Search results for ‘Subject term:"meal services"’ Sort:
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Do physical environmental changes make a difference? Supporting person-centered care at mealtimes in nursing homes
- Authors:
- CHAUDHURY Habib, et al
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 16(7), 2017, pp.878-896.
- Publisher:
- Sage
Purpose: Drawing on therapeutic physical environmental design principles and Kitwood’s theoretical view of person-centered care, this study examined the impact of environmental renovations in dining spaces of a long-term care facility on residents’ mealtime experience and staff practice in two care units. Method: The research design involved pre- and post-renovation ethnographic observations in the dining spaces of the care units and a post-renovation staff survey. The objective physical environmental features pre- and post-renovations were assessed with a newly developed tool titled Dining Environment Audit Protocol. We collected observational data from 10 residents and survey responses from 17 care aides and nurses. Findings: Based on a systematic analysis of observational data and staff survey responses, five themes were identified: (a) autonomy and personal control, (b) comfort of homelike environment, (c) conducive to social interaction, (d) increased personal support, and (e) effective teamwork. Implications: Although the physical environment can play an influential role in enhancing the dining experience of residents, the variability in staff practices reveals the complexity of mealtime environment and points to the necessity of a systemic approach to foster meaningful culture change. (Edited publisher abstract)
Serving the community: the sustainability of lunch clubs in North East Wales and West Cheshire
- Authors:
- SPENCER Eileen, HANSON Margaret, COLLIS Bryan
- Journal article citation:
- Voluntary Sector Review, 5(3), 2014, pp.381-389.
- Publisher:
- Policy Press
- Place of publication:
- Bristol
Support for community-dwelling older people is frequently provided by the voluntary sector through small community groups, but little is known about their sustainability. This paper, based on research in North East Wales and West Cheshire, focuses on lunch clubs and explores the factors that affect their sustainability, from the perspective of the coordinators. The paper aims to share these experiences with voluntary organisations, commissioners, planners and policy makers who support small community groups within their provider network. (Publisher abstract)
The Child and Adult Care Food Program and Food Insecurity
- Authors:
- HEFLIN Colleen M., ARTEAGA Irma, GABLE Sara
- Journal article citation:
- Social Service Review, 89(1), 2015, pp.77-98.
- Publisher:
- University of Chicago Press
The Child and Adult Care Food Program (CACFP) provides cash reimbursement to family day care, child-care centres, homeless shelters, and after-school programmes for meals and snacks served to children. Despite young children's known vulnerability to fluctuations in nutritional intake, prior literature has largely neglected the contributions of the CACFP to reducing household food insecurity. Using data from the Early Childhood Longitudinal Study-Birth Cohort (ECLS-B), the authors examine the association between CACFP provider participation and food insecurity, controlling for the nonrandom selection process into child-care centres that participate in CACFP. The authors find that accessing child care through providers that participate in the CACFP results in a small reduction in the risk of household food insecurity. Given the known cognitive and health consequences associated with food insecurity during early childhood, the results indicate the importance of improving access to the CACFP. (Edited publisher abstract)
The future for meals on wheels? Reviewing innovative approaches to meal provision for ageing populations
- Authors:
- WINTERTON Rachel, WARBUNTON Jeni, OPPENHEIMER Melanie
- Journal article citation:
- International Journal of Social Welfare, 22(2), 2013, pp.141-151.
- Publisher:
- Wiley
The global phenomenon of population ageing is impacting on how community care is delivered, and a key component of health and social care services for the frail elderly is Meals on Wheels (MOW), a service that has traditionally encompassed delivering meals to older people in their homes. However, aspects of this conceptualisation of MOW are being redefined in order to address challenges posed by tightening global financial contexts, a reliance on volunteers and increasing social isolation among ageing populations. Through a review of the literature and websites from selected countries (UK, USA, Canada, Australia), this article explores and critically evaluates models of MOW delivery addressing these challenges. Findings suggest that MOW services are utilising a marketised approach, moving outside of the home and incorporating diverse volunteer roles. These findings demonstrate how services such as MOW can develop sustainable approaches to service delivery in a contemporary context. (Publisher abstract)
The support priorities of multiply excluded homeless people and their compatibility with support agency agendas - new research into multiple exclusion homelessness
- Authors:
- BOWPITT Graham, et al
- Journal article citation:
- Housing Care and Support, 14(1), 2011, pp.31-32.
- Publisher:
- Emerald
A research project has been completed by a team of researchers from Nottingham Trent and Salford Universities under the Multiple Exclusion Homelessness programme. The project sought to explore how far homelessness might be explained by inconsistencies between the priorities and agendas of homeless people and support agencies. In-depth interviews were conducted with 108 multiply excluded homeless people and 44 managers or frontline service providers in statutory and voluntary sector agencies that provide accommodation, support and advice to homeless people. The homeless people felt that the most effective help is offered when agencies and their staff are not constrained by enforcement or conditionality agendas, such as in soup runs, day centres, and outreach teams. Agencies whose priorities are influenced by other agendas arising from statutory limitations or government targets have conflicting priorities that sustain multiple exclusion homelessness in a number of key circumstances. The findings will enable policy-makers and practitioners to take better account of service user perspectives, experiences and priorities, thereby throwing light on the value of accommodation and support services and the likely consequences of their withdrawal.
