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From budgets to caseloads - nationwide study reveals wide differences in care management
- Author:
- -
- Journal article citation:
- Care Plan, 5(2), December 1998, pp.34-38.
- Publisher:
- Positive Publications/ Anglia Polytechnic University, Faculty of Health and Social Work
Describes research into care management for older people and people with mental health problems that shows a broad national picture of the different forms of care management.
Care management pilots: annual report April 1991-March 1992
- Author:
- HAMPSHIRE. Social Services Department
- Publisher:
- Hampshire. Social Services Department
- Publication year:
- 1992
- Pagination:
- 200p.
- Place of publication:
- Winchester
Reports from 4 pilot care management projects looking at what has been learnt from them, and comparing the different models used.
Care in the community: individual care planning and case management
- Author:
- RENSHAW Judy
- Journal article citation:
- British Journal of Social Work, 18, 1988, pp.79-1O5.
- Publisher:
- Oxford University Press
Defines case-management, describes American practice and compares it with the use of workers and of individual programme planning.
Netborough: integrated service networks to meet the needs of older people and people with learning disabilities
- Author:
- MILLER Clive
- Publisher:
- Office for Public Management
- Publication year:
- 2006
- Pagination:
- 24p.
- Place of publication:
- London
This paper examines how integrated service networks could be used to provide personalised, outcome-focused services. Using as an example the fictitious ‘Netborough’, the paper shows how local partnerships might set out to meet the challenge of improving services of older people and people with learning disabilities. It describes how networks are organised, the arrangements for care management and support brokerage, and the implications for commissioning, market management and governance. ‘Netborough’ is invented as a way of setting out and drawing together the strands of thinking and requirements in the green paper ‘Independence, Well-being and Choice’, and the white paper ‘Our health, our care, our say’, and is designed to stimulate discussion and debate amongst people working in or concerned with, service provision.
Innovations in health care for people with intellectual disabilities
- Editor:
- KERR Michael
- Publisher:
- Lisieux Hall Publications
- Publication year:
- 1998
- Pagination:
- 186p.,bibliogs.
- Place of publication:
- Chorley, Lancs.
The contributors of this collection examine developments in health care for people with intellectual disabilities from a Christian perspective. Topics covered: pathways to care; health management; mental health needs of elderly people; sleep disturbance; reducing anti psychotic drugs; epilepsy; genetics and learning disabilities; behavioural phenotypes.
Different attitudes when handling aggressive behaviour in dementia: narratives from two caregiver groups
- Authors:
- SKOVDAHL K., KIHLGREN A. I., KIHLGREN M.
- Journal article citation:
- Aging and Mental Health, 7(4), July 2003, pp.277-286.
- Publisher:
- Taylor and Francis
This study highlights the experiences of 15 formal caregivers, during interactions with elderly residents suffering from dementia disease and showing aggressive behaviour. The purpose was to study caregivers’ reflections about and attitudes to behavioural and psychiatric symptoms of dementia (BPSD) and how they dealt with the symptoms. This was done by comparing care units with high or low levels of aggressive behaviour in residents. A phenomenological-hermeneutic approach was used for the analysis of the interviews. The main themes that emerged were: a need for balance between demands and competence; and a need for support. The findings indicated the importance of a balance for the residents as well as for the caregivers, if a positive relationship was to develop. Furthermore, caregivers stated that support was crucial, not only for the residents but also for themselves, if they were expected to cope with demanding situations. Different types of support were necessary and included: confirmation, feedback, and supervision. Residents who feel appreciated and respected may be less likely to act out their frustrations in an inappropriate manner. Caregivers who strive to understand the meaning behind a resident’s behaviour and who master the necessary care-giving skills, and their implementation, could be more successful at curbing distressing behaviour, than caregivers who act merely in a custodial role.
Considerations in care for individuals with intellectual disability with advanced dementia
- Author:
- SERVICE Kathryn Pekala
- Journal article citation:
- Journal of Gerontological Social Work, 38(1/2), 2002, pp.213-223.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
A number of physical, psychosocial, or ethical issues related to the care of the individual with advanced dementia are reviewed and related to individuals with intellectual disabilities.The author notes that through anticipation and early planning, advanced directives and service planning (which looks to adaptation of services and other care management interventions), can effectively impact care at the end. Areas that need to be addressed include technical information, including a reviewof and, as appropriate, adaptation of general advanced dementia resources, relief, rest, support, reassurance, receipt of on-going information, participation in planning, a sense of humor, and appreciation. Also noted, are the differences experienced because of the presence of paid staff as carers and residence outside of the family home.
Pain reports by older hospice cancer patients and family caregivers: the role of cognitive functioning
- Authors:
- ALLEN Rebecca P., et al
- Journal article citation:
- Gerontologist, 42(4), August 2002, pp.507-514.
- Publisher:
- Oxford University Press
Prior research in nursing homes has shown that cognitive impairment may reduce self-reported pain, but this relation has not been systematically explored among hospice patients. The assessment and treatment of pain is a primary goal of hospice care, and both disease processes and the use of opioid analgesics may lead to cognitive impairment among hospice patients. However, little is known about how cognitive functioning may impact the self-report of pain or the report of care recipient pain by family caregivers. Contrary to expectation, care recipients with cognitive impairment reported more intense pain than care recipients with intact cognitive functioning. However, cognitive impairment among care recipients had no impact on the pain report of family caregivers. Care recipient cognitive impairment was related to greater discrepancy in the pain reports of caregivers and care recipients
Keeping consumers at the centre of planning
- Authors:
- BRANDON David, HAWKES Annie
- Journal article citation:
- Care Plan, 6(1), September 1999, pp.8-14.
- Publisher:
- Positive Publications/ Anglia Polytechnic University, Faculty of Health and Social Work
The authors suggest that assessment and care planning needs a system which can be understood by services users as well as by professionals. They show how the 'four magnets' - control, skills, pain and contact - can be unifying and holistic.
Ageing matters: pathways for older people with a learning disability; unit six; service organisation and service options
- Authors:
- HARRIS John, BENNETT Lucille, HOGG James
- Publisher:
- British Institute of Learning Disabilities
- Publication year:
- 1997
- Pagination:
- 27p.
- Place of publication:
- Kidderminster
Unit six in a series of teaching aids for staff working with older people with learning difficulties. This unit looks at: learning outcomes; purchasers, providers and commissioners; aims and objectives for management; services; and care options for older people with learning difficulties. The final section is on: assessment, talking to users and their families and carers, purchasing care and reviewing needs and care.