title: People with learning disabilities in 'out-of-area' residential placements: 1. Policy context.
abstract: BACKGROUND
  A growing shortage of residential care for people with learning disabilities leads to placement funded by one authority in another authority's area. Such out-of-area placements are governed by guidance from different government departments in respect of different funding streams.
  
  
  METHODS
  This paper presents an analysis of this guidance and shows that it is inconsistent and incomplete.
  
  
  CONCLUSIONS
  The guidance creates a framework of incentives for health and social services authorities that could lead to people being placed out-of-area against their own best interests, with negative consequences for them and for the 'receiving' authorities. A companion paper uses interview data to examine the reasons for and effects of out-of-area placement.
authors.affiliation: Tizard Centre, University of Kent, Beverley Farm, Canterbury, Kent, UK. j.mansell@kent.ac.uk
authors.forename: J L
authors.initials: JL
authors.lastname: Mansell
authors.forename: J
authors.initials: J
authors.lastname: Beadle-Brown
authors.forename: C
authors.initials: C
authors.lastname: Skidmore
authors.forename: B
authors.initials: B
authors.lastname: Whelton
authors.forename: A
authors.initials: A
authors.lastname: Hutchinson
mesh_terms: D002391:Catchment Area, Health; D003153:Community Health Services / Q000458:organization & administration*; D003659:Decision Making, Organizational; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand; D006801:Humans; D007407:Interviews as Topic; D007859:Learning Disabilities / Q000451:nursing*; D009042:Motivation; D016134:Organizational Policy; D012017:Referral and Consultation / Q000706:statistics & numerical data; D012112:Residential Facilities / Q000706:statistics & numerical data* / Q000600:supply & distribution; D012947:Social Work / Q000458:organization & administration*; D006113:United Kingdom