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Specialist community teams for adults with learning disabilities: referrals to a countywide service in England

Accepted version
Peer-reviewed

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Type

Article

Change log

Authors

Clare, ICH 
Wade, KA 
Ranke, N 
Whitson, S 
Lillywhite, A 

Abstract

jats:sec <jats:title content-type="abstract-subheading">Purpose</jats:title> jats:pWhile “generic” community teams for adults with learning disabilities (CTs) are well-established in the UK, very little recent evidence is available about any aspect of their work. As part of a larger project about the role, structure and functioning of CTs, the purpose of this paper is to provide data about referrals.</jats:p> </jats:sec> jats:sec <jats:title content-type="abstract-subheading">Design/methodology/approach</jats:title> jats:pOver three months, the authors obtained data about 270 consecutive new referrals to five CTs in a countywide integrated health (NHS) and care management (local authority) service.</jats:p> </jats:sec> jats:sec <jats:title content-type="abstract-subheading">Findings</jats:title> jats:pThe 270 referrals related to 255 individuals, mainly already service users, with almost a third (30 per cent, jats:italicn</jats:italic>=204) described as people with severe or profound disabilities. Consistent with the reported living arrangements (residential accommodation or with one or more family members (87 per cent, jats:italicn</jats:italic>=270)), referrals were most often made by social care staff, General Practitioners or carers. The referrals related to a wide range of issues including mental health and/or behavioural needs, physical health and skills, and independence. The major group, however, were requests about a person’s entitlement to specialist learning disability services and/or reviews of an existing social care package.</jats:p> </jats:sec> jats:sec <jats:title content-type="abstract-subheading">Research limitations/implications</jats:title> jats:pThe focus on new referrals and the exclusion of intra-team referrals mean that the data are not representative of a CT’s caseload and cannot be used as a basis for resourcing. Nevertheless, the findings emphasise the heterogeneity of the population, and the long-term and varied nature of their needs, meaning that CTs require access to a range of expertise and, often, an inter-agency approach. The implications for service design are considered.</jats:p> </jats:sec> jats:sec <jats:title content-type="abstract-subheading">Originality/value</jats:title> jats:pThis is the first empirical study of referrals to specialist integrated (health and care management) community learning disabilities teams in England.</jats:p> </jats:sec>

Description

Keywords

Learning disabilities, Health, Intellectual disability, Community learning disability teams, Community services, Care management

Journal Title

Tizard Learning Disability Review

Conference Name

Journal ISSN

1359-5474
2042-8782

Volume Title

24

Publisher

Emerald
Sponsorship
Department of Health (PRP:0230146)
NIHR CLAHRC East of England at Cambridgeshire & Peterborough NHS Foundation Trust