Supported Accommodation. Eric Emerson. Three Themes . Lessons from history The policy context Lessons from evaluation research Costs & benefits Lessons from epidemiology/demography Future need & demand. Royal Albert Asylum, Lancaster. Intermediate Boys Class, Royal Albert, 1903.
70 separate studies
5,800 people with learning disabilities
(Currently being updated for NDA, Ireland)
community presence, engagement, support, satisfaction
No systematic disadvantagesBenefits?
staff support & staff management practices
some structural characteristics (clustering, functional grouping - but only for challenging behaviour, size?, model?)
Weak (if any) links between outcomes and
structural characteristics (size?, provider, model?)
resources (costs, staffing ratios, qualifications & skills)
But what about ….
Organisational culture?The Determinants of Quality?
Contact with Family
Contact with Friends