J. Costa-Font and others
Journal of Social Policy, vol. 40, 2011, p. 295-312
Mental health care has been a traditionally neglected component of the welfare policy agenda, and it is argued that reforms have been driven by a) an increasing awareness of the social and economic impacts of mental ill health and b) increasingly evidence-based actions to reduce those impacts. In Spain, regional devolution of health and social care responsibilities has been key in providing an opportunity for policy and institutional innovation, has enhanced coordination within and external to the healthcare sector, and has assisted evidence-based decision-making through the action of health technology agencies. Moreover, devolution has also helped to curb the move towards means-testing of services.
K. Nankervis, A. Rosewarne and M. Vassos
Journal of Intellectual Disability Research, vol. 55, 2011, p. 422-433p
In an Australian context, this article looks at why families caring for a person with an intellectual disability place that person in out-of-home respite care for an extended stay. Evidence was gathered from a review of 32 case files. Results showed that the factors which led families to relinquish care could be categorised as:
It emerged that long term respite care was being used as a 'band aid' to avoid addressing underlying difficulties. It is suggested that demand could be reduced by interventions aimed at enhancing the carer's ability to cope, such as parent training, linkage to informal support and interventions to reduce client challenging behaviours.