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Pathways to service for older persons
- Authors:
- COLE Susan A., MILLER Baila
- Journal article citation:
- Journal of Gerontological Social Work, 32(4), 2000, pp.61-83.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This American study examines the use of home-delivered meals as a case study to gain insight into the process of service use from the recipients' point of view. It explores the research question: what are the pathways by which older persons acquire home delivered meals? Narrative analyses of structured and unstructured questions asked to thirty frail older persons suggested that the process of acquiring home delivered meals was accompanied by patterns of adjustment in shifting between independence and dependence in managing loss of physical function, and themes of isolation, loss and abandonment. The results provide insights for social workers in providing the support needed for the role transition that service acceptance symbolizes for older adults.
Social factors and the outcome of dementia
- Authors:
- ORRELL Martin, BUTLER Rob, BEBBINGTON Paul
- Journal article citation:
- International Journal of Geriatric Psychiatry, 15(6), June 2000, pp.515-520.
- Publisher:
- Wiley
Reports on a study to investigate the role of social factors in the outcome of dementia. The hypotheses put forward were that adverse life events and social support would be associated with reduced survival. Results from the study found that receiving meals on wheels was associated with reduced survival, while attending a day centre and having support from relatives were associated with increased survival. Higher dependency and poorer physical health were associated with reduced survival. Concludes that, in particular, meals on wheels or home help, may be a marker of lack of social support, which influences outcome.
Social care of older people in London
- Author:
- KENNY Doreen
- Journal article citation:
- Public and Social Policy, 5(1), January 2000, pp.9-15.
Under the community care changes, implemented in 1993, local authorities took on the responsibility for assessing people with care needs and ensuring that their needs were appropriately met. This article examines trends in social care provision for older people in London since the changes were implemented. The analysis is based on information from Department of Health returns from local authorities.