Evaluating community care: services for people with learning difficulties
The aim of this book is to describe and discuss the principles of evaluating community care services for people with learning difficulties and to explore how they have been applied in the development of policy in the last ten years. Although the contents are based heavily upon the theory and practic...
Gespeichert in:
| Hauptverfasser: | , , |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Buckingham [u.a.]
Open Univ. Press
1994
|
| Ausgabe: | 1. publ. |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Zusammenfassung: | The aim of this book is to describe and discuss the principles of evaluating community care services for people with learning difficulties and to explore how they have been applied in the development of policy in the last ten years. Although the contents are based heavily upon the theory and practice of micro-economic appraisal of health and social care, other social science disciplines are exploited wherever relevant. No prior knowledge of any of these disciplines is expected The coverage of the book follows the logical steps in policy evaluation including an explanation of different approaches to evaluation, a discussion of recent policy objectives, the measurement of outcomes and costs and the policy implications of recent evaluative studies. The book concludes with an examination of the relevance of evaluative studies to the new arrangements for community care of people with learning difficulties |
| Beschreibung: | XI, 191 S. |
| ISBN: | 0335094961 033509497X |
Internformat
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| 520 | 3 | |a The aim of this book is to describe and discuss the principles of evaluating community care services for people with learning difficulties and to explore how they have been applied in the development of policy in the last ten years. Although the contents are based heavily upon the theory and practice of micro-economic appraisal of health and social care, other social science disciplines are exploited wherever relevant. No prior knowledge of any of these disciplines is expected | |
| 520 | |a The coverage of the book follows the logical steps in policy evaluation including an explanation of different approaches to evaluation, a discussion of recent policy objectives, the measurement of outcomes and costs and the policy implications of recent evaluative studies. The book concludes with an examination of the relevance of evaluative studies to the new arrangements for community care of people with learning difficulties | ||
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Datensatz im Suchindex
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| adam_text | Contents
Acknowledgements xii
1 Introduction 1
2 The evaluation framework 10
Introduction 10
Consumer sovereignty 14
The starting point: the rationale and objectives of service
interventions 14
The process of achieving what we need and want 15
The production of welfare 16
An introduction to techniques of economic analysis 22
Economic analysis and decision making 22
Efficiency in service provision 23
Cost benefit analysis (CBA) 23
Cost utility analysis (CUA) 23
Cost effectiveness analysis (CEA) 24
Conclusion 25
3 The policy background 26
Introduction 26
Prevention policies 26
Preconception measures 26
Antenatal care 27
General health care 31
The transition to Community care 32
Background 32
The ordinary life objectives 34
viii Evaluating Community care
Day Services 35
Employment Services 36
Family care 37
Short term care 37
Professional support 38
Financial help 39
People with behaviour disorders 40
Empowerment and brokerage in health and social care 41
Principles of empowerment and brokerage 41
The existing service system 43
The need for a new approach: ways forward 44
Funding Community care 46
4 Outcomes 1: definition and methodology 52
Introduction and context 52
Final (user) outcomes 53
The need for a frame of reference 53
The starting point 53
User level aecomplishments 54
Moral imperative 57
Intermediate or service based outcomes 57
The produetion of final outcomes 57
Service or organizational level aecomplishments 58
External outcomes 59
External costs 59
External benefits 60
Towards speeifie research dimensions 60
Measurement basics: issues of research design 61
Measures of outcome 61 .
Data quality and level of measurement 62 !
