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Widening choices for older people with high support needs: summary
- Author:
- BOWERS Helen
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2013
- Pagination:
- 8p.
- Place of publication:
- York
This brief paper summarises the findings of a two- year study of support options available to older people with high support needs. It sets out the potential for viable alternatives to traditional forms of long-term care, how to widen support at a local level and how to overcome cultural and structural barriers that older people face. Older people with high support needs want greater choice and control over their lives and a wider range of options. The study identifies the benefits and potential of options based on mutuality (people supporting each other) and/or reciprocity (people contributing to individual and group well-being). Formal (e.g. Shared Lives, Homeshare, Time Banks) and informal (e.g. mutually supportive relationships) models and arrangements can be found throughout the UK, but they usually operate under the radar of public sector commissioners and on a very small scale. The study identifies five priorities to make change happen: communicating and demonstrating benefits, raising public awareness and engagement, tackling interfaces with other services, replication and scaling out, and mobilising resources.
Widening choices for older people with high support needs: report
- Authors:
- BOWERS Helen, et al
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2013
- Pagination:
- 95p.
- Place of publication:
- York
This paper reports the findings of Not A One Way Street, a collaborative research project designed to better understand the various ways in which older people with high support needs take up active roles within support arrangements based on mutuality and reciprocity. It describes the benefits and outcomes achieved for individuals, families, communities and providers based on a typology of mutual support that describes the options such as: Shared Lives, Homeshare, cohousing, time banks, mutually supportive relationships, self-help/peer support networks, and mutually supportive communities. More than 100 people across the UK shared their experiences of and outcomes achieved by these models. Ten characteristics or conditions for successful support are highlighted. The study concludes that such options work best when they are locally focused, personally delivered and connected to other services and networks. However it is noted that significant change will be needed in the way that services are commissioned and delivered if current options for support are to be widened to include these models. Barriers include negative attitudes about and narrow perceptions of older age, professional scepticism, and the need for clear outcomes. The report concludes with priorities for action.
Not a one way street: research into older people's experiences of support based on mutuality and reciprocity: interim findings
- Authors:
- BOWERS Helen, et al
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2011
- Pagination:
- 34p.
- Place of publication:
- York
This paper outlines emerging findings and key messages from the first 2 stages of an action research project called 'Not A One-Way Street', which is part of the Better Life programme. The project focuses on the various ways in which older people with high support needs take up active roles within different support arrangements based on 'mutuality and reciprocity'. Mutuality and reciprocity refers to arrangements designed to enable those involved to both give and receive support. Research activities have involved: a call for information which has led to useful case studies and leads for follow-up work; a literature search; a mapping exercise of known reciprocal schemes; and a public meeting. Drawing on the findings of this research, this paper explores alternative approaches to planning, funding and providing long term care for older people with high support needs, particularly focusing on the ways older people take up active roles based on mutuality and reciprocity. It provides stories and situations where those involved are giving and receiving support, rather than more traditional services provided by professionals or organisations. The aim is that this work will contribute to emerging discussions and developments associated with mutuality and reciprocity.
Older people's vision for long-term care
- Authors:
- BOWERS Helen, et al
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2009
- Pagination:
- 56p., bibliog.
- Place of publication:
- York
The research project explored the voice, choice and control of older people living with high support needs. The research involved a scoping study exploring the current role of long term care; a series of discussions with older people, their families and professionals; synthesis of key messages with a diverse advisory group; local feedback; and a national ‘sounding board’ event to identify the key messages to be shared. Those involved in the study emphasised the need for all sectors to work to ensure that older people's vision for their own future is widely owned and used to move from the current default model of residential care towards a range of more flexible options.