Below are key findings to date, which have emerged across the programmes in which Genio works.

No barriers, possible for all

A person’s age, type and level of disability, mental health difficulty or dementia are not a barrier to being supported in the community, once the correct personalised supports are in place for each person.

  • A four year study by Ulster University (2013, 2017) followed a wide range of people with different needs (disability and mental health) as they moved from institutional living to their own homes in the community with personalised supports.
  • Projects within the HSE & Genio Dementia Programme have, to date, supported people at all stages of dementia in community settings. Research over a three year period by the National University of Ireland Galway (NUIG) found that approximately 30% of people with dementia supported by the projects in the community had a very high level of need.
Better outcomes, better lives

Working with people in a personalised way provides better outcomes for people across many areas of their lives.

  • A four year study by Ulster University (2013, 2017) found that personalised support services produced better outcomes for people's emotional well-being, relationships, material well-being, personal development, physical well-being, self-determination and social inclusion.

  • Analysis of the outcomes for participants across all programmes found that a significant percentage of participants enjoyed their life more, while being supported in a personalised way.

  • An evaluation by NUIG (2012-2015) across four large dementia community projects found a more personalised approach to services was highly valued by people with dementia and their families.
Reduced costs and cost savings

For most people, the cost of community based personalised supports are far less than institutional based services.

Training and support are key components to success

Training and support are key components in producing good outcomes for people using the services, their families and carers, as well as staff and organisations providing services.

Support to develop community connections achieves much better outcomes

Research across all projects found that those which explicitly planned for and worked on creating community connections and natural supports for people achieved better outcomes for those people.

  • A study by Prof Roy McConkey (2013, 2017) which looked at people being supported to move from group settings to community living found that community involvement and social relationships need intensive support to ensure that people do not become socially isolated and can feel part of their locality.

  • A learning paper based on outcomes from 54 projects also emphasised the importance of helping create strong and lasting relationships for people within the community which should be intentional and purposeful for each person based on their abilities, contributions, wishes and needs.

  • An analysis of the HSE & Genio Dementia programme showed how personalised community based supports can help a person with dementia to come to terms with a diagnosis; maintain a social life and relationships and help with maintaining ability and quality of life.
Personalised, community-based supports are sustainable

The move to personalised ways of working with people can create effective and sustainable community-based supports. In some cases, this can lead to the closure of institutional services and the freeing up of resources.

  •  7 disability units have closed to date.
  • 12 medium/high support mental health community hostels have closed to date.
  • Analysis of the HSE & Genio Dementia Programme to date (Genio 2016) has demonstrated significant and lasting changes that can be made to existing services and establishing new initiatives locally.


Specialists in transforming social services

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Pearse St., Dublin 2, D02 YH27, Ireland
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