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Safeguarding and domestic abuse: an intersection for future policy and practice development
- Authors:
- McGARRY Julie, et al
- Journal article citation:
- Journal of Care Services Management, 6(4), 2012, pp.156-160.
- Publisher:
- Taylor and Francis
There has been a growing recognition that domestic abuse among older people has historically been largely ‘subsumed’ under the umbrella of elder abuse and that older people have been largely excluded from the discourse surrounding domestic abuse. Domestic abuse in later life can be inherently complex especially where the boundaries of domestic abuse and vulnerability may be blurred. Moreover, to date there is a paucity of available literature that has attempted to explore some of the more complex aspects of domestic abuse or IPV among older populations. This article utilises the findings of one serous case review to illuminate both the complexities for current services and the deficit that this presents in service provision. This highlights a clear gap in current knowledge and strongly indicates a requirement for further research and development in this field of service delivery. (Edited publisher abstract)
Understanding the older entrepreneur
- Author:
- SMALL Malcolm
- Journal article citation:
- Working with Older People, 16(3), 2012, pp.132-140.
- Publisher:
- Emerald
Older workers facing redundancy or retirement may decide to run their own business, be that a company, partnership, or on a self-employed basis. The purpose of this paper is to gain insight into the prevalence of entrepreneurial activity amongst older people, and whether such activity may be an option for them to extend their working lives. The research sample was recruited from the Institute of Directors Policy Voice database. An e-mail survey was distributed which included a series of questions relating to age and business activities. Older respondents (aged 55 years or over) were also asked to answer 3 more open-ended questions in more depth. Over 1,200 responses to the survey were received. The findings show that starting, running or continuing in individual business or entrepreneurial activity was surprisingly commonplace amongst the research sample, suggesting that there might be more older entrepreneurs amongst the population as a whole than might have previously been supposed. For those with the requisite skills and personal attributes, entrepreneurship in later life would appear to be a valid option for extending working lives.
Enriching life with creative expression
- Author:
- FORD Claire
- Journal article citation:
- Working with Older People, 16(3), 2012, pp.111-116.
- Publisher:
- Emerald
This paper considers the benefits for individuals with dementia from participating in highly creative engagement activities. It results from the author’s work on the Winston Churchill Travelling Fellowship carried out in 6 cities across the United States during September to December 2011. During this time, the author worked collaboratively with leading clinicians in the field looking at innovative approaches to implementing creativity into the framework of caring for people with dementia. Data, observations and knowledge were gathered from various access programmes in museums and galleries, creative access organisations and in alternative environments from hospitals, to day centres and residential care. The paper seeks to analyse the ways of promoting access for individuals in settings such as museums and galleries, comparing and contrasting the various ways in the USA and UK. It highlights the benefits of coordinating creative activities within a healthcare setting, looking at ways of changing cultural views and improving the health service. Implications for practice are discussed.
Variations in structures, processes and outcomes of community mental health teams for older people: a systematic review of the literature
- Authors:
- ABENDSTERN M., et al
- Journal article citation:
- Aging and Mental Health, 16(7), September 2012, pp.861-873.
- Publisher:
- Taylor and Francis
Specialist community mental health teams (CMHTs) are central to the provision of comprehensive services for older people with mental ill health. Recent guidance documents suggest a core set of attributes that such teams should encompass. This literature review explored existing evidence regarding the structures and processes of CMHTs for older people and to evaluate evidence linking approaches to effectiveness. Searches were limited to the UK for descriptions of organisation and practice. Forty-five studies met inclusion criteria of which seven provided comparative outcome data. Limited evidence was found regarding the effectiveness of many of the core attributes recommended in policy directives although their presence was reported in much of the literature. The contrast between presentation and evaluation of attributes is stark. Whilst some gaps can be filled from related fields, further research is required to evaluate the impact of team design on service user outcomes in order to inform future guidance.
Food shopping in later life: barriers and service solutions
- Author:
- AGE UK
- Publisher:
- Age UK
- Publication year:
- 2012
- Pagination:
- 18p.
- Place of publication:
- London
Being able to shop for food is important for older people to stay well and independent. However, 19% of people aged 65 and over report that they have a longstanding illness that prevents them from shopping or makes it difficult for them. This report looks at some of the barriers to food shopping facing older people, and at some of the shopping services run by local Age UKs to help older people surmount these barriers. It also looks at the part that retailers can play. Focus groups with older people revealed that older people may have difficulties getting to food shops, and, once in-store, may have difficulties with the store layout and with getting help from staff. Age-unfriendly packaging and large portion sizes were also a problem. The report recommends that retailers can attract and retain older customers by using the following measures: making stores fully accessible; helping older people to buy online; using retailers’ buying power to meet older people’s needs; and working with their local Age UK. Six examples of shopping services provided by Age UK which fall into 3 broad categories are described: escorted services; home delivery services; and internet shopping services.
