This document discusses a 3-year project to support 20 people with complex needs who had been placed in specialist hospitals far from their homes to return to their local communities. Through individual service funds, service design, and detailed support plans, the project aims to provide tailored support and housing to allow each person to have a meaningful life in their community. The document outlines some of the challenges faced, including professionals blocking discharge and a lack of local support options. It stresses the importance of early planning and flexible funding to support individuals in community living.
We are Worth the Investment. NSW Council for Intellectual Disability Conference 16-17 July 2015. Planning - How does it all work- Eric Platt, Self Advocate
Promoting active inclusion for young homeless peopleFEANTSA
Presentation given by Brigita Jankauskaite, Vilnius Caritas (LT) at the 2013 FEANTSA conference, "Investing in young people to prevent a lost generation: policy and practice in addressing youth homelessness"
http://feantsa.org/spip.php?article1596&lang=en
Krishna Old Age Home is a non-governmental organization located in Gandhinagar, Gujarat that provides shelter and care for older adults aged 60 and above who have no family. It houses around 30 members and provides meals, medical care, and other basic necessities using funds from donations. A survey found that while the organization meets basic needs, improvements could be made to infrastructure and activities to better engage and support members. Recommendations included expanding housing, adding entertainment, creating a website, and helping members develop skills.
Kara Bobowski is a member of the Erasmus+ Day Centres Without Walls programme. Here participants describe how Kara Bobowski works to ensure everyone gets the chance to travel, work and learn about different cultures.
This session looks at developing an understanding of the shared needs between generations, the types of spaces required to support intergenerational usage and the experiences these spaces would provide.
The work of PFG Doncaster demonstrates the enormous power and efficiency of peer support. In the latest phase of its development they are working in a way which is very similar to community development.
This document discusses a 3-year project to support 20 people with complex needs who had been placed in specialist hospitals far from their homes to return to their local communities. Through individual service funds, service design, and detailed support plans, the project aims to provide tailored support and housing to allow each person to have a meaningful life in their community. The document outlines some of the challenges faced, including professionals blocking discharge and a lack of local support options. It stresses the importance of early planning and flexible funding to support individuals in community living.
We are Worth the Investment. NSW Council for Intellectual Disability Conference 16-17 July 2015. Planning - How does it all work- Eric Platt, Self Advocate
Promoting active inclusion for young homeless peopleFEANTSA
Presentation given by Brigita Jankauskaite, Vilnius Caritas (LT) at the 2013 FEANTSA conference, "Investing in young people to prevent a lost generation: policy and practice in addressing youth homelessness"
http://feantsa.org/spip.php?article1596&lang=en
Krishna Old Age Home is a non-governmental organization located in Gandhinagar, Gujarat that provides shelter and care for older adults aged 60 and above who have no family. It houses around 30 members and provides meals, medical care, and other basic necessities using funds from donations. A survey found that while the organization meets basic needs, improvements could be made to infrastructure and activities to better engage and support members. Recommendations included expanding housing, adding entertainment, creating a website, and helping members develop skills.
Kara Bobowski is a member of the Erasmus+ Day Centres Without Walls programme. Here participants describe how Kara Bobowski works to ensure everyone gets the chance to travel, work and learn about different cultures.
This session looks at developing an understanding of the shared needs between generations, the types of spaces required to support intergenerational usage and the experiences these spaces would provide.
The work of PFG Doncaster demonstrates the enormous power and efficiency of peer support. In the latest phase of its development they are working in a way which is very similar to community development.
This document provides an overview of Sam Sly and their work with Beyond Limits. [1] Sam is a social worker who became frustrated with the lack of change in social services. [2] They started their own consultancy to design more personalized services and eventually founded Beyond Limits. [3] Beyond Limits uses service design principles and individual budgets to create tailored support plans for 20 people transitioning out of hospitals or with reputations for having complex support needs.
This document discusses how a large health and social care charity is using Quality of Life standards to change their organizational culture. They will focus on three main projects: implementing the "Voice of the People We Support" to give people more choice and control through advocacy; increasing personalization of services; and using the standards to "drive up quality", challenging the organization to provide best practice support. The standards promote a rights-based, person-centered approach where people experiencing services help evaluate quality of life. Overall, the charity aims to respect, enable, and include the people it supports through committing to the Quality of Life standards.
