Residential care in the community for adults with intellectual disabilities: needs, characteristics and services

Mansell, Jim and Ashman, Bev and Macdonald, Susan and Beadle-Brown, Julie (2002) Residential care in the community for adults with intellectual disabilities: needs, characteristics and services. Journal of Intellectual Disability Research, 46 (8). pp. 625-633. ISSN 0964-2633. (The full text of this publication is not available from this repository)

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Official URL
http://dx.doi.org/10.1046/j.1365-2788.2002.00440.x

Abstract

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. MethodAssessments 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.

Item Type: Article
Uncontrolled keywords: adaptive behaviour • epidemiology • needs • planning • problem behaviour
Subjects: H Social Sciences
H Social Sciences > HN Social history and conditions. Social problems. Social reform
Divisions: Faculties > Social Sciences > School of Social Policy Sociology and Social Research > Tizard
Faculties > Social Sciences > School of Social Policy Sociology and Social Research
Depositing User: Samantha Osborne
Date Deposited: 19 Dec 2007 18:23
Last Modified: 08 May 2014 14:04
Resource URI: http://kar.kent.ac.uk/id/eprint/637 (The current URI for this page, for reference purposes)
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