The Contacts that People with Learning Disabilities Have with Health and Social Services

1999 ◽  
Vol 3 (2) ◽  
pp. 67-73
Author(s):  
R. McConkey ◽  
D. McAteer
Keyword(s):  
Learning Disabilities ◽  
Northern Ireland ◽  
Social Services ◽  
Service Provision ◽  
Health Workers ◽  
Potential Contribution ◽  
Health And Social Services ◽  
Key Issues ◽  
Computer Based ◽  
Using Data

This study summarizes all the documented service inputs that people with learning disabilities received from one community health and social services trust in Northern Ireland during a 12-month period. Using data obtained from two computer-based recording systems used in Northern Ireland, the extent and type of service provision for this population is described. In all, 10 different health professionals were mainly involved with some inputs from a further six health workers, while social services offered a further eight service inputs. However, the services provided varied across different age groupings and levels of dependency. Three key issues are discussed: the number of different professionals involved; the co-ordination of service inputs and the criteria used to determine which persons receive a service and those who do not. The difficulties involved in undertaking an audit of this type are outlined but the potential contribution to achieving more cost-beneficial services are noted.

scholarly journals Patterns of service use among people with learning disabilities discharged from long-stay hospital care in Northern Ireland

1999 ◽  
Vol 16 (3) ◽  
pp. 109-113 ◽  
Author(s):  
Sinéad McGilloway ◽  
Michael Donnelly
Keyword(s):  
Learning Disabilities ◽  
Northern Ireland ◽  
Social Services ◽  
Service Provision ◽  
Hospital Care ◽  
Service Use ◽  
Care Staff ◽  
Wide Range ◽  
Integration Service ◽  
Stay Hospital

AbstractObjectives: Continuing deinstitutionalisation has led to growing concern about the availability and accessibility of services for people with learning disabilities transferring to community living. This study was undertaken in order to assess the configuration of services in terms of availability and uptake for people with learning disabilities who have left long-stay hospital care and to identify gaps or barriers to service provision within the unique integrated health and social services structure in Northern Ireland.Method: The ‘keyworkers’ of 195 people – most of whom were aged 40-59 years with a diagnosis of moderate intellectual impairment – were interviewed by a researcher one year after discharge using the Service Interview.Results: While a wide range of generic and specialist services was available, ‘packages’ of care consisted largely of public sector services (eg. GPs, chiropodists and social workers) and relied, to some extent, on the type of community accommodation. Although services appeared well co-ordinated in terms of care reviews and keyworker arrangements, 40% of people required more one-to-one support particularly in areas related to integration. However, services were perceived by care staff to be satisfactoryConclusions: The development of community care has been slower in Northern Ireland than elsewhere and a large proportion of resources remain tied up in hospital care. However, existing community-based services appear to be addressing individual needs. Some former patients, though, may have been subject to transinstitutionalisation in the sense that their choice of accommodation was restricted mainly to large private sector homes and work and daytime opportunities were insufficient to facilitate integration. Service planners and providers need to give further consideration to the likely effects of different forms of rehabilitation, reprovision and resettlement and to be aware that the pattern of service provision is likely to be different for the more dependent cohorts of people who leave hospital in the future.

scholarly journals A randomised controlled pilot trial evaluating feasibility and acceptability of a computer-based tool to identify and reduce harmful and hazardous drinking among adolescents with alcohol-related presentations in Canadian pediatric emergency departments

BMJ Open ◽  
2017 ◽  
Vol 7 (8) ◽  
pp. e015423 ◽  
Author(s):  
Amanda S Newton ◽  
Nadia Dow ◽  
Kathryn Dong ◽  
Eleanor Fitzpatrick ◽  
T Cameron Wild ◽  
...  
Keyword(s):  
Alcohol Consumption ◽  
Social Services ◽  
Retention Rates ◽  
Post Intervention ◽  
Research Staff ◽  
Recruitment And Retention ◽  
Health And Social Services ◽  
Intervention Acceptability ◽  
Computer Based ◽  
Randomised Controlled

