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Journal article Full text available online for free

The cafe plus concept: a different model for different times

Authors:
WINDHORST Carla, et al
Journal article citation:
Generations, 34(1), Spring 2010, pp.91-93. Published online.
Publisher:
American Society on Aging

Mather’s Cafe Plus was first developed in 2000 by Mather LifeWays (MLW), an Evanston, Illinois-based not-for-profit organization. Café Plus locations were selected in urban communities with significant older adult populations. The early model was designed to attract older adults who would benefit from centralized access to programs and services addressing social engagement and well-being, in addition to meeting basic needs. Development of the Cafe Plus model focused on a “participatory paradigm” establishing partnerships among community leaders, health providers, businesses, and (most importantly) community-residing older adults. An evaluation of the impact of the program is presented.

Journal article Full text available online for free

Transforming mental health care for older veterans in the Veterans Health Administration

Authors:
KARLIN Bradley E., ZEISS Antonette M.
Journal article citation:
Generations, 34(2), Summer 2010, pp.74-83. Published online.
Publisher:
American Society on Aging

Older adults often lack familiarity with mental health symptoms and services and may hold negative beliefs about mental health care that can prevent them from seeking treatment. The Veterans Health Administration (VHA) operates the largest and one of the most elaborate mental health care systems in the nation and perhaps the world. The recent history of the system is described. One successful new model for providing mental health care to older veterans that has been nationally implemented in the VHA is the integration of a full-time mental health provider on each of the more than 130 VA home-based primary care (HBPC) teams. Another major psychogeriatrics initiative involves the integration of a full-time mental health provider in VA community living centers (CLC), formerly designated as nursing home care units. It is critical that increasing national attention be devoted to the mental health needs of older Americans and that policies and processes be developed to extend the reach and potential impact of mental health care for older adults.

Journal article Full text available online for free

What’s all this about evidence-based practice? The roots, the controversies, and why it matters

Authors:
RAHMAN Annie, APPLEBAUM Robert
Journal article citation:
Generations, 34(1), Spring 2010, pp.6-10. Published online.
Publisher:
American Society on Aging

The evolution of, advantages of and challenges to evidence-based practice are discussed. For the aging network, one of the biggest barriers to translating evidence-based research into practice stems from the important differences between the services the aging network provides and those delivered by the health sciences. In order for evidence-based practice to become a widely used approach, it must become a truly joint effort of both researchers and practitioners.

Journal article Full text available online for free

Optimising quality sleep among older people in the community and care homes: Some key findings from a four-year collaborative research project

Authors:
VENN Susan, et al
Journal article citation:
Generations Review, 20(4), October 2010, Online only
Publisher:
British Society of Gerontology

The SomnIA (Sleep in Ageing) project aimed to undertake a range of studies relating to understanding poor sleep in later life. SomnIA is a four year NDA Collaborative Research Project which comprises eight workpackages aimed at (a) understanding poor sleep in later life in the community and in care homes, (b) devising interventions to help with poor sleep in the community and in care homes, and (c) dissemination through academic and practitioner conferences and workshops, briefing papers and journal articles, and through the creation of a module on ‘Sleep problems in Later Life’ for the Healthtalkonline website. Key findings are presented.

Journal article

Does age at onset have clinical significance in older adults with bipolar disorder?

Authors:
CHU David, et al
Journal article citation:
International Journal of Geriatric Psychiatry, 25(12), December 2010, pp.1266-1271.
Publisher:
Wiley-Blackwell

Using data from the Bipolar Disorder Center for Pennsylvanians Study, a randomised controlled study of people with bipolar disorder, this analysis looked at factors including demographics, psychopathology and treatment response to examine the effects of age at onset in bipolar disorder in older adults. The analysis covered 61 subjects aged 60 years and older, grouped by early (less than 40 years) or late (more than 40 years) age at onset. The groups were compared on psychiatric comorbidity, medical burden, and percentage of days well during study participation. The results showed that patients with early and late onset experienced similar percentages of days well, while those with early onset had a slightly higher percentage of days depressed than those with late onset. The researchers concluded that distinguishing older adults with bipolar disorder by early or late age at onset has limited clinical usefulness.

