Search results for ‘Subject term:"long term care"’ Sort:
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Free to choose?
- Author:
- ROYSON Claire
- Journal article citation:
- Community Care, 6.7.02, 2002, pp.32-33.
- Publisher:
- Reed Business Information
The author argues that the major difference between long-term care and long-term caring for older people is the understanding of consent, capacity and autonomy.
International advances in self-direction: themes from a disability leadership exchange
- Authors:
- BRADLEY Valerie, et al
- Journal article citation:
- Journal of Integrated Care, 29(3), 2021, pp.295-305.
- Publisher:
- Emerald
Purpose: Self-direction–also known as participant direction, personalization and self-directed care–is a service delivery model that enables people to manage their personal budget and purchase services and supports tailored to their needs based on a person-centered plan. This paper, the outcome of an international learning exchange on self-direction, describes approaches across four countries’ successful strategies, unresolved questions and recommendations to enhance self-direction globally. Design/methodology/approach: The findings are a product of discussions at the 2019 International Initiative for Mental Health Leadership and International Initiative for Disability Leadership Exchange on Advances in Self-Direction. Participants included people who are self-directing, providers and caregivers who support people who are self-directing, advocates, fiscal agents and public managers who administer self-direction from the United States, England, Australia and New Zealand. Findings: In all four countries, people who self-direct exercise high levels of choice and control and are able to individualize their services and supports to promote a good life in the community. The exchange also revealed challenges and possible solutions to improve and expand self-direction. Practical implications: The results of the meeting provide guidance for public managers, providers and advocates for initiating and expanding self-direction. Originality/value: This international meeting was a unique opportunity to compare self-direction across four different countries and across multiple perspectives, including people with disabilities, caregivers, providers and administrators. (Edited publisher abstract)
COVID-19 and long-term care policy for older people in Japan
- Authors:
- ESTEVEZ-ABE Margarita, IDE Hiroo
- Journal article citation:
- Journal of Aging and Social Policy, early cite May 2021,
- Publisher:
- Routledge
- Place of publication:
- Philadelphia, USA
Japan’s initial response to COVID-19 was similar to that of the US. However, the number of deaths in Japan has remained very low. Japan also stands out for the relatively low incidence of viral transmission in Long-Term Care Facilities (LTCFs) compared to both European countries and the United States. This paper argues that Japan’s institutional decision to lockdown Long-Term Care facilities as early as mid-February – weeks earlier than most European countries and the US – contributed to lowering the number of deaths in LTCFs. This paper highlights a few lessons from the Japanese experience: (i) the presence of hierarchically organized government agencies whose sole missions are elderly care; (ii) the presence of effective communication channels between LTCFs and the regulatory authorities; and (iii) the well-established routine protocols of prevention and control in LTCFs. (Edited publisher abstract)
How do social workers working in long-term care understand their roles? Using British Columbia, Canada as an example
- Author:
- WONG Karen Lok Yi
- Journal article citation:
- Journal of Gerontological Social Work, 64(5), 2021, pp.452-470.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
A common problem faced by social workers working in long-term care is that they are not given the opportunity to tell how they understand their roles and thus their roles are neither understood nor recognized by other professionals. There is a need for social workers to tell how they understand their roles so that their roles can be better understood and recognized. A research study was conducted in the province of British Columbia in Canada to explore how social workers working in long-term care understand their roles. Fourteen semi-structured interviews were conducted. Five themes were identified, including advocating for the most vulnerable, humanizing long-term care, balancing between self-determination and safety, dancing with the systems, and facilitating collaboration. The results reiterated but also supplemented the existing literature. This research study also proposes future research studies on the roles of social workers working in long-term care. (Edited publisher abstract)
Investigating factors influencing quality-of-life effects of home care services in Austria, England and Finland: a comparative analysis
- Authors:
- TRUKESCHITZ Birgit, et al
- Journal article citation:
- Journal of European Social Policy, 31(2), 2021, pp.192-208.
