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Book Full text available online for free

What is happening to day centre services? Voices from frontline staff

Authors:
NEEDHAM Catherine, UNISON
Publisher:
University of Birmingham. Health Services Management Centre
Publication year:
2012
Pagination:
18p.
Place of publication:
Birmingham

Widespread closures of day centres, and a drastic hollowing out of those left behind, are taking a vital lifeline away from elderly and vulnerable people, according to findings from a UNISON survey conducted by the University of Birmingham's Health Services Management Centre. Evidence from UNISON members and activists in day centre services shows the cuts and closures are a false economy because day centres provide much needed respite for carers, as well as monitoring and improving the physical and mental health of users. Some 57% have seen day centres close down with services for elderly people hardest hit, followed by those for people with learning and physical disabilities. More than half said they are aware that more changes will be made in the future, as deeper cuts to social care budgets are made. Where day centres are not closing, two thirds say that restrictions are being placed on access to services. Some people are being told they can no longer visit a day centre at all, whilst in others, the hours that people can come are being drastically reduced. The report concludes that there is a need to continue to build a national picture of what is happening to day centre provision, and what issues staff and service users are experiencing in their localities. There is also a need to share examples of where positive alternatives and service improvements are emerging.

Book Full text available online for free

Nutrition in community settings: a pathway and resource pack for health and social care professionals, the third sector, care home staff, relatives and carers

Author:
WALES. Welsh Assembly Government
Publisher:
Wales. Welsh Assembly Government
Publication year:
2011
Pagination:
24p.
Place of publication:
Cardiff

Focusing on the importance of ensuring that vulnerable and frail adults (particularly older people) living in their own homes, or in other community settings such as care homes, eat well and healthily, the aim of this document is to improve standards of nutrition for people living in the community. It is in two parts. Part 1 contains a pathway showing the framework of advice and support available to people who either care for those living in community settings or whose professional work brings them into contact with people who may have eating difficulties. It includes a commentary with notes for the general public and community organisations, and for health care professionals. Part 2 contains a resource pack with publications, advice leaflets, links to other sources of information, sample risk classifications and care plan templates, designed to help people using the pathway to source information needed to manage situations effectively.

Book

Safeguarding people with dementia: recognising adult abuse

Author:
PRITCHARD Jacki
Publisher:
Alzheimer's Society
Publication year:
2009
Pagination:
23p.
Place of publication:
London

This booklet, produced by Alzheimer's Society and Action on Elder Abuse, is designed to help those who work with people with dementia become aware of the potential causes and signs of abuse. People with dementia can be particularly vulnerable to abuse and mistreatment for many reasons. Dementia can also make it harder to detect when abuse is taking place. The booklet provides guidance on action to be taken and where to go for support. Contents include chapters on: what is dementia; what is abuse; why are people with dementia vulnerable to abuse; how do we recognise abuse; what action should be taken; and where to go for support?

Book

Bipolar disorder in later life

Editors:
SAJATOVIC Martha, BLOW Frederic C., (eds.)
Publisher:
Johns Hopkins University Press
Publication year:
2007
Pagination:
257p.
Place of publication:
Baltimore, MD

This comprehensive volume is the first to offer guidance to clinicians and researchers treating or studying bipolar disorder in older adults. Growing numbers of elderly people are affected by this serious mental illness. Presenting the most recent information, experts in the fields of bipolar disorder, geriatrics, and mental health services research cover late-life bipolar disorder in four major domains: epidemiology and assessment, treatment, complexity and comorbidity, and specialized care delivery. Revealing the effect of the aging process on the disease, they address diagnosis patterns over the life course, rating scales of assessment, pharmacologic and psychological therapies, adherence to treatment, effects of cultural factors, assessing the quality of care, and legal and ethical issues. An important tool for clinicians, this book will serve as a springboard for further research into this complex disorder.

