Introduction / Julia Loyd -- Social policy : a perspective on service developments and inter-agency working / Steven Rose -- Quality issues / Patricia Brigden and Margaret Todd -- Planning and managing change / Patricia Brigden -- Advocacy / Patricia Brigden -- Advocacy / Jo Young -- Personal relationships / Patricia Brigden -- Integrated leisure ipportunites / Steven Ross -- Psychotherapeutic approaches with people with learning defficulties / Tony Gilbert -- Therapy in relation to people with learning diffuculties / Heather Yule, Frances Loydd and Caroline Carter -- Medical needs in a service for people with learning difficulties / Heather Yule, Frances Loydd and Caroline Rosemary Baker -- education and training / Margaret Todd -- Summary / Margaret Todd.
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