In Our Own Homes- Working with older adults with在我们自己家的工作与老年人

InOurOwnHomes-

WorkingwitholderadultswithmoderatelearningdisabilitiesKathieMartinCare&RepairEnglandIntroductionLiveinhomesneedingurgentrepairs/adaptations.Havereachedapointofcrisisathome.Lackcomprehension/behaviouraldifficulties–affectabilitytomanagedaytodaylife.Livingincomplexsituations.Facingthelikelihoodofcrisesrecurringinthefuture.WhyisitrelevanttoStayingPut?Already-helpingpeoplewithcomplexneeds.‘Moral’case–olderpeoplefallingbetweenthegaps–notLDpriority-notOPsectorpriority?PolicyAgenda–movefromfocusonoutputstooutcomes.‘Business’case–L/AandNHSmaybeinvolved-haphazardandintrusiveway.Positivemodels-Crisissupport-helptomeetexpectationsoftransformingsocialcare.Prevention/homelessness/inappropriateresidentialcare.i

TheChallenges.Improvingsupportforolderpeoplewithmoderatedisabilitieslivinginmainstream-housing-skills-knowledgeandfunding.Thepotentialimpactofnotprovidingsupport-*coststostatutorysector*Impactontheindividual*Achievingtheintendedreformofadultsocialcare.NationalContextDefinitionoftheterm‘learningdisabilities’Asignificantintellectualimpairment(IQof50-69=moderateLD,below50severeLD)andDeficitsinsocialfunctioningoradaptivebehaviour(basiceverydayskills)andWhicharepresentfromchildhoodNationalContextHowmanypeoplehavelearningdisabilities?Notabsolute,butfiguresfromthemainnationalepidemiologicalstudiesintheUKare:580,000–1,750,000peoplewithmoderatelearningdisabilities230,000–350,000peoplewithseverelearningdisabilities‘Moral’CaseLearningDisabilitySector

–focusisonyoungerpeople,rightsbased,integratedlivingagenda,resourcesgotothosewhoarehigherneedorLD‘labelled’,socialrentedsectorandsupportedhousinghasvoice,butnotowneroccupiedsectorOlderPeople’sSector–neglectedissueBusinessCaseGrowingnumbersofolderpeoplewithLDTenureshifttoowneroccupationPreventionratherthancrisisinterventionTargetingofresourcesatthosemostinneedeg.SPSocialrentedsupportedhousingoptionsexpensiveNationalContextAstudybytheFoundationforPeoplewithLearningDisabilitiesconcludedthat:

‘tomeetthepredictedincreaseintheageingpopulationamongstadultswithlearningdifficultiestheplanninganddevelopmentoflearningdisabilityserviceswillneedtoincreasecapacity.’NationalContextConsiderimplicationsofthesemajorsocialchangesforLD/relatedprovision:IncreasedlifeexpectancyamongstpeoplewithmoderatelearningdisabilitiesIncreasedowneroccupation,especiallyamongstlowerincomehouseholdsEconomiclinkwithmoderateLD(notsevere)NationalContextLDsectorfocusonsocialrented/supportedhousingprovisionSSfocusoncrisisandhighneedendofspectrumBUT-philosophyofLDsectorisforinclusioninmainstreamprovisionTotakeonissueandforpotentialroletobeacknowledged?LessonslearnedEarlystagesbut:Demandisoutthereandcanmakeahugedifferencetolivesofpeoplewhono-oneelseishelpingandwhosequalityoflifeisverypoorServicesneededasprioritytosupportpeopleincomplexsituationsPointofcrisisorrecurringcrisisLessonslearnedLearningaboutwhathelp/opportunitiesareoutthereforpeoplewithLD,especiallytocombatsocialisolation(oneofmainproblems)ComplimentarybutultimatelydifferenttogeneralHIAcaseworkerjobCoworkingacrossolderpeoplesservices/housingrelatedsupportessentialtodeliverbothpreventativeandsustainablesupport.C&RENationalInitiativeRaiseprofileofprivatesector/olderpeoplerelatedhousingissuesamongstLDandSSsectorsRaiseprofileofmoderateLD/olderpeople/privatesectorhousingissuesinhousingworldsuccessfullocalpilotsBristolManchesterCoventry.C&RENationalInitiativePromote,encourage,supportlocalpilotsProducenationalmaterials–eg.leafletsproducedwithLDadultsgroup,recruitmentpack,fundraisinginformation

Facilitatecrosssectorworkingandjointlearning/trainingamongstprovidersSourcesofInformation/AdviceHousingLearningandImprovementNetwork:GuidetoRangeofH