{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T05:00:04Z","timestamp":1772859604794,"version":"3.50.1"},"reference-count":40,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2011,9,19]],"date-time":"2011-09-19T00:00:00Z","timestamp":1316390400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Research Intellect Disabil"],"published-print":{"date-parts":[[2012,1]]},"abstract":"<jats:p><jats:bold>Background\u2002<\/jats:bold> Increased provision of out\u2010of\u2010family residential support is required because of demographic changes within the intellectual disabilities population. Residential support now has to be provided in a climate requiring both financial constraint and high quality service outcomes. The aim was to evaluate the quality of life consequences of living with less intensive staff support, resulting from the introduction of more targeted staff allocation coupled with telecare.<\/jats:p><jats:p><jats:bold>Methods\u2002<\/jats:bold> The study comprised 91 participants who lived in 33 settings. The targeted support\/telecare intervention was implemented at staggered intervals in 25 of these settings (63 participants). Data on a range of participant and setting descriptors, quality of care, and a range of objective lifestyle indicators were collected at four points in time over 2\u2003years. Impact of the intervention was evaluated using within\u2010group comparisons over time.<\/jats:p><jats:p><jats:bold>Results\u2002<\/jats:bold> Comparison between pre\u2010 and post\u2010intervention showed that staffing levels were significantly reduced by 23%, whereas they were constant in the absence of intervention. One health indicator improved in the absence of intervention and another improved following intervention. There were no significant changes in any other lifestyle indicators (safety, money, social and community activity, independence or choice).<\/jats:p><jats:p><jats:bold>Conclusions\u2002<\/jats:bold> A combination of targeted support and telecare had no adverse short\u2010term affect on participants\u2019 quality of life, but reduced staff input so it seems that they have a role to play in the strategic development of out\u2010of\u2010family placements for adults with intellectual disabilities. Further research is needed to explore in more detail how efficiency is achieved in practice.<\/jats:p>","DOI":"10.1111\/j.1468-3148.2011.00647.x","type":"journal-article","created":{"date-parts":[[2011,9,19]],"date-time":"2011-09-19T17:18:24Z","timestamp":1316452704000},"page":"60-70","source":"Crossref","is-referenced-by-count":13,"title":["Targeted Support and Telecare in Staffed Housing for People with Intellectual Disabilities: Impact on Staffing Levels and Objective Lifestyle Indicators"],"prefix":"10.1111","volume":"25","author":[{"given":"Jonathan","family":"Perry","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline","family":"Firth","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Puppa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rick","family":"Wilson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Felce","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,9,19]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"The Aberrant Behavior Checklist","author":"Aman M.","year":"1986"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/15228831003770767"},{"key":"e_1_2_6_4_1","volume-title":"Health Survey for England","author":"Bennett N.","year":"1995"},{"key":"e_1_2_6_5_1","volume-title":"The IFS Green Budget","author":"Chote R.","year":"2010"},{"key":"e_1_2_6_6_1","volume-title":"Unit costs of health and social care 2008, Personal Social Services Research Unit","author":"Curtis L.","year":"2008"},{"key":"e_1_2_6_7_1","volume-title":"Valuing People: A New Strategy for Learning Disability for the 21st Century","author":"Department of Health","year":"2001"},{"key":"e_1_2_6_8_1","volume-title":"People with Learning Disabilities in England","author":"Emerson E.","year":"2008"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1352\/0895-8017(2000)105<0081:QACOCR>2.0.CO;2"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2788.2004.00617.x"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2788.1997.tb00689.x"},{"key":"e_1_2_6_12_1","unstructured":"FelceD.(2004)Collation and interpretation of intellectual disability register data for policy and strategic planning purposes. 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