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Is home care a realistic alternative to residential care among institutionalized elderly people in Finland?
- Authors:
- NORO A., ARO S.
- Journal article citation:
- Scandinavian Journal of Social Welfare, 5(4), October 1996, pp.249-258.
- Publisher:
- Munksgaard/ Blackwell
The high rate of institutionalisation among elderly people in Finland is widely among policy-makers. Studies how realistic the wishes for deinstitutionalisation are among the least sick elderly people in residential care, and what patient characteristics predict whether residential care is appropriate. This issue was assessed by the residential home personnel. Personnel assessment of institutional care as appropriate was mainly explained by patients' needing help with medication, limitations in activities of daily living, absence of own home return to, no living children, incontinence, and poor vision. Discharging elderly people from long-term residential care back to society is limited by factors such as inadequate housing and shortage of domiciliary care and rehabilitative services, as well as by attitudes among the institutionalised elderly people themselves. It seems more realistic to prevent the inappropriate institutionalisation of elderly people that to discharge the small numbers of fairly independent individuals already in residential homes.
The Millhill: a study of discharged patients' experiences of care at a therapeutic community in Sweden
- Authors:
- FORSBERG E., STARRIN B.
- Journal article citation:
- Scandinavian Journal of Social Welfare, 5(1), January 1996, pp.2-11.
- Publisher:
- Munksgaard/ Blackwell
This study reports on discharged patients' experiences of care at a therapeutic community - The Millhill. Data were collected by means of a questionnaire and interviews. The focus of the study is on the former patients' own experiences of The Millhill and their present state. Compared to other inpatient care, the interviews showed that treatment at The Millhill was based on long-term individual treatment plans and that those undergoing treatment were treated as "individuals", whereas treatment in psychiatric wards was more like "storage" and medication and those undergoing treatment were treated as "patients".
Discharge procedures for mentally ill people: the perspectives of professionals and former psychiatric patients on their quality of life
- Author:
- DUFAKER M.
- Journal article citation:
- Scandinavian Journal of Social Welfare, 3(2), April 1994, pp.66-74.
- Publisher:
- Munksgaard/ Blackwell
Draws on the literature about the quality of life and social relations to integrate a number of key concepts. According to former patients, the quality of life was influenced by duration of and stigma attached to mental illness, being without work, financial difficulties, inability to exert influence over their own situation and negative expectations of the future. Illness patterns seemed to be the all-pervading issue when professionals considered their former patients' quality of life. The professionals demanded continuation of a patient role, the patients wanted to embark on an ordinary life.
Discharge procedures for mentally ill people : the perspective of former psychiatric patients on their professional network
- Author:
- DUFKER M.
- Journal article citation:
- Scandinavian Journal of Social Welfare, 3(1), January 1994, pp.7-13.
- Publisher:
- Munksgaard/ Blackwell
The analysis of the perspective of mentally ill people on their social network is not complete if the professional arena is left out. This article draws on literature about social networks and other forms of human interaction to support the social network concept and an idea about how the professional arena has developed and become a vital part of the network. 53 former patients were interviewed to get their perspective on the professional network. Intimate relations with family and friends seemed to be a model even for contacts with professionals. A social psychological analysis of the satisfaction of the long-term mentally ill respondents with relations to home care workers and their dissatisfaction with psychiatric professionals seemed to be connected to the professionals' ability to undertake a caring relationship.
Discharge procedures for mentally ill people. The perspective of former psychiatric patients on their primary social network, quality of life and future life expectations
- Authors:
- DUFKER M., et al
- Journal article citation:
- Scandinavian Journal of Social Welfare, 2(1), January 1993, pp.33-42.
- Publisher:
- Munksgaard/ Blackwell
Draws on literature about social networks and social support in order to integrate a number of key concepts and findings that must be considered in research about the social conditions of mentally ill people. Interviews with 53 former psychiatric patients were carried out to get their perspective on their social network, quality of life and future life expectations. The duration of and stigma attached to mental illness, being without work and gender seemed to have the most influence on the primary network. The same issues, except for gender, together with place of residence, financial difficulties and inability to exert influence over one's own situation influenced the respondents' quality of life and their expectations of the future. These findings are analysed and discussed from a social psychological perspective.