Shared Lives: Evidence of Effectiveness: a multi-method study of a community service for people with intellectual disabilities

Aim: Adult placement, known in the United Kingdom as Shared Lives (SL), has a long history throughout Europe and beyond. In England in 2016 over 8,000 people with intellectual disabilities were being supported to live in the community in this way. There is little research in this area, and this study aimed to generate information about the effectiveness of SL. Method: Data were collected from people supported by SL using a number of well-being measures and qualitative interviews. The economic case was explored through individual case studies, using data from the measures and service use information. The experiences of people providing support were also captured through interviews. Both quantitative and qualitative analysis techniques were used. Results: Overall, social care related outcomes, capability and mental well-being were good amongst participants, and examples of how SL had made a positive difference to their lives were provided. SL appears to result in good outcomes within a cost envelope less than for alternative provision. SL carers highlighted the skills and support required, and the unique dynamic of formal care in a family setting. Conclusion: The study is on-going but suggests that SL is meeting people’s needs and has promising aspects which merit further study.