          Behavior Rating Scales
          Case Studies
          Community Mental Health Services Standards
          Comorbidity
          Demography Trends
          England
          Exploratory Research
          Family Assessment Utilization
          Female
          Focus Groups
          Funding Source
          Health Services Accessibility Economics
          Health Services Needs and Demand Economics
          Institutionalization Trends
          Interview Guides
          Length of Stay Trends
          Male
          Intellectual Disability Ethnology
          Middle Age
          Multidisciplinary Care Team Standards
          Outcomes (Health Care)
          Patient Satisfaction Trends
          Psychological Tests
          Qualitative Studies
          Quality of Health Care Standards
          Quality of Life Standards
          Quantitative Studies
          Random Sample
          Referral and Consultation Trends
          Regression
          Sample Size
          Scales
          Semi-Structured Interview
          Structured Questionnaires
          Surveys
          Human
          Adolescent: 13-18 years
          Adult: 19-44 years
          Aged: 65+ years
          Middle Aged: 45-64 years
          Female
          Male
      ab: This mainly exploratory study was a one-point-in-time survey of the situation in one English county. This study involved a survey of all social care homes in the county, followed by measures of quality of life/service for a random sample of 30 people identified by the survey, interviews with home managers, service users, family carers and care managers, and focus groups with members of four community learning disability teams. The total number of people placed from out-of-area was estimated to be close to 2,000 (1,500 were placed by the local authority within the county). The main reason for such placements was lack of good local services, but cost also seemed important. For many of those who had been in long-stay hospital, locality appeared not to be important. Effects varied, but at least a third of people were experiencing very poor service quality and quality of life. Family carers generally felt their relative was happy, but fear of losing the placement was a strong theme. Distance was a major difficulty for both family and care manager involvement. For local community learning disability teams, the main problems included increased workload, reduced provision for local residents, difficulty in dealing with placing authority and the poor quality of the homes. Challenges for public agencies include provision of better local services, management of the cost incentives, especially for London Boroughs, and a system where funding follows the person wherever they chose to live.
      pubtype: Academic Journal
      doctype:
        case study
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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