This book charts the change, critically evaluating progress, take-up, inclusion and access to direct payments by different user groups. With contributions from leading campaigners, academics, practitioners, direct payment users and personal assistants, the book provides an overview of the history of direct payments; presents findings from key research into direct payments and disabled people, older people, carers, people with mental health problems, people with learning difficulties and disabled children; discusses the implementation and development of direct payments provision and compares developments in the UK with those in North America.
Developments in direct payments is an important source of information for social work students and practitioners and others working in the field of health and social care. The useful, up-to-date evidence and discussions relating to care, independence and control will also be of interest to users and providers of help and support.
Janet Leece is a social worker currently working as a commissioning officer in Staffordshire Social Care and Health Directorate, UK. Joanna Bornat is Professor of Oral History in the Faculty of Health and Social Care, The Open University, UK.
Introduction ~ Joanna Bornat; Section 1: Setting the scene: An overview of the implementation and development of direct payments ~ Jon Glasby and Rosemary Littlechild; Direct payments in Scotland ~ Charlotte Pearson; North American approaches to individualised planning and direct funding ~ Peggy Hutchison, John Lord and Brian Salisbury; Section 2: Policy into practice: Direct payments and autonomy: issues for people with learning difficulties ~ Val Williams and Andrew Holman; "It's meant that, well, I'm living a life now": older people's experience of direct payments ~ Heather Clark; "Direct what?" Exploring the suitability of direct payments for people with mental health problems ~ Julie Ridley; Overcoming barriers to the take-up of direct payments by parents of disabled children ~ Jeanne Carlin and Christine Lenehan; Section 3: Voices of experience; Section 4: Reporting from the field: Implementing direct payments: a support organisation perspective ~ Etienne d'Aboville; The Direct Payments Development Fund ~ Frances Hasler; An experience of the Direct Payments Development Fund ~ Rob Wilson and Kathryn Gilbert; Carers and direct payments ~ Margaret Fletcher; Section 5: Working with direct payments: "It's not like being at work": a study to investigate stress and job satisfaction in employees of direct payments users ~ Janet Leece; Direct payments and the employment relationship: some insights from cross-national research ~ Clare Ungerson; Can intensive support widen access to direct payments? ~ Laura Luckhurst; Care managers and direct payments ~ Annette Lomas; Section 6: Developments in direct payments: Direct payments and health ~ Caroline Glendinning; The future of direct payments ~ Jon Glasby, Caroline Glendinning and Rosemary Littlechild; Holding the dream: direct payments and independent living ~ Frances Hasler.