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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.
Personal budgets briefing: learning from the experiences of older people and their carers
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2011
- Pagination:
- 6p.
- Place of publication:
- London
This briefing provides a summary of older people's and carers experiences of using self-directed support and personal budgets. It is based on a six month study commissioned from a joint team from Acton Shapiro, the National Centre for Independent Living (NCIL) and the Social Policy Research Unit (SPRU). The briefing covers moving to a personal budget, deciding on personal budget, being assessed, resource allocation, support planning, ways of holding a personal budget, obtaining support, the role of carers, management of the personal budget, the role of external organisations and monitoring arrangements.
St. Monica Trust: domiciliary care services report
- Author:
- OXFORD BROOKES UNIVERSITY. Institute of Public Care
- Publisher:
- Oxford Brookes University. Institute of Public Care
- Publication year:
- 2011
- Pagination:
- 55p.
- Place of publication:
- Oxford
Demand for domiciliary based services for older people is growing in response to population demand and to policy demands for effective alternatives to residential and hospital based care. In addition, the client-provider relationship is changing, with local authorities and, to some extent, health authorities being removed from the contracting transaction, and more direct choice and control for service users. This report was prepared for St Monica Trust with the aim of: identifying the different forms of domiciliary service which can be provided, from home help to intensive rehabilitative services and end of life care; describing key approaches and business models, and consideration of their cost and business development implications; and identifying examples of existing services. The research comprised an analysis of existing published materials, and telephone conversations with a few existing services to explore the financial costing and employment issues. The report concludes by considering future marketing and business strategies, especially in relation to: local authority and GP consortia; personal budget and individual budget holders; and self-funders.
Living on a low income in later life
- Authors:
- HILL Catherine, HIRSCH Donald
- Publisher:
- Age UK
- Publication year:
- 2011
- Pagination:
- 10p.
- Place of publication:
- London
Despite a decrease in the number of older people living in poverty, 1.8 million pensioners (16% of pensioners) still do, and this figure has stagnated. This research provides an in-depth exploration of the experiences of older people living on low incomes. It illuminates the decisions and choices that older people face in managing their finances and the practical and emotional impact of living in constrained circumstances. The research consisted of 25 individual in-depth interviews and 5 focus group discussions with people aged 65-87 years. All interviews and focus group discussions were recorded, transcribed and analysed thematically. The findings are discussed under the following 5 themes: perceptions of hardship; the practicalities of living on a low income; the emotional aspects of living on a low income; spending decisions; and what protects or disadvantages people’s financial circumstances. The findings show that people were finding life tough living on a low income. Most were strongly averse to debt and believed that you had to live within your means. Those few who had some form of debt demonstrated the difficulty of getting back on track when on a fixed low income. They were very concerned about the current economic climate and about the removal of services that were currently available.
Age, home and community: a strategy for housing for Scotland's older people: 2012-2021
- Author:
- SCOTLAND. Scottish Government
- Publisher:
- Scotland. Scottish Government
- Publication year:
- 2011
- Pagination:
- 91p.
- Place of publication:
- Edinburgh
This housing strategy for older people in Scotland, developed in partnership with the housing, health and social care sectors, has been agreed by the Scottish Government. It presents a vision for housing and housing-related support for older people, the outcomes we want to achieve and a framework of actions we will take. The Wider Planning for an Ageing Population working group identified five key outcomes for housing and related support for older people, covering: clear strategic leadership; information and advice; better use of existing housing; preventative support; and new housing provision. These five outcomes form the framework for this strategy. Underlying the outcomes are four key principles: older people as an asset; choice; planning ahead; and preventative support. The strategy presents a ten year vision and programme of action. This report is aimed not only at those who are older now, but also at people preparing for retirement, who need to consider options for older age before they reach it. The focus is on prevention and giving people the choices they need to live the best lives possible.
Evaluation of the extra care housing initiative: PSSRU technical report
- Authors:
- DARTON Robin, et al
- Publisher:
- Housing Learning and Improvement Network; Personal Social Services Research Unit
- Publication year:
- 2011
- Pagination:
- 71p., bibliog.