This document discusses creative options for care at home from Home Instead Senior Care. It describes Home Instead as an independent provider with over 1,000 offices worldwide that offers choice and flexibility. Home Instead supports self-directed support which allows personalized care built around a client's needs. They provide dementia training and public awareness programs. Case studies show how Home Instead supports clients with daily visits and overnight care. The document also discusses Home Instead collaborating with The Good Care Group to support a client as his needs increased.
Chain Reaction began as a pilot project in Newcastle to provide alternatives to traditional day opportunities for older adults aged 55 and over. It focuses on using existing community resources, developing new groups, and providing a personalized and member-led service to reduce social isolation. Key elements include one-on-one support, connecting members to activities in their community, and creating a network of natural support. The program has now expanded to work with additional organizations, roll out services across the city, and implement preventative support for more older adults.
This document outlines the mission and goals of "The Found Ones", an organization that aims to educate adolescents ages 10-21 about substance abuse and set them on a path to recovery. Their mission is to transform lives through treatment and education tailored to each individual. They plan to establish a program that provides mental health support, therapy, and recovery coaching to help participants discover themselves outside of addiction. The document acknowledges the social stigma and lack of funding challenges they may face serving rural communities, but outlines plans to overcome these issues through anonymous support, grants, donations, and being inclusive to all.
The program was created to help our children who are addicted. This program will help families understand addiction and how they can help their children in the future from addiction.
This document outlines the mission and goals of "The Found Ones", an organization aimed at educating adolescents ages 10-21 about substance abuse and peer pressure. Their mission is to transform lives through treatment and education tailored to each individual. They plan to educate clients, parents, and communities to help adolescents discover themselves outside of addiction and maintain sobriety. The organization faces challenges like social stigma in rural areas where substance abuse is not openly discussed. They outline budgets, staffing, and evaluation plans to measure success through digital systems and regular client and team feedback. Their goal is to provide family-oriented care and help build a better future.
The document outlines what will be covered in a training on values and action at Merry Glen, including: the history of attitudes and services for people with disabilities; Merry Glen's unique history as a family cooperative established in the 1970s; residential guidelines and client services; positive behavior support planning; and The Merry Glen Way values of kindness, skill, reliability and teamwork. It provides context on developmental disabilities and an overview of non-profit residential service models before concluding with a message about creating a kind workplace environment through our beliefs and actions.
This document provides information on trauma care services, old age homes, orphanages, and homes for the destitute. It discusses the definition of trauma and types of injuries. It outlines the key steps in caring for trauma patients. It describes the relevance of old age homes in India and different types. It defines an orphanage and lists some charities. It discusses the causes and management of poverty and destitution in India.
Social Enterprise Trading for Good provides decluttering and home cleaning services to create safer homes and improve life chances for young adults in Suffolk. Their services include home and garden decluttering, small jobs assistance, hospital discharge cleaning, downsizing assistance, and hoarding disorder support. Hoarding disorder is now recognized as a mental health condition involving excessive acquiring and disorganized storing of items. Self-neglect involves lack of self-care that threatens one's health and safety. Building rapport, avoiding judgment, and partnership between individuals and organizations are essential to help those affected by hoarding disorder and self-neglect.
Realizations at Alberta Association for Community Living Apr 2012Realizations
"A Partnership Approach to Supporting People with Complex Needs and Challenges to Live a Rich and Inclusion Life" - Presentation at Alberta Association for Community Living by Hope Leet Dittmeier and Anne Scott
Sam Sly has worked in social care and helped improve services for people with learning disabilities and mental health needs. He developed an approach called "Hands Off Its My Home" to promote citizenship. Currently he is directing a 3-year project using individual budgets and service design to create personalized support for 20 people in hospital placements to transition them back to their local communities. Research shows personalized community support can save money compared to out-of-area institutional placements. The project aims to give people control over their lives rather than isolating them in large, distant facilities that cannot meet individuals' needs.
Three intergenerational housing models in the USA were summarized:
1) H.O.M.E. in Chicago houses older residents, resident assistants of college age, and families in the same buildings. This fosters a sense of community and intergenerational friendships have formed.
2) Judson Manor in Cleveland houses older residents alongside artist-in-residence college students who participate in arts activities in exchange for housing. Close bonds have developed between students and residents.
3) Grandfamily housing schemes like Griot Village provide homes for grandparents raising grandchildren, along with supportive services and activities for all ages. This stable housing helps grandparents and improves children's wellbeing.
