How deinstitutionalisation of adults with learning disabilities affects quality of life

Movement to community settings associated with improved sense of well-being and independent decision-making
There has been movement internationally in recent years, based on human rights-based approaches and national policies, to reduce reliance on institutional-based models of care and support.
This was a systematic review of literature about the effects of deinstitutionalisation and associated changes in quality of life for adults with learning disabilities. Papers originated from Australia, New Zealand, Ireland and the UK.
...Movement to community settings associated with improved sense of well-being and independent decision-making

There has been movement internationally in recent years, based on human rights-based approaches and national policies, to reduce reliance on institutional-based models of care and support.
This was a systematic review of literature about the effects of deinstitutionalisation and associated changes in quality of life for adults with learning disabilities. Papers originated from Australia, New Zealand, Ireland and the UK.
Quantitative and qualitative findings found consistently that deinstitutionalisation was associated with improved quality of life. Quantitative data established that quality of life gains were sustained and continued at one-year follow-up.
Housemate compatibility
Movement to less institutional, community settings was associated with an improved sense of well-being, freedom and independent decision-making. Careful consideration of ‘housemate compatibility’ before a move was also associated with higher-quality daily living experiences.
The findings highlighted that additional support may be required to ensure that people have the opportunity to experience quality of life gains associated with greater social connectedness and integration into wider communities.
The review team noted that subpopulations with additional needs, or who require high levels of support, are less well considered in the available literature. Nonetheless they appear to show similar benefits to their counterparts, with fewer additional needs.
Reference
Dave Atkinson is an independent nurse consultant
Want to read more?
Subscribe for unlimited access
Enjoy 1 month's access for £1 and get:
- Full access to learningdisabilitypractice.com
- Bi-monthly digital edition
- RCNi Portfolio and interactive CPD quizzes
- RCNi Learning with 200+ evidence-based modules
- 10 articles a month from any other RCNi journal

This article is not available as part of an institutional subscription. Why is this?
