Residential care in the community for adults with intellectual disability: needs, characteristics and services
| Autor: | Bev Ashman, Julie Beadle-Brown, Jim Mansell, Susan Macdonald |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
Gerontology
Adult Male medicine.medical_specialty Adolescent Cross-sectional study Staffing Declaration MEDLINE Group Homes Arts and Humanities (miscellaneous) Nursing Intellectual Disability Intellectual disability Activities of Daily Living medicine Humans Sociology Aged Patient Care Team Public health Rehabilitation Social environment Social Behavior Disorders Middle Aged medicine.disease Mental health Psychiatry and Mental health Cross-Sectional Studies Neurology England Female Neurology (clinical) Social Adjustment Needs Assessment |
| Zdroj: | Journal of intellectual disability research : JIDR. 46(Pt 8) |
| ISSN: | 0964-2633 |
| Popis: | Background The pattern of residential services for people with intellectual disability in England has changed dramatically since 1971, with many more places being made available in residential homes in the community. The aim of the present study was to assess the needs and characteristics of residents and features of all the residential homes provided by a national charity. Method Assessments of adaptive behaviour, problem behaviour and social impairment were completed by staff who knew residents well; information about costs and staffing was provided from central records. Results A significant proportion of residents have important care needs relating to their skills, their behaviour and their social abilities. Residents with these needs are dispersed throughout services, so that a large majority of services include one or more residents with relatively complex needs. Conclusions Compared with services in the late 1980s, these services care for a much more disabled client group. Since individuals with high levels of particular needs are typically distributed throughout services, a very high proportion of services require staff who have relatively advanced skills. Current national plans do not adequately address this need and case management arrangements may encourage the re-creation of more institutional services. Declaration of interest The first author is a Trustee of the charity. |
| Databáze: | OpenAIRE |
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