This article deals with the resettlement of people with learning difficulties from Scottish hospitals. First it outlines the policy background, tracing the rise and demise of the long-stay institution. It then reports on a study examining current resettlement policies in Scotland, where there is no national closure programme. The research found that resettlement is largely in disarray, with particular difficulties in planning, financial arrangements and inter-agency collaboration. There is a great risk of hospitals being perpetuated or reconstructed, particularly through the activities of NHS Trusts, and of people with dual labels remaining resident in them for years to come.
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References
1.
Audit Commission (1986) Making a Reality of Community Care. London: HMSO.
2.
Association of Directors of Social Work (1997) Social Work into the Millennium: Critical Issues for Social Work Services in Scotland. Edinburgh: ADSW.
3.
Atkinson, D., Jackson, M. and Walmsley, J. (1997) Forgotten Lives: Exploring the History of Learning Disability. Kidderminster: British Institute of Learning Disability Publications.
4.
Bailey, N. M. and Cooper,S. A. (1998) ‘NHS Beds for People with Learning Disabilities’ Psychiatric Bulletin22(2): 69–72.
5.
Collins, J. (1992) When the Eagles Fly—A Report on Resettlement of People with Learning Difficulties from Long-stay Institutions. London: Values into Action.
6.
Davis, L. (1995) Enforcing Normality: Disability, Deafness and the Body. London: Verso.
7.
DHSS (1983) Helping to Get Mentally Handicapped Children Out of Mental Handicap Hospitals, HC(83)21/LAC(83)15. London: HMSO.
8.
Emerson, E. and Hatton, C. (1994) Moving Out: Relocation from Hospital to Community. London: HMSO.
9.
Griffiths, R. (1988) Community Care: Agenda for Action. London: HMSO.
10.
Hadley, R. and Clough, R. (1996) Care in Chaos: Frustration and Challenge in Community Care. London: Cassell.
11.
Information Services Division (1998) Scottish Health Statistics 1997. Edinburgh: The Scottish Office.
12.
Jay Report, (1979) The Committee of Enquiry into Mental Handicap Nursing and Care.London: HMSO.
13.
King, R. D., Raynes, N. V. and Tizard, J. (1971) Patterns of Residential Care and Sociological Studies in Institutions for Handicapped Children. London: Routledge and Kegan Paul.
14.
Laing, J. and McQuarrie, D. (1989) Fifty Years in the System. Edinburgh: Mainstream Publishing.
15.
Lewis, J. and Glennester, H. (1996) Implementing the New Community Care. Buckingham: Open University Press.
16.
Martin, J. (1984) Hospitals in Trouble. Oxford: Blackwell.
17.
McKay, C. and Patrick, H. (1995) The Care Maze: The Law and Your Rights to Community Care in Scotland. Glasgow: Enable and the Scottish Association for Mental Health.
18.
Means, R. and Smith, R. (1994) Community Care: Policy and Practice. Basingstoke: Macmillan.
19.
Mental Welfare Commission for Scotland (1997) Annual Report 1996–97. Edinburgh: Mental Welfare Commission for Scotland.
20.
Mittler, P. (1979) People Not Patients. London: Methven.
21.
Morris, P. (1969) Put Away. London: Routledge and Kegan Paul.
22.
NHSME, The Scottish Office (1998) Designed to Care; Renewing the NHS in Scotland. Edinburgh: The Stationery Office.
23.
Oswin, M (1971) The Empty Hours. Aylesbury: Pelican.
24.
Oswin, M. (1978) Children Living in Long-stay Hospitals. London: Heinemann.
25.
Oswin, M (1998) ‘Historical Perspectives’, in C. Robinson and K. Stalker (eds) Growing Up with Disability. London: Jessica Kingsley.
26.
Petch, A., Fuller, R., Cheetham, J., MacDonald, C. and Myers, F. (1996) Delivering Community Care: Initial Implementation of Care Management in Scotland. Edinburgh: The Stationery Office.
27.
Scottish Office (1993) Accountability Reviews, Priorities and Planning Guidance for 1994/1995,Appendix B, Circular MEL (1993) 155. Edinburgh: The Scottish Office.
28.
Secretaries of State for Health, Social Security, Wales and Scotland (1989) Caring for People: Community Care in the Next Decade and Beyond. London: HMSO.
29.
Social Work Services Group (1991) Assessment and Care Management, Circular No. SW11/1991, para 15. Edinburgh: The Scottish Office.
30.
Smith, R., Gaster, L., Harrison, L., Martin, L., Means, R. and Thistlethwaite, P. (1993) Working Together for Better Community Care. Bristol: SAUS.
31.
Stalker, K. and Hunter, S. (1997) The Resettlement of People with Learning Difficulties in Scotland: Interim Report. Social Work Research Centre, University of Stirling.
32.
Wilkin, D. (1979) Caring for the Mentally Handicapped Child. London: Croom Helm.
