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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 long arm of the welfare state shortened: home help in Sweden
- Authors:
- SUNDSTROM G., MALMBERG B.
- Journal article citation:
- Scandinavian Journal of Social Welfare, 5(2), April 1996, pp.69-75.
- Publisher:
- Munksgaard/ Blackwell
Old age care in Sweden expanded greatly in all areas in the 1960s and 1970s. In the 1980s, both institutional and in-home services have retreated. Little substitution between the two kinds of care can be observed. Cutbacks relative to demographic needs, and probably also to actual needs, have occurred nationally and locally. Home help is analysed as a metaphor for social services and welfare at large. The strategy has been to give priority to the frailest and oldest clients. Others often have to make do without any services. Also, current recipients of home help services now get different inputs: in the 1980s and earlier, 8 of 10 home help hours were used for homemaking (such as shopping, cooking, cleaning and laundry); in the 1990s about half is used for personal care of clients.
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".
The residential home - what difference does it make? Comparing the public systems of care for the elderly and disabled in two Swedish municipalities
- Author:
- LAGERGREN M.
- Journal article citation:
- Scandinavian Journal of Social Welfare, 2(1), January 1993, pp.25-32.
- Publisher:
- Munksgaard/ Blackwell
Two municipalities in Sweden - Solna and Sigtuna - have taken part in a project (the ASIM project) aimed at developing a system for monitoring and analysing the public system of long-term care and assistance for elderly and disabled people. The two municipalities have chosen different alternatives in the question of residential homes. In Solna they have been retained and in Sigtuna they have been converted into sheltered housing. By separating the clients into different classes of dependence using the ASIM assessment, it is shown that in Solna, compared with Sigtuna, fewer of the most dependent clients are in long-term hospital care and fewer of the high-medium category are in domiciliary care. The data were used to calculate the distribution of clients and the average dependence on the different levels of care if Solna were to apply the care pattern of Sigtuna and vice versa.