Learning from intergenerational housing projects in the USAAlison Clyde
Three intergenerational housing models in the USA were summarized:
1) H.O.M.E. in Chicago houses older residents, resident assistants of college age, and families in the same buildings. This fosters a sense of community and intergenerational friendships have formed.
2) Judson Manor in Cleveland houses older residents alongside artist-in-residence college students who participate in arts activities in exchange for housing. Close bonds have developed between students and residents.
3) Grandfamily housing projects in various cities provide homes and support services for grandparents raising grandchildren. Activities aim to support both grandparents and children while fostering community. Residents feel they receive needed assistance.
The document discusses redesigning healthcare systems and environments to promote health and prevent disease. It argues that healthcare must go beyond just treating illness to designing ways to keep people healthy through improvements to physical, social, economic and genetic environments. The ultimate goal is to change how people live by creating healthy habitats that design out risk factors and envision an optimal level of population well-being. This will require converging different disciplines and testing new community designs.
Networked Energy: Energy independence for AlderneyCitizen Network
by Chris Cook and Marcus Saul, Island Power
As Research Fellows at the Institute for Strategy, Resilience and Security, at University College, London, Marcus Saul and Chris Cook researched and developed the Pacific Natural Grid resource resilience strategy.
Here they explain how Denmark has led the way in creating sustainable networks of community-based energy production and distribution.
This has been transformative for Denmark, enabling it to become independent from the oil and gas industry’s dominance. But it is also transformative for communities, who are now creating their own energy economies.
Dr Dave Beck gave this talk for Part 5 of the ‘Grassroots Policies for Farming, Food and Wildlife’ webinar series, hosted by Citizen Network.
In his presentation Dr Beck discusses the harms caused by the monopolisation of supermarkets in the food industry. He also explores the positive possibilities of local currencies.
Dr Beck is a Lecturer at the University of Salford, Manchester.
The webinar recording is available to watch on Citizen Network's website at: www.citizen-network.org
This document provides an overview of Sam Sly and their work with Beyond Limits. [1] Sam is a social worker who became frustrated with the lack of change in social services. [2] They started their own consultancy to design more personalized services and eventually founded Beyond Limits. [3] Beyond Limits uses service design principles and individual budgets to create tailored support plans for 20 people transitioning out of hospitals or with reputations for having complex support needs.
This document discusses how a large health and social care charity is using Quality of Life standards to change their organizational culture. They will focus on three main projects: implementing the "Voice of the People We Support" to give people more choice and control through advocacy; increasing personalization of services; and using the standards to "drive up quality", challenging the organization to provide best practice support. The standards promote a rights-based, person-centered approach where people experiencing services help evaluate quality of life. Overall, the charity aims to respect, enable, and include the people it supports through committing to the Quality of Life standards.
This document discusses creative options for care at home from Home Instead Senior Care. It describes Home Instead as an independent provider with over 1,000 offices worldwide that offers choice and flexibility. Home Instead supports self-directed support which allows personalized care built around a client's needs. They provide dementia training and public awareness programs. Case studies show how Home Instead supports clients with daily visits and overnight care. The document also discusses Home Instead collaborating with The Good Care Group to support a client as his needs increased.
Chain Reaction began as a pilot project in Newcastle to provide alternatives to traditional day opportunities for older adults aged 55 and over. It focuses on using existing community resources, developing new groups, and providing a personalized and member-led service to reduce social isolation. Key elements include one-on-one support, connecting members to activities in their community, and creating a network of natural support. The program has now expanded to work with additional organizations, roll out services across the city, and implement preventative support for more older adults.
This document outlines the mission and goals of "The Found Ones", an organization that aims to educate adolescents ages 10-21 about substance abuse and set them on a path to recovery. Their mission is to transform lives through treatment and education tailored to each individual. They plan to establish a program that provides mental health support, therapy, and recovery coaching to help participants discover themselves outside of addiction. The document acknowledges the social stigma and lack of funding challenges they may face serving rural communities, but outlines plans to overcome these issues through anonymous support, grants, donations, and being inclusive to all.
The program was created to help our children who are addicted. This program will help families understand addiction and how they can help their children in the future from addiction.
