Suchergebnisse

Two approaches (Wolfensberger and Scull) to understanding services for people with mental disabilities are compared and seen to make complementary errors based upon the reduction of phenomena to ideology or economics respectively. Approaches combining both areas of analysis are seen as necessary in order to state what good services would look like and to understand the contexts in which services form and develop. It is argued that Wolfensberg's principle of normalisation allows a plausible statement of ideal criteria for service evaluation and design. A discussion follows of some possible constraints on its implementation under the present social order. A notion of 'prefigurative action research'is discussed as one way of pioneering more ideal services, while documenting the limits imposed on them at the present time.

Cover -- Half Title -- Dedication -- Title -- Copyright -- Contents -- List of figures -- List of tables -- List of contributors -- List of abbreviations -- Foreword -- Note to readers -- Introduction -- Part I Organisational Issues -- Introduction -- 1 Joint working -- 2 Designing the organisation -- Part II Equipping, Supporting and Leading Staff -- Introduction -- 3 Leading and directing staff in community teams: tales of the unexpected -- 4 Equipping and supporting staff: residential services -- 5 Joint training -- Producing and implementing effective policies -- Part III Developing the Service -- Introduction -- 7 Redeveloping services -- 8 Developing days -- 9 Developing and managing therapy practice -- 10 Service response to sexual abuse of people with learning disabilities -- 11 Prevention of challenging behaviour and service user distress -- 12 Developing effective provision for people who may present behavioural challenges: clinically managed social care -- 13 Confidence in the community: partnerships to improve the public safety of people with learning disabilities -- 14 Using video for service development -- Part IV Safeguarding Quality -- Introduction -- 15 Quality -- 16 Service user involvement -- 17 Planning with people -- Appendix -- Professional Supervision Framework

Four relatively distinct traditions in work with people with intellectual disability are identified: ordinary living/normalisation, functional, behavioural and developmental. These approaches are analysed as paradigms which could be incompatible or compatible. The paradigms are explored in relation to a profoundly disabled man, whose case illustrates the complementarity of these approaches. It is suggested that the ordinary living paradigm is best seen as a basic guide to direction with the other paradigms feeding into it to help chiefly with implementation. However, the possibility is raised that rather than the co‐existence of different paradigms, what is really being sought here is a new and super‐ordinate paradigm that still awaits its full development.