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Improving personal budgets for older people: a review: phase one report
- Authors:
- ROUTLEDGE Martin, CARR Sarah
- Publisher:
- Think Local Act Personal
- Publication year:
- 2013
- Pagination:
- 21p.
- Place of publication:
- London
This project explores the challenges, identifies positive practice and makes recommendations for central and local government action with respect to improving personal budgets. Think Local Act Personal (TLAP) published, Personal Budgets: Taking Stock and Moving Forward (2011) which reviewed progress, challenges and possibilities with PBs and has initiated a National Self-Directed Support Forum. This brings together relevant groups and individuals to identify challenges and agree actions to achieve improvements. Approaches to making personal budgets work well for older people emerged as a high priority and TLAP has committed to do more work in this area. This report is the first stage. It draws on two key surveys: the ADASS personalisation survey (2012); and the TLAP National Personal Budgets Survey (2011). It reviews the literature and research on key challenges to successful implementation of personal budgets for older people, reviews data on numbers and outcomes including from ADASS and Personal Budgets Outcomes Evaluation Tool (POET) surveys. It also gives an initial overview of promising practice responding to the challenges from literature and the ADASS survey. Relatively strong average progress with numbers for people aged 65 and over is being made. The recent significant increase in numbers has been via more managed personal budgets with direct payment numbers steady but significantly lower for older people than for under 65s. There is very significant variation in direct payment numbers across councils and regions.
Supported housing for older people in the UK: an evidence review: summary
- Authors:
- PANNELL Jenny, BLOOD Imogen
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2012
- Pagination:
- 4p.
- Place of publication:
- York
Sheltered housing has changed significantly over the past decade, yet has received little attention from researchers and policy-makers. Changes to funding and benefits for older people's housing and support services need underpinning by robust evidence. This study examines existing evidence about the quality of life offered by sheltered and retirement housing and identifies factors that may improve or reduce quality of life. Eighty publications with material on housing with support and further background publications were included, along with a detailed analysis of 24 academic and resident-led research reports. Key points suggest that: there is limited recent research evidence on the quality of accommodation, services and residents in the UK's 550,000 units of housing with support for older people; this lack of evidence is a cause for concern for residents, providers and commissioners of housing, support and care; and diminishing levels of on-site staffing have affected quality of life for some residents.
Supported housing for older people in the UK: evidence review: report
- Authors:
- PANNELL Jenny, BLOOD Imogen
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2012
- Pagination:
- 68p.
- Place of publication:
- York
Sheltered housing has changed significantly over the past decade, yet has received little attention from researchers and policy-makers. Changes to funding and benefits for older people's housing and support services need underpinning by robust evidence. This study examines existing evidence about the quality of life offered by sheltered and retirement housing and identifies factors that may improve or reduce quality of life. Eighty publications with material on housing with support and further background publications were included, along with a detailed analysis of 24 academic and resident-led research reports. Key points suggest that: there is limited recent research evidence on the quality of accommodation, services and residents in the UK's 550,000 units of housing with support for older people; this lack of evidence is a cause for concern for residents, providers and commissioners of housing, support and care; and diminishing levels of on-site staffing have affected quality of life for some residents.
Rotational field placements: integrative review and application to gerontological social work
- Authors:
- GOUGH Heather R, WILKS Scott E.
- Journal article citation:
- Social Work Education (The International Journal), 31(1), 2012, pp.90-109.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Increasing numbers of social work schools in the United States are replacing year-long field placements with rotational field placements (RFP), particularly for gerontology students, during which students move between 2 or more field internship sites within a given academic year. The rapid growth of RFP programmes reflects changing ideas about field education and social work student training needs. In the context of gerontology, RFP programme goals are multi-fold: maximising student exposure to the continuum of care across multiple service settings; increasing student experience working with diverse client populations; and facilitating development of the cross-disciplinary team collaboration skills frequently required of gerontological social workers. RFP models represent a decisive break from traditional field practicum models, raising fundamental questions with regards to educational outcomes and student experience. The purpose of this article is to provide a review of the available empirical data on social work RFP programmes, summarising their benefits, risks and problem areas. It aims to provide a foundation for informed debate on the design, benefits and costs of adopting such a model across contexts. The article further includes strategies for minimising potential risks with such placements, as well as discussion of research limitations and suggestions for future research.
Older people from black and minority ethnic groups: selected readings
- Author:
- CENTRE FOR POLICY ON AGEING
- Publisher:
- Centre for Policy on Ageing
- Publication year:
- 2009
- Pagination:
- 59p.
- Place of publication:
- London
A selective bibliography on older people from black and minority ethnic groups. The references are drawn from the Ageinfo, the database of ageing and older age from the Centre for Policy on Ageing. A reference and short descriptive abstract is included for each reference.
Depression and frailty in later life: a synthetic review
- Authors:
- MEZUK Briana, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 27(9), September 2012, pp.879-892.