This document outlines the mission and goals of "The Found Ones", an organization aimed at educating adolescents ages 10-21 about substance abuse and peer pressure. Their mission is to transform lives through treatment and education tailored to each individual. They plan to educate clients, parents, and communities to help adolescents discover themselves outside of addiction and maintain sobriety. The organization faces challenges like social stigma in rural areas where substance abuse is not openly discussed. They outline budgets, staffing, and evaluation plans to measure success through digital systems and regular client and team feedback. Their goal is to provide family-oriented care and help build a better future.
The document outlines what will be covered in a training on values and action at Merry Glen, including: the history of attitudes and services for people with disabilities; Merry Glen's unique history as a family cooperative established in the 1970s; residential guidelines and client services; positive behavior support planning; and The Merry Glen Way values of kindness, skill, reliability and teamwork. It provides context on developmental disabilities and an overview of non-profit residential service models before concluding with a message about creating a kind workplace environment through our beliefs and actions.
This document provides information on trauma care services, old age homes, orphanages, and homes for the destitute. It discusses the definition of trauma and types of injuries. It outlines the key steps in caring for trauma patients. It describes the relevance of old age homes in India and different types. It defines an orphanage and lists some charities. It discusses the causes and management of poverty and destitution in India.
Social Enterprise Trading for Good provides decluttering and home cleaning services to create safer homes and improve life chances for young adults in Suffolk. Their services include home and garden decluttering, small jobs assistance, hospital discharge cleaning, downsizing assistance, and hoarding disorder support. Hoarding disorder is now recognized as a mental health condition involving excessive acquiring and disorganized storing of items. Self-neglect involves lack of self-care that threatens one's health and safety. Building rapport, avoiding judgment, and partnership between individuals and organizations are essential to help those affected by hoarding disorder and self-neglect.
Realizations at Alberta Association for Community Living Apr 2012Realizations
"A Partnership Approach to Supporting People with Complex Needs and Challenges to Live a Rich and Inclusion Life" - Presentation at Alberta Association for Community Living by Hope Leet Dittmeier and Anne Scott
Sam Sly has worked in social care and helped improve services for people with learning disabilities and mental health needs. He developed an approach called "Hands Off Its My Home" to promote citizenship. Currently he is directing a 3-year project using individual budgets and service design to create personalized support for 20 people in hospital placements to transition them back to their local communities. Research shows personalized community support can save money compared to out-of-area institutional placements. The project aims to give people control over their lives rather than isolating them in large, distant facilities that cannot meet individuals' needs.
Three intergenerational housing models in the USA were summarized:
1) H.O.M.E. in Chicago houses older residents, resident assistants of college age, and families in the same buildings. This fosters a sense of community and intergenerational friendships have formed.
2) Judson Manor in Cleveland houses older residents alongside artist-in-residence college students who participate in arts activities in exchange for housing. Close bonds have developed between students and residents.
3) Grandfamily housing schemes like Griot Village provide homes for grandparents raising grandchildren, along with supportive services and activities for all ages. This stable housing helps grandparents and improves children's wellbeing.
Learning from intergenerational housing projects in the USAAlison Clyde
Three intergenerational housing models in the USA were summarized:
1) H.O.M.E. in Chicago houses older residents, resident assistants of college age, and families in the same buildings. This fosters a sense of community and intergenerational friendships have formed.
2) Judson Manor in Cleveland houses older residents alongside artist-in-residence college students who participate in arts activities in exchange for housing. Close bonds have developed between students and residents.
3) Grandfamily housing projects in various cities provide homes and support services for grandparents raising grandchildren. Activities aim to support both grandparents and children while fostering community. Residents feel they receive needed assistance.
The document discusses redesigning healthcare systems and environments to promote health and prevent disease. It argues that healthcare must go beyond just treating illness to designing ways to keep people healthy through improvements to physical, social, economic and genetic environments. The ultimate goal is to change how people live by creating healthy habitats that design out risk factors and envision an optimal level of population well-being. This will require converging different disciplines and testing new community designs.
Networked Energy: Energy independence for AlderneyCitizen Network
by Chris Cook and Marcus Saul, Island Power
As Research Fellows at the Institute for Strategy, Resilience and Security, at University College, London, Marcus Saul and Chris Cook researched and developed the Pacific Natural Grid resource resilience strategy.
Here they explain how Denmark has led the way in creating sustainable networks of community-based energy production and distribution.
This has been transformative for Denmark, enabling it to become independent from the oil and gas industry’s dominance. But it is also transformative for communities, who are now creating their own energy economies.
