Most elderly go gently.
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Biomedical subjects
Publications and source records attributed to W Booth.
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Drawing on evidence from a research evaluation of a local community care programme, this paper explores whether relocation from a British National Health Service mental handicap hospital into local authority hostels (supervised residential facilities) brought about a qualitative change in the residential environment of movers towards less restrictive management practices and caring routines, more responsive attitudes towards their rights and needs as individuals, and greater control over their own lives. The conclusions point to the existence of a substantial measure of overlap in the fundamental characteristics of the hospital and hostel regimes.
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Steady progress is being made in the UK in the deinstitutionalisation of services for people with learning difficulties. Growing numbers are moving out of long-stay hospitals and hostels into less restrictive settings. But so far little is know about how they respond to the way these policies are changing their lives. This paper presents the views of movers who were interviewed using an innovative 'visual game' technique as they went through the process of relocation. Based on findings from a longitudinal research evaluation of a local community care programme, the paper describes the methods used and discusses the choices and preferences of the movers. The implications for policymakers are clear. People with learning difficulties can make perfectly sensible, consistent and illuminating comments on their experiences, and favour options and environments that maximise their independence. The evidence from this study suggests that the policy of relocating people from hospitals and developing community alternatives to institutional living is entirely in keeping with the wishes of the users themselves.
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