‘Care in the Community’ five years on

Cambridge, Paul; Hayes, Lesley; Knapp, Martín

doi:10.1108/13595474199600011

Cited by 35 publications

(42 citation statements)

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“…ond, studies focusing on the longerterm development of adults with mental retardation once they have moved into the community tend to report a "plateau effect" [e.g., Hemming et al, 1981;Klienberg and Galligan, 1983;Lowe et al, 1993;Lozano, 1993;Cambridge et al, 1994]. After short-term gains in adaptive behavior upon deinstitutionalization have occurred, adults are unlikely to continue to make significant gains in adaptive behavior in the long term [although also see Eyman and Arndt, 1982].…”

Section: Comparison Of Service Modelsmentioning

confidence: 97%

Living with support in a home in the community: Predictors of behavioral development and household and community activity

Felce

Emerson

2001

Ment. Retard. Dev. Disabil. Res. Rev.

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The purpose of this article was to review studies of behavioral development and household and community activity among adults with mental retardation living in community residential services and to distill knowledge about the factors that influence outcome. Research points to behavioral development occurring across the full spectrum of disability but influenced by mental retardation syndrome and the acquisition of pivotal skills. However, engagement in household and community activities has been found to be strongly related to individual adaptive behavior. People with more severe mental retardation are vulnerable to leading lives characterized by underoccupation and lack of community involvement. Moving from institutional to community-based residential services may be accompanied by significant increases in adaptive behavior, but a plateau effect on subsequent development has also been reported. There is substantial evidence to suggest that key aspects of effective teaching technology may be absent in community-based residential environments. Community settings support greater engagement in household and community activities than institutions. Ordinary housing stock and normative architecture and standards of material enrichment are to be preferred. The use of normative housing constrains group living to relatively small scale, but there is little evidence that smaller size within this range is to be preferred to larger size. There is little evidence to suggest that higher staff-to-resident ratios lead to uniformly better outcomes, but staff orientation, working methods, and performance are important influences. Little is known about what precise characteristics of community location give rise to greater community integration. MRDD Research Reviews 7:75-83, 2001.

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Section: Comparison Of Service Modelsmentioning

confidence: 97%

Living with support in a home in the community: Predictors of behavioral development and household and community activity

Felce

Emerson

2001

Ment. Retard. Dev. Disabil. Res. Rev.

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“…Inter-agency working in health and social care has been restrained by differences in professional and organisational accountability, finance and cost management systems, organisational structures and operational systems. One of the major problems in the development of integrated community care has been geographical as well as functional fractures in responsibility and coverage (Cambridge et al, 1994). Various incentives have been developed from joint finance, community care planning, joint commissioning and more recently partnership boards, joint teams and joint investment planning in recognition of the need to bring health and social care agencies working with vulnerable adults together to eliminate gaps and overlaps in provisions and responsibilities.…”

Section: Working Effectively Across Agency Boundariesmentioning

confidence: 99%

The Management and Practice of Joint Adult Protection Investigations between Health and Social Services: Issues Arising from a Training Intervention

Cambridge¹,

Parkes²

2006

Social Work Education

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The implementation of government policy for the protection of vulnerable adults [Department of Health (2000) No Secrets] has set expectations for the development of multi-agency policies and procedures in adult protection in England. Multi-agency working in adult protection mainly concerns complex cases involving more than one service user or where a number of managers or practitioners are involved. However, these also tend to be the most serious abuse cases where the necessity for effective inter-agency co-ordination collaboration between social services authorities (local authorities) and health trusts (NHS) is most acute, especially with the development of partnership working such as in learning disability [Department of Health (2001) Valuing People]. Moreover, effective collaboration with the police in the conduct of adult protection casework and process is required for cases where criminal offences may have been committed. These demands put high expectations on the professionals involved. Based on a series of joint training interventions between social services and health personnel in Kent, this paper identifies key issues for the effective performance of joint adult protection investigations and maps both the challenges and management and practice competencies required. Potential solutions to the complexities of managing multi-agency investigations in adult protection were identified with potential relevance to improving adult protection case management and co-ordination more widely.

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“…It is unlikely that the level of functioning of the group altered markedly in the community given that other research has found that former long-stay residents tend to show little change in their skills or dependency following discharge (Cambridge et al, 1994). In other words, only a small proportion was discharged to the kinds of settings which resemble ordinary accommodation.…”

Section: Community Provisionmentioning

confidence: 97%

A three‐ to six‐year follow‐up of former long‐stay residents of mental handicap hospitals in Northern Ireland

Donnelly¹,

McGilloway²,

Mays³

et al. 1997

British J Clinic Psychol

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‘Care in the Community’ five years on

Cited by 35 publications

References 0 publications

Living with support in a home in the community: Predictors of behavioral development and household and community activity

Living with support in a home in the community: Predictors of behavioral development and household and community activity

The Management and Practice of Joint Adult Protection Investigations between Health and Social Services: Issues Arising from a Training Intervention

A three‐ to six‐year follow‐up of former long‐stay residents of mental handicap hospitals in Northern Ireland

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