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Book Full text available online for free

An evidence base for the delivery of adult services

Author:
PETCH Alison
Publisher:
Association of Directors of Adult Social Services
Publication year:
2011
Pagination:
60p., bibliog.
Place of publication:
Edinburgh

This independent evidence review was commissioned by the Association of Directors of Social Work to inform current debates on the future delivery of adult services. It sought to ground such debate in a firm understanding of the conclusions that can be drawn from initiatives evaluated both within the UK and elsewhere, ensuring that any future developments can be based on a clear understanding of the likely impact. The debate is motivated by the aspiration to establish the optimum conditions for the provision of support to the 650,000 people in Scotland who have contact with social services. Key conclusions highlight the need to ensure the most effective configuration for the delivery of adult health and social care is imperative given the current financial and demographic challenges. It has a high profile within the current policy context, exemplified by the Reshaping Care for Older People agenda. Social services for adults have delivered major achievements over the last two decades. There have been major shifts in the models of support from dependency and institutionalisation to greater choice and control by the individual. At the same time there has been recognition of key areas such as the needs of family carers and the demands of dementia that were previously invisible. The large majority of those receiving care and support express high levels of satisfaction.

Journal article Full text available online for free

Mental health problems in old age

Author:
PETCH Alison
Journal article citation:
Community Care, 27.09.07, 2007, pp.36-37.
Publisher:
Reed Business Information

The author examines the findings of an inquiry into older people's mental health problems and the available support and services. The report 'Improving services and support for older people with mental health problems' is the second report from the UK Inquiry co-ordinated by Age Concern into Mental Health and Well-Being in Later Life.

Journal article Full text available online for free

Overview of health and social care services for older people

Author:
PETCH Alison
Journal article citation:
Community Care, 20.11.08, 2008, pp.36-37.
Publisher:
Reed Business Information

Reviews the findings of a Department of Health funded study designed to inform the National Service Framework for Older People. The study looked at the key findings from a group of 16 studies commissioned by the Policy Research Programme under the ‘Older People’s use of services’ Research Initiative. Outcomes from the projects are summarised under five key principles: no discrimination in health and social care services; services should be delivered by professionals who are trained in the care and treatment of older people; services should be person-centred; older people should be helped to regain their independence and to remain living in the community; and older people with complex needs should receive integrated and long-term care services.

Journal article Full text available online for free

Direct payments for people with dementia

Author:
PETCH Alison
Journal article citation:
Community Care, 2.9.10, 2010, pp.32-33.
Publisher:
Reed Business Information

Reviews research in Scotland based on the experiences of twelve people with dementia who used direct payments. Carers and representatives of ten local authorities were interviewed, and freedom of information (FOI) requests were made to all local authorities in Scotland. Findings were that, although local authorities promoted direct payments, uptake by people with dementia and their carers was low. Direct payment rates varied widely across councils. Recommendations include improved publicity to increase awareness, reduced bureaucracy and ensuring parity across different local authorities.

Journal article Full text available online for free

Supporting older people in care homes at night

Author:
PETCH Alison
Journal article citation:
Community Care, 29.5.08, 2008, pp.32-33.
Publisher:
Reed Business Information

This reports on a study funded by the Joseph Rowntree Foundation on the nature and quality of night-time support provided to care home residents. The study aimed to ascertain the perspectives of different stakeholders and to identify, implement and evaluate practical changes that might improve the night-time experience of residents. Three care homes in Scotland were used as case study sites and interviews were conducted with 22 direct care staff, six managers, eight residents and 10 relatives. The study found that night time care generally received less attention and staff were often less experienced and had received little training.

Journal article

Intermediate care or integrated care: the Scottish perspective on support provision for older people

Author:
PETCH Alison
Journal article citation:
Journal of Integrated Care, 11(6), December 2003, pp.7-14.
Publisher:
Emerald

Looks at how the concept of intermediate care appears to have been rejected in Scotland in favour of an emphasis on integrated care. The article explores the apparent divergence in the broader context of policy variation post-devolution and against the aspirations for a whole-system approach.

Book Full text available online for free

Extending the housing options for older people: focus on extra care

Author:
PETCH Alison
Publisher:
Institute for Research and Innovation in Social Services
Publication year:
2014
Pagination:
16
Place of publication:
Glasgow

This Insight summarises the evidence on policy and practice issues for housing with care and support for older people, focusing on extra care provision, and the extent to which different models provide an effective alternative to residential and nursing care. The review begins by providing a short overview to the policy context in Scotland. It then looks at the evidence in the following areas: location, support arrangements, quality of life, provision for dementia, building design, end of life and cost. The Insight covers ‘extra care’ that offers self-contained accommodation units, support accessible 24 hours, some collective meal provision and a range of leisure and other facilities on site. (Original abstract)

Journal article

The tartan road: the Scottish route to health and social care integration

Author:
PETCH Alison
Journal article citation:
Journal of Care Services Management, 6(1), 2012, pp.16-25.
Publisher:
Taylor and Francis

Plans for health and social care integration in Scotland were announced in December 2011. Under the proposals the existing community health partnerships are to be replaced by health and social care partnerships which will be the joint and equal responsibility of the NHS and the local authority in each area. The partnerships are intended to deliver integrated care and support in the community, with an initial focus on services for older people. This article explores the proposals in the context of earlier developments in Scotland, the evidence on effective models for integrated working, and the existing community health partnerships. It draws on the findings of an evidence review commissioned from the author by the Scottish Association of Directors of Social Work. It also looks at the Reshaping Care for Older People programme launched in 2011, and the work of the community health partnerships. The article notes the 7 proposed health and care integration outcomes set out in the formal consultation on the integration proposals, and identifies and discusses factors most likely to lead to successful implementation of the proposals.

Book

Managing transitions: support for individuals at key points of change

Editors:
PETCH Alison, (ed.)
Publisher:
Policy Press
Publication year:
2009
Pagination:
170p.
Place of publication:
Bristol

Highlights the issues common to all when experiencing transitions as well as the dilemmas specific to particular situations: how transition is experienced by young people leaving care, and by those with learning disabilities or mental health problems. For young asylum seekers there are multiple transitions. Other topics covered are the current transition from service provision to self-directed support, the transition for older people who move to supported living and the challenges that attend the transition from hospital to community.

Journal article Full text available online for free

The price is right

Author:
PETCH Alison
Journal article citation:
Community Care, 25.9.08, 2008, pp.34-35.
Publisher:
Reed Business Information

In 2002 the Joseph Rowntree Foundation devised a formula for calculating a reasonable fee level for individuals resident in care homes for frail older people and people with dementia. This has been now re-issued with data from Spring 2008 to provide a basis for determining 'fair market fees'. This article summaries the main elements of the model: staffing; repairs and maintenance; other current costs; and capital costs, the latter including investors' and operators' returns.

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