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Co-production and participation: older people with high support needs

Authors:
SOCIAL CARE INSTITUTE FOR EXCELLENCE, et al
Publisher:
Social Care Institute for Excellence
Publication year:
2012
Pagination:
42p.
Place of publication:
London

This report provides a summary of the research literature on the participation and co-production of older people with high support needs. It identifies the benefits and barriers to participation and also includes a small-scale survey of good practice. The report notes that 'older people with high support needs' are a diverse group, falling into two strands of disadvantage - age and disability. Factors that may contribute to high support needs are also identified as: gender; ethnicity; religion and belief; lesbian, gay, bisexual and transgendered people; poverty; learning disability; dementia and mental health problems; sensory impairment and housing contexts. The report goes on to identify the benefits and barriers to participation and different ways of involving older people. A resources section sets out resources available to support co-production in social care, including assessment tools and examples of practice and service development undertaken in co-production. The conclusion offers recommendations for improving practice. The report will be of particular interest to commissioners of social and health care services; people working in housing provision; service users and others developing the co-production/participation agenda in care provision and service development.

Journal article

Safeguarding and domestic abuse: an intersection for future policy and practice development

Authors:
McGARRY Julie, et al
Journal article citation:
Journal of Care Services Management, 6(4), 2012, pp.156-160.
Publisher:
Taylor and Francis

There has been a growing recognition that domestic abuse among older people has historically been largely ‘subsumed’ under the umbrella of elder abuse and that older people have been largely excluded from the discourse surrounding domestic abuse. Domestic abuse in later life can be inherently complex especially where the boundaries of domestic abuse and vulnerability may be blurred. Moreover, to date there is a paucity of available literature that has attempted to explore some of the more complex aspects of domestic abuse or IPV among older populations. This article utilises the findings of one serous case review to illuminate both the complexities for current services and the deficit that this presents in service provision. This highlights a clear gap in current knowledge and strongly indicates a requirement for further research and development in this field of service delivery. (Edited publisher abstract)

Journal article

Creating a culture to deliver compassionate care

Author:
ONYETT Steve
Journal article citation:
Nursing Times, 3.4.12, 2012, p.12.
Publisher:
Nursing Times

The Delivering Dignity report by the Commission on Dignity in Care for Older People provides direction on how to improve care for older people. Six inter-related issues are highlighted: interacting with care; staying compassionate; the 'Golden rule' of doing to others.  This article argues that a better understanding is needed of how to develop a sustainable culture. (Edited publisher abstract)

Book Full text available online for free

Home care across Europe: current structure and future challenges

Editors:
GENET Nadine, ed.
Publisher:
World Health Organization
Publication year:
2012
Pagination:
156p.
Place of publication:
Copenhagen

Currently, for every person over the age of 65 in the European Union, there are four people of working age. But by 2050 there will only be two. Demand for long-term care, of which home care forms a significant part, will inevitably increase in the decades to come. Despite the importance of the issue, however, up-to-date and comparative information on home care in Europe is lacking. This report attempts to fill some of that gap by examining current European policy on home care services and strategies. It examines a wide range of topics including the links between social services and health-care systems, the prevailing funding mechanisms, how service providers are paid, the impact of governmental regulation, and the complex roles played by informal caregivers. Drawing on a set of Europe-wide case studies, the report provides comparable descriptive information on many aspects of the organisation, financing and provision of home care across the continent. The report is designed to help frame the coming debate about how best to serve elderly citizens as European populations age.

Journal article

Effect of exercise on depression severity in older people: systematic review and meta-analysis of randomised controlled trials

Authors:
BRIDLE Christopher, et al
Journal article citation:
British Journal of Psychiatry, 201(3), September 2012, pp.180-185.
Publisher:
Royal College of Psychiatrists

There is uncertainty concerning the effect of exercise on depression among older people with clinically significant symptoms of depression. The primary aim of this meta analysis was to estimate the effect of exercise on depression severity in this group of patients. A secondary objective was to examine any variation between pre-specified subgroups stratified by depression eligibility criteria. Nine randomised controlled trials, including 667 patients, met the inclusion criteria and seven were used in the analyses. Medium term, 3-12 months, of mixed exercise was associated with significantly lower depression severity (standardised mean difference –0.34), irrespective of whether participant eligibility was determined by clinical diagnosis or symptom checklist. The authors conclude that, for older people who present with clinically meaningful symptoms of depression, prescribing structured exercise tailored to individual ability will reduce depression severity.

