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Centre for Policy on Ageing | |
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What price independence? — independent living and people with high support needs | Author(s) | Ann Kestenbaum |
Corporate Author | Joseph Rowntree Foundation - JRF; Community Care |
Publisher | Policy Press, Bristol, 1999 |
Pages | 68 pp (Community care into practice series) |
Source | The Policy Press, University of Bristol, 34 Tyndall's Park Road, Bristol BS8 1PY. |
Keywords | Living in the community ; Independence ; Physical disabilities ; Costs [care] ; Social security benefits ; Social surveys. |
Annotation | The last decade has seen major developments benefiting severely disabled people who choose to live in the community rather than in residential care. Most significant have been independent living funds (ILFs) and local authority direct payments. However, there are now growing tensions between raised expectations and ever tightening constraints on the expenditure of funding agencies. This report's research is based on a project carried out between 1997 and 1999, led by the author working with the Disablement Income Group (DIG) and with support of the ILFs. The project aimed to establish what constitutes "high support needs"; to find out how expensive support packages are funded and describe the partnerships operating between funding agencies; and to explore the effect that regulation on budget constraints has on continuing to support high-cost care packages. The report shows that the consequences of the resulting rationing include wide discrepancies between outcomes for people with similar needs, depending on where they live and when their support packages were first set up. It also shows that many high support packages are determined more by professional rules and timetables than user choice, but that these barriers to independence are not insurmountable. (RH). |
Accession Number | CPA-100217210 B |
Classmark | K4: C3: BN: QDC: JH: 3F |
Data © Centre for Policy on Ageing |
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...from the Ageinfo database published by Centre for Policy on Ageing. |
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