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The central argument of this paper is that supported living — enabling people with learning disabilities to live in their own homes, with appropriate support — has a potential strategic role in addressing some of the current shortcomings in community‐based residential services. These shortcomings are described, along with the possible contribution of an approach in which housing and support are separated. Finally some of the current concerns about supported living are briefly addressed.

This paper reports on the development and service delivery of the Supported Living Outreach Team for people with severe psychiatric, behavioural and forensic needs in a city with a population of 1.1 million. The authors discuss the reasons why the team was formed, and the partnerships it has formed with local housing and care providers in order to enable people with very complex needs to lead ordinary lives in their local communities. The pathway of team involvement is described, starting with the initial assessment, setting up and monitoring of new schemes, through to discharge. Also described are the measures the team uses to monitor its effectiveness, the benefits the team has brought to the service, and the hurdles and barriers it has had to overcome on its journey to support people with complex needs to live safely in their local communities.

The replacement of long‐stay hospitals by Care in the Community provides an opportunity to reflect on the quality of people's lives in the community and use of resources. New ways of assisting people with learning disabilities to live in their own homes are emerging. These ‘supported living’ arrangements do not offer a model but rather some guiding principles for finding out how people want to live, and the design, development and co‐ordination of informal and formal supports. The conditions working for and against developing supported living as a mainstream option are reviewed, and what is being learnt about person‐centred planning; supporting people with complex needs; managing costs and service effectiveness; and the enabling role of purchasers.

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.

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.

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.

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

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.

This article reports the findings of research which examined the impact that the Supporting People programme has had on housing and support for adults with learning disabilities. The issue was explored from the perspectives of local Supporting People teams, commissioners and providers of specialist learning disability social care services, and people with learning disabilities themselves.

Evidence suggests supported living can improve functioning and reduce need. However, its lack of a clear definition has presented significant challenges to establishing a definitive evaluation of its efficacy. This study aims to evaluate the efficacy of a defined model of supported living using in terms of reductions made to aspects of clinical and social recovery.

A naturalistic, non-controlled assessment was conducting using using the Camberwell Assessment of Need Clinical Scale with a sample of adults with severe and enduring mental illness residing with a UK-based mental health company at 1 of 12 UK locations.

Analysis regarding preliminary outcomes relating to health and social need is presented with comparison between admission and six-months post-admission (N = 90). Additional analysis relating to outcomes at 12 months is also provided (N = 39). Significant outcomes are noted at both timepoints in terms of reducing unmet need and levels of formal and informal help given/required during tenancy.

The findings support that, even in the absence of clinical recovery, opportunities exist to make meaningful and valuable improvements to unmet need and functional independence, with implications for clinical practice in the context of supported living.

The findings provide encouraging early indications of the benefits of the model in making meaningful reductions to functional and psychological needs in individuals with severe and enduring mental illness.

This case study from Hft, national charity for people with learning disabilities and their families, illustrates how assistive technology can play a vital role in supporting people with learning disabilities to make the move from traditional registered care to supported living within the community. The article demonstrates how personalised technology was used in response to individual issues to enable the people involved to become more confident and independent and to enjoy a better quality of life, while making the most efficient use of resources.

As rates of dangerous drinking increase, services must improve their understanding of the needs of people with alcohol‐related brain damage such as Korsakoff syndrome (KS). This study looked at indications of change in key functioning areas for four people with KS living in a new supported living environment. The research highlighted the individualised and complex needs of people with KS and suggests that three specific factors may influence changes in functioning.