- Publisher:
- Wiley
Frailty is defined as a state or indication of being vulnerable to declining health in later life. Depression in later life is predictive of many of the same kinds of outcomes as frailty, including cognitive impairment, disability, fracture, and mortality. The aim of this review was to explore the conceptual and empirical interrelationships between depression and frailty among older adults. A literature search was conducted using PubMed for publications through to 2010. Reviewers assessed the eligibility of each report and abstracted information on study design, sample characteristics, and key findings. Of these abstracted articles, 39 met the inclusion criteria. The findings from both cross-sectional and cohort studies indicated that frailty, its components, and functional impairment are risk factors for depression. Although cross-sectional studies indicated a positive association between depression and frailty, findings from cohort studies were less consistent. The majority of studies included only women and non-Hispanic Whites. None used diagnostic measures of depression or considered antidepressant use in the design or analysis of the studies.
Age-related hearing loss: quality of care for quality of life
- Author:
- LI-KOROTKY Ha-Sheng
- Journal article citation:
- Gerontologist, 52(2), April 2012, pp.265-271.
- Publisher:
- Oxford University Press
Age-related hearing loss (ARHL) is a major public health problem, resulting in reduced speech understanding, for millions of geriatric patients. ARHL is the third most prevalent chronic condition in older Americans, after hypertension and arthritis, and is a leading cause of adult hearing handicaps in the United States. Between 25-40% of the population aged 65 years and older is hearing impaired, and the prevalence is expected to rise with the increasing ageing Baby Boomer population. Despite this, ARHL remains an often undetected, underestimated and neglected condition due to the slow development process of the disease. The consequences of ARHL (social isolation, reduced environmental stimulation and depression) may aggravate cognitive decline. Health care professionals who serve the geriatric population need to understand the fundamental ARHL-associated changes that affect auditory and cognitive processing of speech and aural communication, in order to improve the quality of hearing health care and the overall quality of life of the Baby Boomer generation. The purpose of this review is to raise the awareness of ARHL, to update understanding of ARHL with a focus on age-related deficits in auditory and cognitive processing of speech, and to explore strategies of prevention, identification, amplification, and aural rehabilitation.
Developing an empirical profile for elder abuse research in Canada
- Authors:
- WALSH Christine A., YON Yongjie
- Journal article citation:
- Journal of Elder Abuse and Neglect, 24(2), April 2012, pp.104-119.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
In the context of the ageing population of Canada and associated caregiving demands, this article aims to provide a review of existing literature and to identify recommendations and directions for future elder abuse research. It covers definitions of elder abuse, Canadian resources on elder abuse, prevalence rates of elder abuse in Canada, risk and protective factors, characteristics of individuals experiencing abuse and of perpetrators, and environmental factors. The authors identify significant gaps in the knowledge base that affect the development of effective programming and policies, concluding that an accurate picture of the extent and nature of elder abuse in Canada is unavailable. They include recommendations for research directions to support elder abuse policy work.
Comparative political economy of long-term care for elderly people: political logic of universalistic social care policy development
- Author:
- HIEDA Takeshi
- Journal article citation:
- Social Policy and Administration, 46(3), June 2012, pp.258-279.
- Publisher:
- Wiley
Despite there being common socio-demographic pressures across industrialised countries, the public elder care programmes tend to vary. This study explored the causal relationship between political institutions and public long-term care programmes. It examined time-series and cross-section data of advanced democracies, from 1980 until 2001. It argued that countries with fragmented party systems have difficulties in developing universalistic public elder care programmes, whereas countries with party-vote-oriented electoral systems and cohesive party systems are likely to develop better elder care programmes. For whilst the former types of political institutions prioritise patronage-based, particularistic benefits, the latter types encourage political actors to appeal to broader constituencies through universalistic welfare programmes. The empirical results suggest that politicians' reliance on personal votes obstruct the expansion of public spending for elder care.
Posttraumatic stress disorder in older adults: an overview of characteristics and treatment approaches
- Authors:
- BÖTTCHE Maria, KUVERT Philipp, KNAEVELSRUD Christine
- Journal article citation:
- International Journal of Geriatric Psychiatry, 27(3), March 2012, pp.230-239.
- Publisher:
- Wiley
Research on posttraumatic stress disorder (PTSD) in older adults can be assigned to 2 categories based on the period of life in which the trauma occurred. The first category covers older adults who were traumatised decades ago, such as veterans of World War II. The second category covers older adults traumatised more recently, such as victims of violence. The aim of this article is to review the available data on how the timing of the trauma impacts the prevalence and symptoms of late-life PTSD and to review the current treatment approaches. It demonstrates that the course and severity of PTSD symptoms in older adults depends on the time the trauma occurred. In the case of acute traumatisation, lower prevalence rates and symptom severities are generally observed in older than in younger populations. In the case of early-life traumatisation, a decline in PTSD symptom severity can be observed over the life course. Research on treatment approaches has produced promising results, indicating that disorder-specific interventions, such as trauma confrontation and cognitive restructuring, can be effectively combined with an age-specific narrative life-review approach.