Following the development of anti-retroviral therapies (ARVs), many people affected by HIV in the 1980s and 1990s have now been living with the condition for decades. Drawing on perspectives from leading scholars in Bangladesh, Canada, Hong Kong, New Zealand, Switzerland, Ukraine, the UK and the US, as well as research from India and Kenya, this book explores the experiences of sex and sexuality in individuals and groups living with HIV in later life. Contributions consider the impacts of stigma, barriers to intimacy, physiological sequelae, long-term care, undetectability, pleasure and biomedical prevention (TasP and PrEP). With the increasing global availability of ARVs and ageing populations, this book offers essential future directions, practical applications and implications for both policy and research. (Edited publisher abstract)

Subject terms:

HIV AIDS, sexual behaviour, sexuality, older people;

ISBN print:

9781447361978

The voluntary sector was central to the COVID-19 response: fulfilling basic needs, highlighting new and existing inequalities and coordinating action where the state had been slow to respond. This book curates rigorous academic, policy and practice-based research into the response and adaptation of the UK voluntary sector during the pandemic. Contributions explore the ways the sector responded to new challenges and the longer-term consequences for the sector’s workforce, volunteers and beneficiaries. Written for researchers and practitioners, this book considers what the voluntary sector can learn from the pandemic to maximise its contribution in the event of future crises. (Edited publisher abstract)

Subject terms:

Covid-19, voluntary organisations, voluntary sector, community groups;

Content type:

research

Location(s):

United Kingdom

ISBN online:

9781447365525

ISBN print:

9781447365501

The COVID-19 pandemic affected everyone - but, for some, existing social inequalities were exacerbated, and this created a vital need for research. Researchers found themselves operating in a new and difficult context; they needed to act quickly and think collectively to embark on new research despite the constraints of the pandemic. This book presents the collaborative process of 14 research projects working together during COVID-19. It documents their findings and explains how researchers in the voluntary sector and academia responded methodologically, practically, and ethically to researching poverty and everyday life for families on low incomes during the pandemic. This book synthesises the challenges of researching during COVID-19 to improve future policy and practice. (Edited publisher abstract)

Subject terms:

Covid-19, poverty, low income, research, research ethics, collaboration;

Content type:

research

Location(s):

United Kingdom

ISBN online:

9781447364504

ISBN print:

9781447364481

This live report has been compiled collaboratively by researchers on Long-Term Care all over the world. It aims to: provide an overview of long-term care systems around the world; assess how the people who use and provide long-term care have been affected by the COVID-19 pandemic; describe the measures adopted to mitigate the impacts of the pandemic in the long-term care sector; compile actions and reforms that countries are adopting to strengthen their care systems and be better prepared for future pandemics and shocks. This report does not seek to provide detailed or comprehensive information for each country, but instead aims to summarise key reports and articles and point the reader towards those. It builds on the country reports previously published in this website, as well as other more recent sources. It is being developed collaboratively, by answering a list of questions for as many countries as possible and updating as new information and research become available. (Edited publisher abstract)

Subject terms:

Covid-19, long term care, care homes, home care, community care, older people, infection control;

Content type:

research

Link:

Register/Log in to view this resource

This book provides an evidence-based account of contemporary patterns of ethnic and racial inequality, across a range of key policy arenas, which shape the lives of Britain’s diverse black and minority ethnic communities. Working in collaboration with key experts in the field, the individual chapters trace the complex forms and dimensions of inequality in particular areas, and, importantly, how these have changed or entrenched over time, and in relation to particular policies and institutional practices. Engaging with a variety of comprehensive and reputable sources, individual chapters trace what we know about ethnic inequalities in a range of fields in UK society and culture, including: citizenship and immigration, crime and policing, health, education, the labour market, housing, the cultural industries, politics, and racism. They situate this knowledge in an understanding of how things have changed over time in the last 50 years and the impact of major policies in the different areas. The book provides a map of racial and ethnic inequality across all aspects of social and cultural life in Britain, while identifying points of intervention for policymakers. It also constitutes a snapshot of the current ‘moment’ in Britain, on the brink of Brexit and a precarious new, and unpredictable era for our multi-ethnic, multi-racial country. It offers an assessment of where we are as a nation and the concluding recommendations extend an invitation to imagine a different and better future. (Edited publisher abstract)

Subject terms:

ethnicity, black and minority ethnic people, racial discrimination, inequalities;

Content type:

research

Location(s):

United Kingdom

Link:

Register/Log in to view this resource

ISBN online:

9781447351269

ISBN print:

