Twenty years of research shows UK child development team provision still varies widely for children with disability.
Twenty years of research shows UK child development team provision still varies widely for children with disability.
复制标题
二十年的研究表明,英国儿童发展团队为残疾儿童提供的服务仍然存在很大差异。
DOI:
10.1111/cch.12025
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发表时间:
2013
期刊:
影响因子:
--
通讯作者:
H. McConachie
中科院分区:
文献类型:
--
作者:
J. Parr;N. Jolleff;L. Gray;J. Gibbs;J. Williams;H. McConachie
OBJECTIVES
To identify how services provided by child development teams (CDTs) have changed over 20 years. To what extent have major government initiatives aiming to improve the lives of children with disability and their families been implemented by teams?
DESIGN
Survey sent to every UK CDT in 2009/2010; comparison with data gathered in 1988 and 1999.
RESULTS
Ninety-four per cent (225/240) of CDTs responded; data on 242 teams were available from 1999 and 125 teams from 1988. Despite policy recommendations advocating the value of interdisciplinary team working, there was a decline in numbers of professionals working within the CDT multidisciplinary team. One-third of all teams reported a reduction in their funding over the last 5 years. However, specialist clinics provided increased. Teams reported patchy adoption of national initiatives designed to improve provision. Transition services were underdeveloped.
CONCLUSIONS
This comprehensive survey of UK CDT service provision, as well as national studies of the healthcare experience of families with a disabled child, shows that improvements in provision are required.