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This section provides a summative assessment of the principles, care strategies and theories that direct social care work within the UK. Specifically, the application of support principles, procedures for protecting clients from harm and the advantages of utilising a person-centred approach in working with clients are discussed. Additionally, ethical issues, applicable policies, legislation issues and regulation and the impacts of existing policies are presented in relation to providing social care.
Recent demographic indicators reveal that over the next decade the effect of ageing on the UK adult population will result in a 20%increase in those of 65 and a 60% increase in “the over 85 year-olds” by 2027 (DoH 2007a, p.1). This trend, together with the increase in the numbers of the population suffering from medical and health issues, including dementia and disability, presents a challenge to the provision of adult social care, in terms of both funding and the need to deliver appropriate services designed to provide this segment of the population with “equality of citizenship” (ibid).
The following report is based upon the experiences and perceptions of direct support (and of the 'social model' of disability provision) of a particular person with learning disabilities: Mark. The experiences and perceptions in this case study are taken from interviews and discussions with Mark himself, with members of his family, and with his social workers and managers. The purpose of the report is to describe Mark's experiences of social care under direct support and to compare these with the types of social work that he experienced before the introduction of direct support.
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