- Place of publication:
- London
The Extra Care Housing Fund was established in 2003 by the Department of Health to develop innovative housing with care options to meet the housing, care and support needs of older people, while helping them to maintain independence in their own accommodation. The objective of this study was to evaluate new build schemes for older people which received capital funding from the Extra Care Housing Fund from 2004 to 2006. 19 schemes which opened between April 2006 and November 2008 in England were included. The evaluation examined the development of the schemes from their implementation and followed residents' experiences and health over time, also collecting evidence about the process and impact of new approaches to providing accommodation and care for older people. Information was gathered from residents and staff at each scheme, with follow-up surveys of all residents, and from the local authorities concerned and the housing associations managing the schemes. This technical report describes the data collection, including fieldwork procedures and data collection issues, and also covers data preparation and response.
Reshaping care for older people: a programme for change 2011-2021
- Authors:
- SCOTLAND. Scottish Government, CONVENTION OF SCOTTISH LOCAL AUTHORITIES
- Publisher:
- Scotland. Scottish Government
- Publication year:
- 2011
- Pagination:
- 34p.
- Place of publication:
- Edinburgh
Providing high quality care and support for older people is a fundamental principle of social justice and is an important hallmark of a caring and compassionate society. Demographic changes coupled with a decade of difficult public finances means this is one of the 3 biggest challenges facing Scotland – alongside economic recovery and climate change. This document sets out the Scottish vision and immediate actions for reshaping the care and support of older people. It has been co-produced through an extensive period of development and engagement with the people of Scotland and with political, organisational and community interests at both local and national levels. The programme presented provides a framework, built on consensus across all sectors and interests, to address the challenges of supporting and caring for Scotland’s growing older population into the next decade and beyond. This document will be updated to ensure it operates as a key driver for Reshaping Care.
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.
Improving poverty and social exclusion measures for older people
- Author:
- PASTOS Demi
- Publisher:
- Poverty and Social Exclusion in the UK: the 2011 survey
- Publication year:
- 2011
- Pagination:
- 72p., bibliog.
- Place of publication:
- Bristol
The Poverty and Social Exclusion in the UK Project is a 3.5 year collaboration which aims to advance the ‘state of the art’ of the theory and practice of poverty and social exclusion measurement. This paper provides a focused review of various measures pertaining to older people used in the 1999 Poverty and Social Exclusion (PSE) survey and offers suggestions for improvement for the PSE 2011 main survey. This review does not cover the full range of domains/sub-domains found in the Bristol-Social Exclusion Matrix (B-SEM), but focuses on areas which have the greatest scope for improvement in terms of measuring the poverty and social exclusion of older people. Existing and planned national surveys were reviewed as potential sources for specific questions and items in the following key areas: deprivation; social capital; limitations in activities of daily living; receipt of informal care; receipt of health and social services; and provision of unpaid care. These areas are reviewed, and recommendations made with regard to potential questions and areas for improvement.
Trees Extra Care Housing: Highgate
- Authors:
- NICHOLSON Anne-Marie, WALKER Martin
- Publisher:
- Housing Learning and Improvement Network
- Publication year:
- 2011
- Pagination:
- 11p.
- Place of publication:
- London
The ‘Trees’ Extra Care Housing scheme, opened in March 2011, provides 40 apartments for older people in a beautiful site located in Highgate’s Conservation Area. The scheme is the first 100% affordable housing project in this part of Haringey. The building was awarded a prestigious Housing Design Award in July 2011, winning the best ‘Completed HAPPI Scheme’ and was shortlisted for the British Homes Awards 2011 - Lifetime Home of the Year and the House Builder Awards 2011 - Best Design. This case study provides an overview of the development of the 'Trees' Extra Care Housing scheme, the relationships of the partners involved, the planning challenges in producing modern sustainable design in a conservation area, and how the local community were engaged. The project has resulted in a valuable housing and care facility for older people and the local community, meeting a need in the local area that was previously not met. Key learning points from the project are discussed.