Strengths, assets and place - The emergence of Local Area Coordination initiatives in England and Wales
Strengths, assets and place - The emergence of Local Area Coordination initiatives in England and Wales
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DOI：
10.1177/1468017320918174
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发表时间：
2020-04-11
影响因子：
1.6
通讯作者：
Rippon, Simon
中科院分区：
文献类型：
--
作者：
Lunt, Neil;Bainbridge, Laura;Rippon, Simon
地方协调是1980年代和1990年代出现的一种方法，旨在支持西澳大利亚州农村和大都市的学习障碍者。它提供直接的家庭支助、路标和网络，旨在改善获得服务的机会和促进社会包容。它利用社区资源，并通过当地合作和服务重新设计寻求更广泛的转型，以优势为基础的理念为基础。苏格兰从2000年代初开始为学习障碍提供类似的支助。自2010年以来，一些英语和威尔士地方当局推出了本地区域协调，并在这样做已经扩大了其支持资格标准，包括那些被认为是“弱势”由于年龄，虚弱，残疾，心理健康问题和住房不稳定。它借鉴已发表的评价研究报告，反思地方协调的执行情况;审查现有的证据基础和围绕数据收集的挑战;并讨论了地方协调的竞争逻辑，其目的是支持个人和社区改善健康结果和福祉，和促进地方政府公民的参与和参与。应用本文指出的挑战和机遇，在地方当局的社会服务环境中实施这种基于实力、资产和职位的举措。在地方当局的背景下嵌入地方区域协调需要熟练的政治和政策领导。它平衡了新兴的个人成果-健康和福祉-与公民使命（价值观、控制和共同生产），避免一个被颠覆为另一个。
Local Area Coordination is an approach that emerged during the 1980s and 1990s to support individuals with learning disabilities in rural and metropolitan Western Australia. Offering direct family support, signposting and networking it aimed to improve access to services and promote social inclusion. It leveraged community resources and sought broader transformation through local collaborations and service redesign, as underpinned by a strengths-based philosophy. Scotland introduced a similar model of delivery from the early 2000s for learning disability support. Since 2010, a number of English and Welsh Local Authorities have introduced Local Area Coordination, and in doing so have expanded its support eligibility criteria to include those considered 'vulnerable' due to age, frailty, disability, mental health issues and housing precariousness.FindingsThis article provides the first review of developments in England and Wales. Drawing upon published evaluation studies it reflects on Local Area Coordination implementation; reviews the existing evidence base and challenges surrounding data collection; and discusses the competing logic of Local Area Coordination in its aim of supporting individual and community improvement of health outcomes and well-being, and of furthering local government civic engagement and participation.ApplicationsThis article points to the challenges and opportunities of implementing such a strength-, assets- and placed-based initiatives within Local Authority social service settings. Embedding Local Area Coordination within Local Authority settings requires skilled political and policy leadership. It balances emerging individual outcomes - health and well-being - with the civic mission (values, control and coproduction), and avoids one being subverted to the other.