ObjectiveThis study piloted procedures and obtained data on intervention acceptability to determine the feasibility of a definitive randomised controlled trial (RCT) of the effectiveness of a computer-based brief intervention in the emergency department (ED).DesignTwo-arm, multi-site, pilot RCT.Setting and participantsAdolescents aged 12–17 years presenting to three Canadian pediatric EDs from July 2010 to January 2013 for an alcohol-related complaint.InterventionsStandard medical care plus computer-based screening and personalised assessment feedback (experimental group) or standard care plus computer-based sham (control group). ED and research staff, and adolescents were blinded to allocation.OutcomesMain: change in alcohol consumption from baseline to 1- and 3 months post-intervention. Secondary: recruitment and retention rates, intervention acceptability and feasibility, perception of group allocation among ED and research staff, and change in health and social services utilisation.ResultsOf the 340 adolescents screened, 117 adolescents were eligible and 44 participated in the study (37.6% recruitment rate). Adolescents allocated to the intervention found it easy, quick and informative, but were divided on the credibility of the feedback provided (agreed it was credible: 44.4%, disagreed: 16.7%, unsure: 16.7%, no response: 22.2%). We found no evidence of a statistically significant relationship between which interventions adolescents were allocated to and which interventions staff thought they received. Alcohol consumption, and health and social services data were largely incomplete due to modest study retention rates of 47.7% and 40.9% at 1- and 3 months post-intervention, respectively.ConclusionsA computer-based intervention was acceptable to adolescents and delivery was feasible in the ED in terms of time to use and ease of use. However, adjustments are needed to the intervention to improve its credibility. A definitive RCT will be feasible if protocol adjustments are made to improve recruitment and retention rates; and increase the number of study sites and research staff.Trial registrationclinicaltrials.govNCT01146665

scholarly journals Beds, budgets and burdens: Learning disability expenditure v. workload across English health authorities

2002 ◽  
Vol 181 (3) ◽  
pp. 200-207 ◽  
Author(s):  
Bunny Forsyth ◽  
Paul Winterbottom
Keyword(s):  
Learning Disabilities ◽  
Learning Disability ◽  
Social Services ◽  
Rural Areas ◽  
Population Distribution ◽  
National Database ◽  
Health Authorities ◽  
Audit Commission ◽  
Using Data ◽  
Set Up

BackgroundFollowing the closure of asylums and widespread changes in the population distribution of people with learning disabilities, there has been little investigation of changing expenditure requirements of health authorities in England.AimsTo compare expenditure on learning disability health services across England with the burden of services regionally, as estimated by numbers of people with learning disabilities.MethodA national database was set up using data from the National Audit Commission and the Department of Health. The spend/burden ratio was calculated and correlation tests for likely causes of inequality were applied.ResultsThere is widespread discrepancy from the median spend/burden ratio of £10 260 per person with learning disability. There is a positive correlation between ratios and levels of net exports of people funded by their local authority social services to reside ‘out of area’. Comparative underspending occurs in rural areas.ConclusionsThere are inequalities in levels of spending on learning disability services. Comparison of regions suggests resources may not be allocated fairly. Health authorities should ensure that population increases are mirrored by appropriate adjustments in expenditure.

Civil War as State-Making: Strategic Governance in Civil War

2017 ◽  
Vol 72 (1) ◽  
pp. 205-226 ◽  
Author(s):  
Megan A. Stewart
Keyword(s):  
Civil War ◽  
Social Services ◽  
Service Provision ◽  
Original Data ◽  
National Union ◽  
Rebel Groups ◽  
Provision Of Services ◽  
Key Issues

AbstractWhy do some rebel groups provide governance inclusively while most others do not? Some insurgencies divert critical financial and personnel resources to provide benefits to anyone, including nonsupporters (Karen National Union, Eritrean People's Liberation Front). Other groups offer no services or limit their service provision to only those people who support, or are likely to support, the insurgency. The existing literature examines how insurgencies incentivize recruitment by offering selective social services, yet no research addresses why insurgencies provide goods inclusively. I argue that inclusive provision of services legitimates insurgents’ claim of sovereignty to domestic and international audiences, and thus is a strategic tool secessionist rebels use to achieve their long-term goal of independence. With new and original data, I use a large-Nanalysis to test this hypothesis. The results of the analysis support the hypothesis, underscoring the importance insurgent nonviolent behavior and addressing key issues such as sovereignty and governance.

More than being against it: Anti-racism and anti-oppression in mental health services

2012 ◽  
Vol 49 (2) ◽  
pp. 261-282 ◽  
Author(s):  
Simon Corneau ◽  
Vicky Stergiopoulos
Keyword(s):  
Mental Health ◽  
Social Justice ◽  
Mental Health Services ◽  
Health Services ◽  
Literature Review ◽  
Social Services ◽  
Service Provision ◽  
Alternative Healing ◽  
Health And Social Services ◽  
Alliance Building

Anti-racism and anti-oppression frameworks of practice are being increasingly advocated for in efforts to address racism and oppression embedded in mental health and social services, and to help reduce their impact on mental health and clinical outcomes. This literature review summarizes how these two philosophies of practice are conceptualized and the strategies used within these frameworks as they are applied to service provision toward racialized groups. The strategies identified can be grouped in seven main categories: empowerment, education, alliance building, language, alternative healing strategies, advocacy, social justice/activism, and fostering reflexivity. Although anti-racism and anti-oppression frameworks have limitations, they may offer useful approaches to service delivery and would benefit from further study.

Sign in / Sign up

Export Citation Format

Share Document