The time dimension 62
Design issues 63
Sampling 65
Methodological approaches 65
Methodological introduction 65
Qualitative approaches 65
Quantitative approaches 67
Critical review: problems and challenges to overcome 69
Comparing and combining qualitative and quantitative
approaches 73
Data collection and fieldwork: an introduetory review 74
Overview of data collection techniques 74
Overview of the fieldwork process 76
Contents ix
5 Outcomes 2: specific research dimensions and their
measurement 80
Introduction 80
Everyday functioning: adaptive and maladaptive behaviour 81
Definition and importance 81
Research instruments 81
Interpretation: actual functioning versus potential
abilities 82
Maladaptive behaviour 85
The Revised Adaptive Behavior Scale 86
Engagement in activity 88
Definition, importance and the personal diary 88
Development of the personal diary 89
Administration of the personal diary 91
Personal experience of life and life quality 92
Personal presentation 94
Social relationships, social networks and community
participation 94
Physical environment 94
Social environment 95
The human management practices model 95
Normalization based approaches 96
The social ecological model and social climate 98
Development and use of the social environment scales 99
Staff 101
Frameworks for matching resources to wants and needs 101
Effects on other people (external outcomes) 102
Notes on the analysis and interpretation of data 102
6 Outcomes 3: evidence and issues 104
Introduction 1°4
Final outcomes 1: position Statement on user level
accomplishments 104
Overview 104
Community presence 106
Informed choice 106
Competence 106
Self determination 107
Participation: valued participation in community life 107
Personal continuity 107
Personal experience of life and life quality 108
Final outcomes 2: families, institutions, supported ordinary
living and moving 108
x Evaluating Community care
Families 108
Institutions 1: long stay hospitals 109
Institutions 2: community facilities 111
Supported ordinary living 112
Moving from institutional living to community living 113
The production of final outcomes 115
The normalization effect 115
Individual characteristics and the normalization effect 116
Policy issues and concerns 117
Implications and ways forward 119
Frameworks and mechanisms that promote and
support accomplishments: empowerment and
Service brokerage 119
Examples of good practice developments: core Services 119
Moving forward 125
7 Cost measurement in theory 126
Introduction 126
Concepts of costs 126
Measuring costs 128
Two refinements 131
Allowance for differential timing 131
Allowance for uncertainty 132
Financial effects 132
Disaggregating costs 134
Aggregating and disaggregating costs 134
Hospital costs 134
Costs of residential care 135
Day Services 136
Disaggregating costs to the individuals 136
Conclusions 137
Cost measurement in practice 139
Introduction 139
The costs of alternative forms of residential care 139
The relationship between size of unit and costs per ;
resident 139
The effects of disability on costs per resident 141
Costs of residential homes in the public and
independent sectors 141
Costs and quality of residential care 142
Day Services 143
Short term care 144
The transition to community care 145
Contents xi
The costs of professional Services 147
The costs of care at home 149
Conclusion 152
9 Conclusion: policy development and evaluation in
the 1990s 153
Purpose of the chapter 153
Policy achievements 154
Primary prevention policies 154
Secondary prevention 154
General health care 155
Social care 155
Achievements awaited 158
Brave new world 160
Evaluation and dissemination 163
References 164
Index 183
|
| any_adam_object | 1 |
| author | Wright, Ken Haycox, Alan Leedham, Ian |
| author_facet | Wright, Ken Haycox, Alan Leedham, Ian |
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| author_sort | Wright, Ken |
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| dewey-full | 362.3/8/0941 |
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| dewey-ones | 362 - Social problems and services to groups |
| dewey-raw | 362.3/8/0941 |
| dewey-search | 362.3/8/0941 |
