Good practice in social care: the views of people with severe and complex needs and those who support them
Good practice in social care: the views of people with severe and complex needs and those who support them
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DOI：
10.1111/hsc.12105
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发表时间：
2014-11-01
影响因子：
2.4
通讯作者：
Glendinning, Caroline
中科院分区：
文献类型：
--
作者：
Gridley, Kate;Brooks, Jenni;Glendinning, Caroline
本文报告了一项对残疾成人和有严重和复杂需求的老年人的英语社会护理良好实践的研究结果。有严重和复杂需要的人在成人社会照顾服务使用者中所占比例相对较小，但他们的人数正在增加，并且有资源密集型需求。这项研究包括对残疾成年人、有严重和复杂需求的老年人、家庭照顾者和专业组织成员（n = 67）进行定性研究，重点关注他们认为良好实践的社会照顾服务的特点。数据收集于2010年8月至2011年6月。数据收集的方法是灵活的，以适应参与者的沟通需求和偏好，包括面对面和电话采访，谈话垫会议和焦点小组。使用Framework对数据进行管理并进行主题分析。在三个层次上考虑了良好做法的特点：(i)日常支持；（ii）服务机构；（三）调试。这里给出了与前两项相关的研究结果。与会者强调在各级以人为本的工作方式的重要性。个人化，正如目前在英国社会保健中实施的那样，旨在通过个人预算的分配，将权力从专业人员转移到服务用户。这种方法非常注重个人在指导他/她自己的支助安排方面的作用。然而，本研究的参与者也强调了持续的专业支持的重要性，例如，来自专家关键工作者或案例经理的协调各种服务并确保在组织层面上的良好实践。论文认为，尽管最近将权力从专业人员转移到服务用户，但拥有最复杂需求的人仍然重视专业人员的支持和适当的组织支持。如果没有这些，他们可能会被排除在个性化的好处之外，得到适当的支持。
This paper reports findings drawn from a study of good practice in English social care for adults with disability and older people with severe and complex needs. People with severe and complex needs are a relatively small proportion of adult social care service users, but they are growing in numbers and have resource-intensive needs. The study involved qualitative research with adults with disability and older people with severe and complex needs, family carers and members of specialist organisations (n = 67), focusing on the features of social care services they considered to be good practice. Data were collected between August 2010 and June 2011. The approach to data collection was flexible, to accommodate participants' communication needs and preferences, including face-to-face and telephone interviews, Talking Mats c sessions and a focus group. Data were managed using Framework and analysed thematically. Features of good practice were considered at three levels: (i) everyday support; (ii) service organisation; and (iii) commissioning. Findings relating to the first two of these are presented here. Participants emphasised the importance of person-centred ways of working at all levels. Personalisation, as currently implemented in English social care, aims to shift power from professionals to service users through the allocation of personal budgets. This approach focuses very much on the role of the individual in directing his/her own support arrangements. However, participants in this study also stressed the importance of ongoing professional support, for example, from a specialist key worker or case manager to co-ordinate diverse services and ensure good practice at an organisational level. The paper argues that, despite the recent move to shift power from professionals to service users, people with the most complex needs still value support from professionals and appropriate organisational support. Without these, they risk being excluded from the benefits that personalisation, properly supported, could yield.