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Article
Publication date: 31 March 2022

Joan Scott Love

The study aims to evaluate: (1) How university students from interior architecture can create a forward-looking “Sensory Living” brief informed by both external autism experts and…

Abstract

Purpose

The study aims to evaluate: (1) How university students from interior architecture can create a forward-looking “Sensory Living” brief informed by both external autism experts and a specialist tutor, evidenced through Leeds City Council's live autism adult accommodation project. (2) Issues involved with moving an experimental studio teaching model online during the COVID-19 pandemic.

Design/methodology/approach

A grounded theory approach informs an innovative teaching model, run over two years, to create a better normal; challenges and opportunities are critiqued.

Findings

Feedback from experienced autism-specific experts raises recurring sensory and communication issues which frame a series of design problems to help inform the student briefs. Students learn that the designer as advocate for vulnerable users is imperative. Aspects of online teaching that can benefit an experimental studio teaching model are identified.

Practical implications

Identification of the responsive “Sensory Living Model” illustrates (1) How local authorities can avoid seclusion and integrate meaningful “continuous learning opportunities” into autism-friendly adult accommodation for post-pandemic health and wellbeing. (2) How to embed autism-friendly design in the university curriculum.

Social implications

The study helps address some of the UK Government's “National strategy for autistic children, young people and adults: 2021 to 2026”.

Originality/value

“Ten Novel Sensory Living Themes” are uncovered to help inform the design of autism-friendly adult accommodation. These are of value to (1) local authorities and design practitioners in formulating design briefs and (2) universities in educating future designers of inclusive spaces.

Details

Archnet-IJAR: International Journal of Architectural Research, vol. 16 no. 3
Type: Research Article
ISSN: 2631-6862

Keywords

Article
Publication date: 15 October 2019

Julie Barrett, Simon Evans and Neil Mapes

The purpose of this paper is to examine the recent evidence relating to green (nature-based) dementia care for people living with dementia in long-term accommodation and care…

Abstract

Purpose

The purpose of this paper is to examine the recent evidence relating to green (nature-based) dementia care for people living with dementia in long-term accommodation and care settings (housing for older people that provides both accommodation and care, such as residential care homes, nursing homes and extra care housing schemes). The review formed part of a pilot study exploring interaction with nature for people living with dementia in care homes and extra care housing schemes in the UK. Rather than a comprehensive systematic or critical literature review, the intention was to increase understanding of green dementia care to support the pilot study.

Design/methodology/approach

The review draws together the published and grey literature on the impacts of green (nature-based) dementia care, the barriers and enablers and good practice in provision. People living with dementia in accommodation and care settings are the focus of this review, due to the research study of which the review is part. Evidence relating to the impacts of engaging with nature on people in general, older people and residents in accommodation and care is also briefly examined as it has a bearing on people living with dementia.

Findings

Although interaction with the natural environment may not guarantee sustained wellbeing for all people living with dementia, there is some compelling evidence for a number of health and wellbeing benefits for many. However, there is a clear need for more large-scale rigorous research in this area, particularly with reference to health and wellbeing outcomes for people living with dementia in accommodation and care settings for which the evidence is limited. There is a stronger evidence base on barriers and enablers to accessing nature for people living with dementia in such settings.

Research limitations/implications

The literature review was conducted to support a pilot study exploring green (nature-based) dementia care in care homes and extra care housing schemes in the UK. Consequently, the focus of the review was on green dementia care in accommodation and care settings. The study, and thus the review, also focussed on direct contact with nature (whether that occurs outdoors or indoors) rather than indirect contact (e.g. viewing nature in a photograph, on a TV screen or through a window) or simulated nature (e.g. robot pets). Therefore, this paper is not a full review of all aspects of green dementia care.

Originality/value

This paper presents an up-to-date review of literature relating to green dementia care in accommodation and care settings. It was successful in increasing understanding to support a pilot study exploring opportunities, benefits, barriers and enablers to interaction with nature for people living with dementia in care homes and extra care housing schemes in the UK. It demonstrated the impacts, value and accessibility of nature engagement in these settings and identified gaps in the evidence base. This review and subsequent pilot study provide a strong platform from which to conduct future research exploring green dementia care in accommodation and care settings.

Details

Housing, Care and Support, vol. 22 no. 4
Type: Research Article
ISSN: 1460-8790

Keywords

Article
Publication date: 3 January 2017

Chris Hatton

The purpose of this paper is to compare data from national social care statistics on the living situations of people with learning disabilities across England, Scotland, Wales and…

Abstract

Purpose

The purpose of this paper is to compare data from national social care statistics on the living situations of people with learning disabilities across England, Scotland, Wales and Northern Ireland.

Design/methodology/approach

National social care statistics (England, Scotland, Wales, Northern Ireland) reporting the living situations of adults with learning disabilities (residential and nursing care, living with family, other forms of accommodation) were accessed, with data extracted on trends over time and rate of service use.

Findings

There were substantial differences in the statistics collected across the UK. Overall, there were higher reported rates of adults with learning disabilities in residential/nursing accommodation in England than Scotland or Wales, but much lower reported rates of adults living in other forms of unsupported and supported accommodation and much lower reported rates of adults living with their families. In all three countries, trends over time suggest that reductions in residential care towards more independent living options may be stalling. In Northern Ireland reductions in currently extensive residential and nursing care services are continuing, unlike other parts of the UK.

Social implications

Despite similar policy ambitions across the four parts of the UK, statistics on the living situations of adults with learning disabilities report substantial differences.

Originality/value

This paper is a first attempt to compare national social care statistics concerning the living situations of adults with learning disabilities across the UK. With increasing divergence of health and social service systems, further comparative analyses of services for people with learning disabilities are needed.

Details

Tizard Learning Disability Review, vol. 22 no. 1
Type: Research Article
ISSN: 1359-5474

Keywords

Article
Publication date: 17 May 2019

Chris Hatton

The purpose of this paper is to examine trends over time in social care usage and expenditure for adults with learning disabilities in England.

Abstract

Purpose

The purpose of this paper is to examine trends over time in social care usage and expenditure for adults with learning disabilities in England.

Design/methodology/approach

Returns from councils with social services responsibilities in England concerning social care usage and expenditure were analysed to examine the national picture and trends over time for adults with learning disabilities.

Findings

In 2017/2018, 147,915 adults with learning disabilities were receiving long-term social care, an increase of 5.7 per cent from 2014/2015. Social care expenditure increased by 10.2 per cent from 2014/2015 to £5.54bn in 2017/2018; adjusted for inflation this was a 2.7 per cent increase. For adults with learning disabilities who receive social care, increasing numbers of people are living with families or in supported accommodation/living, with gradual declines in the number of people living in residential or nursing care. The number of adults with learning disabilities in temporary accommodation is small but increasing.

Social implications

While councils appear to be attempting to protect social care for adults with learning disabilities in the face of cuts to council expenditure, social care expenditure and coverage are not keeping pace with likely increases in the number of adults with learning disabilities requiring social care.

Originality/value

This paper presents in one place statistics concerning long-term social care for adults with learning disabilities in England.

Details

Tizard Learning Disability Review, vol. 24 no. 2
Type: Research Article
ISSN: 1359-5474

Keywords

Article
Publication date: 13 January 2012

Fionnola Kelly and Roy McConkey

The move from congregated living arrangements to more homely, community‐based accommodation is a policy objective in many developed countries but its implementation is rarely…

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Abstract

Purpose

The move from congregated living arrangements to more homely, community‐based accommodation is a policy objective in many developed countries but its implementation is rarely monitored. This paper aims to address this issue.

Design/methodology/approach

The National Intellectual Disability Database in Ireland provided the data to explore the changes in provision that occurred from 1999 to 2009 for nearly 8,000 adults resident in either congregated or community‐based accommodation.

Findings

Over the ten years, there was a marked rise in the numbers living in community group homes and by 2009 just under 50 per cent of persons resided in community settings. Although there was a reduction in the number of places in congregated options over the decade, this was not uniform in that increased numbers of persons were living in new forms of congregated provision designated as specialist units. Moreover, the estimated annual turnover of 2.4 per cent vacancies per annum meant that nearly half of the new admissions were to congregated settings. Over the ten years, a few people moved to a different type of accommodation although more people moved from congregated to community settings than vice versa. A few moved to more independent living arrangements. Despite unprecedented increased investment in services in this period, on average only 70 new places were created per annum – a 1 per cent increase on total places.

Research limitations/implications

Outmoded models of residential provision are likely to persist unless there is sustained investment in new forms of provision largely through a planned transfer of resources.

Originality/value

This national study illustrates how policy changes could be monitored in other countries.

Details

Tizard Learning Disability Review, vol. 17 no. 1
Type: Research Article
ISSN: 1359-5474

Keywords

Book part
Publication date: 9 April 2008

Urban Fransson, Daniel Hallberg and Mårten Lagergren

In Sweden, responsibility for the public care of the frail elderly rests with three authorities acting at different levels. At national level, the Riksdag and the Government…

Abstract

In Sweden, responsibility for the public care of the frail elderly rests with three authorities acting at different levels. At national level, the Riksdag and the Government realize policy goals through legislation and financial control measures. At regional level, 18 county councils and two regions are responsible for the provision of health and medical care. At local level, Sweden's 290 municipalities have a statutory duty to meet the social service and housing needs of the elderly. Sweden's municipalities and county council have a high level of autonomy by international standards. Activities in caring services are ultimately controlled by politicians appointed to policy-making assemblies in municipalities and county councils through general elections. The decentralization of responsibility for elderly care makes it possible for local and regional conditions to be taken into account when policies for the elderly are formulated. The national authorities – the National Board of Health and Welfare and the 20 county/region administrative boards – are responsible for supervision, follow-up, and evaluation of municipal and county council caring services.

Details

Simulating an Ageing Population: A Microsimulation Approach Applied to Sweden
Type: Book
ISBN: 978-0-444-53253-4

Article
Publication date: 12 July 2013

Sue Thomas

The purpose of this paper is to examine a number of the problems young people face in respect of their living arrangements and how these difficulties can impact on them and the…

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Abstract

Purpose

The purpose of this paper is to examine a number of the problems young people face in respect of their living arrangements and how these difficulties can impact on them and the decisions that are made when they are involved in the criminal justice system. It discusses some of the problems that have to be overcome, the role of youth offending teams and some of the initiatives that have been developed to address young people's needs.

Design/methodology/approach

It is a literature review based on research the author has undertaken over the last decade that incorporates the findings of other research, obtained from research reports, project evaluations, thematic inspections and contributions from the voluntary sector. It also refers to findings from analysis of Asset data. Asset is a standardised assessment tool used by youth justice practitioners in youth offending teams to identify risk factors that will be addressed in supervision of young people subject to statutory orders.

Findings

The paper summarizes information from a range of sources about the problems young people in the criminal justice system face when there are difficulties with their living arrangements. There can be additional difficulties (when compared to other vulnerable young people) because of criminal justice involvement. The paper analyses what some of these difficulties can be by describing the implications at some of the key decision‐making points of the system and explores the role of youth offending teams which do not have statutory responsibilities for providing accommodation for young people and advises that this remains a responsibility of statutory agencies, although one that is not always properly fulfilled by children's services or local authority housing departments. Legislative responsibility is clarified with reference to recent case law. The paper concludes with mention of some of some relatively recent initiatives that have been taken in relation to resettlement in particular and their findings. The article concludes that addressing housing need requires a co‐ordinated approach from youth offending teams (as brokers and advocates) and that statutory services need to fulfil their obligations or prevent offending and assist young people to lead settled lifestyles.Research limitations/implications – The paper has largely reviewed existing materials, however it adds to existing material by providing an update on more recent developments and provided a discussion of the issues as they affect young people. Some of the information obtained from examination of Assets (by the author in the conduct of research) has not previously been published and the author attributes this to Asset review. Also whilst many young people in the justice system are experiencing problems which are not within the scope of youth offending teams’ responsibilities to fully resolve – there are therefore limitations to how far discussion around this particular aspect of the analysis can be taken.

Practical implications

The paper is important as it reinforces the need for statutory services to fulfil their obligation to young people in housing need. It is important for those engaging with young people who have housing difficulties to be aware of their problems and vulnerabilities – which can often be forgotten as statutory agencies can have a tendency to see view them primarily as offenders and not young people in need.

Social implications

The social implications of not addressing this problem are that young people with housing difficulty grow up into adults who also have housing needs and there is a greater risk of homelessness. Criminal activity contributes to homelessness and can occur as a result of homelessness. Also those with housing difficulty can potentially face more punitive sanctions from the criminal justice system because of their problems and not their actions, the biggest one being that they can lose their liberty. It is in the best interests of young people to ensure that they are living settled and law‐abiding lifestyles. Addressing housing need is an important social function in the prevention of offending.

Originality/value

The paper re‐visits a long‐standing problem that continues to require resolution. The paper provides a summary of the problem, indicates how it can impact on criminal justice decision making, the role of youth offending teams and some recent initiatives. It presents this information in one paper and discusses housing difficulties from the youth justice specifically, which discussion of young people and their housing difficulties may touch on but not go into in the level of depth that this article does.

