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Related Experiment Videos

Deinstitutionalisation and community living: progress, problems and priorities.

Jim Mansell1

  • 1Tizard Centre, University of Kent at Canterbury, UK. j.mansell@kent.ac.uk

Journal of Intellectual & Developmental Disability
|June 20, 2006
PubMed
Summary

Deinstitutionalisation for intellectual disabilities shows mixed results. Improving community service quality requires focusing on individual quality of life and enabling support, especially for complex needs.

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Area of Science:

  • Disability Studies
  • Social Policy
  • Healthcare Management

Background:

  • Deinstitutionalisation of intellectual disability services is a global policy trend.
  • While generally supported by research, community living outcomes vary.
  • Understanding variability is key for effective service modernisation.

Purpose of the Study:

  • Explore reasons for inconsistent service quality in deinstitutionalised settings.
  • Identify lessons for countries modernising intellectual disability services.
  • Analyze the impact of policy and service delivery changes.

Main Methods:

  • Summarize effects of deinstitutionalisation.
  • Identify emerging challenges.
  • Outline welfare-state models and administrative paradigms.

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Main Results:

  • Market-based service provision and service rationing impact implementation.
  • "De-differentiation" of services and rights-based models are significant changes.
  • Variability in outcomes is linked to these systemic shifts.

Conclusions:

  • Future community services need to prioritize quality of life improvements.
  • Staff roles must evolve towards facilitative, enabling support.
  • Special attention is needed for individuals with severe or complex disabilities.