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Lost in transition

Posted: 30 June 2005 | Subscribe Online


Transition for young people with learning difficulties has had a high priority at policy and practice levels in recent years. At a policy level, the learning difficulties white paper Valuing People prioritised good links between child and adult services as part of the social care quality framework, while the requirement for transition planning (established in the Education Act 1993) was strengthened under the revised code issued in 2001.(1)

Young people with learning difficulties are also a priority group for person-centred and health action planning. At a local level, many organisations and authorities have been striving to develop systems to smooth the process of moving from children to adult services, yet research has shown widespread confusion about the transition process.(2) Lack of information has been identified as a key problem for young people, their families and professionals alike.

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Last November, the Social Care Institute for Excellence launched the outputs from a review of the information needed by young people with learning difficulties, their families and supporters at transition. The Road Ahead? review was undertaken by the Norah Fry Research Centre, University of Bristol, with young people with learning difficulties from North Somerset People First and the Home Farm Trust, a national service provider.

The review had three parts: a study of the relevant literature; an evaluation of the content of resource materials (such as information packs) that have been developed to support young people and their families during transition; and focus groups with young people, families and supporters to find out their information needs.

Young people with learning difficulties from North Somerset People First played a central role in carrying out the review. They were given research training and supported to investigate what information young people with learning difficulties needed to know while they were growing up through discussions and activities with four groups of their peers in England and Wales. Their parents and supporters also took part in parallel focus groups, led by a parent/carer and a supporter/manager, to find out what information they needed.

The review found that young people with learning difficulties have the same aspirations as other young people. They wanted to do what they saw their siblings doing and did not think their choices would be any different just because they had learning difficulties. The young people wanted to have a partner, a job and to have their own place eventually. To make these choices, they needed information which would support them to be in charge of all aspects of their life, from what to eat or what to watch on television, to where to live and how to speak up for themselves.

Their parents recognised and confirmed their children's desires and aspirations. They wanted the best for their child, but were concerned whether good support would be available. The young people themselves had not mentioned needing or using services, but their parents were worried that services would be inadequate. Many parents spoke of already having had to fight for services and of not knowing which ones were available for young people in their area.

Families need help to negotiate their way through the challenges and changes which occur during transition. These include empowering young people so that they can take on their adult rights and responsibilities and become increasingly independent and take opportunities (as well as risks).

The changes often have a huge impact on the family as a whole. One of these can occur when a young person moves out and becomes responsible for their own finances, including their benefits, which had previously been part of the general household budget.

To be helpful to families, supporters need a variety of information themselves. They need detailed information about the young person, their family support and their emotional support needs, as well as services in the area and local policies and practices. Supporters emphasised the importance of person-centred planning to ensure that young people's dreams, as well as their needs, were at the centre of the planning process. They wanted to help young people work towards their dreams within the context of what was available locally.

Overall, the review found that young people, parents and supporters need detailed information about the transition process, which responds to their particular perspective. They need to know:

  • What transition is, who is involved and the different roles they have to play - whether as young person, parent, supporter, social worker, teacher or Connexions personal adviser.
  • What rights, entitlements and procedures exist at a national level. This includes information on changes in funding and benefits and explanation of terms such as supported living, direct payments and health action plans.
  • How the transition process works locally.
  • How person-centred choices can be accessed locally.
  • What services are available locally (including contact details) and what options might be developed through different agencies.
  • What support is available to young people and families throughout the transition process and into adult life. Are there specific transition workers or key workers?
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Our review of transition resources showed that there are a number of general packs which cover many of these areas. The All Change pack most closely addresses the topics shown in the panel above.(3)

However, there did not appear to be any resources focusing on handling money for young people at transition. There was also no specific information on sex and relationships, although young people themselves were clear they wanted information on this topic. There was also little information to support young people to be in charge of their lives or guide them on daily living (such as how to pay their household bills) and healthy living.

Finally, none of the resources responded to the emotional aspects of transition, particularly how to deal with disappointment or frustration, when young people's dreams could not be turned into reality.

The information provided for young people, parents and supporters needs to vary in format to meet the needs of each different group.

Beth Tarleton is a research fellow at the Norah Fry Research Centre, University of Bristol. She specialises in applied research on services for disabled children and adults with learning difficulties. She is particularly interested in self-advocate researchers to do their own research.

Training and learning
The author has provided questions about this article to guide discussion in teams. These can be viewed at www.communitycare.co.uk/prtl and individuals' learning from the discussion can be registered on a free, password-protected training log held on the site. This is a service from Community Care for all GSCC-registered professionals.

Abstract
This article looks at the key findings from The Road Ahead? review of transition for young people with learning difficulties. It shows that transition is a confusing and stressful time for them. Young people, their parents and supporters all need clear information about the transition process itself, as well as information regarding the choices and changes.

References
1 Department for Education and Skills, Special Educational Needs: Code of Practice, DfES, 2001
2 P Heslop, R Mallet, K Simons and L Ward, Bridging the Divide at Transition: What Happens for Young People with Learning Difficulties and their Families? British Institute of Learning Disabilities, 2002
3 R Mallet, M Power, and P Heslop, All Change - Transition into Adult Life. A Resource for Young People with Learning Difficulties, Family Carers and Professionals, Pavilion, 2003. Available from 01273 623 222 or www.pavpub.com 

Further information
The six outputs from The Road Ahead? review can be downloaded from www.scie.org.uk/tra. An executive summary of the project can also be read on this site - see www.scie.org.uk/publications/tra/summary.asp.

Contact the author
Beth.Tarleton@bris.ac.uk

Please tell me...
Young people, parents and supporters wanted specific information on the following areas:

  • Work.
  • Going to college.
  • Where to live. 
  • Money (including handling money and the impact on benefits of getting a job or moving out of home).
  • Friends.
  • Sex and relationships.
  • Safety.
  • Being in charge of your life.
  • Rights and responsibilities, including helping others, playing an active role in the community, and the law.
  • Living independently.
  • Healthy living.
  • Emotional changes.
  • Having fun.
  • Changes in services. 


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