Search results for ‘Subject term:"older people"’ Sort:
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The potential impact of changes in public funding for residential and nursing-home care in the United Kingdom: the Residential Allowance
- Authors:
- CLARKSON Paul, HUGHES Jane, CHALLIS David
- Journal article citation:
- Ageing and Society, 25(2), March 2005, pp.159-180.
- Publisher:
- Cambridge University Press
The pursuit of independence and avoidance of unnecessary care-home admissions are key elements of British government policy for the care of older people. The present government's objective to maintain independence has been compromised by the ‘Residential Allowance’ which, as a component of social security payable to residents in independent-sector homes, could be seen as an incentive to place people in care-homes rather than seek care-at-home. In order to remove this incentive, the government proposed to abolish the allowance and instead transfer resources by a grant to local authorities. This was intended to promote independence by making available funds with which social services departments could support domiciliary care. This paper examines the potential impact of the proposal from the perspective of front line practitioners and managers. Calculations of the proposal's likely effects in five authorities were made from a simulation of their usual decision-making processes. The results, applied to the national picture, showed only a marginal effect of the change upon admissions to care homes. The potential effect of the change in diverting admissions from care homes was seen to be hampered by organisational influences which vary between authorities.
Developing and implementing a local performance measurement system in older people's services
- Authors:
- CLARKSON Paul, CHALLIS David
- Journal article citation:
- Research Policy and Planning, 20(3), 2002, pp.3-16.
- Publisher:
- Social Services Research Group
Summarises work in developing and implementing a local performance measurement system within older people's services, drawing on work undertaken by the Personal Social Services Research Unit (PSSRU). Difficulties in developing such systems include central government demands for data that are not always appropriate to local concerns, technological problems and problems with interpretation. The work attempted to confront these difficulties by outlining a model of the most important domains for monitoring, devising a suite of indicators to comment on organisational objectives and using comparative analysis to formulate questions concerning key areas of variation. The system offers a number of benefits and focused implementation can overcome difficulties and increase co-operation from staff.
Care management, dementia care and specialist mental health services: and evaluation
- Authors:
- CHALLIS David, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 17(4), April 2002, pp.315-325.
- Publisher:
- Wiley
This article evaluates a model of intensive case management for people with dementia based in a community-based mental health service for older people. Individuals in one community team setting received case management and were compared with those in a similar team without such a service. The impact of the scheme upon placement occurred in the second year at the end of which 51% of the experimental group remained at home compared with 33% of the comparison group. For the experimental group significant improvements in the social contacts of older people were noted; a decrease in the stress of their carers was observed, together with a reduction in their input to the care of the client; and there were significant improvements on ratings of overall need reduction, aspects of daily living and level of risk. Differences between the two groups based on service receipt showed higher costs for the experimental group. Discusses the issues which influence the cost-effectiveness of intensive case management. The benefits of locating this service within a specialist mental health team are explored in the context of promoting greater service integration between health and social services.
Unmet need and older people: towards a synthesis of user and provider views
- Authors:
- CORDINGLEY Lis, HUGHES Jane, CHALLIS David
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2001
- Pagination:
- 52p.
- Place of publication:
- York
Reviews literature on unmet need among older people. Begins by surveying commonly overlooked needs identified by older people, and reasons why older people may resist support or help, and then describes studies which examine the processes by which social services departments identify and respond to the needs of older people. The final section suggests a number of alternative strategies for identifying unmet needs.
Community care, secondary health care and care management
- Editors:
- CHALLIS David, DARTON Robin, STEWART Karen
- Publisher:
- Ashgate
- Publication year:
- 1998
- Pagination:
- 178p.,diags.,bibliogs.
- Place of publication:
- Aldershot
Contains papers on: care management and community care; community care and health care for older people; findings and lessons for care management, health care and community care from the Darlington study; the Darlington service past, present and future; the Cornwall experience with assessment and rehabilitation teams in the community; standardised assessment in the community; social services departments, secondary health care and community care; cost opportunities and constraints in developing secondary health care in the community; and linking community and health care.
Life was better at home
- Authors:
- CHALLIS David, et al
- Journal article citation:
- Care Plan, 4(1), September 1997, p.17.
- Publisher:
- Positive Publications/ Anglia Polytechnic University, Faculty of Health and Social Work
Describes the Lewisham Case Management Scheme which was one of a number of care management schemes studied by the Personal Social Services Research Unit. Summarises the Unit's findings which show that providing specialist domiciliary services for people with dementia can benefit service users and carers.
Performance indicators for community-based social care: From theory to practice
- Authors:
- CHALLIS David, WARBURTON Raymond
- Journal article citation:
- Care Plan, 2(4), June 1996, pp.19-24.
- Publisher:
- Positive Publications/ Anglia Polytechnic University, Faculty of Health and Social Work
Describes a framework for establishing local performance indicators for community-based social care, with an emphasise on care management. The framework has been developed by the Personal Social Services Research Unit (PSSRU) in collaboration with Cheshire Social Services Department. The framework is for services for older people and people with mental health problems, but can be readily modified to accommodate other groups of adult service users.
The work of a community mental health team for the elderly: referrals, caseloads, contact history and outcomes
- Authors:
- BROWN Pamela, CHALLIS David, VON ABENDORFF Richard
- Journal article citation:
- International Journal of Geriatric Psychiatry, 11(1), January 1996, pp.29-39.
- Publisher:
- Wiley
A random sample of open cases on the caseloads of two community and mental health teams for older people, operating an open access policy, were followed up over a period of 18 months. In comparison with referrals, caseloads had a higher proportion of patients with affective disorders and fewer with organic syndromes. Elderly patients with diagnoses of organic disorders tended to receive shorter episodes of intervention, more associated with assessment and diagnosis than continuing support, compared with those with affective disorders. A follow-up of those patients who were living at home at the point of sampling indicated that a higher proportion of those with affective disorders remained in their own homes compared with those with organic disorders.
Staff activity patterns in a community mental health team for older people
- Authors:
- VON ABENDORFF Richard, CHALLIS David, NETTEN Ann
- Journal article citation:
- International Journal of Geriatric Psychiatry, 9(11), November 1994, pp.897-906.
- Publisher:
- Wiley
Uses a diary-based approach to examine the distribution of time of different professional staff in two community mental health teams for the elderly. It was possible to discriminate between two broad groups of staff, defined as core workers and extended role members of the teams based upon the range of responsibilities and patterns of time use. The latter group consisted of clinicians and psychologists. About three-quarters of staff time was spent in client-related activities, although there were differences between core and extended workers, the latter undertaking more service-related activities. The similarity of patterns of time use by core workers and other community-based workers is noted and the distinction between key workers and care managers is considered.
Case management in social and health care
- Authors:
- CHALLIS David, et al
- Publisher:
- University of Kent. Personal Social Services Research Unit
- Publication year:
- 1990
- Pagination:
- 101p.,tables,diags.,bibliog.
- Place of publication:
- Canterbury
Evaluation of the work of the multidisciplinary Gateshead Community Care Scheme for the elderly. Defines case management and examines its functioning in the scheme. Concludes that the scheme has demonstrated two viable models for the effective implementation of a case management approach in long-term care of very frail old people.