Journal article

The prevalence of elder abuse and neglect: a systematic review

Authors:
COOPER Claudia, SELWOOD Amber, LIVINGSTON Gill
Journal article citation:
Age and Ageing, 37(2), 2008, pp.151-160.
Publisher:
Oxford University Press

Forty-nine studies, of which only seven used measures for which reliability and validity had been assessed, met the inclusion criteria for this review. In general population studies, 6% of older people reported significant abuse in the previous month, and 5.6% of couples reported physical violence in their relationships in the previous year. In studies using valid instruments, nearly 25% reported significant levels of psychological abuse. Five per cent of family carers reported physical abuse towards care recipients with dementia in a year, and a third reported any significant abuse. Sixteen per cent of care home staff admitted significant psychological abuse. However, rates of abuse recorded using objective measures (5%), or reported to home management or adult protective services (1-2%) were low. The study concludes that a quarter of vulnerable adults are at risk of abuse and that only a small proportion of abuse is currently detected.

Book Full text available online for free

UK study of abuse and neglect of older people: qualitative findings

Authors:
MOWLAM Alice, et al
Publishers:
Comic Relief, Department of Health
Publication year:
2007
Pagination:
90p., bibliog.
Place of publication:
London

This study was carried out by the National Centre for Social Research (NatCen) and King’s College London (KCL) and commissioned and co-funded by Comic Relief and the Department of Health. It presents findings of in-depth interviews with a selection of older people who have experienced abuse and mistreatment.

Journal article

The making of a self-neglect severity scale

Authors:
DYER Carmel B., et al
Journal article citation:
Journal of Elder Abuse and Neglect, 18(4), 2007, pp.13-23.
Publisher:
Taylor and Francis
Place of publication:
Philadelphia, USA

Although self-neglect is the most common allegation reported to Adult Protective Agencies in the USA, there is a dearth of research on the problem, in part because of the lack of a standardised and validated measurement scale. This paper briefly describes the Self-Neglect Severity Scale by the Consortium for Research in Elder Self-Neglect of Texas (CREST). This was developed on the basis of interviews with Adult Protective Services staff and a national expert panel, piloted, field tested and subsequently revised. The CREST SSS encompasses observational ratings, interview responses, an assessment of the physical and environmental domain, and an assessment of functional status in relation to health and safety issues. It has been demonstrated to be both reliable and valid. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street,  Binghamton, NY 13904-1580).

Journal article Full text available online for free

Physical vulnerability and fatal self-harm in the elderly

Authors:
EDDLESTON Michael, et al
Journal article citation:
British Journal of Psychiatry, 189(3), September 2006, pp.278-279.
Publisher:
Royal College of Psychiatrists

Although the high rate of suicide in elderly people is conventionally explained as being due to greater intent to die, we have noted elderly Sri Lankans dying after relatively mild poisoning. Using data from cases of yellow oleander poisoning, the authors investigated the effect of age on outcome in 1697 patients, controlling for gender and amount ingested. In fully adjusted models, people over 64 years old were 13.8 (95% CI 3.6-53.0) times more likely to die than those less than 25 years old. The high number of suicides in elderly people globally is likely to be due, in part, to the difficulty they face in surviving the effects of both the poisoning and its treatment.

Journal article

An age new problem

Author:
JERVIS Margaret
Journal article citation:
Care Weekly, 11.11.93, 1993, p.12.

Looks at the issues raised by the increasing recognition of elder abuse. Definitions of abuse range widely and there is dispute about whether new legal powers are needed. Carers organisations are concerned about the danger of stigmatising carers in general.

Journal article

Alone and vulnerable

Author:
CLODE Drew
Journal article citation:
Community Care, 30.1.92, 1992, p.14.
Publisher:
Reed Business Information

Looks at recent guidance from the ADSS on adults at risk and options available, which include extending powers of guardianship, as suggested by the Law Commission, and establishing multidisciplinary welfare tribunals.

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