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Accessible summary This is the story of Anna Boodle. Anna told her story to Kathy Ellem about her time in prisons in Queensland, Australia., Anna has an intellectual disability. Living in prison was very hard for her., Anna has survived prison and now has a good life in the community., Anna wants to tell other people they can survive prison and have a good life., Summary People with an intellectual disability in prison can be at increased risk of victimisation, segregation and isolation (Mullen ). Prison systems usually have very few resources to cater to this group's particular needs, and many people may re-enter the community with little or no rehabilitation, poor social connections, poor mental health and little chance in finding employment and living a crime-free life (Baldry et al. ). Gathering the lived expertise of ex-prisoners with an intellectual disability can help others to better understand these experiences. This article is about Anna Boodle's story of imprisonment in Queensland, Australia. Anna participated in a larger Ph D study on the life stories of ex-prisoners with an intellectual disability. It is apparent from her story, and the other stories in the study, that there is a need for more humane responses to people with an intellectual disability who offend. Anna's story is a tale of hope to others that a good life is possible after imprisonment. [ABSTRACT FROM AUTHOR]

This article presents findings from six focus groups with health care practitioners in an Australian hospital during 2010, which sought to elicit their perspectives on the barriers for people to plan their future health care should they become unwell. Such knowledge is invaluable in overcoming the barriers associated with advance care planning and enhancing the uptake of advance directives and the appointment of an enduring power of attorney for people of all ages. A person's rights to self-determination in health care, including decision making about their wishes for future care in the event they lose cognitive capacity, should not be overlooked against the backdrop of increasing pressure on health care systems. Findings suggest that multiple barriers exist, from practitioners' perspectives, which can be divided into three major categories, namely: patient-centred, practitioner-centred and system-centred barriers. Specifically, patient-centred barriers include lack of knowledge, accessibility concerns, the small 'window of opportunity' to discuss advance care planning, emotional reactions and avoidance when considering one's mortality, and demographic influences. At the practitioner level, barriers relate to a lack of knowledge and uncertainty around advance care planning processes. Systemically, legislative barriers (including a lack of a central registry and conflicting state legislation), procedural issues (particularly in relation to assessing cognitive capacity and making decisions ad hoc) and questions about delegation, roles and responsibilities further compound the barriers to advance care planning. [ABSTRACT FROM AUTHOR]

The machinery of income support can have considerable influence in people's lives, creating opportunities for social work but also tensions: access to vulnerable people, but not always on their terms. This paper argues that the challenge to social work is about more than holding on to professional discretion. It considers how social workers can influence service delivery approaches to work more relationally, pursuing a more equal involvement of clients, and recognising the complex interactive context of social and community life. The authors trace the development of such an approach within the Australian Government human services delivery agency Centrelink in Logan, Queensland, and briefly consider a parallel innovation in Newcastle, New South Wales. The authors suggest that grounding a large institutional social service agency in the realities of client and community experiences has mutual benefits, creating a more humanising, cooperative space, and displacing inefficient and sometimes tragic cycles of misunderstanding, confrontation, and disconnection. [ABSTRACT FROM PUBLISHER]

The participation of service users in the planning and delivery of disability services is an unequivocal ideal in many countries. However, making the shift from espoused ideals of participation to effective, credible involvement of people with disability and families in agency planning and delivery is often challenging and not fully realized. The authors undertook a study to discern the nature and extent of service user participation opportunities within a range of organizations that provide disability services in one Australian state. A 'snapshot' of how services are involving service users and their families, carers, and advocates in all aspects of their service, including service planning, development, and delivery, was obtained via a mailed survey instrument. Some 200 agencies or services receiving funding from the state government participated in the survey. Findings reveal that service providers overall are providing a broad range of opportunities and activities for service user participation in the service, but their effectiveness is variable across different organizations and subject to differing conditions. The authors concluded that characteristics of the service, the community, and the service users and their families, carers, and advocates, all influence the dynamic environment for participation. [ABSTRACT FROM AUTHOR]

Primary Objective: To explore the transition experiences from hospital to home of a purposive sample of individuals with acquired brain injury (ABI)., Research Design: Phenomenological, qualitative design., Methods and Procedures: Semi-structured interviews were conducted with 13 individuals with ABI (mean time since discharge = 15.2 months) and 11 family caregivers. Each interview was recorded, transcribed verbatim and then inductively analyzed., Results: Through the inductive analysis process, a summary coding framework was developed that included that following eight main categories: the hospital experience; the transition process; the role of family caregivers; post-discharge services; friendship networks and community involvement; meaningful activities and time management; physical and psychological wellbeing; and barriers and facilitators., Conclusions: The results of the study provide valuable insights into the lived experiences of participants and provide evidence to support the existence of a distinct transition phase within the ABI rehabilitation continuum; additional to and closely associated with the acute, post-acute and community integration phases.