摘要:

In this country, and elsewhere, there has been a marked shift towards community care and away from institutional care for people with mental handicaps as well as those who are mentally ill. Many aspects of these changes are promising for the people concerned, but the transition also involves some difficulties and challenges for them as well as for health and social services. The article presents one man's experience of life in hospital and discusses the need to ensure that adequate support services are provided for people like him, to maintain them satisfactorily in their new way of life.

ISSN:0261-9997    

DOI:10.1111/j.1468-3156.1988.tb00437.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

This paper draws on the findings of a two‐part study of 55 people discharged from three mental handicap hospitals during the decade 1971–81 to live more independently in the community. Part one, a retrospective study of hospital records, provided data on their lives before they moved. Part two was a follow‐up study of the remaining 50 people living in community settingsaftertheir move. A detailed account of their current life styles was compiled from data from social services records, interviews with social workers, and interviews with the people themselves.Hospital records varied in their completeness but they did describe the people's personalities (personal qualities and motivation), close friendships, outside social contacts, and daytime activities. These four factors were looked at again in relation to their current life styles. The paper discusses the trends that em

ISSN:0261-9997    

DOI:10.1111/j.1468-3156.1988.tb00438.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

As housing projects for people with mental handicaps develop some challenges begin to emerge. This article presents some of the challenges and dilemmas which health authorities face when setting up small, locally based housing projects.

ISSN:0261-9997    

DOI:10.1111/j.1468-3156.1988.tb00439.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

This is the second in a series of articles inMental Handicapthat explore the provision of community based services for people with severe mental handicaps and challenging behaviours. It presents information arising from the work of the South East Thames Regional Health Authority's Special Development Team that begins to answer the basic question: who are the people with severe mental handicaps whose behaviour poses a major challenge to current services?

ISSN:0261-9997    

DOI:10.1111/j.1468-3156.1988.tb00440.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

The article gives an insight into the life of a family with a child with severe mental handicap as seen by a pupil nurse involved with the family on a 12‐week placement. It stresses the need for parents and professionals to reach a mutual understanding, and highlights the most important skills required of a community nurs

ISSN:0261-9997    

DOI:10.1111/j.1468-3156.1988.tb00441.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

In this article the author describes the home‐based learning programme of the Zimcare Trust, which is directed by Lilian Mariga in Zimbabwe. The programme aims to help families living in rural areas, far removed from schools and services. He reflects on the lessons for services in developed countrie

ISSN:0261-9997    

DOI:10.1111/j.1468-3156.1988.tb00442.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

This article is written (like that of Carpenter, 1984) from my personal experience, in two schools for children with severe learning difficulties, of coordinating a Staff Curriculum Development Group using theSkills Analysis Model (SAM)(Gardner, Murphy, and Crawford, 1983). The aim here, however, is to illustrate reservations about the use of aSAMor “son ofSAM” approach in such schools and to indicate possible alternative emphases.The point of view is expressed thatSAM, and other behavioural objectives models, can lead to an unrealistic imbalance with an emphasis on what is being taught rather than what is being learned: approaches which ultimately degrade the learner, the teacher, and the learning proc

ISSN:0261-9997    

DOI:10.1111/j.1468-3156.1988.tb00443.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

Little has been written about adults with mental handicaps who can read. A surprising number were found in institutions in South‐East London (68 who were at least semi‐literate, of whom 11 were literate). No explanation of this ability, associated with IQ's as low as 40, was found in the literature or in this study. Comprehension scores were on average more than a year lower than Accuracy scores, giving support for the notion of “barking at print”. A recommendation is made that reading for use should be extended beyond theSocial Sight Voc

ISSN:0261-9997    

DOI:10.1111/j.1468-3156.1988.tb00444.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

The Jay Project was set up to devise a method for assessing the needs of individuals with mental handicaps, with particular reference to the services that they were then receiving and to identify future service needs. It presented service needs from the point of view of the individuals, rather than trying to fit them into current service provision. Assessments covered all the major areas of life. Findings were presented to a Steering Group whose members were drawn from all the relevant local statutory and voluntary agencies. It was hoped that the Project would be able to inform service planning both for the individuals assessed and on broader planning levels, would create a multi‐agency forum and approach to services, and would help to improve inter‐agency contact and cooperat

ISSN:0261-9997    

DOI:10.1111/j.1468-3156.1988.tb00445.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

ISSN:0261-9997    

DOI:10.1111/j.1468-3156.1988.tb00446.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY