The background changes in consumer financial markets over the last ten years are outlined and the future developments examined for which marketing packages like Tyne Tees…
Abstract
The background changes in consumer financial markets over the last ten years are outlined and the future developments examined for which marketing packages like Tyne Tees Television's “Financial Pulsebeat” have been specifically designed, helping advertisers identify — and reach — the right consumers of their products.
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Kathy Lowe, Edwin Jones, Shelley Horwood, Diane Gray, Wendy James, Jock Andrew and David Allen
A system of evidence‐based periodic service review (PSR) was implemented in specialist health services for people with challenging behaviour, to support the adoption of a positive…
Abstract
A system of evidence‐based periodic service review (PSR) was implemented in specialist health services for people with challenging behaviour, to support the adoption of a positive behavioural approach. The extent and accuracy of PSR implementation, its impact on staff knowledge and attitudes, and its value as a practice leadership tool were assessed. The results indicated that PSR was implemented regularly, scoring was based accurately on tangible evidence, and increased scores over time indicated service improvement in line with PSR principles. Staff generally welcomed PSR as a quality monitoring tool, and greater knowledge of the rationale and process for PSR was associated with more positive attitudes. Managers regarded PSR as a valuable aid to practice leadership and had used innovative implementation methods to maximise its acceptance by staff teams. The style of management and need for support from the wider organisational structure are discussed as critical factors in successful implementation.
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How can public institutions achieve their goals and best nurture virtue in their members? In this chapter, I seek answers to these questions in a perhaps unlikely place: the…
Abstract
How can public institutions achieve their goals and best nurture virtue in their members? In this chapter, I seek answers to these questions in a perhaps unlikely place: the television series The Wire. Known for its unflinching realism, the crime drama narrates the intertwined lives of police, criminals, politicians, teachers and journalists in drug-plagued urban Baltimore. Yet even in the thick and quick of institutional dysfunction the drama portrays, human virtue springs forth and institutions (despite themselves) sometimes perform their roles. I begin this exploration of The Wire by drawing on Montesquieu and other political theorists to evaluate the problems facing state institutions – problems of diversity and principle as much as selfishness and power-mongering. I then turn to the prospects for virtue within modern institutions, developing and applying the system of Alasdair MacIntyre and paying particular attention to the role of narrative in cementing and integrating virtue.
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Being placed in out‐of‐area services can be one of the most significant forms of transition experienced by people with learning disabilities. The paper reviews the extent of such…
Abstract
Being placed in out‐of‐area services can be one of the most significant forms of transition experienced by people with learning disabilities. The paper reviews the extent of such provision, identifies who is most at risk of being placed out of area, briefly explores the effects of such placement and concludes with a discussion of possible strategic solutions.
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Marco Bertelli, Luis Salvador‐Carulla, Stefano Lassi, Michele Zappella, Raymond Ceccotto, David Palterer, Johan de Groef, Laura Benni and Paolo Rossi Prodi
Recent international experiences of community inclusion have produced a major change in residential care for people with intellectual disability (ID). Assignment and outcome…
Abstract
Purpose
Recent international experiences of community inclusion have produced a major change in residential care for people with intellectual disability (ID). Assignment and outcome assessment through new person‐centred measures are raising increasing interest; however, the information on quality of life and accommodation is still limited. This paper aims to provide an overview of the application of quality of life models and the size of the provision of different living arrangements.
Design/methodology/approach
A systematic mapping of the literature of the last decade was followed by an expert guided review of the available evidence.
Findings
QoL outcomes measures of living arrangements in people with ID show conceptual and methodological challenges. The following key topics were identified: individual level: issues related to health status, behavioural problems and other personal factors (ageing, choice and empowerment); family and peers; local level: accommodation, architecture and urbanization, and economic aspects (deprivation and costs); macro level: social participation (community inclusion). The residential solutions that are currently considered of highest efficiency are small apartments in the community and “cluster centers”.
Originality/value
The level of quality of life is very relevant in the assessment of living arrangements in people with ID although its assessment still shows significant limitations. Some accommodation typologies seem more effective than others. New conceptual models of inclusive residential care support the convenience of a wide range of accommodation alternatives that may fit the individual needs of a highly heterogeneous population group. A unique residential alternative, albeit optimal from a community care perspective, may not be adequate for all persons with ID.
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Julie Beadle‐Brown, Rachel Roberts and Richard Mills
The editorial for this issue sets out the context of increasing awareness of the need for better services for children and adults with autism spectrum disorders, and highlights…
Abstract
The editorial for this issue sets out the context of increasing awareness of the need for better services for children and adults with autism spectrum disorders, and highlights the importance of policy to maintain awareness and provide incentives while recognising that more would be needed to ensure that people with autism have a good quality of life and reach their full potential. There are two sections to this paper. The first is a case study written from a parent's perspective and highlighting the need for good joint working and supporting families, as well as the importance of understanding how autism affects a child and his/her family. The second part considers good practice in supporting children and adults with autism to increase social inclusion, independence, choice and autonomy.