摘要:

Studies are reviewed which contribute information on the costs and benefits of different forms of residential service for people with severe mental handicaps including ordinary housing, larger community services and traditional hospitals. Costs do vary but variation is not always easy to explain, particularly within services of the same type. Moreover, the common expectation that there are diseconomies arising in small scale provision is not borne out in general. Research of service quality has shown better outcomes associated with ordinary housing than with larger and more traditional provision, covering such issues as developmental growth, engagement in community and domestic daily living activities, social contact, quality of the environment, choice and variety of activity. The cost effectiveness advantage of ordinary housing services over traditional hospitals can be concluded. However, this conclusion needs to be qualified by a degree of caution. Housing services have continued to decrease in size and decisions concerning the level of staffing have considerable implications for costs. In addition, more attention needs to be given to ensure that staff input results in outcomes for service users.

ISSN:0261-9997    

DOI:10.1111/j.1468-3156.1993.tb00683.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

This paper highlights applications of the Life Experiences Checklist in the areas of staff training and programme planning. In the former area the use of the LEC as a means of reinforcing normalisation‐related concepts and encouraging attitudinal change is described. In the latter area particular attention is given to the way the LEC can assist in setting individual goals in neglected domains such as relationship

ISSN:0261-9997    

DOI:10.1111/j.1468-3156.1993.tb00684.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

This paper describes a Special Needs Register (SNR) for people with learning difficulties, which has been operational in Dudley for over five years. The results of a user‐survey are included. They indicate that the SNR is accessible, well‐used, up‐to‐date, and integral to the services. Suggestions for future developments are made which may be of use to those in the process of developing a r

ISSN:0261-9997    

DOI:10.1111/j.1468-3156.1993.tb00685.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

This article argues for an empathetic, holistic approach to task analysis skills, formerly perceived as components of behavioural teaching approaches. It suggests that analysis of behaviours and contexts may lead to more appropriate presentation of information to clients with multiple disabilities. The Martian dinner party game is a training exercise supporting the practice of analytical skills in a context allowing discussion of factors affecting their use.

ISSN:0261-9997    

DOI:10.1111/j.1468-3156.1993.tb00686.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

This is the first of two papers focusing upon a new approach to staff development provision within Basildon and Thurrock Health Authority's service for people with learning disabilities. The ‘Education and Training for Change’ programme was set up in January 1990 on a contractual basis between the learning disabilities service (the purchaser) and a local HE College (the provider) which has since become a Polytechnic. Both the papers reflect on different aspects of the programme during its first eighteen months of operation, and attempt to draw some preliminary conclusions that may be of interest to other services.This paper addresses the joint nature of the programme and the particular model of provision adopted, where the staff are ‘in, but not of the service’ i.e. sited in, but not employed or managed by the service. Some of the strengths and difficulties of such a model are highlighted, particularly as they apply during a time of organisational change, and the lessons we have drawn from our experiences are e

ISSN:0261-9997    

DOI:10.1111/j.1468-3156.1993.tb00687.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

This paper describes a group approach to the treatment of overweight and poor nutritional intake in a group of people with a learning difficulty and highlights some of the problems that were encountered. It is hoped to offer some lessons to clinicians who may be faced with a similar problem or task in their own clinical service.

ISSN:0261-9997    

DOI:10.1111/j.1468-3156.1993.tb00688.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Drinking may be perceived as a highly valued activity by people with learning disabilities and some may, therefore, be prone to drinking to excess without taking the likely negative consequences into account. Alcohol interventions are important and the issue of how these might best be used with this group requires attention. A brief intervention is described in this paper which includes the use of a video‐taped problem drinker to whom clients were asked to give advice. An evaluation, which involved asking clients to specify how they would reduce their drinking, lent some support to the effectiveness of the video‐tape as a teaching method. After viewing the video, clients were able to suggest more specific strategies for behaviour cha

ISSN:0261-9997    

DOI:10.1111/j.1468-3156.1993.tb00689.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Observing an infant increases our understanding of non‐verbal behaviours, interactions, emotional development and emerging relationships. An observational component is now included in the one year course at the Tavistock Clinic on psychodynamic work and mental handicap. This article describes my own personal experience in the hope that it will stimulate interest in such an approach. In working with non‐verbal individuals with severe mental handicap observation is often our most powerful and accurate mode of assessment and we must have the courage to verbalise

ISSN:0261-9997    

DOI:10.1111/j.1468-3156.1993.tb00690.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Book reviewed in this article:Values to PracticeBob McCormack, Mary Rafferty and Christy Lynch.Citizen Advocacy: A Powerful PartnershipKate Butler, Sally Carr and Frances SullivanAfter I'm Gone: What Will Happen to my Handicapped Child?Gerald SanctuarySelf Advocacy at Work: Training Materials for People Involved in Supporting Others to Represent ThemselvesEMFECA Mind of One's Own: A Guide to the Special Difficulties and Needs of the More Able Person with Autism, for Parents, Professionals and People with AutismDigby Tantam

ISSN:0261-9997    

DOI:10.1111/j.1468-3156.1993.tb00691.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Microcomputers have secured for themselves an important place in the current services for people with learning disabilities. They are seen as prestigious and interesting by clients and staff, if somewhat terrifying at first, and a door into an area for learning new skills in creative ways. Importantly, they require a cooperative effort with many branches of a service playing a part to provide funds, secure training for staff, find the appropriate software, link learning experiences to the rest of the social‐education curriculum, and use the systems with enthusiasm and energy. ‘Softly Speaking’ is a new series which aims to introduce new software to the many users of computers. In the first part of this new series Dr John Hegarty, Head of theComputer Applications to Special Educationunit at Keele University reviews a recently‐produced pack for people with profound learning disabilities, and new tutorial software to help people learn to use the ‘Acorn A3000

ISSN:0261-9997    

DOI:10.1111/j.1468-3156.1993.tb00692.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY