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1 – 10 of over 6000There has been growing international interest in the idea that social care would be better organised as a system of self‐directed support, where people control their own budgets…
Abstract
There has been growing international interest in the idea that social care would be better organised as a system of self‐directed support, where people control their own budgets for their own support. While there is significant evidence that this approach brings benefits to disabled people and those older people who need support, there is still an active debate about the efficiency and affordability of this approach. In Control has led work in England on piloting this approach, and has gathered some early evidence on the economic sustainability of self‐directed support. This article outlines the economic case for self‐directed support and some of the practical issues that will need to be confronted in order to implement self‐directed support successfully in the UK. In particular, it argues that the current service‐focused system of social care is structurally inefficient, and that self‐directed support makes much better use of the resources committed through public taxation. Finally, it contends that a rethink of the health and social care boundary will inevitably follow.
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Nazrinda A. Samah, Lokman Mohd Tahir and Wan Ali @ Wan Yusoff Wan Mamat
This qualitative study explores the issue of library management support in providing a self-directed learning environment for research-support librarians which is an…
Abstract
Purpose
This qualitative study explores the issue of library management support in providing a self-directed learning environment for research-support librarians which is an under-explored feature of librarianship in Malaysian public university libraries.
Design/methodology/approach
A total of nine research-support librarians purposely selected from these libraries took part in in-depth interview sessions. The responses were analysed using Miles and Huberman's technique, which involves data reduction, data display, conclusion-drawing and verification.
Findings
Five emerging themes and 31 sub-themes were identified. There was a general consensus among the respondents that their library management does provide research-support librarians with a self-directed learning environment to enhance their competencies as academic librarians. Nevertheless, these librarians also highlighted some challenges, issues and barriers related to the initiative and support received. Some suggestions are advanced for improvements to support self-directed learning by research-support librarians working in public university libraries.
Originality/value
Empirically, this study attempts to fill the gap in the knowledge that needs to be addressed from the perspective of Malaysian librarians, especially the research-support librarians, who serve in public universities in Malaysia, who have received little attention from local librarianship researchers.
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Valerie Bradley, Miso Kwak, Highsmith Rich and Bevin Croft
Self-direction–also known as participant direction, personalization and self-directed care–is a service delivery model that enables people to manage their personal budget and…
Abstract
Purpose
Self-direction–also known as participant direction, personalization and self-directed care–is a service delivery model that enables people to manage their personal budget and purchase services and supports tailored to their needs based on a person-centered plan. This paper, the outcome of an international learning exchange on self-direction, describes approaches across four countries’ successful strategies, unresolved questions and recommendations to enhance self-direction globally.
Design/methodology/approach
The findings are a product of discussions at the 2019 International Initiative for Mental Health Leadership and International Initiative for Disability Leadership Exchange on Advances in Self-Direction. Participants included people who are self-directing, providers and caregivers who support people who are self-directing, advocates, fiscal agents and public managers who administer self-direction from the United States, England, Australia and New Zealand.
Findings
In all four countries, people who self-direct exercise high levels of choice and control and are able to individualize their services and supports to promote a good life in the community. The exchange also revealed challenges and possible solutions to improve and expand self-direction.
Practical implications
The results of the meeting provide guidance for public managers, providers and advocates for initiating and expanding self-direction.
Originality/value
This international meeting was a unique opportunity to compare self-direction across four different countries and across multiple perspectives, including people with disabilities, caregivers, providers and administrators.
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This paper aims to describe the implementation of self‐directed support (SDS) in transitions for disabled children and young people moving from children's to adult services; it…
Abstract
Purpose
This paper aims to describe the implementation of self‐directed support (SDS) in transitions for disabled children and young people moving from children's to adult services; it also seeks to describe the use of realistic evaluation as an approach to evaluation of this particular policy implementation.
Design/methodology/approach
A participatory stakeholder approach utilising realistic evaluation as an approach to policy evaluation was integral to guiding the implementation strategy of the SDS in transitions pilot in Anyshire Council (anonymised name).
Findings
Learning from the early implementation of the pilot is described. Realistic evaluation was found to be a useful approach to the implementation of a complex policy initiative.
Research limitations/implications
The involvement of disabled children and young people in the strategic development of SDS has proved challenging.
Originality/value
This is the first evaluation of the implementation of self‐directed support in transitions that uses realistic evaluation as an approach.
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Fiona Henderson, Kelly Hall, Audrey Mutongi and Geoff Whittam
This study aims to explore the opportunities and challenges Self-directed Support policy has presented to Scottish social enterprises, thereby increasing understanding of emerging…
Abstract
Purpose
This study aims to explore the opportunities and challenges Self-directed Support policy has presented to Scottish social enterprises, thereby increasing understanding of emerging social care markets arising from international policy-shifts towards empowering social care users to self-direct their care.
Design/methodology/approach
This study used guided conversations with a purposive sample of 19 stakeholders sampled from frontline social care social enterprises; social work; third sector; health; and government.
Findings
An inconsistent social care market has emerged across Scotland as a result of policy change, providing both opportunities and challenges for social enterprises. Social innovation emerged from a supportive partnership between the local authority and social enterprise in one area, but elsewhere local authorities remained change-resistant, evidencing path dependence. Challenges included the private sector “creaming” clients and geographic areas and social enterprises being scapegoated where the local market was failing.
Research limitations/implications
This study involved a small purposively sampled group of stakeholders specifically interested in social enterprise, and hence the findings are suggestive rather than conclusive.
Originality/value
This paper contributes to currently limited academic understanding of the contribution of social enterprise to emerging social care markets arising from the international policy-shifts. Through an historical institutionalism lens, this study also offers new insight into interactions between public institutions and social enterprise care providers. The insights from this paper will support policymakers and researchers to develop a more equitable, sustainable future for social care provision.
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Ann Laura Rosengard, Julie Ridley and Jill Manthorpe
The purpose of this paper is to consider the role of housing and housing support services in working with systems of self-directed support (SDS). The paper draws upon findings…
Abstract
Purpose
The purpose of this paper is to consider the role of housing and housing support services in working with systems of self-directed support (SDS). The paper draws upon findings from an evaluation and follow up study of three SDS Test Sites in Scotland and wider research.
Design/methodology/approach
The evaluation of the SDS Test Sites took place in 2009-2011 with a follow up study in 2011-2012. Methods included a literature review; an analysis of secondary data on the use of SDS in Scotland; interviews with key stakeholders; learning sets in the three areas; 30 depth individual case studies and a large-scale stakeholder event prior to finalising the report. These data are drawn upon to reflect on the implications for housing providers and practitioners.
Findings
The interviews revealed that some SDS users had housing and related support needs, such as to prevent or resolve homelessness, to facilitate resettlement, to prevent hospital admissions, to access supported accommodation or to move from shared to independent housing. For some people flexible housing support seemed to enhance community living, also well-informed independent advocacy could make a difference to outcomes. While there was policy support for the Test Sites, it was notable that linkages between agencies at strategic level were limited, with neither housing nor health services greatly involved in strategic planning. Training, alongside liaison and partnerships, may help to broaden SDS.
Research limitations/implications
While housing and related support needs and services were not specifically investigated in this evaluation, data suggest that the contribution of housing services may be both under-developed and under-researched in the context of SDS. There are indications that SDS may act as a catalyst for improving housing opportunities provided that collaboration between housing and care services is maximised.
Practical implications
This paper suggests approaches that may improve and consolidate the role of housing in achieving SDS objectives of maximising user control and choice, improving outcomes and sustaining ordinary living.
Originality/value
This paper considers the less charted territory of the implications of SDS for the role of housing services. While drawing primarily on recent research in Scotland the themes raised will have wider relevance to housing and care services generally.
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A central element in the shift to a ‘personalised’ care system in the UK is the opportunity for disabled people to hold and manage budgets for the purchase of care and support, to…
Abstract
A central element in the shift to a ‘personalised’ care system in the UK is the opportunity for disabled people to hold and manage budgets for the purchase of care and support, to replace local authority services. The delivery mechanisms of ‘Direct Payments’ and ‘Individual Budgets’ have allowed many disabled people to control their care and support better, and have promoted their social inclusion. However, the particular contexts and issues for people with learning disabilities in holding personal funding have been little considered. The paper sets out the broad themes of the introduction of personalised care, and examines the limited use by people with learning disabilities of Direct Payments and the subsequent development of Individual Budgets. The paper considers the challenges to the nature, spaces and relations of care commonly used by people with learning disabilities that personal budgets present, in particular for those with more severe disabilities. The paper concludes by suggesting ways in which people with learning disabilities can use personal budgets, whilst maintaining the collective relations and spaces of caring desired by many.
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The purpose of this paper is to offer a review and summary of a research paper, which claims that self‐directedness is a key aspect of learning and development in the workplace…
Abstract
Purpose
The purpose of this paper is to offer a review and summary of a research paper, which claims that self‐directedness is a key aspect of learning and development in the workplace and investigates how feasible it is.
Design/methodology/approach
This paper is prepared by, an independent writer, who adds their own impartial comments.
Findings
The paper finds that in a paper on organizational competence published in 2000, J.D. Jurie wrote that “Organizations which hamper or stunt the free development of their members or constituents … limit their own effectiveness”. Few executives, surely, would see this as in any way a contentious point. Yet in pointing out what may seem the obvious, this statement tacitly draws attention to a common division between philosophy and practice. It is logical that having a workforce that is encouraged to learn new skills and develop existing ones will improve company performance and thus its bottom line. Actually putting this theoretical encouragement into effect practice, however, is often easier said than done.
Practical implications
The research in the paper covered 12 differing enterprises but further investigation would be needed to make claims about the wide application of the findings. It also suggests that more research should be conducted to advise on how to teach workers how to learn.
Originality/value
The paper offers guidance to learning and development personnel on feasible strategies to use within their own organization to assist with the development of self‐directed learning among employees, as well as outlining some of the difficulties.
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Ștefan Boncu, Octav-Sorin Candel, Oara Prundeanu and Nicoleta Laura Popa
Pro-environmental education incorporates digital technologies to enhance the level of pro-environmental behaviours (PEB) in young adults. Guided by gamified learning and…
Abstract
Purpose
Pro-environmental education incorporates digital technologies to enhance the level of pro-environmental behaviours (PEB) in young adults. Guided by gamified learning and self-directed informal learning theories, this study aims to examine the potential for the use of a gamified mobile app to increase students’ PEB. Also, it explores whether various pre-existing environmental attitudes and beliefs can moderate the effects.
Design/methodology/approach
This quasi-experimental study proposed an eight-weeks intervention for undergraduate students based on using a mobile app. The authors evaluated the post-intervention differences in PEB between the intervention group and a control group. The effects of multiple moderators were also tested.
Findings
Using the mobile app for eight weeks significantly improves the levels of PEB in the intervention group compared to the control group. None of the proposed interactions showed significant moderator effects.
Originality/value
To the best of the authors’ knowledge, this study is the first one to verify the potential moderators accounting for the success of an environmental education approach using a mobile app. Also, it provides strong empirical support for the use of such educational strategy. Based on these findings, the authors suggest the use of gamified mobile apps as suitable tools for pro-environmental education, especially when targeting young adult or student populations. Moreover, using mobile apps providing self-directed informal learning, combined with gamification, can be used to enhance other desirable behaviours.
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Care management is a central part of the current health and social care system, but the development of Self‐Directed Support raises significant questions about the future of this…
Abstract
Care management is a central part of the current health and social care system, but the development of Self‐Directed Support raises significant questions about the future of this function. Moreover, if the current design of the care management function is to change, then this will raise significant challenges and opportunities for those professionals who currently act as care managers. These changes may even allow social workers to return to a way of working that fits better with their professional ethos.
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