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Day Service Provision for People with Intellectual Disabilities: A Case Study Mapping 15‐Year Trends in Ireland
Author(s) -
Fleming Padraic,
McGilloway Sinead,
Barry Sarah
Publication year - 2017
Publication title -
journal of applied research in intellectual disabilities
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.056
H-Index - 63
eISSN - 1468-3148
pISSN - 1360-2322
DOI - 10.1111/jar.12249
Subject(s) - rurality , government (linguistics) , service (business) , flexibility (engineering) , service delivery framework , intellectual disability , population , business , rural area , geography , economic growth , psychology , marketing , medicine , economics , environmental health , philosophy , linguistics , management , pathology , psychiatry
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.