Increasing Staff Ratios in an Activity With Severely Mentally Handicapped People

Mansell, Jim; Felce, David John; Jenkins, Judith; Kock, Ursula de

doi:10.1179/bjms.1982.012

Cited by 37 publications

(29 citation statements)

References 3 publications

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“…Whereas in the larger spaces of Dc1 pairs of staff often worked with larger groups of service users. This possibility would correspond to the findings of several studies of residential services which have found that adding staff but keeping the client group size the same has no effect or only little effect on the amount of engagement/interaction (Felce, Repp, Thomas & Ager 1991;Mansell, Felce, Jenkins & De Kock 1982).…”

Section: Discussionsupporting

confidence: 83%

“…Mansell, Felce, Jenkins & De Kock (1982) found that in community based units, as the number of staff increased in the observational field, the amount of interaction with residents seen as a proportion of staff time, decreased. Felce, Repp, Thomas & Ager (1991) compared rates of interaction in four large institutional settings, three large community based units and two groups of small homes in the community.…”

Section: Introductionmentioning

confidence: 96%

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Quality of Staff Service User Interaction in Two Day Centres for Adults with Learning Disabilities

Skea¹

2007

MHLDRP

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This study involves quality of interaction between Day Centre staff and Service-Users with Learning Disabilities in two Day Centres (Dc1 n=50, Dc2 n=247). The Quality of Interactions Schedule (QUIS) was applied within an eight month prospective design, involving 32 visits which constructed a 'typical day' composed of 20-30 minute observational sessions within each Day Centre.The largest proportions of interactions were of a positive nature (87%) across both Day Centres. More positive care interactions were seen in Dc1 and significantly higher rates of positive interactions in Dc1. The greatest use of Verbal and Non-verbal interaction was observed in Dc1. Service users initiated more of the interactions in Dc2. Lengthier verbal interactions were seen in Dc1 and conversely greater amounts of short verbal interactions were seen in Dc2. Within both centres time-tables that were inspected indicated similar proportions spent in: Work, Leisure, Education, Community and Social skills sessions. In comparison to previous studies a relatively low proportion of activities were community based and social skills orientated.Results are framed within comparable observational studies in Day Centres; differences in measurement characteristics employed (Cummins, 2000(Cummins, , 2002 and service evaluation of quality of life in Day centres for adults with Learning Disabilities. Reliability and validity of results were also examined.

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Section: Discussionsupporting

confidence: 83%

Section: Introductionmentioning

confidence: 96%

Quality of Staff Service User Interaction in Two Day Centres for Adults with Learning Disabilities

Skea¹

2007

MHLDRP

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“…Indeed, some evidence indicates it is possible to have too many staff. Felce & Repp (1992) and Mansell et al (1982) found that services with higher staff ratios had less staff-service user interactions and engagement than those with lower ratios. Findings by Felce et al (2008) were mixed, showing that more staff was associated with poorer health and money management and less variety in community activities and less staff was associated with more engagement, more self-determination, and better social networks outside of family.…”

Section: Resourcesmentioning

confidence: 99%

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

Bigby

Beadle‐Brown

2016

Research Intellect Disabil

106

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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.

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“…Clear allocation of staff to duties and arranging the setting so that staff work alone with residents rather than with other members of staff has been shown to result in increased staff:resident interaction (Harris et al. 1974; Mansell et al. 1982; Felce et al.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the Dissemination of Active Support Training and Training Trainers

Jones

Felce

Lowe

et al. 2001

Research Intellect Disabil

Self Cite

152

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The aim of the present study was to replicate active support (AS) and train the service managers of community housing services as trainers in so doing. Training was conducted in three phases: (1) in 22 houses, it was led by one of the researchers, with identified managers assisting (Apprenticeship); (2) in 16, it was led by a manager who had participated in the previous phase, assisted by the researcher (Supervision); and (3) in 36 houses, it was undertaken independently by managers who had participated in the previous two phases (Independent). Changes in the extent of planned activity, resident involvement in domestic, social and community activities, the observed staff:resident interaction, and observed resident engagement in activity were evaluated. Resident views about the introduction of AS were canvassed. Active support training was fully implemented in the first two phases, but not in the third. There was an increase in planned activity in all phases after AS training. Significant increases in assistance and resident engagement in activity were found in the first two phases, but not in the third. Active support was shown to be of greater benefit to people with more severe disabilities. The resident feedback was positive. The approach taken to training managers as trainers was not sufficient to enable them to implement the training in its entirety during the third phase. The absence of change in this phase indicated the necessity of the practical interaction training, which was the element mainly missed out. Since AS was once again shown to be an effective approach for people with more severe intellectual disabilities, the challenge of creating a widespread ability to train staff within community housing services requires further effort.

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Increasing Staff Ratios in an Activity With Severely Mentally Handicapped People

Cited by 37 publications

References 3 publications

Quality of Staff Service User Interaction in Two Day Centres for Adults with Learning Disabilities

Quality of Staff Service User Interaction in Two Day Centres for Adults with Learning Disabilities

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

Evaluation of the Dissemination of Active Support Training and Training Trainers

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