Sharing meals with institutionalized people with dementia: a natural experiment
- Authors:
- CHARRAS Kevin, FREMONTIER Michele
- Journal article citation:
- Journal of Gerontological Social Work, 53(5), July 2010, pp.436-448.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
A natural experiment was conducted in two French special care units located in nursing homes to study the impact of changed mealtime experiences for people with Alzheimer type dementia. One special care unit implemented shared meal times between residents and caregivers, and the other served as a comparison group. The weight of participants was measured at baseline and six months afterwards, and staff reports and observations were analysed. Participants in the study who had the benefit of shared meals gained weight in comparison to participants who did not, and observations indicated that in terms of autonomy residents were seen as more independent in feeding themselves and regulating their food intake, that quality of interactions was enhanced and that shared meals seem to have improved staff perception of work conditions. The article describes the intervention and discusses the findings and their implications.
Hot tea, dry toast and the responsibilisation of homeless people
- Author:
- WHITEFORD Martin
- Journal article citation:
- Social Policy and Society, 9(2), April 2010, pp.193-205.
- Publisher:
- Cambridge University Press
Responsible citizenship has become a central and defining concept that spans political divisions. This article critically explores the ever expanding, and much contested, vocabulary of responsible citizenship as it relates to homeless people in a small market town in rural Dorset, where a decision to introduce a payment system for hot food at a day-centre for rough sleepers was introduced. The author, describing how the desire to cultivate active and responsible citizens is experienced and perceived by the people who are affected by homelessness and other dimensions of social exclusion, shows that the logic of ‘responsibilisation’, which aims to ensure that difficult and troublesome individuals are made to accept prevailing social norms, is founded on a more fundamental concern with redefining the meaning of contemporary citizenship. This article focuses on the particular problems with this approach, using an alternative approach that argues that the problems and vulnerabilities associated with deep-rooted and chronic homelessness remain a significant obstacle to social inclusion and meaningful participation in community life.
Assessing effects of food stamp program participation on food security in female-headed households: do informal supports matter?
- Authors:
- LOMBE Margaret, YU Mansoo, NEBBITT Von E.
- Journal article citation:
- Journal of Policy Practice, 8(4), 2009, pp.301-316.
- Publisher:
- Routledge
- Place of publication:
- Philadelphia, USA
Using data from the Food Security Supplement to the Current Population Survey for 2003 from the United States, this article builds on previous research by examining the effects of participating in the food stamp program on the food security in the homes of vulnerable women and children. The use of informal food assistance networks such as food pantries, soup kitchens and assistance from family and friends is also investigated and the authors developed an integrated model which posits that the influence of food stamp take-up on household food security will itself be influenced by the level of informal food assistance available. Other sociodemographic variables such as race, and age also had an effect on food security. The authors call on welfare agencies and community based organisations to work together to develop a system to more accurately assess levels of assistance needed. Community based food assistance programs would need to be strengthened to allow this and the authors also call for more research into their role.
Depressive symptoms and suicidal ideation among older adults receiving home delivered meals
- Authors:
- SIREY Jo Anne, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 23(12), December 2008, pp.1306-1311.
- Publisher:
- Wiley
Homebound older adults may be vulnerable to the deleterious impact of untreated depression. Yet because these elders are difficult to reach, there is little data on the rates of depressive symptoms and suicidal ideation among this group. The objective of this study is to document the rates of depression and correlates among a population of homebound elders. Using a community based participatory research partnership, a routine screening was implemented for depressive symptoms and suicidal ideation among older recipients of Westchester County's home meal programme in the US. Older adults enrolled in the home delivered meal programme were administered the Physician Health Questionnaire-9 (PHQ-9), and questions to assess pain, falls, alcohol abuse and perceived emotional distress. In our sample of 403 meal recipients, 12.2% of older adults reported clinically significant depression (PHQ-9 > 9) and 13.4% reported suicidal thoughts. One-third of recipients with significant depressive symptoms were currently taking an antidepressant. Almost one-third of older adults who endorsed suicide ideation did not report clinically significant depressive symptoms. Among men, suicidal thoughts were associated with chronic pain and greater depression severity, whereas pain was not a predictor of suicidal thoughts among women. More than one in nine elders suffer from depression; most are untreated with one-third undertreated. Through partnerships between public agencies that provide age related services and academic investigators there is an opportunity for improved detection of unmet mental health needs. Future research should explore innovative models to improve access to mental health services once unmet need is detected.
When self-interest and age sterotypes collide: elders opposing increased funds for programs benefiting themselves
- Authors:
- LEVY Becca R., SCHLESINGER Mark J.
- Journal article citation:
- Journal of Aging and Social Policy, 17(2), 2005, pp.25-39.
- Publisher:
- Routledge
- Place of publication:
- Philadelphia, USA
Elders tend to be portrayed by the media as selfishly promoting programmes that benefit the old. We predicted, however, that older individuals who choose positive stereotypes about the young over positive stereotypes about the old would oppose an increase in spending on these programs. By analyzing the responses of 1656 individuals, we found: (1) older participants were more likely than younger participants to oppose increased funding of Social Security, Meals on Wheels, and Medicare; and (2) this opposition to increased funding for Social Security and Meals on Wheels was predicted by a stereotype of aging based on a more favorable perception of the capabilities of the young than of the old. Our findings suggest that elders' evaluation of programnes that benefit their age group may be more influenced by stereotypes internalized decades earlier than by their current group interests.