Background: People with learning disabilities have the right to choose where they live. However, evidence suggests people's choices are limited due to a shortage of housing. Methods: 200 Lives was a mixed methods research project, which evaluated supported living and residential care for people with learning disabilities in England; 107 people…

Background: We describe current care arrangements in England for children, young people and adults with learning disabilities and behaviour that challenges, and estimate their comparative costs. Materials and Methods: A two-round Delphi exercise was performed in March and April 2014, followed by a costing exercise. Results: The study finds a mixed…

Background: Concern has been expressed repeatedly about the cost and quality of residential placements for adults with learning disabilities and additional needs. This study sought to identify characteristics of the highest cost placements in the South-East of England. Method: Lead learning disability commissioners in the South-East of England…

For the past two decades, economic influences have significantly impacted the provision of health and welfare services for children, young people and their families in communities around the world. The dynamic of cost has reshaped both the nature and provision of group care services, promoting de-institutionalization and transforming the nature of…