First published in 1998 , This timely book describes the challenges that need to be met in bringing together health and social services into a partnership to create effective and responsive services. It presents the reader with both conceptual frameworks and practical examples on how change can be managed and the momentum maintained towards the development of a quality service. The authors present practical examples and reflect on what worked and what was not successful. Over twenty writers (staff and managers, senior and junior, qualified and unqualified) describe focused work in particular areas which will be of interest to any service for this user group. Throughout, the emphasis is on how to deliver an accessible good quality service and how this can be safeguarded in the future. Fifty years after the establishment of the NHS, and nearly twenty five years since the establishment of British Social Services departments, this book articulates a modern, practical and principled vision of community based services to vulnerable people.

1. Joint Working, Mark Burton and Mike kellaway. 2. Designing the Organisation, Mark Burton and Mike Kellaway. 3. Leading and Directing Staff in Community Teams: Tales of the Unexpected., Maxine Martin , Bernie Gibbins and Christine Adcock. 4. Equipping and Supporting Staff: Residential Services, Iain Larkin and Dave Ruane. 5. Joint Training, Pualine John. 6. Producing and Implementing Effective Policies, Pauline John and Mark Burton. 7. Redeveloping Services, Mike Kellaway and Dave Ruane. 8. Developing Days, Andrew Pope with contributions by Ian Crabtree. Ian Larkin and Debbie Windley. 9. Developing and Managing Therapy Practice, Jane Jolliffe, Sylvia Jones , Lynsay Juffs , Vathi Mckessy Linda Prinsloo, Rachel Samuels , Moira Speechley and Debbie , with contributions by Mark Burton. 10. Service Response to Sexual Abuse of People With Learning Disabilities, Jude Moss, Christine Adcock. 11. Prevention of Challenging behaviour and Service user distress, Jean Lally. 12. Developing Effective Provision for People who may present Behavioural Challenges: Clinically Managed Social Care, Mark Burton and Phil Jones. 13. Confidence in the Community: Partnerships to improve the public safety of people with learning disabilities, Dave Crier, Mike Petrou and Mark Burton. 14. Using Video for Services Development, Nigel Hoar and Mark Burton. 15. Quality, Mark Burton and Helen Sanderson, with contributions by Iain Larkin , Dave Ruane, Allen Briscoe and Karen Goodman. 16. Service User Involvement, Karen Goodman. 17. Planning With People , Helen Sanderson.