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| spelling | Wright, Ken Verfasser aut Evaluating community care services for people with learning difficulties Ken Wright ; Alan Haycox ; Ian Leedham 1. publ. Buckingham [u.a.] Open Univ. Press 1994 XI, 191 S. txt rdacontent n rdamedia nc rdacarrier The aim of this book is to describe and discuss the principles of evaluating community care services for people with learning difficulties and to explore how they have been applied in the development of policy in the last ten years. Although the contents are based heavily upon the theory and practice of micro-economic appraisal of health and social care, other social science disciplines are exploited wherever relevant. No prior knowledge of any of these disciplines is expected The coverage of the book follows the logical steps in policy evaluation including an explanation of different approaches to evaluation, a discussion of recent policy objectives, the measurement of outcomes and costs and the policy implications of recent evaluative studies. The book concludes with an examination of the relevance of evaluative studies to the new arrangements for community care of people with learning difficulties Geestelijk gehandicapten gtt Hulpverlening gtt Kosten-batenanalyse gtt Leermoeilijkheden gtt Community Mental Health Services Great Britain Learning disabled Services for Great Britain Evaluation Mental Retardation rehabilitation Great Britain Mental health services Great Britain Evaluation People with mental disabilities Services for Great Britain Evaluation Program Evaluation methods Great Britain Sozialarbeit (DE-588)4055676-1 gnd rswk-swf Gemeinde (DE-588)4019956-3 gnd rswk-swf Evaluation (DE-588)4071034-8 gnd rswk-swf Geistig behinderter Mensch (DE-588)4019841-8 gnd rswk-swf Großbritannien Großbritannien (DE-588)4022153-2 gnd rswk-swf Großbritannien (DE-588)4022153-2 g Geistig behinderter Mensch (DE-588)4019841-8 s Gemeinde (DE-588)4019956-3 s Sozialarbeit (DE-588)4055676-1 s Evaluation (DE-588)4071034-8 s DE-604 Haycox, Alan Verfasser aut Leedham, Ian Verfasser aut HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=006767998&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Wright, Ken Haycox, Alan Leedham, Ian Evaluating community care services for people with learning difficulties Geestelijk gehandicapten gtt Hulpverlening gtt Kosten-batenanalyse gtt Leermoeilijkheden gtt Community Mental Health Services Great Britain Learning disabled Services for Great Britain Evaluation Mental Retardation rehabilitation Great Britain Mental health services Great Britain Evaluation People with mental disabilities Services for Great Britain Evaluation Program Evaluation methods Great Britain Sozialarbeit (DE-588)4055676-1 gnd Gemeinde (DE-588)4019956-3 gnd Evaluation (DE-588)4071034-8 gnd Geistig behinderter Mensch (DE-588)4019841-8 gnd |
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| title | Evaluating community care services for people with learning difficulties |
| title_auth | Evaluating community care services for people with learning difficulties |
| title_exact_search | Evaluating community care services for people with learning difficulties |
| title_full | Evaluating community care services for people with learning difficulties Ken Wright ; Alan Haycox ; Ian Leedham |
| title_fullStr | Evaluating community care services for people with learning difficulties Ken Wright ; Alan Haycox ; Ian Leedham |
| title_full_unstemmed | Evaluating community care services for people with learning difficulties Ken Wright ; Alan Haycox ; Ian Leedham |
| title_short | Evaluating community care |
| title_sort | evaluating community care services for people with learning difficulties |
| title_sub | services for people with learning difficulties |
| topic | Geestelijk gehandicapten gtt Hulpverlening gtt Kosten-batenanalyse gtt Leermoeilijkheden gtt Community Mental Health Services Great Britain Learning disabled Services for Great Britain Evaluation Mental Retardation rehabilitation Great Britain Mental health services Great Britain Evaluation People with mental disabilities Services for Great Britain Evaluation Program Evaluation methods Great Britain Sozialarbeit (DE-588)4055676-1 gnd Gemeinde (DE-588)4019956-3 gnd Evaluation (DE-588)4071034-8 gnd Geistig behinderter Mensch (DE-588)4019841-8 gnd |
| topic_facet | Geestelijk gehandicapten Hulpverlening Kosten-batenanalyse Leermoeilijkheden Community Mental Health Services Great Britain Learning disabled Services for Great Britain Evaluation Mental Retardation rehabilitation Great Britain Mental health services Great Britain Evaluation People with mental disabilities Services for Great Britain Evaluation Program Evaluation methods Great Britain Sozialarbeit Gemeinde Evaluation Geistig behinderter Mensch Großbritannien |
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