Adult social care in Britain is undergoing a period of major change. This is largely based on the move towards ‘self-directed support’ for older people using social care services, which has changed how social care policies are developed and implemented. This refers to a range of approaches aimed at enabling people who use social care services to have a greater say in their social care plans to achieve more personalised support. It is inextricably linked with values of choice, control and user participation as opposed to service-led planning (Beresford, 2014; Glasby & Needham, 2014; Needham, 2011). How ever, there has been a greater political commitment to achieve this for older people in England, Scotland and Wales compared to Northern Ireland, where similar debates are largely absent. In the context of devolution, health and social care remain wholly devolved matters. With the distinctiveness of UK systems and policy structures, the landscape of devolution has created the potential for policy divergence in adult social care (Gray & Birrell, 2012). This paper explores policy developments based on principles of selfdirected support in adult social care across the UK to consider if there are lessons to be learnt from other jurisdictions. Using the model of policy transfer, the paper aims to understand and consider how political ideas and policies could be transferred from one system to

中文翻译：

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玩追剧？北爱尔兰的成人社会关怀

英国的成人社会关怀正在经历一个重大变革时期。这主要是基于对使用社会关怀服务的老年人的“自我指导支持”的转变，这改变了社会关怀政策的制定和实施方式。这是指一系列旨在使使用社会关怀服务的人在他们的社会关怀计划中有更大发言权的方法，以实现更个性化的支持。它与选择、控制和用户参与的价值观密不可分，而不是服务主导的规划（Beresford，2014；Glasby & Needham，2014；Needham，2011）。然而，与基本上没有类似辩论的北爱尔兰相比，英格兰、苏格兰和威尔士的老年人有更大的政治承诺来实现这一目标。在权力下放的背景下，健康和社会保健仍然是完全下放的事项。由于英国制度和政策结构的独特性，权力下放的格局创造了成人社会关怀政策分歧的潜力（Gray & Birrell，2012）。本文探讨了基于英国各地成人社会护理中自我指导支持原则的政策发展，以考虑是否可以从其他司法管辖区吸取经验教训。使用政策转移模型，本文旨在理解和考虑如何将政治思想和政策从一个系统转移到一个系统。本文探讨了基于英国各地成人社会护理中自我指导支持原则的政策发展，以考虑是否可以从其他司法管辖区吸取经验教训。使用政策转移模型，本文旨在理解和考虑如何将政治思想和政策从一个系统转移到一个系统。本文探讨了基于英国各地成人社会护理中自我指导支持原则的政策发展，以考虑是否可以从其他司法管辖区吸取经验教训。使用政策转移模型，本文旨在理解和考虑如何将政治思想和政策从一个系统转移到一个系统。