Transforming care: problems and possible solutions

Author:

Sinclair Neil

Abstract

Purpose The purpose of this paper is to raise issues about Transforming Care (TC) and discuss possible solutions. Design/methodology/approach Reflections and commentary on Transforming Care following Painter et al.’s article on correlates for the risk of admission to specialist hospitals. Findings Concerns are raised about the initial assumptions of TC, in particular the composition of the inpatient group and impact of the existing legal framework on reducing this population. The lack of cohesion between Care and Treatment Reviews and Care Programme Approach reviews is noted, and combining meetings is suggested. Originality/value The relevance of Wolfensberger’s social devaluation analysis is explored and O’Brien’s Personal Futures Planning is recommended as a potential way of drawing these currently disparate approaches together around the individual client.

Publisher

Emerald

Subject

Psychiatry and Mental health,Clinical Psychology,Developmental and Educational Psychology,Social Psychology,Pshychiatric Mental Health

Reference13 articles.

1. Bradley, K. (2009), “The Bradley report: Lord Bradley’s review of people with mental health problems or learning disabilities in the criminal justice system”, Department of Health, London.

2. Department of Health (2012), “Transforming care: a national response to Winterbourne View Hospital: Department of Health review final report”, Department of Health, available at: www.gov.uk/government/publications/winterbourne-view-hospital-department-of-health-review-and-response (accessed 23 October 2017).

3. Department of Health (2017a), “Learning disability services monthly statistics: England commissioner census (assuring transformation) – August 2017”, Department of Health, available at: http://digital.nhs.uk/catalogue/PUB30097 (accessed 23 October 2017).

4. Department of Health (2017b), “Transforming care: model service specifications: supporting implementation of the service model”, Department of Health, available at: www.england.nhs.uk/wp-content/uploads/2017/02/model-service-spec-2017.pdf (accessed 23 October 2017).

5. Prevalence of ‘criminal offending’ by men and women with intellectual disability and the characteristics of ‘offenders’: implications for research and service development;Journal of Intellectual Disability Research,2002

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