Organisational simplification and secondary complexity in health services for adults with learning disabilities

Social Science and Medicine

Volumn 58, Issue 2, 2004, Pages 357-367

  Heyman, Bob ^a   Swain, John ^b   Gillman, Maureen ^b  

^a CITY UNIVERSITY   (United Kingdom)

^b NORTHUMBRIA UNIVERSITY   (United Kingdom)

Author keywords

Learning difficulties; Primary health care; Social exclusion; UK

Indexed keywords

HEALTH SERVICES;

ADULT; ARTICLE; CAREGIVER; DATA ANALYSIS; HEALTH CARE DELIVERY; HEALTH CARE MANAGEMENT; HEALTH CARE NEED; HEALTH CARE ORGANIZATION; HEALTH SERVICE; HUMAN; HUMAN RELATION; INFORMATION PROCESSING; INTERPERSONAL COMMUNICATION; LEARNING DISORDER; MENTAL PATIENT; ORGANIZATION AND MANAGEMENT; PATIENT CARE; PRIMARY HEALTH CARE; PSYCHOLOGICAL ASPECT; SKILL; STANDARD; UNITED KINGDOM; VERBAL COMMUNICATION;

EID: 0242361172     PISSN: 02779536     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0277-9536(03)00210-7     Document Type: Article

References (45)

