Caseload management in community learning disability teams

Walker, Tammi; Stead, Joanne; Read, Stephen

doi:10.1177/1469004703074001

Cited by 13 publications

(14 citation statements)

References 9 publications

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“…31 This lack of uniformity may result in IDD nurses having caseloads of medically intense individuals without the necessary support to manage care effectively. 32 The National League of Nursing 33 does offer a specific tool for assessing someone with a disability. While the Assessment of the Patient with a Disability ® tool offers guidance, it does not address caseload number or distribution.…”

Section: Caseload Distribution and Acuitymentioning

confidence: 99%

Intellectual and developmental disability nursing: current challenges in the USA

Auberry¹

2018

NRR

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Background: Nursing in the field of intellectual and developmental disability (IDD) has evolved over the last decade. With this evolution new challenges related to this field of nursing practice have surfaced. The field of IDD nursing is complex and considered out of the realm of common nursing practice. Given the complexity and uniqueness of this area of nursing practice, nurses face challenges when supporting this population. The purpose of this commentary is to highlight current challenges faced by nurses working in the field of IDD in the USA in order to generate conversation and solutions. Methods: A review of literature and clinical practice experience was conducted. Articles were analyzed for content related to nursing practice in the field of IDD. Textbook references were incorporated to substantiate key points. Additionally, the author's 24 years of clinical practice and nursing administrative experience were included. Results: Nurses face varied challenges in the field of IDD: lack of education regarding this population, healthcare complexity of this population, role ambiguity, varied practice settings, nursing model of care controversy, and caseload distribution and acuity. Conclusion: Nurses working with the IDD population face challenges that may be distinctive to this field of nursing. Educational preparation for nurses, physicians, and health care professionals is minimal. The multifaceted needs of persons with IDD and diverse practice settings nurses encounter create a fragmented system that is difficult to navigate. Evidence-based interventions to guide IDD nursing practice are lacking. Standardization of care principles and role clarification for the IDD nurse across settings are varied. The IDD field requires a synthesized approach to healthcare management that currently does not appear to exist across settings. An increase in nursing research for this population and area of practice should occur. Nursing and medical programs must seek ways to include or expand content specific to the health intricacies of this population.

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Section: Caseload Distribution and Acuitymentioning

confidence: 99%

Intellectual and developmental disability nursing: current challenges in the USA

Auberry¹

2018

NRR

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“…There is little research on how community intellectual disability teams make decisions regarding eligibility, though issues of risk seem important (Walker et al . ). Individual social workers and care managers may have some control over whether an individual is granted a funded care package or not, but little say in the overall funding allocation for specific care groups.…”

Section: Discussionmentioning

confidence: 97%

“…We might also speculate about how dynamics at the level of the teams in which case managers are operating may determine how care packages are allocated in more and less deprived LAs, and also about the characteristics between people with intellectual disabilities and their carers with team members on a case-by-case basis. There is little research on how community intellectual disability teams make decisions regarding eligibility, though issues of risk seem important (Walker et al 2003). Individual social workers and care managers may have some control over whether an individual is granted a funded care package or not, but little say in the overall funding allocation for specific care groups.…”

Section: Discussionmentioning

confidence: 99%

Equity in social care for people with intellectual disabilities? A cross-sectional study examining the distribution of social care funding across local authorities in England

Chinn

Levitan

Murrells

2016

Health Soc Care Community

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Many people with intellectual disabilities rely on social care provision, though little research has looked at how access to such provision is distributed nationally. Evidence from children's services suggests that there are large discrepancies between local authorities (LAs) in terms of the resources expended on interventions with children and families, which can be explained by variations linked to geographical location, namely the level of socioeconomic deprivation between LAs, constituting 'child welfare inequalities'. This study explored relationships between resources allocated to community services for people with intellectual disabilities in England and geographical factors, including deprivation, rurality and political leadership in the LAs where these individuals reside. Data were sourced from publicly available reports of spending of 151 English councils with adult social services responsibilities (CASSRs) for 2013-2014 and from CASSR index of multiple deprivation (IMD) scores and rurality for the same period. We found that more deprived LAs supported more people with intellectual disabilities, per 100,000 of population. We did not find effects for rurality or political party. However, it was not the case that more deprived LAs allocated more funds for expenditure on this group. These findings point to inequities in the distribution of social care resources for people with intellectual disabilities in England, as although more deprived LAs support more people with intellectual disabilities, they do not spend proportionally larger sums of money on this group. We discuss possible explanations for these findings and highlight the need for more research, particularly investigations about allocation of resources within LAs and more detailed explorations of how structural factors such as socioeconomic status of service users effects service access at the local level.

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“…The qualitative data further suggested that reluctance to discharge might contribute to a higher intention to keep a child on a caseload and that providing non-direct treatment was one way of achieving this. Existing literature has identified that, in some instances, professionals carry out 'long-term management' with clients whom they perceive to be difficult to discharge (Walker et al 2003). Future research regarding treatment provision should therefore incorporate discharge behaviours and investigate relationships between treatment provision and discharging.…”

Section: Discussionmentioning

confidence: 99%