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People with learning disabilities in ‘out-of-area’ residential placements: 2. Reasons for and effects of placement

Beadle-Brown, Julie, Mansell, J. L., Whelton, Beckie, Hutchinson, A., Skidmore, C. (2006) People with learning disabilities in ‘out-of-area’ residential placements: 2. Reasons for and effects of placement. Journal of Intellectual Disability Research, 50 (11). pp. 845-856. ISSN 1365-2788. (doi:10.1111/j.1365-2788.2006.00848.x) (The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided) (KAR id:52157)

The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided. (Contact us about this Publication)
Official URL
http://dx.doi.org/10.1111/j.1365-2788.2006.00848.x

Abstract

Background Official guidance on out-of-area placements creates incentives that could lead to people being placed against their own best interests, with negative consequences for them and for the ‘receiving’ authorities.

Results The main reasons for out-of-area placement were insufficient local services of acceptable quality, financial incentives and loss of family contact through prior institutionalization. The effects varied, with the most disabled people experiencing worst outcomes. Some aspects were worse than comparison studies (choice, community involvement, number of homes meeting all the national minimum standards), some were the same (participation, family visiting and other contact), and one was better (visits to families). Variation was also evident in the involvement of social services staff from the placing authority and in ease of access to local healthcare resources.

Conclusions Social services and health authorities should develop services locally that can support people with the full range of individual needs. Perverse incentives should be removed, perhaps by increasing the application of direct payments and personalized budgets.

Item Type: Article
DOI/Identification number: 10.1111/j.1365-2788.2006.00848.x
Uncontrolled keywords: learning disabilities, market, out-of-area placement, residential care
Subjects: H Social Sciences > H Social Sciences (General)
Divisions: Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research > Tizard
Depositing User: Beckie Whelton
Date Deposited: 22 Nov 2015 21:34 UTC
Last Modified: 16 Feb 2021 13:30 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/52157 (The current URI for this page, for reference purposes)
Beadle-Brown, Julie: https://orcid.org/0000-0003-2306-8801
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