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Individualised Funding: A Realist Analysis to Identify the Causal Factors That Facilitate Positive Outcomes

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  • Padraic Fleming

    (Centre for Health Policy and Management, Trinity College Dublin, D02 PN40 Dublin, Ireland
    Centre for Mental Health and Community Research, Department of Psychology and Social Sciences Institute, Maynooth University, W23 F2H6 Maynooth, Ireland)

  • Sinead McGilloway

    (Centre for Mental Health and Community Research, Department of Psychology and Social Sciences Institute, Maynooth University, W23 F2H6 Maynooth, Ireland)

  • Steve Thomas

    (Centre for Health Policy and Management, Trinity College Dublin, D02 PN40 Dublin, Ireland)

Abstract

There is growing interest, internationally, in empowering people with disabilities, and the United Nations have identified individualised funding as one way in which empowerment might be achieved. ‘Individualised funding’ is an umbrella term for various publicly funded support structures that provide personalised and individualised support services for people with a disability. These aim to facilitate self-direction, empowerment, independence, and self-determination. The findings of a recent mixed-methods systematic review of studies undertaken during an approximate 25-year period suggest positive effects with respect to quality of life, client satisfaction, and safety, as well as very few adverse effects, although the evidence on cost-effectiveness was inconclusive. This paper involved a re-examination of the qualitative findings of that review by employing a realist framework to explore the interplay between key contexts and mechanisms, and how these facilitate or inhibit positive outcomes associated with individualised funding and its underlying programme theory.

Suggested Citation

  • Padraic Fleming & Sinead McGilloway & Steve Thomas, 2021. "Individualised Funding: A Realist Analysis to Identify the Causal Factors That Facilitate Positive Outcomes," Disabilities, MDPI, vol. 1(1), pages 1-11, February.
    • Handle: RePEc:gam:jdisab:v:1:y:2021:i:1:p:4-57:d:506383
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    References listed on IDEAS

    as
    1. Padraic Fleming & Mairead Furlong & Sinead McGilloway & Fiona Keogh & Marian Hernon & Tim Stainton, 2016. "PROTOCOL: Personal Budgeting Interventions to Improve Health and Social Care Outcomes for People with a Disability: A Systematic Review," Campbell Systematic Reviews, John Wiley & Sons, vol. 12(1), pages 1-73.
    2. Fernández, José-Luis & Kendall, Jeremy & Davey, Vanessa & Knapp, Martin, 2007. "Direct payments in England: factors linked to variations in local provision," LSE Research Online Documents on Economics 15915, London School of Economics and Political Science, LSE Library.
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