National Housing Strategy for People with a Disability 2011 - 2016

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Table 10.1: Main Residential Circumstance of People with IntellectualDisabilities, 2009 100Under 18 18 and over All agesHome setting 7,849 8,893 16,742At home with both parents 6,059 5,277 11,336At home with one parent 1,544 2,429 3,973At home with sibling 7 883 890At home with other relative 53 146 199Lives with non-relative 2 28 30Adoption 11 15 26Foster care and boarding out arrangements 173 115 288Independent setting 0 992 992Lives independently 0 654 654Lives semi-independently 0 338 338Community group homes 86 3,885 3,9715-day community group home 35 404 4397-day (48 week) community group home 12 566 5787-day (52 week) residential centre 39 2,915 2,954Residential setting 39 2,885 2,9245-day residential centre 6 63 697-day (48 week) residential centre 15 352 3677-day (52 week) residential centre 18 2,470 2,488Other full time residential services 51 1,305 1,356Nursing home 0 156 156Mental health community residence 0 53 53Psychiatric hospital 0 277 277Intensive placement (challenging behaviour) 13 462 475Intensive placement (profound or multiplehandicap)20 249 269Occupying a full time support place 7 49 56Other full time residential service 11 59 70No fixed abode 0 17 17Insufficient information 3 61 648,028 18,038 26,066100Annual Report of the National Intellectual Disability Database Committee - Kelly et al, 2009, HRB StatisticsSeries 8, 2010124
10.4 The data shows that the majority of adults with intellectual disabilities live in homesettings (49%), with significant numbers also living in community group homes (21%) andresidential settings (23%). In 2009, 330 people with an intellectual disability resided fulltime in mental health service facilities, either in psychiatric hospitals (277 individuals) or inmental health community residences (53 individuals).Transition from Institutional to Community Based Living10.5 Deinstitutionalisation refers to the move away from housing people with disabilities inresidential institutions, where all services were generally provided on site, to communitybasedsettings. Large residential institutions, while maximising the pooling of supportservices, segregate residents from the community and from normal social life. Research hasdemonstrated that such institutions are not able to deliver the same quality of life for theirresidents as community based alternatives 101 . Additional information in relation toresidential services for people with disabilities is contained in Appendix 10.10.6 Extensive international research, spanning over thirty years, consistently pointspredominantly towards a better quality of life for people with disabilities in communitysettings compared to living in institutional care. In 2009, the NDA published a review ofexisting research comparing dispersed and clustered community housing for disabled adultswhich found that “dispersed housing appears to be superior to clustered housing on themajority of quality indicators studied” 102 . It should be noted that the review alsodifferentiates between village communities 103 and other types of clustered settings andhighlights that the village communities model has some benefits for people with less severedisabilities 104 . The review concludes that although this model is an important part of serviceprovision, it is not one which can be feasibly provided for everyone.HSE Working Group on Congregated Settings10.7 A high level national steering group was established by the HSE in 2007 to developproposals to deliver community based, person-centred responses for people living incongregated settings. Membership of this group included the Department of Health,Inclusion Ireland, representatives of service providers, Disability Federation of Ireland andthe National Disability Authority.101Included in Society - Results and Recommendations of the European Research Initiative on Community-BasedResidential Alternatives for Disabled People, European Commission, 2003.102Mansell, J and Beadle-Brown, J, 2009, Dispersed or Clustered Housing for Disabled Adults: a systematic review.103This model involves carers/volunteers living and working along with residents with a disability.104In the physical well-being domain, clustered settings have been found to be superior in hours of recreationalactivity, contact with dentists, psychiatrists and psychologists, some health screening, some aspects of safety,contact with family and friends, visitors to the home and satisfaction with relationships. However, in many ofthese cases the better results refer only to village communities and not to campus housing or clusteredhousing. (Mansell, J and Beadle-Brown, J, 2009, Dispersed or Clustered Housing for Disabled Adults: asystematic review)125125
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National Housing Strategy for Peopl
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Index of Tables, Charts andCase Stu
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ForewordThe ‘National Housing Str
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implementation progress reports whi
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6. To consider good practice in the
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needs. Furthermore, the potential f
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centred responses, information prov
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The full set of actions underpinnin
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Strategic Aim 3To support people wi
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Strategic Aim 5To address the speci
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Strategic Aim 6To consider good pra
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Strategic Aim 8To improve the colle
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Chapter 1Introduction1.1 The Nation
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Chapter 2Context and BackgroundIntr
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• To ensure a high level of aware
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the phased closure of admissions to
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• Service users who have been ina
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Chapter 3Vision and Strategic AimsV
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SA7 To facilitate people with a dis
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Chart 4.aProportion of the Populati
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Local AuthorityAreaPopulationPopula
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Living arrangements of people with
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4.9 Based on the analysis above, it
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Table 4.3: Type of Living Arrangeme
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Chapter 5Housing Services5.1 The ob
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extended to include approved housin
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Rental Accommodation Scheme (RAS)5.
