Lowe K, Beyer S, Kilsby M, Felce D
Mental Handicap in Wales, Applied Research Unit, University of Wales College of Medicine, Cardiff.
J Intellect Disabil Res. 1992 Dec;36 ( Pt 6):489-503. doi: 10.1111/j.1365-2788.1992.tb00568.x.
Policy on the role and function of day services for adults with mental handicaps has changed considerably during the last 2 decades. What such settings offer their users has also changed as services have attempted to evolve in line with policy. However, the impact of these changes has gone largely unevaluated. This paper describes a study of two day centres to categorize the activity programmes of these services, and to assess service user and staff behaviour prior to a larger scale study of such services in Wales. The two centres were found to differ significantly in their programmes but not in the extent to which activities were organized in the community. Service user participation in activities varied with activity type, group composition and activity location. Whether activities were organized for the full duration of the timetabled sessions was critical to the interpretation of the extent of service user engagement. Staff showed a commendable orientation to clients and their activities in both services. Differences in the activity programmes of the two centres are discussed in terms of a continuing lack of clarity over the purposes of such day services in general. The relevance of some activities to objectives is questioned. Concern is also expressed about the resulting level of engagement achieved in planned activity.
在过去20年里，针对智障成年人的日间服务的作用和功能政策发生了相当大的变化。随着服务机构试图根据政策发展，这些机构为其使用者提供的服务也发生了变化。然而，这些变化的影响在很大程度上尚未得到评估。本文描述了一项对两个日间中心的研究，目的是对这些服务的活动项目进行分类，并在对威尔士此类服务进行大规模研究之前，评估服务使用者和工作人员的行为。研究发现，这两个中心的项目有显著差异，但在社区组织活动的程度上没有差异。服务使用者对活动的参与因活动类型、群体构成和活动地点而异。活动是否在排定的时间段内全程组织，对于解释服务使用者参与的程度至关重要。在这两个服务机构中，工作人员对客户及其活动都表现出了值得称赞的关注。鉴于此类日间服务的总体目的一直缺乏明确性，本文讨论了两个中心活动项目的差异。对一些活动与目标的相关性提出了质疑。还对计划活动中所达到的参与程度表示关切。
