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• Preventative services Council grant funding supports the growth of alternative community services that are co-produced with members of communities enabling people to build upon their own individual strengths and resources. These include good neighbour schemes, luncheon clubs, community enterprises, community/ voluntary services
• Specialist Health interventions Consultant psychiatry, psychology, community nursing, Speech and Language Therapy, Occupational Therapy and Physiotherapy provide specialist interventions to adults with a diagnosed learning disability both within in-patient and community setting
• Specialist Health Autistic Spectrum Disorder Diagnostic and Pre/post Counselling Service The current service consists of allocated sessions from a locum consultant and a specialist practitioner
• DayOpportunitiesProvidingsocialcontactandstimulation,reducingisolationand loneliness, maintaining and / or restoring independence, offering activities which provide mental and physical stimulation, providing care services, offering low-level support for people at risk
• PathwaystoemploymentArangeoflocalinitiativesincludingFRAME,Workways Plus, Stackpole Estate and ESTEAM in Pembrokeshire and Opportunities Team and ‘Steps’ in Carmarthenshire. In addition national programmes such as ‘Work choice’, run by the Department for Work and Pensions, support those with lower level LD
• Respite provision Short breaks/respites is a key commitment in recognition that planned breaks are an essential part of supporting families
• CommissionedServicesIndividuallycommissionedsupportedlivingarrangements which enable people with learning disabilities to live in their own tenancies with support at varying levels, and residential services which include both the provision of accommodation and care on site, with care being available 24 hours per day. These include a regional Shared Lives service, managed for the region by Carmarthenshire County Council and providing a route for people to return to their communities and is an example of an alternative to traditional residential services. Advocacy services are commissioned across the region; and
• Direct Payments These provide another way for individuals to access a range of opportunities by being able to choose who provides the services they need
Assessment and care planning for people with a learning disability is managed through multi-disciplinary Community Teams for Learning Disability (CTLDs), in place across the region and staffed by health and social care professionals. The teams also work jointly with Disabled Children’s Teams and Transition Teams with occasional involvement from age 14 upwards and undertaking assessment when a young person in receipt of services reaches 17. Transition teams play a key role in supporting the transfer of care needs between one service and another, and typically between adult and children’s services.
Data held by the Welsh Data Unit indicates that the reliance on residential care in each of the three counties is above the Welsh average. Pembrokeshire currently ranks
West Wales Population Assessment March 2017 Learning disability and autism