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An evidence base for the delivery of adult services
- Author:
- PETCH Alison
- Publisher:
- Association of Directors of Adult Social Services
- Publication year:
- 2011
- Pagination:
- 60p., bibliog.
- Place of publication:
- Edinburgh
This independent evidence review was commissioned by the Association of Directors of Social Work to inform current debates on the future delivery of adult services. It sought to ground such debate in a firm understanding of the conclusions that can be drawn from initiatives evaluated both within the UK and elsewhere, ensuring that any future developments can be based on a clear understanding of the likely impact. The debate is motivated by the aspiration to establish the optimum conditions for the provision of support to the 650,000 people in Scotland who have contact with social services. Key conclusions highlight the need to ensure the most effective configuration for the delivery of adult health and social care is imperative given the current financial and demographic challenges. It has a high profile within the current policy context, exemplified by the Reshaping Care for Older People agenda. Social services for adults have delivered major achievements over the last two decades. There have been major shifts in the models of support from dependency and institutionalisation to greater choice and control by the individual. At the same time there has been recognition of key areas such as the needs of family carers and the demands of dementia that were previously invisible. The large majority of those receiving care and support express high levels of satisfaction.
Extending the housing options for older people: focus on extra care
- Author:
- PETCH Alison
- Publisher:
- Institute for Research and Innovation in Social Services
- Publication year:
- 2014
- Pagination:
- 16
- Place of publication:
- Glasgow
This Insight summarises the evidence on policy and practice issues for housing with care and support for older people, focusing on extra care provision, and the extent to which different models provide an effective alternative to residential and nursing care. The review begins by providing a short overview to the policy context in Scotland. It then looks at the evidence in the following areas: location, support arrangements, quality of life, provision for dementia, building design, end of life and cost. The Insight covers ‘extra care’ that offers self-contained accommodation units, support accessible 24 hours, some collective meal provision and a range of leisure and other facilities on site. (Original abstract)