Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 3 de 3
Filter
Add more filters










Database
Language
Publication year range
1.
J Intellect Disabil ; 15(4): 289-99, 2011 Dec.
Article in English | MEDLINE | ID: mdl-22190570

ABSTRACT

This is the second of two articles examining links between policy developments and changes in professional practice within learning disability services in England. The first article focused on policy foundations over the last 30 years, and concluded that there was a developing gap in professional inputs between children's and adult services. This article, written one year into the Coalition government, argues that its policies--especially the large-scale reduction in public expenditure, but also the decline in support for inclusion of children in mainstream education, the rapid growth of academies, and proposals for the reorganization of the NHS--have exacerbated the trends identified earlier. In addition, local authorities, though outwardly compliant, have variously interpreted their responsibilities under the personalization agenda, in particular in relation to individual budgets, and this has resulted in assessments of need being based on 'service hours' rather than service quality and staff qualifications.


Subject(s)
Health Policy/trends , Learning Disabilities/therapy , Patient Care Management/trends , Professional Practice/trends , Adult , Child , England , Health Policy/legislation & jurisprudence , Humans , Learning Disabilities/economics , Learning Disabilities/epidemiology , Patient Care Management/legislation & jurisprudence , Patient Care Management/standards , Professional Practice/legislation & jurisprudence , Professional Practice/standards , United Kingdom/epidemiology
2.
J Intellect Disabil ; 14(4): 315-28, 2010 Dec.
Article in English | MEDLINE | ID: mdl-21285124

ABSTRACT

This is the first of two articles examining links between policy developments and changes in professional practice within learning disability services in England, focusing upon emergent differences between children's and adult provision. The article focuses on the evolving tension around policy directions and managerialism/professionalism, with the latter as a set of practices driving services, particularly following the 1988 Griffiths Report but referring also to its antecedents. Implications of this development are examined to highlight a difference in emphasis between the credibility and professional status of the workforce in children's, as opposed to adult, services for people with learning disabilities. A historical narrative demonstrates a continuum from the policies of Thatcherism to those of New Labour, underpinned by the assertion that normalization ideas have shaped both social policy and professional directions. The origins of current policy initiatives covering the last 20 years are explored, showing the consequences of a developing gap between professional inputs for children's and adult services.


Subject(s)
Health Policy/trends , Intellectual Disability/therapy , Learning Disabilities/therapy , Marketing of Health Services/trends , Patient-Centered Care/trends , Professional Practice/trends , Public Policy/trends , Quality Assurance, Health Care/trends , Social Values , State Medicine/trends , Adult , Child , Child Abuse/prevention & control , Child Welfare/trends , Child, Preschool , Deinstitutionalization/trends , Forecasting , Health Services Needs and Demand/trends , Humans , Infant , Patient Care Management/trends , United Kingdom
3.
J Intellect Disabil ; 11(1): 83-103, 2007 Mar.
Article in English | MEDLINE | ID: mdl-17287231

ABSTRACT

Cross-cultural differences in governance and policies for learning disability services are of interest. This article focuses on two UK government policy documents issued in 1971 and 2001. Their context, creation, principles, proposals and proposed implementation are examined, and lessons are drawn for an international audience as to the changing nature of services in the UK. The analysis reveals a move from a detailed and prescriptive policy in 1971, largely defined by professionals and bureaucrats, and aimed primarily at families with a disabled member, to statements of broad principles in 2001, devised in consultation with and aimed at a range of groups, including disabled people themselves. The article acknowledges progress in individual rights and choices for people with learning disabilities, but raises doubts about how significant this is in achieving a qualitative improvement in their lives. Some of these doubts relate to the governance process itself.


Subject(s)
Delivery of Health Care/trends , Health Policy/trends , Intellectual Disability/rehabilitation , Patient Advocacy/trends , State Medicine/trends , Forecasting , Humans , Intellectual Disability/psychology , Patient Participation/trends , Referral and Consultation/trends , United Kingdom
SELECTION OF CITATIONS
SEARCH DETAIL
...