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Revaluating aging in place: from traditional definitions to the continuum of care
- Authors:
- WEIL Joyce, SMITH Elizabeth
- Journal article citation:
- Working with Older People, 20(4), 2016, pp.223-230.
- Publisher:
- Emerald
Purpose: Traditional definitions of ageing in place often define ageing in place specifically as the ability to remain in one’s own home or community setting in later life. The purpose of this paper is to reframe ageing in place and show how narrowly defined ageing in place models can be potentially negative constructs that limit options for older adults. The authors propose a paradigm shift, or a re-framing of, the popularised idea of ageing in place. The authors challenge mainstream and literature-based beliefs that are deeply rooted to the idea that ageing in place ideally happens in the home in which a person has lived for many years. Design/methodology/approach: The paper reviews common concepts and constructs associated with ageing in place as well as gaps or exclusions, and US-based ageing in place policy initiatives favouring the ageing in place model. Findings: An expanded definition of ageing in place embraces heterogeneity in residence types and living options. A realistic assessment of person-environment fit, matching an older person’s capabilities to his or her environmental demands, allows for the development of additional ageing in place options for those living across the continuum of care. Social implications: Ageing in place should be moved from the personal “success” or “failure” of an older individual to include the role of society and societal views and policies in facilitating or hindering ageing in place options. The authors demonstrate that these options, in facilities within the continuum of care, can be thought of as appealing for older persons of all levels (Edited publisher abstract)
Specifying long-term care provider responsiveness to LGBT older adults
- Author:
- JIHANIAN Lila J.
- Journal article citation:
- Journal of Gay and Lesbian Social Services, 25(2), 2013, pp.210-231.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
In-depth interviews and focus groups with lesbian, gay, and transgender older adults addressed the question “What does it mean for long-term care providers to be responsive to lesbian, gay, bisexual, and transgender (LGBT) older adults?” Sixteen domains of long-term care provider responsiveness to LGBT older adults were identified, including awareness of centrality of partners, knowledge of importance of preferred gender expression, openness to welcoming LGBT older adults, and ability to create LGBT-safe environments. Future research should include LGBT elders who belong to ethnic minority groups, bisexual elders, and LGBT older adults who do not identify with LGBT labels. (Publisher abstract)
Mapping the future of family care: receipt of informal care by older people with disabilities in England to 2032
- Authors:
- PICKARD Linda, et al
- Journal article citation:
- Social Policy and Society, 11(4), October 2012, pp.533-545.
- Publisher:
- Cambridge University Press
Today, in many economically developed countries, long-term care systems are reliant on informal care. However, in the context of population ageing, there are concerns about the future supply of informal care. This article reports on projections of informal care receipt by older people with disabilities from spouses and adult children to 2032 in England. The current projections show
Aging without agency: theorizing the fourth age
- Authors:
- GILLEARD Chris, HIGGS P.
- Journal article citation:
- Aging and Mental Health, 14(2), March 2010, pp.121-128.
- Publisher:
- Taylor and Francis
This article looks at the ‘fourth age’ as a manifestation of the fragmentation of old age, attempting to give it a more cogent status within gerontology. It argues that the fourth age emerges from the institutionalisation of the infirmities of old age set against the appearance of a third-age culture that negates past representations of old age. The historical marginalisation of old age is outlined from early modern society to the contemporary concentration of infirmity within long-term care which makes of old age an undesirable social imaginary. As old age fades from the social world, the article likens this to the impact of a social or cultural ‘black hole’ distorting the gravitational field surrounding it, unobservable except for its traces. At this stage, choice, autonomy, self-expression, and pleasure collapse into a silent negativity. Within this perspective, the fourth age can be understood by examining not the experience itself but its impact on the discourses that surround and orientate themselves to it.
The impact of devolution: long-term care provision in the UK
- Author:
- BELL David
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2010
- Pagination:
- 41p., bibliog.
- Place of publication:
- York
This report on long-term care provision policies, from a series on the impact of 10 years devolved government in the United Kingdom, considers the constraint that tax and benefit structure (control of which remains centrally within the Departmental Expenditure Limits (DEL) system), has on Scotland, Northern Ireland, Wales and England. The importance of having secondary social care, funded from Annually Managed Expenditure by the Department for Work and Pensions (DWP) and less bound to annual budgets than DEL, in minimising diversity of delivered care is discussed. The inability of devolved governments to steer DWP, due to weak intergovernmental relations, is highlighted and in section 2 Scottish attendance allowances and Welsh domiciliary care charges are contrasted. Section 3 details demand for care varies more within countries than between them, while section 4 highlights divergence in older people’s ability to pay. A current snapshot of care provision across the UK in section 5, is followed by a focus on free personal care, personalisation and charging in Section 6. Section 7 reiterates that policies can be constrained as well as enhanced by devolution. Other reports, in this series, detail area based regeneration, indicators of poverty and social exclusion, employment and employability and housing and homelessness.
