Self-Directed Support: A Review of the Barriers and Facilitators

This is a report on the published literature on the barriers and facilitators of self- directed support. It was undertaken to inform a research study funded by the Scottish Government 2009-2011 that is evaluating initiatives in three local authorities. These initiatives aim to improve take up of self-directed support for people eligible for social care and other public funds.


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26. Harrington S. Choice and Control in Community Care: Individual budgets and direct payments. National Homecare Conference; 9th October 2006; London, UK 2006.

27. Homer T, Gilder P. A Review of Self Direct Support in Scotland. Edinburgh: Scottish Government 2008.

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36. Woolham J, Benton C. Your Money and Your Life? Self-Directed Support and Personal Budgets in Northamptonshire: An Evaluation of Impact and Outcomes on People who use Adult Social Services. Northampton: Northamptonshire Social Services 2009.

37. Stuart O. Will community-based support services make direct payments a viable option for black and minority ethnic service users and carers? London: SCIE 2006.

38. Close L. Explaining about... individual budgets and self-directed support. Working with Older People. 2009;13(2):9-12.

39. Dale SB, Brown R, Phillips B, Carlson BL. The Experiences of Workers Hired Under Consumer Direction in Arkansas. Princeton, NJ: Mathematica Policy Research, Inc 2003.

40. Mahoney KJ, Zgoda K. Empowering Individuals, Families and Communities: The "Cash and Counseling" Case Study. In: Berkman B, editor. Handbook of Social Work in Health and Aging. Oxford: Oxford University Press; 2006. p. 809-16.

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42. Simon-Rusinowitz L, Marks LN, Loughlin D, Desmond SM, Mahoney KJ, Zacharias BL, et al. Implementation Issues for Consumer-Directed Programs: Comparing Views of Policy Experts, Consumers, and Representatives. Journal of Aging and Social Policy. 2002; 14(3/4):95-118.

43. Robert Wood Johnson Foundation. Choosing Independence: An Overview of the Cash and Counseling Model of Self-Directed Personal Assistance Services. Princeton, NJ: Robert Wood Johnson Foundation 2006.

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45. Dowson S. Custom and Control: The training and accreditation of independent support brokers. Ipswich: The National Development Team2008.

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48. Dowson S, Greig R. The Emergence of the Independent Support Broker Role. Journal of Integrated Care. 2009;17(4):22-30

49. Vallelly S, Manthorpe J. The impact of personalisation on older people's housing: Overall project summary: London: Housing 21, 2009.

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51. Kremer M. Consumers in Charge of Care: the Dutch personal budget and its impact on the market, professionals and the family. European Societies. 2006; 8(3):385-401.

52. Manthorpe J, Jacobs S, Rapaport J, Challis D, Netten A, Glendinning C, et al. Training for Change: Early Days of Individual Budget and the Implications for Social Work and Care Management Practice: A Qualitative Study of the Views of Trainers. British Journal of Social Work. 2009; 39(7):1291-1305.

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54. Rabiee P, Moran N, Glendinning C. Individual Budgets: Lessons from Early Users' Experiences. British Journal of Social Work. 2009; 39: 918-35.

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56. SCIE. Choice, control and individual budgets: emerging themes. London: Social Care Institute for Excellence 2007.

57. Manthorpe J, Stevens M. Increasing Care Options in the Countryside: Developing an Understanding of the Potential Impact of Personalization for Social Work with Rural Older People. British Journal of Social Work. 2010: 40(5) 1452-69.

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64. Duffy S. Care Management and Self-Directed Support. Journal of Integrated Care. 2007b;15(5): 7-13.

65. Peak M, Waters J. My Budget, My Choice: Implementing Self-Directed Support in the City of London, October 2008. London: in Control, with Adult Social Care Department, City of London 2008.

66. Edwards T, Waters J. It's your life - take control: The implementation of self-directed support in Hertfordshire. Hertford: in Control, with Hertfordshire County Council 2009.

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68. Jones R. Self-Directed Support: Watching out for the Pitfalls. Journal of Integrated Care. 2008;16(1): 44-7.

69. Leadbeater C, Bartlett J, Gallagher N. Making It Personal. London: DEMOS 2008.

70. Pitts J, Soave V, Waters J. Doing It Your Way: the story of Self-Directed Support in Worcestershire. Worcester: in Control with Worcestershire County Council 2009.

71. Richards S, Waters J, Frisby B. This time it's personal: Making self-directed support a reality for people with learning disabilities in Northamptonshire. Northampton: in Control with Northamptonshire County Council 2009

72. Grossman BR, Kitchener M, Mullan JT, Harrington C. Paid Personal Assistance Services: An Exploratory Study of Working-Age Consumers' Perspectives. Journal of Aging and Social Policy. 2007;19(3):27-45.

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76. James AN. A critical consideration of the cash for care agenda and its implications for social services in Wales.Journal of Adult Protection. 2008;10(3):23-34.

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78. Schore J, Foster L, Phillips B. Consumer Enrolment and Experiences in the Cash and Counseling Program. Health Services Research. 2007;42(1 part 2):446-66.

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