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Improving Quality of Life Outcomes in Supported Accommodation for People with Intellectual Disability: What Makes a Difference?

Bigby, Christine, Beadle-Brown, Julie (2016) Improving Quality of Life Outcomes in Supported Accommodation for People with Intellectual Disability: What Makes a Difference? Journal of Applied Research in Intellectual Disabilities, 31 (2). e182-e200. ISSN 1360-2322. (doi:10.1111/jar.12291)

Abstract

Background The quality of life (QOL) of people with intellectual disability living in supported accommodation services is variable, influenced by many possible factors. Various frameworks have attempted to identify these factors without assigning value, direction of influence or relative impact on outcomes. Methods A realist review of the literature aimed to expose different propositions about variables influencing QOL outcomes and review the strength of supporting evidence for these, to identify their relative influence. Evidence was reviewed for and against each of five clusters. Results Evidence was strongest for the presence of staff practices (use of Active Support), front-line management practice (use of practice leadership), culture (enabling and motivating), human resources policies and practice (that support front-line leaders and recruitment of staff with the right values), adequate resources, and small, dispersed and homelike settings. Conclusions The evidence informs policy and practice but in some clusters remains limited, warranting further research which measures outcomes on all QOL domains.

Item Type: Article
DOI/Identification number: 10.1111/jar.12291
Uncontrolled keywords: intellectual disability, outcomes, service quality, supported accommodation, variables influencing quality of support
Subjects: H Social Sciences > H Social Sciences (General)
Divisions: Faculties > Social Sciences > School of Social Policy Sociology and Social Research > Tizard
Depositing User: Julie Beadle-Brown
Date Deposited: 11 Mar 2017 22:56 UTC
Last Modified: 29 May 2019 18:48 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/60851 (The current URI for this page, for reference purposes)
Beadle-Brown, Julie: https://orcid.org/0000-0003-2306-8801
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