Moving In, Moving On

Moving In, Moving On: An evaluation of the outcomes and costs of congregated and community models of service in the disability sector

December 2021

As part of the National Disability Authority’s strategic commitment to conducting research to support the implementation of key national strategies, the NDA conducted a study to evaluate the outcomes and costs of living in congregated and community person-centred models of service in the disability sector. The findings of the study are presented in the report ‘Moving In, Moving On: An evaluation of the outcomes and costs of congregated and community models of service in the disability sector’. The study was funded by the Health Service Executive (HSE) as part of the Transforming Lives programme.

The findings indicated that quality of life outcomes improved for participants after they moved from congregated settings to the community. Participants and staff reported families visiting more often, residents having more opportunities to go out and about and to exercise more choice and control over their daily lives. Further analysis, which examined different models of care, found that quality of life was better for people who received person-centred services, and worse for people who lived in congregated settings, could not choose who they lived with, did not like who they lived with or were experiencing pain.

The cost analysis indicated a cost uplift of 60% for providing services in community rather than congregated settings for those yet to transition from congregated settings. The level of support required by residents is a key driver of costs with higher support needs incurring higher costs - mainly due to the need for additional frontline staff.

The full report, which is available below, is accompanied by a literature review and a technical annex which provide more detailed information on the methodology and tools used and on the findings. Also included below are a Plain English and an Easy Read version of the Executive Summary.

This report was launched in an online webinar in December 2021. The agenda for this event included presentations form NDA researchers, video contributions from participants of the study and reflections from the HSE. https://youtu.be/JM0ZYa2ZGXA

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