Review of older people's engagement with government
- Author:
- ELBOURNE John
- Publisher:
- Great Britain. Department for Work and Pensions
- Publication year:
- 2008
- Pagination:
- 83p., bibliog.
- Place of publication:
- London
... to Government. To ensure that everyone with an interest in this important area has an opportunity to provide views on John’s findings and recommendations, Rosie Winterton, Minister of State for Pensions and the Ageing Society is inviting comments.
Ageing in place together: older parents and ageing offspring with intellectual disability
- Authors:
- CHOU Yueh-Ching, KROGER Teppo
- Journal article citation:
- Ageing and Society, 42(2), 2022, pp.480-494.
- Publisher:
- Cambridge University Press
Limited research has been conducted about ageing in place among older parents who co-habit with their ageing offspring with intellectual disability (ID). This study aims to explore which older parents would choose ageing in place together with their ageing offspring with ID instead of moving and what factors are associated with this choice. A face-to-face interview was conducted using the ‘housing pathways’ framework with older parents (⩾60 years) co-habiting with their ageing offspring with ID (⩾40 years) from two local authorities in Taiwan. In total, 237 families completed a census survey between June and September 2015. The results showed that 61.6 per cent of the participants would choose ageing in place with their ageing offspring with ID, while 38.4 per cent of the participants would stay in their previous place without their disabled children, move in with their other children or move to a nursing home. Logistic regression analyses revealed that parents who preferred ageing in place together with their offspring with ID were more likely to own a house (‘personal control’), have higher levels of life satisfaction (‘self-esteem’) and satisfaction with their current community (‘self-identity’), and have a lower level of social support than parents who chose another option. To meet the needs of older parents and their ageing offspring with ID, care and housing transitions should be considered as part of long-term care policy. (Edited publisher abstract)
Reforms in long-term care policies in Europe: investigating institutional change and social impacts
- Authors:
- RANCI Costanzo, PAVOLINI Emmanuele, (eds.)
- Publisher:
- Springer
- Publication year:
- 2012
- Pagination:
- 317p.
- Place of publication:
- London
Over the last two decades, many changes have happened to the social welfare policies of various industrial countries. Citizens have seen their pensions, unemployment benefits, and general healthcare policies shrink as “belt tightening” measures are enforced. But in contrast, long-term care has seen a general growth in public financing, an expansion of beneficiaries, and, more generally, an attempt to define larger social responsibilities and related social rights. This book describes and interprets the changes introduced in long-term care policies in Western Europe. It argues that recent reforms have brought about an increasing convergence in policies. Most of the new programmes have developed a new general approach to long-term care, based on a better integration of social care and health care. The book explores increasing public support given to family care work and increasing growth and recognition of an extended social care market.
The effects of nursing home placement on the perceived levels of caregiver burden
- Authors:
- STONE Linda J., CLEMENTS Jennifer A.
- Journal article citation:
- Journal of Gerontological Social Work, 52(3), April 2009, pp.193-214.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Providing care for an ageing parent can be one of the most fulfilling life experiences for an adult child. It can also be one of the most exhausting physically, emotionally and financially. A carer experiences psychological and emotional changes when their dependent parent or spouse is placed into formal care. This research project uses the Montgomery Borgatta Caregiver Burden Scale, amended
Facing the cost of long-term care: towards a sustainable funding system
- Author:
- HIRSCH Donald
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2005
- Pagination:
- 38p., bibliog.
- Place of publication:
- York
Over the past decade it has become ever clearer that the UK lacks an adequate, coherent and fair basis for paying for long-term care for older people. As a result, services are already under strain, not all needs are being met, and all are ill-prepared to meet future challenges as the population continues to age. This study brings together evidence and discussions assembled by the Joseph Rowntree Foundation. It identifies some key challenges that need addressing in order to start moving towards a fairer, more rational and adequate system of funding It deliberately avoids proposing a radical redesign of the whole system, though there is a case for that. Rather it provides a platform for sensible discussion of how to design improvements in the funding system.