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.
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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