Outcomes and costs of skilled support for people with severe or profound intellectual disability and complex needs.
complex needs
costs
outcomes
quality of life
severe and profound intellectual disability
skilled support
Journal
Journal of applied research in intellectual disabilities : JARID
ISSN: 1468-3148
Titre abrégé: J Appl Res Intellect Disabil
Pays: England
ID NLM: 9613616
Informations de publication
Date de publication:
Jan 2021
Jan 2021
Historique:
received:
03
08
2017
revised:
14
01
2019
accepted:
23
06
2020
pubmed:
6
8
2020
medline:
19
8
2021
entrez:
6
8
2020
Statut:
ppublish
Résumé
With increasing reductions in funding for social care across many countries, the need to ensure that resources are used to best effect is becoming increasingly important, in particular for those with severe and complex needs. In order to explore the outcomes and costs of skilled support for this group of people, quality of life was assessed for 110 people in 35 services in England. Information on costs was also collected. People who received consistently good active support experienced better outcomes in terms of several quality of life domains. Good support did not require significantly more staff time, and there was no evidence of higher total costs for those receiving good support. The inclusion of active support in government guidance and local commissioning practices related to people with severe intellectual disabilities is likely to improve user outcomes. Observation should be an important element in measuring service quality.
Sections du résumé
BACKGROUND
BACKGROUND
With increasing reductions in funding for social care across many countries, the need to ensure that resources are used to best effect is becoming increasingly important, in particular for those with severe and complex needs.
METHODS
METHODS
In order to explore the outcomes and costs of skilled support for this group of people, quality of life was assessed for 110 people in 35 services in England. Information on costs was also collected.
RESULTS
RESULTS
People who received consistently good active support experienced better outcomes in terms of several quality of life domains. Good support did not require significantly more staff time, and there was no evidence of higher total costs for those receiving good support.
CONCLUSIONS
CONCLUSIONS
The inclusion of active support in government guidance and local commissioning practices related to people with severe intellectual disabilities is likely to improve user outcomes. Observation should be an important element in measuring service quality.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
42-54Subventions
Organisme : NIHR School for Social Care Research
Informations de copyright
© 2020 The Authors. Journal of Applied Research in Intellectual Disabilities published by John Wiley & Sons Ltd.
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