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Purpose -- The purpose of this paper is to summarise findings of a review of service user and carer involvement in safeguarding and recommendations for good practice. Design/methodology/approach -- The study involved a review of selected literature and a consultation exercise with experts in the field of adult safeguarding and telephone interviews with 13 Adult Safeguarding Leads across England and Wales. Findings -- Service users value rights, independence, choice and support. Adult Safeguarding policy sets out an expectation of service user involvement in the process and expects agencies to balance rights to self-determination with properly managed risk. In practice, agencies tend to be risk-averse and service users often do not feel involved in their safeguarding processes. Processes such as collaborative risk enablement, training and capacity building, working with BME groups and evaluation of involvement help. Good practice examples of involvement in Safeguarding Boards or local forums, developing new methods of user feedback and community involvement were found. Recommendations include more involvement of service users in research, more effective forms of involvement of groups who may be more excluded, shared responsibility for risk, and more training in rights legislation. Practical implications -- The paper offers recommendations for good practice in improving involvement in adult safeguarding, which is a requirement and an essential component of delivering good services to vulnerable adults. Originality/value -- Service user involvement in health and social care is now widespread, but there is little knowledge of how to involve the most vulnerable service users who are in need of protection, or how to balance risk and empowerment. This paper addresses the dilemmas facing Adult Protection staff, summarises the experience of practitioners based on the first decade of adult safeguarding work and sets out guidance for improving practice. [ABSTRACT FROM AUTHOR]

Purpose: Elder mistreatment (EM) is a complex, universal health and social problem predominantly studied in the indigenous (white) populations of Western countries. This has led to consideration of dominant explanations as universal, potentially masking crucial cultural and ethnic differences. This study aims to fill the gap in elder mistreatment literature for the Pakistani community, offering unique perspectives to inform culturally sensitive policy recommendations. Design/methodology/approach: A qualitative approach, anchored in the philosophical basis of constructivist grounded theory, was used to investigate understandings of EM among Pakistanis in Sheffield, UK. This involved two gender-based focus groups (male = 1; female = 1) and 22 in-depth individual interviews, engaging a diverse participant pool, including older people, family caregivers and community stakeholders. Findings: This study reveals diverse understandings of elder mistreatment (EM) among Pakistani adults, varying across age and gender groups, with distinguished key forms identified. Reporting EM is crucial, but victims face complex decision-making, hindered by societal and individual barriers, including moral and cultural dilemmas. Access to formal support is limited, emphasising the need for targeted interventions. Originality/value: To the best of the authors' knowledge, this study is the first to delve into the perspectives of Pakistanis on elder mistreatment. It emphasises the importance of policymakers and service providers integrating considerations of race, ethnicity, culture and gender to develop inclusive services, as indicated by the study's findings. [ABSTRACT FROM AUTHOR]

Purpose – Commissioned as part of a Joseph Rowntree Foundation scoping programme, this consultation aims to explore the views of disabled people and service users about risk. Design/methodology/approach – The consultation reached nine individuals and one focus group, reaching a total of 17 disabled people and service users. Their views were supplemented by the literature. Findings – The landscape of risk and rights is highly complex. Disabled people and service users have quite different concerns about risk to those of the professionals and the regulatory bodies acting on their behalf. Many people talked of the fear of losing their independence, of asserting their rights and the fear of powerlessness in the face of bureaucracy and (sometimes) uncaring staff. Research limitations/implications – The profile of rights needs to be raised in an accessible and acceptable way: it is necessary to make the language of rights more commonplace. There is a particular need to reach into mental health and residential care services to find ways of enabling people to have their rights realised. The report has implications for risk assessment and risk management as well as for the regulatory bodies responsible in adult social care. Raising awareness among professionals and policy makers about the risks that service users themselves fear and experience should demonstrate just how important it is that the people whose risk is under consideration are involved in the process. Originality/value – This paper highlights the views of users of adult social care about risk; their views have rarely been documented. [ABSTRACT FROM AUTHOR]

Purpose -- The aim of this paper is to evaluate the effectiveness of the My Way transition programme. Design/methodology/approach -- The programme was evaluated over a two year period via interviews with a range of stakeholders. The evaluation focused on outcomes for young people, experience of the transition process, differences in the cost of care packages and an exploration of what was different about the My Way approach. Findings -- There were positive outcomes for young disabled people using the programme, and reduced costs to commissioners. The success of the My Way programme seemed to result from its focus on implementing actions and "doing" rather than just developing plans. Originality/value -- This study provides evidence for commissioners, providers and service users of the importance of providing person-centred facilitators who implement actions. It clearly demonstrates that when this happens savings can be made and good outcomes achieved. [ABSTRACT FROM AUTHOR]