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In the field of learning difficulties there has been a revolution in professional understanding and user aspirations towards delivery of services. Institutional models no longer prevail; language, attitudes and practices have been transformed. Full of up-to-date case studies, practice examples and points for reflection, this exciting textbook explores how to embed this culture shift into mainstream services. It explores theoretical frameworks for working with people with learning difficulties and examines the role of services and the social worker, drawing on person-centred, community-centred and family involvement perspectives. Essential reading for anyone studying social work or nursing people with learning difficulties

This article deals with the resettlement of people with learning difficulties from Scottish hospitals. First it outlines the policy background, tracing the rise and demise of the long-stay institution. It then reports on a study examining current resettlement policies in Scotland, where there is no national closure programme. The research found that resettlement is largely in disarray, with particular difficulties in planning, financial arrangements and inter-agency collaboration. There is a great risk of hospitals being perpetuated or reconstructed, particularly through the activities of NHS Trusts, and of people with dual labels remaining resident in them for years to come.