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Under CAS, approved housing bodies
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5.27 The total number of units prov
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Private Housing5.34 While many peop
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5.41 The key issues identified from
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eviewed maximum rent limits to refl
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6.4 Previously, under Section 9 of
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and in the context of Government pr
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Database (NIDD) and the National Ph
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6.25 The Act provides powers for th
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Chapter 7Interagency CooperationInt
Page 76 and 77: advocates (where appropriate) and d
Page 78 and 79: integral support to the housing fun
Page 80 and 81: Case Management Subgroup7.15 It is
Page 82 and 83: Chapter 8HousingPhysical Accessibil
Page 84 and 85: 8.4 In Ireland, the increasing dema
Page 86 and 87: Current Legislative / Policy Contex
Page 88 and 89: Table 8.3 Disabled Persons / Essent
Page 90 and 91: persons with moderate disabilities,
Page 92 and 93: Table 8.4: Lifetime Homes Standard
Page 94 and 95: undertaking a review in 2010, to as
Page 96 and 97: 8.32 In assessing and planning to m
Page 98 and 99: • Development of an integrated ca
Page 100 and 101: • Further to consideration by the
Page 102 and 103: Census did not provide details of c
Page 104 and 105: 9.11 A Vision for Change contains t
Page 106 and 107: 9.3 and 9.4 76 . A Vision for Chang
Page 108 and 109: • Most service users currently re
Page 110 and 111: 9.20 The phased timescales for tran
Page 112 and 113: 9.24 The transition of people with
Page 114 and 115: medical certificates. Their applica
Page 116 and 117: eing appropriately housed 84 . This
Page 118 and 119: 9.36 The following factors are reco
Page 120 and 121: message through a series of communi
Page 122 and 123: During regular visits support staff
Page 124 and 125: mainstream housing, the scheme prov
Page 128 and 129: 10.8 The guiding principle of the w
Page 130 and 131: Table 10.2: Congregated Settings -
Page 132 and 133: Name of CentreNo. of long-termresid
Page 134 and 135: 10.16 The NIDD noted that of the pe
Page 136 and 137: Case Study - Jimmy’s Story10.23 T
Page 138 and 139: Chapter 11 Information, Advice andA
Page 140 and 141: 11.6 While it is clear that there a
Page 142 and 143: • Providing information in an acc
Page 144 and 145: advocacy role for all citizens over
Page 146 and 147: Appendix 1 Membership of NationalAd
Page 148 and 149: Appendix 2 Membership of MentalHeal
Page 150 and 151: (d)The housing needs of people with
Page 152 and 153: Appendix 5 Results of 2008Assessmen
Page 154 and 155: The table below shows levels of inc
Page 156 and 157: • The Director of Services of the
Page 158 and 159: 4. Confirmation of the approval in
Page 160 and 161: Appendix 1Information required for
Page 162 and 163: Appendix 8 Individual Assessmentof
Page 164 and 165: the housing authority will advise t
Page 166 and 167: UnitsHighSupportMediumSupportLowSup
Page 168 and 169: ‘Accommodation tends to be in ope
Page 170 and 171: Bibliography• Access to Informati
Page 172 and 173: • Housing (Standards for Rented H
Page 174 and 175: • Trends in the Development of Ir
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National Housing Strategy for People with a Disability 2011 - 2016

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