A survey of people with severe intellectual disability and the most severe challenging behaviour in Wales identified five adults living in family homes, 17 in new specialist community housing and 19 in traditional services.
With the omission of two people from the latter group and with a restricted collection of data for people living in the family home, the present study explored service input, outcome and costs across the three setting types.
Process and outcome indicators for the family home group, who received little service input, were better than those for the traditional service group, although less good than those for the community house group.
The specialist community home model produced significant gains over the traditional services in virtually all areas.
Across the residential data set as a whole, there was no association between staff : resident ratios and severity of disability or between costs and severity of disability.
This was largely true of the service types separately.
There was a relationship between costs and service quality.
However, this association was underpinned by gross differences between community houses and traditional settings.
Costs, processes and outcomes ceased to be related when the two residential types were considered separately. (...)
Mots-clés Pascal : Service santé, Institution spécialisée, Qualité vie, Coût financement, Santé mentale, Arriération mentale, Pays de Galles, Grande Bretagne, Royaume Uni, Europe, Homme, Déficience intellectuelle, Trouble développement
Mots-clés Pascal anglais : Health service, Specialized institution, Quality of life, Financing cost, Mental health, Mental retardation, Wales, Great Britain, United Kingdom, Europe, Human, Intellectual deficiency, Developmental disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0503877
Code Inist : 002B18H05B. Création : 19/02/1999.