1. Albrecht G., Freeman S., Higginbotham N. Complexity and human health. The case for a transdisciplinary paradigm Culture, Medicine and Psychiatry. 22:1998;55-92.
2. Aylott J. Preventing rape and sexual assault of people with learning disabilities. British Journal of Nursing. 8:1999;871-876.
3. Barr O., Gilgunn J., Kane T., Moore G. Health screening for people with learning disabilities by a community learning disability nursing service in Northern Ireland. Journal of Advanced Nursing. 29:1999;1482-1491.
4. Beange H. The medical model revisited. Australia and New Zealand Journal of Developmental Disabilities. 12:1986;3-7.
5. Bell A., Bhate M. Prevalence of overweight and obesity in Down's syndrome and other mentally handicapped adults living in the community. Journal of Learning Disability Research. 36:1992;359-364.
6. Booth T., Booth W. Sounds of Silence. Narrative research with inarticulate subjects Disability and Society. 11:1996;55-69.
7. Bryan F., Allan T., Russell L. The move from long-stay learning disabilities hospital to community homes. A comparison of clients' nutritional status Journal of Human Nutrition and Dietetics. 13:2000;365-370.
8. Byrne D. Complexity theory and the social sciences. An introduction:1998;Routledge, London.
9. Cole O. Medical Screening of Adults at Social Education Centres. Whose responsibility? Mental Handicap. 14:1986;54-56.
10. Cooper S.A. A population-based health survey of maladaptive behaviours associated with dementia in elderly people with learning disabilities. Journal of Intellectual Disability Research. 41:1997;481-487.
11. Cooper S.A. High prevalence of dementia among people with learning disabilities not attributable to Down's syndrome. Psychological Medicine. 27:1997;609-616.
12. Cooper S.A. Epidemiology of psychiatric disorders in elderly compared with younger adults with learning disabilities. British Journal of Psychiatry. 170:1997;375-380.
13. Corkish C., Heyman B. The resettlement of people with severe learning difficulties. Heyman B. Risk, health and health care: A qualitative approach. 1998;Edward Arnold, London.
14. Edgerton R.B. The cloak of competence. Stigma in the lives of the mentally retarded. 1967;Berkley, University of California Press.
15. Flynn, M., Howard, J., & Pursey, A. (1996). National development team: GP fundholding and the health care of people with learning disabilities. North West NHS Executive.
16. Gell-Mann M. The quark and the jaguar. Adventures in the simple and the complex:1994;Little, Brown & Company, London.
17. Grieg R. Public policy and organizational priority for specialist learning disability health services. Journal of Learning Disabilities. 4:2000;307-320.
18. Griffiths F., Byrne D. General practice and the new science emerging from the theories of 'chaos' and complexity. British Journal of General Practice. 48:1998;1697-1699.
19. Heyman B., Henriksen M. Values and health risks. Heyman B. Risk, health and health care: A qualitative approach. 1998;Edward Arnold, London.
20. Heyman B., Swain J., Gillman M., Handyside E.C., Newman W. Alone in the crowd. How adults with learning difficulties cope with social network problems Social Science & Medicine. 44:1997;41-53.
21. Hollins S., Attard M.T., von Fraunhofer N., McGuigan S., Sedgwick P. Mortality in people with learning disability. Risks, causes, and death certification findings in London Developmental Medicine and Child Neurology. 40:1998;50-56.
22. Howells G. Are the medical needs of mentally handicapped people being met? Journal of the Royal College of General Practitioners. 36:1986;449-453.
23. Howells G. A general practice. O'Hara J., Sperlinger A. Adults with learning disabilities: A practical approach for health care professionals. 1997;Wiley Publications, London.
24. Kerr M., Dunstan F., Thapar A. Attitudes of general practitioners to people with learning disability. British Journal of General Practice. 46:1996;92-94.
25. Kerr M., Fraser W., Felce D. Primary health care for people with a learning disability. A keynote review British Journal of Learning Disabilities. 24:1996;2-8.
26. Luhmann N. The differentiation of society. 1982;Columbia University Press, New York.
27. Luhmann N. Social systems. 1995;Stanford University Press, Stanford.
28. Martin G.H.B., Martin D.M. A register for patients with learning disabilities in general practice. Journal of Learning Disabilities. 4:2000;37-48.
29. McKean, S., Heyman, B., Gillman, M., & Swain, J. (1999). Developing primary care for young adults with learning difficulties: A qualitative investigation of health needs and multi-disciplinary collaboration from the perspectives of people with learning difficulties, family carers and health and social service professionals. Newcastle upon Tyne: University of Northumbria.
30. Medd W. Complexity and the social world. International Journal of Social Research Methodology. 5:2002;71-81.
31. Meehan S., Moore G., Barr O. Specialist services for people with learning disabilities. Nursing Times. 91:1995;32-34.
32. Messent P.R., Cooke C.B., Long J. Primary and secondary barriers to physically healthy lifestyles foe adults with learning disabilities. Disability and Rehabilitation. 21:1999;409-419.
33. NHSME (1992). Health Services for People with Learning Disabilities (Mental Handicap). Health Service Guidelines (HSG(92)42). London: DoH.
34. Oliver M. Understanding disability. From theory to practice: 1996;Macmillan, Houndmills.
35. Price B. The myth of postmodern science. Eve R.A., Horsfall S., Lee M.E. Chaos, complexity and sociology. 1997;Sage, Thousand Oaks.
36. Smith W.K., Mair R., Marshall L., Bilous S., Birchall M.A. Assessment of hearing in persons with learning disabilities. The Phoenix NHS Trust, January 1997 to September 1998 Journal of Laryngology and Otology. 114:2000;940-943.
37. Stacey R.D., Griffin D., Shaw P. Complexity and management. Fad or radical challenge to system thinking? 2000;Routledge, London.
38. Stanford P., Shepherd G. A vicious circle. Visual impairment in people with learning disabilities Nursing Times. 97:2001;36-37.
39. Strauss A., Corbin J. Basics of qualitative research. 1990;Sage, Newbury Park.
40. Swain J., Eagle P. The Views of Parents and Carers 2. Working with others Mental Handicap. 15:1987;152-154.
41. Swain J., French S. Towards an affirmative model of disability. Disability and Society. 15(4):2000;569-582.
42. Swain J., Heyman B., Gillman M. Public research, private concerns. Ethical issues in the use of open-ended interviews with people who have learning difficulties Disability and Society. 13:1998;21-36.
43. Walker R. An introduction to applied qualitative research. Walker R. Applied qualitative research. 1982;Gower, Aldershot.
44. Walsh M. Chaos, complexity and nursing. Nursing Standard. 14:2000;39-42.
45. Wilson D., Haire A. Health care screening for people with mental handicap living in the community. British Medical Journal. 301:1990;1379-1380.