9781447351252

Background: This study analysed the cost of intensive home care packages for people with dementia living on the boundary of home care and residential care facilities in Ireland. The cost of community-based services and supports, including informal care and private out-of-pocket expenditure, was compared to the cost of public and private residential care. Methods: The study recruited 42 people with dementia and/or their caregivers, who were living on the boundary of home care and residential care, to an in-depth study on the cost of care. The Resource Utilization in Dementia scale was used to collect data on the utilization of standard formal care and informal care by people with dementia in receipt of an intensive home care package. Information on private out-of-pocket expenditure on care was also collected. Unit costs were assigned and community-based care was compared with public and private residential care alternatives. Results: The average weekly cost of home care, including the intensive home care package, standard formal community care provision, medications, consumption and housing, was estimated at €1127. This is lower than the average weekly cost of public long-stay care facilities (€1526) and around the same as for private nursing home fees in the Dublin region (€1149). When the opportunity cost valuation of informal care is included, the cost of home care is higher than all types of residential care. Adding private care expenditure further inflates the cost of home care. Conclusion: Keeping highly dependent people with dementia living at home is not cheap and raises questions about optimal resource allocation on the boundary of home care and residential care. Even with significant public spending on intensive home care packages, family care costs remain high. So too does private out-of-pocket expenditure on care for some people with dementia. (Edited publisher abstract)

Subject terms:

dementia, residential care, carers, home care, care homes, costs;

Content type:

research

Location(s):

Ireland

Link:

Journal home page

DOI:

10.1177/1471301219863580

ISSN print:

1471-3012

This paper sets out twenty separate views from individual experts and a wide range of organisations as to how to use the primacy of place to direct a return to housing growth and, with it, renewal. Each separate essay should be read and understood in its own light as offering deep understanding and practical solutions to unlocking some of the many complex problems which the COVID-19 response currently poses to housing. The document is divided into four principal parts: Part A – the role of housing in promoting opportunity and prosperity for all; Part B – the role of investment in place in leading renewal; Part C – the role of housing in supporting the most vulnerable and engaging with society; Part D – the role of planning in creating successful and sustainable communities. (Edited publisher abstract)

Subject terms:

Covid-19, housing, community development, social housing, place-based approach, financing, ageing, innovation, planning;

Content type:

perspective

Link:

Register/Log in to view this resource

This collection of essays sets out thoughts on how to embed the value and benefits of housing in the national finances and local government, as well as exploring the vital role of housing in building sustainable communities and supporting lives. The collection is divided into three parts: Part A – the role of housing in supporting the most vulnerable in society; Part B – the role of housing in promoting opportunity and prosperity for all; Part C – the role of planning in creating successful and sustainable communities. (Edited publisher abstract)

Subject terms:

homelessness, housing, community development, place-based approach, vulnerable adults;

Location(s):

United Kingdom

Link:

Register/Log in to view this resource

Objective: To compare the effectiveness of a Brief Intervention (BI) and Treatment As Usual (TAU) in a sample of children and adolescents seeking mental health treatment from a Child and Youth Mental Health Service (CYMHS). BI comprised up to six sessions of psychological therapy from trainee psychologists, and TAU involves case management incorporating assessment and psychological treatment (e.g., individual, parent, family therapy), plus linkage to other services. Method: A matched subjects design was used to evaluate the BI (n = 79) and TAU (n = 79) treatment conditions. Participants were matched according to age, gender, and baseline symptom scores on the Health of the Nations Outcome Scale for Children and Adolescents (HoNOSCA), which was completed at pre- and post-treatment. The HoNOSCA is a clinician-rated measure of symptoms experienced in the previous two weeks. Results: BI and TAU both significantly reduced mental health symptoms, with no significant difference between treatments overall, on Externalising or Emotional problems subscales, or on the percentage of most problematic items for participants. Conclusions: BI was as effective as TAU in reducing mental health symptoms in some children and adolescents. BI however is briefer, and could form part of a Stepped Care model for CYMHS. Further research is required to establish the most effective elements of BI in reducing mental health symptoms. (Publisher abstract)

Subject terms:

therapies, intervention, case management, children, young people, outcomes, mental health problems, treatment, evaluation, child and adolescent mental health services;

Content type:

research

Location(s):

Australia

Link:

Journal home page

ISSN print:

0190-7409

Elder-clowns are a recent innovation in arts-based approaches to person-centred dementia care. They use improvisation, humour, and empathy, as well as song, dance, and music. The authors examined elder-clown practice and techniques through a 12-week programme with 23 long-term care residents with moderate to severe dementia in Ontario, Canada. Analysis was based on qualitative interviews and ethnographic observations of video-recorded clown-resident interactions and practice reflections. Findings highlight the reciprocal nature of clown-resident engagement and the capacity of residents to initiate as well as respond to verbal and embodied engagement. Termed relational presence, this was achieved and experienced through affective relationality, reciprocal playfulness, and coconstructed imagination. These results highlight the often overlooked capacity of individuals living with dementia to be deliberately funny, playful, and imaginative. Relational presence offers an important perspective with which to rethink care relationships between individuals living with dementia and long-term care staff. (Edited publisher abstract)

Subject terms:

older people, dementia, person-centred care, arts, intervention, therapies, care homes;

Content types:

practice example, research

Location(s):

Canada

Links:

Register/Log in to view this article
Journal home page

ISSN print:

1471-3012