Dr Dave Beck gave this talk for Part 5 of the ‘Grassroots Policies for Farming, Food and Wildlife’ webinar series, hosted by Citizen Network.
In his presentation Dr Beck discusses the harms caused by the monopolisation of supermarkets in the food industry. He also explores the positive possibilities of local currencies.
Dr Beck is a Lecturer at the University of Salford, Manchester.
The webinar recording is available to watch on Citizen Network's website at: www.citizen-network.org
This document discusses key issues in disability and aged care systems and proposes ways to advance citizenship rights through self-directed support. It advocates for personal budgets and upstream solutions to prevent crises. It also highlights the need for innovation from communities, professionals, and individuals to develop sustainable and inclusive systems that respect people's freedom, support, participation, and citizenship.
Sabrina Espeleta of War on Want outlines the enormous and growing level of world hunger. She explains how a few global corporations control the vast majority of food production and supply and markets exploit the food market, leaving communities, especially in the Global South at great disadvantage. Local peasant farmers are now organising to achieve food sovereignty, seeking to farm in ways in harmony with nature and to meet local needs. The Global North needs to respect the rights and autonomy of these people rather than to continue the pattern of exploitation.
This presentation was given on 6 July in Part 4 of a webinar series on grassroots policies for farming, food and wildlife.
Watch the recording at: https://citizen-network.org
Simon Duffy was asked by the Mayor’s Greater Manchester Charity and UBI Lab Manchester to talk at a recent roundtable event on the relevance of Universal Basic Income (UBI) to the problem of homelessness.
These are the slides from that talk. In summary Duffy argued that UBI is relevant to reducing homelessness in two slightly different ways:
1. UBI would help prevent homelessness - UBI addresses the inequalities in income and housing that create the risk of homelessness.
2. UBI would help people escape homelessness - UBI gives people a vital tool which significantly helps people change their situation in times of crisis.
Find more free resources on basic income at: www.citizen-network.org
A presentation for the One Yorkshire Committee introducing Democratic Yorkshire - a voluntary alliance consisting of a group of organisations and individuals interested in planning a better future for our County through modern democratic means secured in a written constitution.
In this presentation exploring planning law, Laird Ryan talks us through the planning process, explores what we can and can't influence and helps us consider how best to create real, organic and local alliances that make the best use of our energy.
To find out more about the Neighbourhood Democracy Movement please visit: https://neighbourhooddemocracy.org
Citizenship is our Business - The Avivo StoryCitizen Network
Avivo is one of the founding organisations in Citizen Network. they are also pioneers in self-direction and personalised support in Australia. Over the past few years they have been reorganising themselves around the principle that everyone is a citizen - and supporting everyone, including paid staff, to be citizens is their central purpose. Avivo are also leading Citizen Network's Rethinking Organisations programme and networking with other organisations on this journey.
Dr Simon Duffy spoke to Doncaster's Mental Wellbeing Alliance about the importance of thinking about what good help really means. He explored the importance of shifting power, resources and thinking upstream.
Markus Vähälä, CEO of Citizen Network, outlined the development of the cooperative as a framework to support the further development of Citizen Network as part of the 2022 Building Citizen network Together events hosted by Eberswalde University.
At BuildingCitizen Network Together in early 2022 Simon Duffy and James Lock discussed the development of Citizen Network and its current approach to membership and explored with members from all around the world next steps for its development.
These slides are from a talk Dr Simon Duffy of Citizen Network gave to Café Economique in Leeds, making the case for basic income. The argument set out is that UBI is one necessary part of a range of reforms necessary to support citizenship and strengthen community life. This talk preceded a (rather fiery) debate with Anna Coote of NEF who argued against UBI.
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive function. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
Simon Duffy gave this talk for Radical Visions on home, citizenship, institutionalisation and neighbourhood democracy. He explains why institutions are wrong and what we might be do to end the drive towards institutionalisation.
A presentation for the Estia International Confernce in 2021 from Dr Simon Duffy exploring personal budgets, citizenship and community and the challenges for services aiming to work in partnership with people with disabilities in Greece.
An example of good practice in inclusion in employment from Slovenia, shared at the Day Centres Without Walls conference, hosted by JDC in Lithuania. Day Centres Without Walls is an Erasmus+ project funded by the EU.
