High cost residential placements for adults with intellectual disabilities.

McGill, P. and Poynter, J. (2012) High cost residential placements for adults with intellectual disabilities. Journal of Applied Research in Intellectual Disabilities, 25 (6). pp. 584-587. ISSN 1360-2322. (Full text available)

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http://dx.doi.org/10.1111/j.1468-3148.2012.00689.x

Abstract

Background Concern has been expressed repeatedly about the cost and quality of residential placements for adults with learning disabilities and additional needs. This study sought to identify characteristics of the highest cost placements in the South-East of England. Method Lead learning disability commissioners in the South-East of England were asked to provide information about the five highest cost residential placements that they commissioned for adults with learning disabilities. Results The average placement cost of £172k per annum disguised wide variation. Individuals placed were mainly young and male with high rates of challenging behaviour and ⁄ or autism spectrum disorder. Most placements were in out-of-area residential care. The highest costs were associated with hospital placements and placements for people presenting challenging behaviour. Conclusions Young, male adults with learning disability, challenging behaviour and ⁄ or autism continue to receive very high cost residential support, often in out-of-area residential care. There remains limited evidence of plans to redirect resources to more local service developments.

Item Type: Article
Uncontrolled keywords: high cost placements, out-of-area placements, residential care, supported living
Subjects: H Social Sciences > HV Social pathology. Social and public welfare > HV3008 Mental handicap and social care
Divisions: Faculties > Social Sciences > School of Social Policy Sociology and Social Research > Tizard
Depositing User: Peter McGill
Date Deposited: 11 Oct 2012 15:44
Last Modified: 19 Feb 2013 15:57
Resource URI: http://kar.kent.ac.uk/id/eprint/31569 (The current URI for this page, for reference purposes)
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