A peer approach to the evaluation of adult support and protection processes in North Ayrshire

Abstract

Purpose By adopting a “peer approach,” the purpose of this paper is to evaluate the adult support and protection process in North Ayrshire from the perspective of patients, service users and carers. Design/methodology/approach A research design was co-produced by health and social care staff and people with lived experience of ASP processes and experiences. The semi-structured interview design explored the ASP inquiry, investigation and case conference stages of the ASP process. Findings The study found some examples of good practice as well as some areas for improvement. The variability of experience, the provision of information, use of advocacy services and plans for future systematic evaluation of experiences were identified for possible improvement. Research limitations/implications The design somewhat limits generalizability; the sample size is small and although the findings and innovative approach involving those with lived experience may have wider appeal, the specific recommendations pertain to a specific local authority area in Scotland though these too may interest practitioners and researchers in other authorities. Practical implications The recommendations stand to improve services and process accessed and experienced by adults at risk of harm. Working with people with lived experience takes services closer to co-producing, designing and evaluating services and processes. Originality/value This study has high originality. Local value is high and is also likely to be valuable to those interested in adult support in protection generally and peer approaches across fields.