Details

Safer Communities, vol. 12 no. 3
Type: Research Article
ISSN: 1757-8043

Keywords

Book part
Publication date: 18 January 2022

Nadia Bhuiyan, Margaret Young and Daniel J. Svyantek

Over one million individuals diagnosed with autism spectrum disorder (ASD) will be entering adulthood and attempting to cultivate fulfilling, meaningful life experiences. These…

Abstract

Over one million individuals diagnosed with autism spectrum disorder (ASD) will be entering adulthood and attempting to cultivate fulfilling, meaningful life experiences. These young adults with ASD represent Generation A. The workplace will be a major element in cultivating fulfilling lives for Generation A. Social interaction is an integral component for functioning within most postsecondary and occupational settings. It is necessary to understand the interaction between autistic adults and organizations to understand potential social and behavioral deficits. The workplace is inherently a social place. Understanding both formal and informal social information in the workplace may be critical to successful job performance. Fit, particularly person–organization fit, is used to address this social nature of the workplace. Understanding this interaction helps provide a means for crafting both individual and organizational interventions which support autistic adults in the workplace. This chapter provides an analysis of interventions that support those with ASD in the workplace. It is proposed that these interventions will help create a more supportive work environment for those with ASD. As important, it is proposed that the accommodations for those with ASD are reasonable for any organization seeking to improve both satisfaction and performance for all its employees. By addressing these issues, organizations have the potential to create a more satisfying workplace for all workers, not just those in Generation A.

Book part
Publication date: 4 November 2003

Pamela Loprest and Elaine Maag

This paper examines barriers to work among adults with disabilities in two specific areas – searching for jobs and workplace accommodations – using data from the 1994/1995…

Abstract

This paper examines barriers to work among adults with disabilities in two specific areas – searching for jobs and workplace accommodations – using data from the 1994/1995 National Health Interview Survey Disability Supplement. Focusing on a subgroup of “work-oriented” persons, the paper finds that difficulties in looking for work are widespread, encountered by more than half of our sample of non-workers with disabilities. While there are a variety of reasons people report for being discouraged in looking for work, lack of appropriate jobs, lack of information about appropriate jobs, and transportation problems are frequently cited. Those with lower levels of education, less previous work experience, and more severe activity limitations have the most difficulty searching for jobs. We also find that about one-third of our work-oriented non-working sample of adults with disabilities report needing workplace accommodations. The most common specific needs are special work site features such as accessible parking, transportation, elevators, and modified work stations. While a greater proportion of non-workers need more accommodations than workers, the types of accommodations most frequently needed are similar. We also find that even after controlling for severity of limitations and demographic characteristics, reporting a need for accommodation is still negatively correlated with the probability of working.

Details

Using Survey Data to Study Disability: Results from the National Health Survey on Disability
Type: Book
ISBN: 978-0-76231-007-4

Article
Publication date: 2 January 2018

Roy McConkey and Sarah Craig

The purpose of this paper is to document the impact of major policy changes and reductions in government funding on residential provision for people with intellectual disabilities…

Abstract

Purpose

The purpose of this paper is to document the impact of major policy changes and reductions in government funding on residential provision for people with intellectual disabilities (ID) in Ireland.

Design/methodology/approach

Ireland is unique in having a national database of people in receipt of services from specialist ID providers. Information on persons in residential settings from 2005 to 2016 was examined in terms of changes in the types of provision over time and broken down by age groups.

Findings

From 2011 onwards, cuts in government funding coincided with a continuing reduction in the overall provision of residential accommodation for adults with ID. There was a parallel increase in the number of people living with family carers, especially persons aged 55 years and over. The greatest reduction was in residential centres which was in line with recent policy but this was not matched by an increase in alternative options, with fewer people aged 20-34 living in residential accommodation of any kind. Compared to Great Britain, Ireland has proportionately more residential places with fewer people living independently.

Social implications

More Irish families have to continue caring for their adult relatives into their old age. Likewise, those resident in group homes and living independently are growing older which means there is an increased likelihood they will require additional support.

Originality/value

This national data set is a valuable tool for monitoring changes in service provision over time and for determining the impact of government policy and funding decisions.

Details

Tizard Learning Disability Review, vol. 23 no. 1
Type: Research Article
ISSN: 1359-5474

Keywords

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