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CLOONAMAHON SERVICES Learning Disability Sligo/Leitrim Toward Community Inclusion A ONE WAY JOURNEY

CLOONAMAHON SERVICES Learning Disability Sligo/Leitrim Toward Community Inclusion A ONE WAY JOURNEY. Background. 1975—Cloonamahon Centre opened with 5 service users. In 1988, 58 Service Users relocated from Mental Health Service. 1998—130 Service users in building designed for 60.

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CLOONAMAHON SERVICES Learning Disability Sligo/Leitrim Toward Community Inclusion A ONE WAY JOURNEY

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  1. CLOONAMAHON SERVICES Learning Disability Sligo/Leitrim Toward Community Inclusion A ONE WAY JOURNEY

  2. Background • 1975—Cloonamahon Centre opened with 5 service users. • In 1988, 58 Service Users relocated from Mental Health Service. • 1998—130 Service users in building designed for 60. • Cloonamahon provided services to people with high support needs, e.g. • Complex medical needs, co-existing mental health needs, behaviours that challenge, care of the older person, palliative care.

  3. Cloonamahon also provided • planned respite care and emergency/crisis intervention. • Services were delivered to the highest possible standard in an inappropriate setting with low staffing levels.

  4. Strategic Context • 2000 – Cloonamhon Partnership Committee was set up to conduct a comprehensive review of service provision and agree a plan for future provision of services for implementation within the lifetime of current NDP. (2000 – 2006). • 2001 – Needs Assessment Study commenced in Learning Disability Service, S/L/WC. The findings for Cloonamahon Service clearly indicated that the majority of service users and families wished to relocate to community settings. • 2002 – Partnership Agreement was signed which outlined the future direction of Cloonamahon Services. • 2002 – Partnership Implementation Committee established.

  5. WHY RELOCATE • Outcomes of Needs Assessment (2001), clearly shows that the majority of service users from Cloonamahon and families, wished to relocate to community setting. • Human stories/experiences. Service users own stories, re living in residential institutions.

  6. Community Developments • 2004---Steeple-View-(CGH x2)------8--Service-users. • 2004---Aoibhneas Day Service---14 • 2006---Nephin Lodge ( CGH x 2) – 10 • 2006---Juderobe----------5 • 2006---Rusheen House –6 • 2007---Drumiskabole –-5 • 2010---Riverstown ------8-----Pending

  7. Activity Data2004 --104 individuals residing in Cloonamahon.2010-- 59 individuals residing in Cloonamahon.2004---33people have re-located from Cloonamahon to either community group homes, their own home or to their families since 2004.22 individuals R.I.PRespite reduced from 6 to 2.Emergency AdmissionsDuring this period a number of individuals were admitted to Cloonamahon for assessment treatment and individualised support.

  8. Evaluation of Community Based Service An agreed review is carried out after 6 months under the headings: • Service user perspective • Family Perspective • Staff Perspective

  9. Service User Perspective Measured through the care planning tool of “Personal Outcome Measures” which showed “outcomes” related to choice and personal rights: • Indicated an increased sense of ownership of their own lives and environment - greater choice in the activities of daily living. Measured outcomes increased significantly between 2004 and 2005, from 35 outcomes achieved to 104 outcomes achieved for 1 person.

  10. Family Perspective • Families cited better communication, families found it easier to become involved in the lives of the service user, families reported finding improved health and well being of the service user. • Families noticed marked improvement in Service Users well being, particularly in the area of previous behaviours that challenge.

  11. Staff Perspective • Empowered and effective team working, shared vision, positive benefit of closer contact with service user families. • The staff see the increased benefit to the lives of the service user. • Staff would prefer to continue to work in community services

  12. Positive Outcomes • Benefits of skill mix workforce. • Integration of generic services and the community team. • Increased community participation and inclusion. • Integrated person centred service delivery. • Up skilling and training opportunities for staff which benefit the Service User, which help avoid re-creating mini institutions in the community. • Implement, monitor and evaluate good work practices which reflect on service users quality of life outcomes. • Annual review—Continuous quality improvement.

  13. The Way Forward--2010 - 2015 • In 2010, relocate 8 Service Users from Cloonamahon to Riverstown, Co. Sligo. • In 2011 provide community group homes places for 8 service users with high support needs. • In 2012 provide community group homes places for 10 service users. • In 2013 provide community group homes places for 10 service users. • In 2014 provide community group homes places for 10 service users. • In 2015 provide community group homes places for remaining service users.

  14. CONCLUSION • This journey has proven beyond doubt that all people with an Intellectual Disability, regardless what that disability is, can live and be part of the community, with proper supports and structures in place. • I believe that the main factor in the closure of all institutions is Legalisation.

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