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Journal of intellectual disability research : JIDR v.61 no.3, 2017년, pp.197 - 209   SSCI
본 등재정보는 저널의 등재정보를 참고하여 보여주는 베타서비스로 정확한 논문의 등재여부는 등재기관에 확인하시기 바랍니다.

'What vision?': experiences of Team members in a community service for adults with intellectual disabilities

Clare, I. C. H. (NIHR CLAHRC East of England at Cambridgeshire and Peterborough NHS Foundation Trust, Cambridge, UK ) ; Madden, E. M. (Royal College of Physicians, London, UK ) ; Holland, A. J. (NIHR CLAHRC East of England at Cambridgeshire and Peterborough NHS Foundation Trust, Cambridge, UK ) ; Farrington, C. J. T. (Cambridge Centre for Health Services Research, Institute of Public Health, University of Cambridge, Cambridge, UK ) ; Whitson, S. (Clinical Psychology Doctorate Training Course, University of Surrey, Guildford, UK ) ; Broughton, S. (Cambridgeshire and Peterborough NHS Foundation Trust, Cambridge, UK ) ; Lillywhite, A. (NIHR CLAHRC East of England at Cambridgeshire and Peterborough NHS Foundation Trust, Cambridge, UK ) ; Jones, E. (NIHR CLAHRC East of England at Cambridgeshire and Peterborough NHS Foundation Trust, Cambridge, UK ) ; Wade, K. A. ; Redley, M. ; Wagner, A. P. ;
  • 초록  

    Abstract Background In the UK, the closure of ‘long‐stay’ hospitals was accompanied by the development of community teams (CTs) to support people with intellectual disabilities (IDs) to live in community settings. The self‐reported experiences of staff working in such teams have been neglected. Methods Focusing on a single county‐wide service, comprising five multi‐disciplinary and inter‐agency CTs, we measured perceptions among the health care and care management Team members of (1) their personal well‐being; (2) the functioning of their team; and (3) the organisation's commitment to quality, and culture. Results Almost three‐quarters of the questionnaires were returned (73/101; 72%). The scores of health care practitioners and care managers were very similar: (1) the MBI scores of more than half the respondents were ‘of concern’; (2) similarly, almost four in ten respondents' scores on the Vision scale of the TCI were ‘of concern’; (3) the perceived commitment to quality (QIIS‐II Part 2) was uncertain; and (4) the organisational culture (QIIS‐II, Part 1) was viewed as primarily hierarchical. Discussion The perceived absence of a vision for the service, combined with a dominant culture viewed by its members as strongly focussed on bureaucracy and process, potentially compromises the ability of these CTs to respond proactively to the needs of people with IDs. Given the changes in legislation, policy and practice that have taken place since CTs were established, it would be timely to revisit their role and purpose.


  • 주제어

    community learning disability teams .   service culture .   specialist community teams .   staff .   stress .   team functioning.  

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