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Journal article

Rehabilitation for people with dementia

Author:
MOUNTAIN Gail
Journal article citation:
Journal of Dementia Care, 12(3), May 2004, pp.33-37.
Publisher:
Hawker

There is growing acknowledgement of the benefits that rehabilitation can bring to people with dementia. Draws out key requirements for service development and pointers for practice identified from the research base.

Journal article

Growing research with older people

Author:
MOUNTAIN Gail
Journal article citation:
Quality in Ageing, 4(4), December 2003, pp.6-10.
Publisher:
Pier Professional
Place of publication:
Brighton

Discusses the involvement of older people in research into health and social care services. Draws upon the policy and evidence base and considers the different forms that this can take and how best practice regarding the involvement of older people can be promoted.

Journal article

Pre-discharge home visits with older people: time to review practice

Authors:
MOUNTAIN Gail, PIGHILLS Alison
Journal article citation:
Health and Social Care in the Community, 11(2), March 2003, pp.146-154.
Publisher:
Wiley-Blackwell

Uses available evidence to make a case for reconsideration of the practice of pre-discharge home visits with frail older people as part of decisions regarding a return home, which is embedded into the routine activity of acute medical wards for older people and occupies a large proportion of the time of hospital employed therapy staff, with consequent financial and resource implications. Assessments are often conducted to provide information on safe discharge rather than being located in the interests of the older person and their carer. The introduction of a new range of services bridging hospital and home raises the need for urgent critical appraisal.

Book

A positive response: developing community alarm services for elderly people

Authors:
THORNTON Patricia, MOUNTAIN Gail
Publisher:
Joseph Rowntree Foundation
Publication year:
1992
Pagination:
51p.,tables,bibliog.
Place of publication:
York

Examines who provides the service, who benefits, what needs can be met and what the lessons are for community care as a whole, with the aim of increasing the awareness of the potential of such services.

Book Full text available online for free

Report of the evaluation of pilot local housing options advice services for older people

Authors:
MOUNTAIN Gail, BURI Helen
Publisher:
Sheffield Hallam University
Publication year:
2005
Pagination:
98p.
Place of publication:
Sheffield

This report, produced by Sheffield Hallam University for Care and Repair England, details the University’s evaluation of the local housing options projects which contributed to Care and Repair England’s national housing options programme for older people “Should I Stay or Should I Go”. Data from 561 cases were analysed and complemented by 50 interviews with older service users, workers involved in delivering housing options and a sample of other involved professionals. The housing options evaluated were either solely or mainly provided for older people. Although various initiatives already exist to help older people consider their housing options and the necessity of moving as they age, there appeared to be a gap in terms of individualised, impartial advice combined with appropriate practical help. Eight schemes were identified to demonstrate a variety of needs such as, black and ethnic minority communities, rural areas, and areas of urban degeneration. All options services were introduced into an existing agency and the impact of various management models also examined. The average age of those using the service was 76 years and 74% of clients were experiencing health problems. The study highlighted benefits to those using the services but was unable to clarify whether they were cost effective and sustainable. Costs varied enormously and the provision of the service was complex and demanding. Unstable funding was a major deterrent to progress.

Journal article

Please ring for service

Authors:
THORNTON Patricia, MOUNTAIN Gail
Journal article citation:
Community Care, 11.6.92, 1992, pp.20-21.
Publisher:
Reed Business Information

Describes research which shows that new approaches to community alarm systems can be used as a means of helping elderly people to live independently.

Journal article

Occupational therapy led health promotion for older people: feasibility of the lifestyle matters programme

Authors:
MOUNTAIN Gail, et al
Journal article citation:
British Journal of Occupational Therapy, 71(10), October 2008, pp.406-413.
Publisher:
College of Occupational Therapists

The aim of this feasibility study was to see if an occupation-based health-promoting intervention for community-living older people could be delivered successfully and also to provide some information to guide a future trial of clinical effectiveness. The participants' ages ranged from 60 to 92 years from a city in the North of England. Twenty-eight participants commenced the 8-month programme and 26 completed it; they have continued to meet independently following facilitator withdrawal. The participants were interviewed qualitatively before and after the 8-month programme. Additionally, pre-programme and post-programme measurements of cognition, depression, functional dependency and quality of life were conducted with each participant before and after the intervention. The post-intervention interviews illustrated the individualised benefits experienced by the participants, with greater self-efficacy being a significant theme. A comparison of the pre-intervention and post-intervention scores on the quantitative measures showed an upward trend on all dimensions of quality of life. The measurement of cognition, depression and dependency proved useful for screening purposes and for identifying individuals at risk, but not as an outcome measure. The delivery of the programme was feasible and its benefit to participants was observed, but there is a need for further research to test the intervention rigorously and to explore applicability in a range of settings.

Book

Occupational therapy with older people

Author:
MOUNTAIN Gail
Publisher:
Whurr
Publication year:
2004
Pagination:
330p.
Place of publication:
London

This book is about older people, and the contribution occupational therapy can make towards the maintenance of their health and the appropriate provision of rehabilitation and care. The aim is to help occupational therapists and those involved in the commissioning of occupational therapy services for older people to target their efforts both sensitively and effectively, and to anticipate the demands which will shape service provision in the future. The entire work is underpinned by current evidence regarding best practice and opinions voiced by older people during several research projects undertaken by the author. The first chapters examine the experience of growing older, from both societal and individual perspectives, the factors contributing towards vulnerability in older age and the provision of services to meet needs. The second part of the book concentrates upon the occupational therapy assessment and treatment processes. The final chapter considers the challenges for occupational therapy.

Journal article

The Casson Memorial Lecture 2005: challenge – to confront, defy, face up to; a difficulty that stimulates interest or effort

Author:
MOUNTAIN Gail
Journal article citation:
British Journal of Occupational Therapy, 68(7), July 2005, pp.290-300.
Publisher:
College of Occupational Therapists

This article provides an overview of the life and work of Dr. Elizabeth Casson. It goes on to provide a vision of what the occupational therapy profession could look like in the 21st Centry, reflecting on what Dr Casson's intentions would have been. The paper was given as the Casson Memorial Lecture 2005, given on 23 June at the 29th Annual Conference of the College of Occupational Therapists, held at the Devonshire Park Centre, Eastbourne. The conference theme was 'Activity, Participation, Occupation'.

Journal article

Social rehabilitation:concepts, evidence and practice

Author:
MOUNTAIN Gail
Journal article citation:
Managing Community Care, 9(2), April 2001, pp.8-15.
Publisher:
Pavilion

The current evidence to support rehabilitation commissioned and/or provided by social services gives some promising indications. However, it also reveals an urgent need for more and better information about what works best and for whom.

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