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A case‐study of policy change in residential service provision for adult persons with intellectual disability in Ireland.
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- Author(s): Kelly, Caraíosa (AUTHOR); McConkey, Roy (AUTHOR); Craig, Sarah (AUTHOR)
- Source:
Health & Social Care in the Community. Sep2019, Vol. 27 Issue 5, pe760-e768. 9p. 2 Charts, 2 Graphs. - Source:
- Additional Information
- Subject Terms: DEINSTITUTIONALIZATION; HEALTH services accessibility; LONGITUDINAL method; RESEARCH methodology; MEDICAL needs assessment; PEOPLE with intellectual disabilities; POLICY sciences; POLICY science research; PROVIDER-sponsored organizations (Medical care); RELOCATION; MULTIPLE regression analysis; RESIDENTIAL care; DATA analysis software
- Subject Terms:
- Abstract: In Europe, many people with intellectual disabilities continue to live in congregated settings. In 2012, Ireland formally introduced a resettlement policy with people moving to live in more personalised arrangements. This longitudinal country case‐study aimed to monitor the implementation of this policy and the intra‐country variations that arose using the records maintained in the National Intellectual Disability Database. Details of over 4,000 people living in congregated settings were examined in 2007 and again in 2012 and 2017. In addition, people who moved from such settings from 2007 onwards were tracked and the number of new admissions to them was estimated over the 10‐year period. Overall there was nearly a 30% drop in the numbers of people in congregated settings but the reductions varied markedly across the country and by 2017 the disparity was greater than in 2007. Also by 2017 persons aged over 55 years were eight times more likely to be accommodated in congregated settings. The case‐study illustrates the value of a longitudinal dataset for monitoring policy implementation across a diversity of provider organisations and administrative areas. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Health & Social Care in the Community is the property of Hindawi Limited and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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