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The cafe plus concept: a different model for different times
- Authors:
- WINDHORST Carla, et al
- Journal article citation:
- Generations, 34(1), Spring 2010, pp.91-93. Published online.
- Publisher:
- American Society on Aging
Mather’s Cafe Plus was first developed in 2000 by Mather LifeWays (MLW), an Evanston, Illinois-based not-for-profit organization. Café Plus locations were selected in urban communities with significant older adult populations. The early model was designed to attract older adults who would benefit from centralized access to programs and services addressing social engagement and well-being, in addition to meeting basic needs. Development of the Cafe Plus model focused on a “participatory paradigm” establishing partnerships among community leaders, health providers, businesses, and (most importantly) community-residing older adults. An evaluation of the impact of the program is presented.
Advance care directive prevalence among older Australians and associations with person-level predictors and quality indicators
- Authors:
- BUCK Kimberly, et al
- Journal article citation:
- Health Expectations, 24(4), 2021, pp.1312-1325. Online only
- Publisher:
- Wiley
Background: Advance care planning (ACP) conversations may result in preferences for medical care being documented. Objective: To explore the uptake and quality of advance care directives (ACDs) among older Australians accessing health and aged care services, by overall ACP documentation prevalence, person-level predictors and ACD quality indicators. Design and Setting: National multi-centre health record audit in general practices (GP), hospitals and residential aged care facilities (RACF). Participants: A total of 4187 people aged ≥65 years attending their GP (n = 676), admitted to hospital (n = 1122) or residing in a RACF (n = 2389). Main Outcome Measures: ACP documentation prevalence by setting and type including person-completed ACDs and non-ACD documents (completed by a health professional or someone else); person-level predictors and quality indicators of ACDs. Results: Overall ACP documentation prevalence was 46.5% (29.2% weighted). ACD prevalence was 25.3% (14.2% weighted). Unweighted ACD prevalence was higher in RACFs (37.7%) than in hospitals (11.1%) and GPs (5.5%). 35.8% of ACP documentation was completed by a health professional (9.7% weighted), and 18.1% was completed by someone else (10.6% weighted). Having an ACD was positively associated with being female, older, having two or more medical conditions, receiving palliative care, being divorced/separated and being in a RACF. Only 73% of ACDs included full name, signature, document date and witnessing. Conclusions and Contribution: Low ACP documentation prevalence and a lack of accessible, person-completed and quality ACDs represent an important ACP implementation issue. Low prevalence is complicated by poor document quality and a higher prevalence of documents being completed by someone other than the person. (Edited publisher abstract)
Gerontological social work research in health and mental health
- Author:
- BERKMAN Barbara
- Journal article citation:
- Generations Review, 21(1), January 2011, Online only
- Publisher:
- British Society of Gerontology
Five societal trends pose significant challenges to society and to social work practice: living with chronic illness, community-based practice, patient diversity, family caregiving, and palliative and end-of-life care. This paper looks at these trends, tying them to research priorities which a panel of social work researchers in the United States identified as most significant.
Transforming mental health care for older veterans in the Veterans Health Administration
- Authors:
- KARLIN Bradley E., ZEISS Antonette M.
- Journal article citation:
- Generations, 34(2), Summer 2010, pp.74-83. Published online.
- Publisher:
- American Society on Aging
Older adults often lack familiarity with mental health symptoms and services and may hold negative beliefs about mental health care that can prevent them from seeking treatment. The Veterans Health Administration (VHA) operates the largest and one of the most elaborate mental health care systems in the nation and perhaps the world. The recent history of the system is described. One successful new model for providing mental health care to older veterans that has been nationally implemented in the VHA is the integration of a full-time mental health provider on each of the more than 130 VA home-based primary care (HBPC) teams. Another major psychogeriatrics initiative involves the integration of a full-time mental health provider in VA community living centers (CLC), formerly designated as nursing home care units. It is critical that increasing national attention be devoted to the mental health needs of older Americans and that policies and processes be developed to extend the reach and potential impact of mental health care for older adults.
What’s all this about evidence-based practice? The roots, the controversies, and why it matters
- Authors:
- RAHMAN Annie, APPLEBAUM Robert
- Journal article citation:
- Generations, 34(1), Spring 2010, pp.6-10. Published online.
- Publisher:
- American Society on Aging
The evolution of, advantages of and challenges to evidence-based practice are discussed. For the aging network, one of the biggest barriers to translating evidence-based research into practice stems from the important differences between the services the aging network provides and those delivered by the health sciences. In order for evidence-based practice to become a widely used approach, it must become a truly joint effort of both researchers and practitioners.
Optimising quality sleep among older people in the community and care homes: Some key findings from a four-year collaborative research project
- Authors:
- VENN Susan, et al
- Journal article citation:
- Generations Review, 20(4), October 2010, Online only
- Publisher:
- British Society of Gerontology
The SomnIA (Sleep in Ageing) project aimed to undertake a range of studies relating to understanding poor sleep in later life. SomnIA is a four year NDA Collaborative Research Project which comprises eight workpackages aimed at (a) understanding poor sleep in later life in the community and in care homes, (b) devising interventions to help with poor sleep in the community and in care homes, and (c) dissemination through academic and practitioner conferences and workshops, briefing papers and journal articles, and through the creation of a module on ‘Sleep problems in Later Life’ for the Healthtalkonline website. Key findings are presented.
Cleaned out by the ones you trust
- Author:
- VALIOS Natalie
- Journal article citation:
- Community Care, 30.08.07, 2007, pp.24-25.
- Publisher:
- Reed Business Information
Approximately £2.1 million was stolen from older people last year in financial scams often involving family members and home care workers bent on abusing the faith placed in them. The author draws on a recent government funded report on abuse and neglect of older people in the UK to highlight the problem of financial abuse.
Well connected
- Author:
- McCORMACK Helen
- Journal article citation:
- Community Care, 14.06.07, 2007, pp.26-27.
- Publisher:
- Reed Business Information
The author reports on the Disconnected Mind project. The project is building on the Mental Health Survey, and an IQ test taken in 1947 by every child in Scotland born in 1936. For the project, 1,091 of the original participants were traced and agreed to re-sit the tests. The findings are now being complied on the role of diet, exercise, lifestyle and genetics have on our mental abilities as we age.
Memory Banks
- Author:
- KELLY Des
- Journal article citation:
- Community Care, 4.12.03, 2003, p.40.
- Publisher:
- Reed Business Information
A Liverpool museum is turning the memories of older people into a resource and social care programme with outreach projects and activities. Reports on the City Memories Project.
Money management and elderly people with dementia
- Authors:
- LANGAN Joan, MEANS Robin
- Journal article citation:
- Elders the Journal of Care and Practice, 3(3), September 1994, pp.33-42.
Elderly people with dementia pose complex issues around the management of their financial affairs. This article looks at the law relating to the handling of other people's money in England and Wales, and draws out the policy and practice implications for those working with elderly people.