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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.
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.
Opening doors evaluation: the story so far: executive summary
- Authors:
- PHILLIPS Mike, KNOCKER Sally
- Publisher:
- Age Concern
- Publication year:
- 2010
- Pagination:
- 8p.
- Place of publication:
- London
The evaluation report explores the impact of a three year Big Lottery funded project Opening Doors in Central London, working with older lesbian, gay, bisexual and transgender (LGBT) older people 2008-2010. The evaluation was conducted over a six month period July-December 2009; at a half-way point in the project’s activities to enable recommendations to inform the third year of the project. Large numbers of older LGBT people have experienced high levels of isolation, discrimination and mental health issues related to their sexuality and the service was established because there are no other older LGBT services in the five boroughs and many care services do not even acknowledge the existence of service users who are not heterosexual. Key findings from the evaluation revealed that 70% of those surveyed said they didn’t feel safe in their community. Also, 75% of those surveyed reported fear of moving into sheltered housing or a care home for fear of discrimination and many chose not to be open about their sexuality with anyone other than close friends. The evaluation recommended that Opening Doors be extended across London, and should consider running more events.
Opening doors evaluation: the story so far
- Authors:
- PHILLIPS Mike, KNOCKER Sally
- Publisher:
- Age Concern
- Publication year:
- 2010
- Pagination:
- 117p.
- Place of publication:
- London
The evaluation report explores the impact of a three year Big Lottery funded project Opening Doors in Central London, working with older lesbian, gay, bisexual and transgender (LGBT) older people 2008-2010. The evaluation was conducted over a six month period July-December 2009; at a half-way point in the project’s activities to enable recommendations to inform the third year of the project. Large numbers of older LGBT people have experienced high levels of isolation, discrimination and mental health issues related to their sexuality and the service was established because there are no other older LGBT services in the five boroughs and many care services do not even acknowledge the existence of service users who are not heterosexual. Key findings from the evaluation revealed that 70% of those surveyed said they didn’t feel safe in their community. Also, 75% of those surveyed reported fear of moving into sheltered housing or a care home for fear of discrimination and many chose not to be open about their sexuality with anyone other than close friends. The evaluation recommended that Opening Doors be extended across London, and should consider running more events.
Housing and homes briefing
- Author:
- AGE UK
- Publisher:
- Age UK
- Publication year:
- 2010
- Pagination:
- 3p.
- Place of publication:
- London
This briefing paper provides a useful overview of the household status of older people, household value, and the conditions of the housing in which older people live. It highlights the poor quality of homes, many of which have poor levels of heating.
Care and support briefing
- Author:
- AGE UK
- Publisher:
- Age UK
- Publication year:
- 2010
- Pagination:
- 5p.
- Place of publication:
- London
This briefing provides a useful overview on older carers and the care of older people. It describes the prevalence and experience of older carers, looks at the care needs of older people, and explores the provision of home and residential care to the older population. The final paragraphs look at adults perceptions of care and support in old age. Useful figures are included.
Dementia care for veterans: enhancing comprehensive, coordinated services
- Authors:
- COOLEY Susan G., ASTHANA Sanjay
- Journal article citation:
- Generations, 34(2), Summer 2010, pp.57-63. Published online.
- Publisher:
- American Society on Aging
There are significant numbers of veterans with dementia and the numbers are growing along with the aging veteran population. Care for veterans with dementia is decentralized throughout the network of US Department of Veterans Affairs (VA) healthcare facilities. There are no separate VA eligibility criteria for dementia care; the standard criteria on eligibility for VA healthcare services apply. Some VA facilities have developed specialized dementia care programs, such as an outpatient dementia clinic or an inpatient dementia unit. In all areas of healthcare, the Veterans Health Administration (VHA) emphasizes the principles and processes of continuous quality improvement. VA medical facilities are encouraged to consider employing an assigned dementia care coordinator. Programmes around challenging behaviour, multiple staff education modalities and research are described. Dementia care planning will remain a priority within the VHA in the coming decades
Social work and aging: the challenges for evidence-based practice
- Authors:
- MCCALLION Philip, FERRETTI Lisa A.
- Journal article citation:
- Generations, 34(1), Spring 2010, pp.66-71. Published online.
- Publisher:
- American Society on Aging
There has been growing interest among social workers in evidence that would support practices that address the emotional, psychological, and social aspects of aging, illness, and care giving. To move an evidence-based intervention from research to day-to-day social work practice is difficult. There have been achievements in using evidence-based, aging-focused social work practice. Three areas are highlighted: psychosocial; case/care management; and multi-modal interventions. Social work services addressing aging and care giving needs would benefit from greater access to evidence-based practices. While some of those evidence-based practices are already available, there are efforts to build such evidence, and there is a readiness to consider how practices shown to be effective in some situations may be applied to other problems and other populations. However, evidence-based practice in social work has tended to be narrowly focused on psychosocial issues when its interests are much broader and the changes needed in the lives of clients often involve environmental, public policy, and health system concerns. Engagement in the 'sciences' of local implementation and translation is needed to supplement more traditional research efforts.