Review Costs and Outcomes of Community Services for People with Intellectual Disabilities Roger J Stancliffe & K Charlie Lakin (Eds) Paul H. Brookes Publishing Co. ISBN: 978 1 55766 718 2 Agnes Kozma Tizard Centre, University of Kent High-quality individualised services and self- social and financial costs of family care of people with determination have been at the top of the disability disabilities, and looks at how these costs are policy agendas in many countries, but less attention allocated, and their impact on families and demand has been paid to the economic aspects and policy for services. implications of financing person-centred supports. One of the main strengths of the book is that it New ways of supporting people to live in the provides some practical examples of different models community require a move away from traditional and methods used by American states to generate service-based models of funding towards more individualised budgets based on individual support flexible and individualised budgets that give greater needs (Chapter 8, EM Campbell et al; Chapter 11, JR control to the individual. Fortune et al; Chapter 12, CR Moseley et al). In This book fills an important gap by bringing Chapter 13 Stancliffe and colleagues explore the together original research, reviews of existing economics of de-institutionalisation, focusing on how literature, policy analysis and practical examples to ensure a swift transfer of resources from related to the allocation of resources to support institutions to community services. people with disabilities. Contributions come mainly Stancliffe and Lakin (in Chapter 1) emphasise that, from the United States and focus on the US service although economic issues should not be the primary and funding context, but the volume also includes basis for policy and service planning, service provision experiences from the UK and Australia (Chapters 3, D does have an important economic dimension. It is Felce & E Emerson; Chapter 6, RJ Stancliffe; Chapter 7, essential to understand the associations between E Emerson et al). service approaches, individual needs, costs and The book starts by setting out the historical context outcomes, so that effective, equitable and and contemporary trends in public spending for economically sustainable service systems can be disability services in the USA (Chapter 1, RJ Stancliffe & developed. This approach makes this book extremely KC Lakin). Various chapters explore the relationship topical in the current context of funding challenges between individual needs, costs and user outcomes of and increasing pressure on social care budgets due to community-based services, and particularly questions socio-demographic changes and restrictive fiscal whether higher support needs are associated with policies. The book provides an excellent insight into higher costs, and higher costs are associated with the issues of individualised budgeting for people with better user outcomes (such as quality of life, and disabilities, and a wealth of up-to-date practical choice). Families are the largest ‘providers’ of care for information that policy makers and researchers will people with disabilities in most countries. Chapter 4 find particularly useful and inspiring in reflecting on UK (DR Lewis & DR Johnson) reviews US literature on the experiences with person-centred funding. 48 Tizard Learning Disability Review Volume 13 Issue 4 December 2008 © Pavilion Journals (Brighton) Ltd
Tizard Learning Disability Review – Emerald Publishing
Published: Dec 1, 2008
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