Book Full text available online for free

Supported housing for older people in the UK: an evidence review: summary

Authors:
PANNELL Jenny, BLOOD Imogen
Publisher:
Joseph Rowntree Foundation
Publication year:
2012
Pagination:
4p.
Place of publication:
York

Sheltered housing has changed significantly over the past decade, yet has received little attention from researchers and policy-makers. Changes to funding and benefits for older people's housing and support services need underpinning by robust evidence. This study examines existing evidence about the quality of life offered by sheltered and retirement housing and identifies factors that may improve or reduce quality of life. Eighty publications with material on housing with support and further background publications were included, along with a detailed analysis of 24 academic and resident-led research reports. Key points suggest that: there is limited recent research evidence on the quality of accommodation, services and residents in the UK's 550,000 units of housing with support for older people; this lack of evidence is a cause for concern for residents, providers and commissioners of housing, support and care; and diminishing levels of on-site staffing have affected quality of life for some residents.

Book Full text available online for free

Supported housing for older people in the UK: evidence review: report

Authors:
PANNELL Jenny, BLOOD Imogen
Publisher:
Joseph Rowntree Foundation
Publication year:
2012
Pagination:
68p.
Place of publication:
York

Sheltered housing has changed significantly over the past decade, yet has received little attention from researchers and policy-makers. Changes to funding and benefits for older people's housing and support services need underpinning by robust evidence. This study examines existing evidence about the quality of life offered by sheltered and retirement housing and identifies factors that may improve or reduce quality of life. Eighty publications with material on housing with support and further background publications were included, along with a detailed analysis of 24 academic and resident-led research reports. Key points suggest that: there is limited recent research evidence on the quality of accommodation, services and residents in the UK's 550,000 units of housing with support for older people; this lack of evidence is a cause for concern for residents, providers and commissioners of housing, support and care; and diminishing levels of on-site staffing have affected quality of life for some residents.

Book Full text available online for free

Findings from housing with care research: practice examples

Authors:
BLOOD Imogen, PANELL Jenny, COPEMAN Ian
Publisher:
Joseph Rowntree Foundation
Publication year:
2012
Pagination:
28p.
Place of publication:
York

This report draws together practical examples of ways of working from two reports: “Boundaries of roles and responsibilities in housing with care” and “Affordability, choices and quality of life in housing with care”. It highlights ways of working in different housing with care schemes, drawing on the two studies and considering their implications in very practical terms. The practice guide is aimed at people managing frontline housing with care schemes, commissioners and senior managers in housing organisations, social services and health, and frontline staff, older people and their relatives. The practice guide: identifies five key topics in housing with care which could benefit from improvement; summarises what older people and their relatives say they value in housing with care; and presents practical examples.

Journal article

Participant perspectives on home visitation services for older people

Author:
QUIRKE Michael
Journal article citation:
Irish Social Worker, Autumn 2012, pp.7-12.
Publisher:
Irish Association of Social Workers

The CONNECT project aim to alleviate loneliness among older people in Ireland. The project trains volunteers to carry out weekly one hour home visits where the volunteer talks and listens to older people. This research investigated the CONNECT home visitation project from the perspective of the service users. Interviews were conducted with 6 older people. Participants expressed high levels of satisfaction with the support they received. The project was perceived as making an important contribution to the lives of older adults in the area of social interaction. Based on the findings, the author presents six recommendations for the project.

Journal article

Screening for elder mistreatment in a dental clinic population

Authors:
RUSSELL Stefanie L., et al
Journal article citation:
Journal of Elder Abuse and Neglect, 24(4), 2012, pp.326-339.
Publisher:
Taylor and Francis
Place of publication:
Philadelphia, USA

Many cases of elder mistreatment are unrecognised and go unreported. Active screening of elders in community clinics, such as dental clinics, is likely to uncover previously undiagnosed cases of elder mistreatment. The purpose of this study was to establish the feasibility and utility of screening for elder mistreatment in a dental clinic population. The study participants were a convenience sample of 138 older adults over the age of 65 recruited from the New York University Dental School care clinics. All participants had a paid or unpaid carer for at least 2 hours a week. The participants were administered a series of questions on a touch computer screen using the Audio Computer Assisted Self Interviewing (ACASI) system, which included the Hwalek-Sengstock Elder Abuse Screening Test (HS-EAST). Overall, 48.4% of the participants scored 3 or greater on the HS-EAST, and 28.3% scored 4 or greater. The findings suggest that there is an opportunity to screen in busy dental clinics and to facilitate early detection for those patients who screen positive for elder mistreatment.

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