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Managing transitions

Managing transitions: Support for individuals at key points of change

Edited by Alison Petch
Copyright Date: 2009
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  • Book Info
    Managing transitions
    Book Description:

    Everyone will experience a number of transitions throughout their life. Many of these will be positive, others may present challenges. This book addresses significant transitions relevant to policy and practice, covering key transition points in social care from childhood to old age. Drawing on the best available research evidence, 'Managing transitions' highlights issues common to all experiencing transition as well as the dilemmas specific to particular situations. Individual chapters explore what we know about how transition is experienced by young people leaving care and by those with learning disabilities and mental health problems. For young people seeking asylum there are multiple transitions, of age, of country and of culture. Further contributions address the current transformation from service provision to self directed support, the major transition for older people who move to supported living, and the enduring challenges that surround the transition from hospital to community. The practice orientation of this volume is reinforced by the inclusion of evidence-based practice guidance for each of the areas addressed and a strong emphasis throughout on the implications for practice development. It will be of interest to practitioners, policy makers and researchers looking at generic transition challenges and solutions, as well as researchers, academics and students of health and social care and social work.

    eISBN: 978-1-84742-191-3
    Subjects: Sociology

Table of Contents

  1. Front Matter
    (pp. i-ii)
  2. Table of Contents
    (pp. iii-iii)
  3. Notes on contributors
    (pp. iv-v)
  4. Acknowledgements
    (pp. vi-vi)
  5. ONE Introduction
    (pp. 1-6)
    Alison Petch

    Much has been written over the years about the change process and change management, how to survive and indeed thrive on transformation in service structures and philosophies. There has been less focus on the individual whose identity remains constant but who, as a result of the disjunctures in organisational structures, has to negotiate a series of transitions from one arena to another. Moreover, such transitions may be accompanied by uncertainties and a potential change of status may generate anxiety and distress. This volume explores a range of transitions that are commonly encountered by those likely to receive support from children’s...

  6. TWO The organisational context
    (pp. 7-24)
    Alison Petch

    The separation of social service organisations into separate departments for children and for adults has prompted much of the recent discussion around transition. While points of transition have always required careful management, this is even more the case now that the responsibility for individuals may move from one department to another. For example, the needs of young people with learning disabilities become the responsibility of a different department once they reach adulthood, with potentially different procedures and eligibilities. More widely, transitions for individuals may also require management of boundaries and partnership working between traditionally separate departments, for example housing and...

  7. THREE Young people leaving care: transitions to adulthood
    (pp. 25-40)
    Mike Stein

    For most young people today, their journey from being a young person to becoming an adult means they have to travel on a number of pathways: from leaving school to entering further or higher education, employment or training; from dependency on their birth families to living on their own, or with others, and for some young people, becoming a young parent; from living in the family home to becoming a householder in their own right; and, both underpinned and potentially reinforced by these transitions, developing their own identity and a positive sense of well-being.

    It is a journey from restricted...

  8. FOUR Transitions for young people with learning disabilities
    (pp. 41-58)
    Gillian MacIntyre

    This chapter will explore the nature of transition from childhood to adulthood for one particularly vulnerable group of young people – those with learning disabilities. It will outline their experiences of transition before examining policy responses in relation to these experiences.

    The process of transition has become increasingly complex for all young people. This can be ascribed to structural factors such as the collapse of the youth labour market, increased participation in further and higher education, changing family composition and a lack of affordable housing (Jones, 2002; Furlong et al, 2003). The transition from childhood to adulthood involves:

    leaving school...

  9. FIVE Young people with mental health problems
    (pp. 59-72)
    Sarah Judd

    The transition from childhood to adulthood is an uncertain time for all young people, but many also experience mental health difficulties. It is estimated that up to 20% of 16- to 24-year-olds have a mental health issue at any one time (Singleton and Lewis, 2003). The majority of these will be young people experiencing anxiety or depression, although other mental health conditions, such as schizophrenia, are known to emerge in late adolescence (Ryan, 2006).

    Young adults face a number of stressful transitions that can prove a trigger point for their mental health, including the transition from school to work or...

  10. SIX Transitions for young people seeking asylum
    (pp. 73-92)
    Ravi K.S. Kohli and Helen Connolly

    I am a quantum particle trying to locate myself within a swirl of atoms. How much time and energy I’ll have to spend just claiming an ordinary place for myself? And how much more figuring out what the place might be, where on earth I might find a stable spot that feels like it’s mine, and from where I can observe the world calmly. (Hoffman, 1989, p 160)

    We have chosen to begin this chapter by referring to Eva Hoffman’s experiences of migration because these reflect, in important respects, some of the core experiences of transitions for people moving from...

  11. SEVEN From service provision to self-directed support
    (pp. 93-112)
    George Julian

    The current social care system in the UK is undergoing a period of radical transformation. This transformation and the accompanying transition from service provision to a model of self-directed support forms the focus of this chapter. There are many elements in transition throughout this change as the whole system is redesigned, with an overarching shift from service users as dependent, passive recipients of generic services with very little choice or say in the matter to independent, active decision makers with personalised choices and options available to them. This wholesale transition and the changes associated with it are explored.

    Direct payments...

  12. EIGHT Transitions to supported living for older people
    (pp. 113-136)
    Alison Petch

    Decisions about care-home placement are complex and involve many stakeholders, multiple decisions, distinct phases, several modes of interaction between the actors, and variable outcomes that are provisional and may change over time. (Davies and Nolan, 2003, p 444)

    The title for this chapter has been carefully selected. Older people who require support on the grounds of disability or increasing age are likely to experience a range of transitions. At one end of the continuum may be the shift from independence to the acknowledgement of the need for a modest degree of support in maintaining daily life; at the other may...

  13. NINE From hospital to community
    (pp. 137-158)
    Alison Petch

    Effective discharge planning is a highly skilled and difficult task, for it requires assessment, intervention, monitoring and evaluation to be completed in a very short time. (Rachman, 1993, p 111)

    Hospital discharge is a common experience for many individuals in the course of their lifetime. The circumstances can vary widely: from the child with complex disabilities returning to the family home to the older person of 90 years old returning home after a fall; from the individual with mental health problems discharged after a lengthy hospital stay to the individual with acquired brain injury following a road traffic accident adjusting...

  14. TEN Taking transitions forward
    (pp. 159-164)
    Alison Petch

    The chapters in this volume have addressed transitions in a diverse range of contexts – and there are of course others that would have been equally appropriate to explore. Beresford (2004), for example, completed a research review for the Children’s National Service Framework on young disabled people and transition. She considered both the transition from childhood to adulthood and from children’s services to adult services, concluding that ‘the process of transition from children’s services to adult services, and from childhood to adulthood is more complex, extremely problematic and, in many cases, highly unsatisfactory’ (Beresford, 2004, p 582). She painted a...

  15. Index
    (pp. 165-170)
  16. Back Matter
    (pp. 171-171)