Community managed services for persons with intellectual disability: Andhra Pradesh experience

2017 ◽  
Vol 21 (3) ◽  
pp. 248-258 ◽  
Author(s):  
Jayanthi Narayan ◽  
Raja Pratapkumar ◽  
Sudhakara P Reddy

In resource poor settings innovative and bottom-up approaches are required to provide services to people with with disabilities. In this context, the present paper explains a community-based model of manpower development and coordination of services for people with intellectual disabilities in unified state of Andhra Pradesh in India. Women with disabilities from the village were identified, and those willing to be trained to work as community resource persons (CRPs) were selected and given hands-on training in a phased manner. A total of 130 women were trained in five groups of 25–30 per group and were deployed in the community to screen, identify and refer children with intellectual disabilities. The training content included basic stimulation and interface with functionaries of other government departments of health, education and welfare to ensure comprehensive service delivery. Neighbourhood centres (NHCs) were established where the CRPs could meet with families collectively. The results indicated that the CRPs were welcomed by the families. The NHCs established primarily as recreation centres, promoted inclusion and functioned as information dissemination centre. The services provided by the CRPs were owned and monitored by the Women’s self-help group and the disability groups thus ensuring sustainability of the model.

1997 ◽  
Vol 3 (2) ◽  
pp. 65-70
Author(s):  
Laurie Buys

As most older adults with intellectual disabilities reside in community based accommodation, the availability of support programs and services becomes important to the maintenance of independent living. Thirty nine community based organisations in Brisbane, Australia that assist people with intellectual disabilities were surveyed regarding the types of programs offered to older adults with intellectual disabilities. The results showed that 75% of the organisations had provided assistance to an older adult with an intellectual disability in the past 12 months. However, none of the agencies surveyed reported that they provided specialised programs or services to older adults with intellectual disabilities.


2008 ◽  
Vol 5 (1) ◽  
pp. 6-7
Author(s):  
Germain Weber

In the past two decades, national as well as regional policy agendas for people with disabilities and especially people with intellectual disabilities have followed strategies of inclusion and rights, with the promotion of a community-based approach.


Author(s):  
Ashish Ranjan ◽  
Kavitha Ranganathan

Digital Green is a prime example of a development intervention aimed not only at the poor but “by the poor”, as a content or knowledge disseminator to rural users The case is written in the form of multiple scenes that unfold organically to paint a bigger picture of what the organization does and the different players and groups that take part to make this intervention a success. The reader is exposed to different view-point and actions taken by various stakeholders: the Village Resource Person from the local government organization, the self-help group member who features in the video and the Assistant Program Manager (APM) for Digital Green. This case can be used in courses that teach ‘Development and ICT’ and generic courses in BOP development that want to highlight issues related to scalability of an intervention, local relevance and buy in (adoptability), and understanding ground realities.


2016 ◽  
Vol 33 (S1) ◽  
pp. S475-S475
Author(s):  
K. Courtenay ◽  
S. Jaydeokar

ObjectivesPeople with intellectual disabilities (ID) present with behaviours that challenge community services. Community models of care as alternatives to hospital care exist but are often vary in their function. Certain strategies have been developed to manage challenging behaviour in people with ID. Data from a three-year period on a community-based service for people with ID and challenging behaviour that uses an objective, multi-disciplinary approach is presented.MethodsA case note survey of adults with ID under the care of the Assessment and Intervention Team (AIT), a challenging behaviour service in the London Borough of Haringey.ResultsOver the three-year period, 65 adults were managed by AIT. Forty-four were male and 21 were female. The age range was 21–64 years of age. The level of ID was mild ID 61%, moderate 39%. Diagnoses included psychotic disorder (25%); mood disorder (20%); developmental disorder (40%); dementia (10%); challenging behaviour (45%). Six people (11%) were admitted to hospital during their time with AIT. The length of care under AIT ranged from four to fourteen months.ConclusionsAIT managed effectively people with ID living in the community who presented with complex problems putting their placement at risk. The rate of hospital admission was reduced in this period compared with the previous three years. The length of stay in in-patient services was reduced. The most common reasons for the behaviours included mental illness and ‘challenging behaviour’. People with developmental disorders were a large proportion. Community alternatives are effective with positive benefits to the person.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2017 ◽  
Vol 11 (3) ◽  
pp. 126-130 ◽  
Author(s):  
Eddie Chaplin ◽  
Karina Marshall-Tate

Purpose The purpose of this paper is to examine guided self-help (GSH), and some of the barriers as to why it is not routinely available for people with intellectual disabilities (IDs). Design/methodology/approach This paper offers an overview of GSH and the potential benefits of it as an intervention for people with ID with mild depression and/or anxiety. Findings The current literature reports the successful use and effectiveness of GSH in the general population. However, despite this there is little evidence that it is being used in practice for people with ID. Originality/value This paper offers an overview of GSH and advocates for its increasing use for people with ID to help bring about equality in mental healthcare.


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