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dc.date.accessioned2018-10-26T09:58:13Z
dc.date.available2018-10-26T09:58:13Z
dc.date.issued2017-03-01
dc.identifier.urihttp://hdl.handle.net/10147/623901
dc.descriptionAbstract: BACKGROUND: Day services for people with intellectual disabilities are experiencing a global paradigm shift towards innovative person-centred models of care. This study maps changing trends in day service utilization to highlight how policy, emergent patterns and demographic trends influence service delivery. METHODS: National intellectual disability data (1998-2013) were analysed using WINPEPI software and mapped using QGIS Geographic Information System. RESULTS: Statistically significant changes indicated fewer people availing of day services as a proportion of the general population; more males; fewer people aged <35; a doubling in person-centred plans; and an emerging urban/rural divide. Day services did not change substantially and often did not reflect demand. CONCLUSIONS: Emergent trends can inform future direction of disability services. Government funds should support individualized models, more adaptive to changing trends. National databases need flexibility to respond to policy and user demands. Future research should focus on day service utilization of younger people and the impact of rurality on service availability, utilization, quality and migration.en_US
dc.description.abstractDay services for people with intellectual disabilities are experiencing a global paradigm shift towards innovative person-centred models of care. This study maps changing trends in day service utilization to highlight how policy, emergent patterns and demographic trends influence service delivery. National intellectual disability data (1998-2013) were analysed using WINPEPI software and mapped using QGIS Geographic Information System. Statistically significant changes indicated fewer people availing of day services as a proportion of the general population; more males; fewer people aged <35; a doubling in person-centred plans; and an emerging urban/rural divide. Day services did not change substantially and often did not reflect demand. Emergent trends can inform future direction of disability services. Government funds should support individualized models, more adaptive to changing trends. National databases need flexibility to respond to policy and user demands. Future research should focus on day service utilization of younger people and the impact of rurality on service availability, utilization, quality and migration.
dc.description.sponsorshipHRB Scholar Programme in Health Services Research. Grant Number: PHD/2007/16en_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.subjectINTELLECTUAL DISABILITYen_US
dc.subjectPERSON CENTERED CAREen_US
dc.subject.otherDAY SERVICESen_US
dc.titleDay Service Provision for People with Intellectual Disabilities: A Case Study Mapping 15-Year Trends in Ireland.en_US
dc.typeArticleen_US
dc.contributor.department1. & 2 Mental Health and Social Research Unit, Maynooth University. 3. Centre for Health Policy and Management, School of Medicine, Trinity College, Dublinen_US
dc.identifier.journalJournal of Applied Research in Intellectual Disabilitiesen_US
dc.source.journaltitleJournal of applied research in intellectual disabilities : JARID
refterms.dateFOA2018-10-26T09:58:14Z


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