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Health-related quality of life and attitudes to long-term care among carers of older people using social services
- Author:
- ILIFFE Steve
- Journal article citation:
- Research Policy and Planning, 23(3), 2005, pp.165-173.
- Publisher:
- Social Services Research Group
Using three standardised measures to screen for activity limitation (ADLs), depression (GHQ-28) and health related quality of life (HRQoL) (SF36), a study of carers and people aged 75 and over referred consecutively to social services departments in adjacent inner city areas showed a high prevalence of limitations in activities of daily living (ADLs), that a substantial proportion (42 per cent) had GHQ-28 scores high enough to suggest depression and their scores on the SF-36 showed that many carers were low in vitality and tired. Co-resident carers had poorer psychological health and more difficulties with social functioning than non-resident carers, and were older, but were not significantly different in self-reported physical health. Whether carers wanted the cared-for person to remain at home for as long as possible depended on their relationship (spouse or not) and whether the older person was depressed. The carers' own psychological health was not related to their attitude to institutional care. The study suggests that targeting social care resources on carers showing psychological distress may not reduce downstream expenditure on long-term care.
Defining and providing
- Author:
- DOUGLAS Anthony
- Journal article citation:
- Community Care, 25.11.99, 1999, p.30.
- Publisher:
- Reed Business Information
Argues that social services must do all they can to support vulnerable adults, but first they need to be sure who qualifies as a vulnerable adult and decide how to identify their needs,
Parenting assessment in a psychiatric other and baby unit
- Authors:
- SENEVRANTE Gertrude, CONROY Sue, MARKS Maureen
- Journal article citation:
- British Journal of Social Work, 33(4), June 2003, pp.535-555.
- Publisher:
- Oxford University Press
Courts and social services often seek the advice of mental health professionals in deciding whether a mentally ill mother should remain the primary carer of her infant. This paper describes the referral pathways, outcomes at discharge and subsequently, of a sample of mothers referred for parenting assessments to a psychiatric Mother and Baby Unit. A further aim was to examine factors predicting outcome. A casenote study of sixty-one consecutive referrals for in-patient parenting assessment over a six-year period is described. Social Services were contacted to establish developments at least nine months after discharge. Fewer than half of the mothers were discharged together with their babies at the end of the assessment period, and at follow-up, less than a third were still caring for their children. Diagnosis of the mother's illness was the main factor determining whether she continued to care for her child both at discharge and at follow-up; mothers with depression were more likely to remain primary carers. Variations in the timing and process of referrals related to a lack of antenatal planning were associated with increased rates of separation of mother and infant before the assessment. The findings illustrate the need for more integrated co-ordination between professionals in mental health and children's services to ensure early planning for mothers and infants at risk.
Accessibility of health and social services to immigrant elders: the Islington Study
- Authors:
- LIVINGSTON G., et al
- Journal article citation:
- British Journal of Psychiatry, 180, April 2002, pp.369-373.
- Publisher:
- Cambridge University Press
This study examines service utilisation of older immigrants compared with their UK-born counterparts and relate it to health difficulties. It is a cross-sectional study in inner London measuring service use, mental health and disability. The researchers conclude that immigrants could access services. Africans and Caribbeans appear to have poorer physical health and thus have greater contact with services. Cypriots who experience depression may present with prominent somatic symptoms.
Regulating mental health and motherhood in contemporary welfare services: anxious attachments or attachment anxiety?
- Author:
- WHITE June
- Journal article citation:
- Critical Social Policy, 16(1), February 1996, pp.67-94.
- Publisher:
- Sage
Contemporary social services departments are characterized by the separation of services to adults from those to children and families. Professional disquiet about the gulf between adult mental health and child-care services has led to demands for more communication and collaboration between sectors and also at the interface with health-provider agencies. However, in the current climate, this is not necessarily a progressive move. For many women the prospect of involvement with both childcare and mental health services may prove to be something of a poisoned chalice, holding little hope of improved and more relevant services, but promising only increasing levels of coercion, censure and surveillance.
The prevalence and costs of psychiatric disorders and learning disabilities
- Authors:
- SMITH Kirsteen, et al
- Journal article citation:
- British Journal of Psychiatry, 166, January 1995, pp.9-18.
- Publisher:
- Cambridge University Press
Assesses the economic burden of psychiatric disorders and learning disability in order to aid decisions on priorities for research. A wide variety of data sources both on prevalence and on the usage and costs of relevant services were used to measure the economic burden of each condition.
Mental distress in old age: time for action
- Author:
- ROBERTS Andrew
- Publisher:
- City and Hackney Community Health Council. Hackney Mental Distress in Old Age Gr
- Publication year:
- 1985
- Pagination:
- 92p., list of orgs.,bibliog.
- Place of publication:
- London
A report based on the issues raised on a course run jointly by Hackney Workers' Education Association and Hackney Association for Mental Health (CHAMH) in 1983. Discusses the provision of services to the elderly in mental distress including home care and residential care. Also looks at the causes of mental distress in older people such as depression, dementia and those living alone.