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...Donc Test
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Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
1. Too complex? Too challenging?
Breaking down the barriers and
supporting people placed in out of
area Specialist Hospitals to return to
their local communities
2. My background
Social Worker for people with learning
disabilities and mental health needs
CSCI (CQC)
Change Team Cornwall (changing housing and
support that had gone badly wrong)
Cornwall PCT continued to improve quality
Bournemouth Campus re-provision
United Response improving quality
Developed ‘Hands Off Its My Home – a path to
Citizenship’
Director for Beyond Limits with Doreen Kelly
Columnist for Learning Disability Today
3. Beyond Limits
• 3 year project with NEW Devon CCG Personalising
Commissioning
• Using Individual Service Funds (3rd Party)
• Using Service Design & Working Policy
• 20 people currently in Hospital placements
• 20 people with big reputations
• 20 people who will get a tailor made service
• 20 people who will get a life that makes sense to
them
4. People Involved Year 1 & 2
• All have been abused
• Have moved between 6-25 Institutions
• Youngest 28 Oldest 56
• First admission to an Institution aged 14-22
• All on MHA Section for between 5-14 years
• Many have moved to more and more secure
accommodation as they have fought the system
• All families have felt loss of control, marginalised and
physically unable to stay in touch
• All people have the same hopes and dreams as all of
us
5. Why do people end up in
Hospitals miles from Home
and loved ones?
6. • Reactive traditional commissioning
• Help not provided when families needed it (often
in adolescence)
• People not ‘listened to’ or understood
• Families are seen as the problem
• Lack of local resources and expertise
• Risk averse systems and professionals
• Statutory Agencies don’t see Providers as
partners
8. You can’t plan without a Budget!
• A service fund
• Planning and pre-move
transition is funded (one
off payment clawed back
through reductions from
years 2 onward)
• On-going budget (slight
increase in year 1)
• A pot for emergencies is
kept for the person
• Greatest reductions after
year two and three
9. Service Design
(The solutions are in the detail)
• Take time getting to know person and
significant others
• In a comfortable environment
• Telling their story
• Being in control
• Direction
• Money
• Home
• Support
• Contribution (Giving something back)
10. From the Service Design……..
• ‘Dream Team’ characteristics, hobbies,
interests, make up and skills (including
support from loved ones)
• Housing needs
• What my day, week and year will look like
• How others will work together
• My gifts and skills
• My hopes and dreams for the future
11. The ‘how to’ bit!
(Working Policy)
• Many great plans are made and fall down
because they are not followed up by a detailed
‘how to’ bit.
• It is fundamentally important that once a service
is designed a ‘how to’ plan is written. Partners for
Inclusion and Beyond Limits call this a Working
Policy.
• Involves the person (if they wish), present and
past professionals and family. It covers every
eventuality and so can be distressing
12. A story (then)
• Man aged 56
• Lived and in and out of in Institutions since aged
8
• Had £1000’s of pounds but no life
• Autism, abused and mental health needs
• Last Hospital 350 miles from home
• Been there 14 years in the admission section of
Hospital
• Last ill-planned move led to him refusing to go
out for 6 years
13. A story (Now)
• A dedicated matched team who spent 6 weeks
getting to know him
• Move here went without a hitch
• A home of his own (with tenancy rights)
• Looks out for his neighbours
• He started to go out on day one! Shops, cafe,
walks
• Still some problems from a lifetime of Institutions
14. It is not all a ‘bed of roses’
• Only 4 people have made it home so far although we have planned
with 12 and been awarded contracts for 9
• People often come out more damaged than they went in
• Without life skills (been in a false environment for far too long)
• Picked up behaviours they did not have before going in
• We are not accepted with open arms
• Professionals still block discharge and people still are not coming
home
• Teams take a while to ‘bed down’
• The reality of moving from living within 4 walls to a world of
freedom and choice can be scary
• Even with detailed planning there are still things you have to learn
about people
15. We all still have a long way to go to
achieve a better World!
• Hospital doesn’t work long
or medium term
• Hospital away from home
NEVER works
• Being away from family and
community is destructive
• Planning for a normal life
has to start from day one
• Matching teams makes the
difference
• Individual flexible budgets
• Cultural change is required
• People want lives
16. My Contacts
Sam Sly
Beyond Limits
sam@beyondlimits-uk.org
sam.sly@enoughisenough.
org.uk
07900 424144
www.beyondlimits-uk.org