Evaluation of alternative residential facilities for the severely mentally handicapped in Wessex: Staff performance

Felce, David John; Mansell, Jim; Kushlick, Albert

doi:10.1016/0146-6402(80)90008-9

Cited by 19 publications

(9 citation statements)

References 10 publications

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“…This variation has been identified for nearly 30 years (e.g. Felce et al . 1980) but merits further investigation.…”

Section: Discussionmentioning

confidence: 66%

The role of support staff in promoting the social inclusion of persons with an intellectual disability

McConkey¹,

Collins²

2010

J intellect Disabil Res

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Staff working in more individualised support arrangements tend to give greater priority to promoting social inclusion although this can vary widely both across and within staff teams. Nonetheless, staff gave greater priority to care tasks especially in congregated service settings. Service managers may need to give more emphasis to social inclusion tasks and provide the leadership, training and resources to facilitate support staff to re-assess their priorities.

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“…This variation has been identified for nearly 30 years (e.g. Felce et al . 1980) but merits further investigation.…”

Section: Discussionmentioning

confidence: 66%

The role of support staff in promoting the social inclusion of persons with an intellectual disability

McConkey¹,

Collins²

2010

J intellect Disabil Res

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“…1985), higher levels of staffing (Lakin et al. 1988), more user‐focused care practices (Felce et al. 1980; Landesman 1987; Mansell 1995) and better outcomes for users in terms of adaptive behaviour (Larson & Lakin 1989; Emerson & Hatton 1996; Young et al.…”

Section: Introductionmentioning

confidence: 99%

“…Orientation and autonomy were associated with care practices aligned more with the needs of service users. Emerging evidence of generally superior outcomes in communitybased services (Tizard 1964;Kushlick 1980;Haney 1988) supported policy decisions in favour of deinstitutionalization and community living, and in recent years there has been a substantial shift in favour of residential accommodation in the community (Ericsson & Mansell 1996).…”

Section: Introductionmentioning

confidence: 99%

“…In general, community-based services have been shown to provide much richer physical environments (Pratt et al 1980;Felce et al 1985), higher levels of staffing (Lakin et al 1988), more user-focused care practices (Felce et al 1980;Landesman 1987;Mansell 1995) and better outcomes for users in terms of adaptive behaviour (Larson & Lakin 1989;Young et al 1998;Kim et al 2001), involvement in household activity O'Neill et al 1981) and participation in community life (Raynes et al 1994;Conroy 1996;Young et al 1998). However, although the worst features of physical deprivation and poor staffing levels found in institutions have been remedied by the move to community services, there has been increasing concern at the wide variation in the quality of care offered and the results achieved for service users within these services Landesman 1988).…”

Section: Introductionmentioning

confidence: 99%

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Resident Involvement in Activity in Small Community Homes for People with Learning Disabilities

Mansell

Beadle‐Brown

MacDonald

et al. 2003

Research Intellect Disabil

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Background Determining the relative importance of variables including client characteristics, setting features, staffing and care practices on the lives of people with learning disabilities in residential care continues to be a relevant topic for research. Methods Measurements were made of the adaptive and problem behaviour of 343 adults with intellectual disabilities living in 76 residential homes and of various aspects of staffing, care practices (extent of active support) and resident engagement in meaningful activity. Ordinal and logistic regression was used to identify variables best predicting engagement and care practices. Results Only adaptive behaviour and care practices predicted resident engagement in meaningful activity; only age and adaptive behaviour predicted care practices. Conclusions Given the limited scope for changing resident adaptive behaviour, attention should be given to improve active support in residential homes in order to promote greater engagement in meaningful activity by people with learning disabilities.

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“…Felce et al (1980b) found that, in some of the first attempts at community-based residential services for people with severe or profound learning disabilities in Wessex, senior staff spent much more time in administration than in work with service users compared with those in hospital. The wider range of demands, and the higher standards of care usually aspired to in community services, make greater demands on managers.…”

Section: Implications For Service Organisationmentioning

confidence: 99%

Severe Learning Disabilities and Challenging Behaviours

1994

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Evaluation of alternative residential facilities for the severely mentally handicapped in Wessex: Staff performance

Cited by 19 publications

References 10 publications

The role of support staff in promoting the social inclusion of persons with an intellectual disability

The role of support staff in promoting the social inclusion of persons with an intellectual disability

Resident Involvement in Activity in Small Community Homes for People with Learning Disabilities

Severe Learning Disabilities and Challenging Behaviours

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