Book

Strategies of care: changing elderly care in Italy and the Netherlands

Author:
ROIT Barbara Da
Publisher:
Amsterdam University Press
Publication year:
2010
Pagination:
220p.
Place of publication:
Amsterdam

This book traces the changes in the elderly care systems of Italy and the Netherlands since the early 1990s, drawing attention to the advantages and disadvantages of these two very different models. It examines the formal care system of the Dutch, and reveals how this system, despite strong policy pressures, has remained relatively stable, while the Italian system has undergone major transitions despite minimal policy intervention. Based on a wealth of data and extensive interviews with both caregivers and patients, this book is designed for anyone interested in the future of European health care debates. Contents include: changing care systems - an introduction; the context and policy trajectories; the challenge of dependence; changing care packages; care packages in practice; the creation of care packages and the transformations of care systems; and conclusions.

Book Full text available online for free

Opening doors evaluation: the story so far: executive summary

Authors:
PHILLIPS Mike, KNOCKER Sally
Publisher:
Age Concern
Publication year:
2010
Pagination:
8p.
Place of publication:
London

The evaluation report explores the impact of a three year Big Lottery funded project Opening Doors in Central London, working with older lesbian, gay, bisexual and transgender (LGBT) older people 2008-2010. The evaluation was conducted over a six month period July-December 2009; at a half-way point in the project’s activities to enable recommendations to inform the third year of the project. Large numbers of older LGBT people have experienced high levels of isolation, discrimination and mental health issues related to their sexuality and the service was established because there are no other older LGBT services in the five boroughs and many care services do not even acknowledge the existence of service users who are not heterosexual. Key findings from the evaluation revealed that 70% of those surveyed said they didn’t feel safe in their community. Also, 75% of those surveyed reported fear of moving into sheltered housing or a care home for fear of discrimination and many chose not to be open about their sexuality with anyone other than close friends. The evaluation recommended that Opening Doors be extended across London, and should consider running more events.

Book Full text available online for free

Opening doors evaluation: the story so far

Authors:
PHILLIPS Mike, KNOCKER Sally
Publisher:
Age Concern
Publication year:
2010
Pagination:
117p.
Place of publication:
London

The evaluation report explores the impact of a three year Big Lottery funded project Opening Doors in Central London, working with older lesbian, gay, bisexual and transgender (LGBT) older people 2008-2010. The evaluation was conducted over a six month period July-December 2009; at a half-way point in the project’s activities to enable recommendations to inform the third year of the project. Large numbers of older LGBT people have experienced high levels of isolation, discrimination and mental health issues related to their sexuality and the service was established because there are no other older LGBT services in the five boroughs and many care services do not even acknowledge the existence of service users who are not heterosexual. Key findings from the evaluation revealed that 70% of those surveyed said they didn’t feel safe in their community. Also, 75% of those surveyed reported fear of moving into sheltered housing or a care home for fear of discrimination and many chose not to be open about their sexuality with anyone other than close friends. The evaluation recommended that Opening Doors be extended across London, and should consider running more events.

Book Full text available online for free

Housing and homes briefing

Author:
AGE UK
Publisher:
Age UK
Publication year:
2010
Pagination:
3p.
Place of publication:
London

This briefing paper provides a useful overview of the household status of older people, household value, and the conditions of the housing in which older people live. It highlights the poor quality of homes, many of which have poor levels of heating.

Book Full text available online for free

Care and support briefing

Author:
AGE UK
Publisher:
Age UK
Publication year:
2010
Pagination:
5p.
Place of publication:
London

This briefing provides a useful overview on older carers and the care of older people. It describes the prevalence and experience of older carers, looks at the care needs of older people, and explores the provision of home and residential care to the older population. The final paragraphs look at adults perceptions of care and support in old age. Useful figures are included.

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