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Achieving better outcomes in supported accommodation

Achieving better outcomes in supported accommodation. Jim Mansell. What should services achieve?. Principles often very clear: independence, inclusion, choice Practice often adrift: ‘cared for’, isolated, controlled. What does it take to provide good services?. A supportive context

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Achieving better outcomes in supported accommodation

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  1. Achieving better outcomes in supported accommodation Jim Mansell

  2. What should services achieve? • Principles often very clear: independence, inclusion, choice • Practice often adrift: ‘cared for’, isolated, controlled

  3. What does it take to provide good services? • A supportive context • Skilled facilitation by staff • A sense of direction and a commitment to the journey

  4. A supportive context • Arrangements are person-centred, not standardised • They support family and community life • They adopt a social model of disability not a medical model • They use a ‘support model’ not a ‘readiness model’

  5. An environment rich in opportunities at home…

  6. …and in the community

  7. Skilled facilitation by staff • Be clear about what values mean in the everyday lives of people • Focus on how staff support people minute-by-minute to achieve this • Key question is “What would you see?”

  8. What would you see?

  9. What would you see?

  10. What is person-centred active support? • Providing enough help to enable people to participate successfully in meaningful activities and relationships • So that people gain more control over their lives, gain more independence and become more included as a valued member of their community • Irrespective of degree of intellectual disability or presence of extra problems

  11. Elements of active support • ‘Every moment has potential’ • Little and often • Graded assistance to ensure success • Maximising choice and control It’s about the quality of relationship - not about the paperwork!

  12. Results: enabling assistance

  13. Results: engagement in meaningful activity

  14. OK! OK! I believe you – active support is good! What is the evidence? • Active support produces higher levels of engagement in meaningful activity • These lead to increases in independence • Especially effective for people with severe and profound intellectual disabilities • Staff training produces dramatic effects • On-the-job coaching is essential • Maintenance requires ongoing management commitment and involvement

  15. A sense of direction and a commitment to the journey • We can do better… • More supportive contexts and better active support • We can overcome obstacles • Being a movement for change as well as a support for individuals

  16. A virtuous circle

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