- Publisher:
- Sage
European countries have developed a range of long-term care (LTC) policy responses to support the increasing share of older people. However, little is known about the effectiveness of LTC services and benefits, particularly their impact on older peoples’ quality of life (QoL). This paper investigates the role of personal, care service and environmental characteristics on the effects of home care services on QoL across England, Finland and Austria. This study used data from surveys conducted in England, Finland and Austria. In total, 811 older adults were included in the analysis. OLS regression including main effects and country-specific interactions was used to explore variation in gains in long-term care service-related quality-of-life (LTC-QoL). Explanatory variables were derived from the production of welfare framework and comprised home care service user socio-demographics, needs indicators, social support and environmental variables and characteristics of home care service provision. In all three countries, LTC-QoL gains increased with needs, indicating that home care services perform well, with additional gains declining the higher the needs. Also, better process quality contributed to LTC-QoL improvements in all three countries. In addition, the availability of informal care, social contact, financial household situation and living alone, were associated with changes in LTC-QoL only in one or two of the countries. Home care services increased service users’ QoL in all three European countries. The increase in QoL, however, varied across the countries. The results also provide insights into the benefits and limits of home care service provision and areas for future improvements. (Edited publisher abstract)
Is the availability of informal care associated with a lower uptake in formal home care? An application to personal care in the Netherlands
- Authors:
- DUELL Daisy, et al
- Journal article citation:
- Journal of Long-Term Care, March 2021, Online only
- Publisher:
- King's College London
- Place of publication:
- London
Context: Long-term care (LTC) costs within member countries of the Organisation for Economic Co-operation and Development (OECD) are rising steeply, thereby presenting a challenge to the financial sustainability of most LTC systems. A seemingly attractive policy measure is to decrease the use of (expensive) publicly financed LTC and to increase the provision of informal care. Objectives: This paper assesses how 1) the use of publicly financed LTC and 2) the uptake of entitled LTC care are related to the availability of informal care. Our study only considers personal care as it might be more easily replaced by informal care than other more complex types of care. Personal care includes tasks like bathing, toileting, dressing, and helping with eating. Methods: We have access to unique Dutch nationwide data from 2013, which contain information on care entitlement, care use, potential informal caregivers, and clients’ characteristics. Craggit regression analyses were used to analyse the data. Findings: Only 58% of the maximal amount of entitled hours for formal personal care was used. A lower uptake is observed when children moved out. Also, individuals with a healthy partner use about 19% less formal personal care than the average of 11.5 hours per month. Moreover, individuals with an unhealthy partner use about 7% more formal care. Limitations: We had access to data on availability of informal care and not on the actual informal care provided. Implications: Older individuals use less publicly financed personal care than expected based on their needs and the relatively low uptake of entitled care can partially be explained through informal care. (Edited publisher abstract)
Factors influencing the cost of care and admission to long-term care for people with dementia in Ireland
- Authors:
- WALSH Sharon, et al
- Journal article citation:
- Aging and Mental Health, 25(3), 2021, pp.512-520.
- Publisher:
- Taylor and Francis
Objective: To explore the factors associated with the cost of care and admission to long-term care (LTC) for people with dementia living at home in Ireland. Methods: Data on formal and informal resource use for people with dementia, and their LTC admission, were obtained from a national study of spousal dementia caregivers. Functional status was measured using the Bristol Activities of Daily Living Scale, while behavioural and psychiatric symptoms were evaluated using the Neuropsychiatric Inventory. Multivariable regression analysis was used to model costs and the predictors of LTC admission. Results: Physical and cognitive symptoms were significantly associated with costs. Severely impaired functional ability was associated with a €2,308 increase in mean total 30-day monthly costs. Psychosis was associated with a €335 increase in primary and community 30-day monthly care costs. These factors also make it more likely that a person with dementia is admitted to LTC. Having an older caregiver also increases the risk of admission to LTC, while living in a rural area and having a female caregiver reduce the likelihood of admission. Conclusions: Dependency matters for the cost of care. Physical and cognitive symptoms, caregiver age and gender, and geographic location are significant predictors of admission to LTC. (Edited publisher abstract)
Vouchers and consumer-directed care: implications for community care services in Hong Kong
- Authors:
- KAN Wing Shan, CHUI Ernest
- Journal article citation:
- British Journal of Social Work, 51(1), 2021, pp.96-113.
- Publisher:
- Oxford University Press
There has been considerable interest in the concept of consumer-directed care (CDC) for ageing populations. One type of CDC employs vouchers that older people can use to procure a panel of social services that best fits their needs. The voucher-based strategy has been institutionalised in Hong Kong as the Community Care Service Voucher for the Elderly (CCSV). Using a qualitative, semi-structured interview method, researchers probed the experiences of two groups (twenty-six CCSV users and twenty-seven CCSV non-users) with the voucher programme between March 2014 and September 2015 during the first phase of CCSV. The interviews revealed a set of social and institutional supports needed to empower clients to effectively utilise the voucher. These supports (or forms of capital) were consistently present amongst active CCSV users and deficient amongst non-users. The research demonstrates that instituting a voucher does not, by itself, lead to optimised choices but, rather, that a network of institutional and social resources must be assembled in support of the voucher programme. In some instances, a case management approach may be needed, as older people (and family) need to combine different forms of institutional and social support to comprehend the voucher programme and utilise it for their particular needs. (Edited publisher abstract)
Rosalie Kane: a career’s worth of “evergreen” insights
- Author:
- DOTY Pamela
- Journal article citation:
- Journal of Gerontological Social Work, 64(1), 2021, pp.78-87.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The author reminisces about her collegial relationships and friendship with Rosalie Kane over a span of nearly 40 years. She also reflects on the main themes of Rosalie’s scholarly work as a social gerontologist, highlighting seminal publications and why Rosalie’s insights remain valuable and “evergreen” decades later. (Edited publisher abstract)
Mentoring social work PhD students to help re-imagine long-term care
- Authors:
- LIGHTFOOT Elizabeth, ZHENG Mingyang
- Journal article citation:
- Journal of Gerontological Social Work, 64(1), 2021, pp.62-73.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This commentary explores the role of mentoring in creating the next generation of gerontological social work scholars through examining the mentoring of Dr. Rosalie Kane. We review how Rosalie exemplified some of key characteristics of an exceptional academic mentor based on communications with many of her former mentees, provide an account of her last formal mentoring relationship with a graduate student, and discuss how Rosalie’s mentorship related to her hopes for re-imagining long-term care and the future of gerontological social work. (Edited publisher abstract)