The challenge of providing prison healthcare
- Author:
- GINN Stephen
- Journal article citation:
- British Medical Journal, 22.9.12, 2012, pp.26-28.
- Publisher:
- British Medical Association
The difficulties of providing effective health care to prisoners in British prisons are examined. Prison health services in England, Wales, Scotland and Northern Ireland are now all the responsibility of the National Health Service. Current challenges include an increasing prison population; a high turnover of prisoners and many complex and diverse health and social needs. The article also provides a brief history of the evolution of prison health services.
Help needed in medication self-management for people with visual impairment: case-control study
- Authors:
- MCCANN Roseleen M., et al
- Journal article citation:
- British Journal of General Practice, 62(601), August 2012, pp.411-412.
- Publisher:
- Royal College of General Practitioners
The prevalence of visual impairment (VI) is rising and contributes to increasing morbidity, particularly among older people. However, little is known about how VI impacts on self-management of medication. This study compared issues relating to medication self-management between older people with and without VI. Participants included 156 older patients with VI at low-vision clinics; community optometrists identified 158 controls. Researchers visited participants in their homes, and administered two questionnaires to assess medication adherence. Findings indicted that half of the participants in both groups reported perfect adherence on both questionnaires. Despite using optical aids, few with VI could read medication information clearly; 24% had difficulty distinguishing different tablets. More people with VI than controls needed help managing their medication, from friends or pharmacists; more received social service support. Compared to their peers without VI, older people with VI are more than twice as likely to need help in managing medication. In clinical practice in primary care, patients' needs for practical support in taking prescribed treatment must be recognised. The authors concluded that strategies for effective medication management should be investigated.
Research and development work relating to assistive technology 2011-12: presented to Parliament pursuant to section 22 of the Chronically Sick and Disabled Persons Act 1970
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2012
- Pagination:
- 138p.
- Place of publication:
- London
Section 22 of the Chronically Sick and Disabled Persons Act 1970 requires a report to be laid before Parliament each year describing the research activity the government has funded to improve equipment for disabled and older people. This annual report describes the wide range of government funded projects supporting the development, introduction and evaluation of assistive technology that might increase the range of activities and independence or well-being of disabled and older people. The report aims to reflect research and development activity in relation to a wide range of impairments and health conditions and also to reflect the range of government funding programmes across health, social care, education, housing and employment. All the research into assistive technology included in the report is being funded by the UK government or by the European Union with participation from a UK organisation. During the period April 2011-March 2012, the Foundation for Assistive Technology (FAST) recorded 228 projects carrying out research and development activity in assistive technology, of which 82 concluded during the year. A complete listing of assistive technology research and development activity is included as an annex.
Attendance Allowance and Disability Living Allowance claimants in the older population: is there a difference in their economic circumstances?
- Authors:
- HANCOCK Ruth, MORCIANO Marcello, PUDNEY Stephen
- Journal article citation:
- Journal of Poverty and Social Justice, 20(2), June 2012, pp.191-206.
- Publisher:
- Policy Press
In the United Kingdom, there are two alternative social security benefits for older people with disabilities. The UK Disability Living Allowance (DLA) is a non-means-tested cash benefit claimable only before age 65, although receipt can continue beyond 65. The similar Attendance Allowance (AA) can be claimed only from age 65 and in some cases is worth less than DLA. DLA is being replaced by Personal Independence Payment (PIP) which, like DLA, will have advantages over AA. These advantages are sometimes justified on grounds that DLA recipients have longer histories of disability and consequently lower incomes. In this study, data were drawn from the UK Family Resource Survey, and included 32,384 people aged 65 and over, and 93,260 aged 30 to 64. The authors concluded that any reform of the disability benefit system for older people which is less favourable towards people who are first entitled to a disability benefit after reaching 65 is not based on evidence.
Fresh ideas: the Olympic Games experience
- Author:
- ASHURST Adrian
- Journal article citation:
- Nursing and Residential Care, 14(8), August 2012, pp.425-427.
- Publisher:
- MA Healthcare Ltd.
- Place of publication:
- London
The 2012 Games can help to bring a great deal of fun and a great atmosphere into the care home. This article discusses how residents, staff and visitors can come together and enjoy a memorable experience during the Olympic and Paralympic Games. A number of ideas are suggested for staff to implement including: forming teams to find out about and support different countries; in-house Olympics including games such as ten pin bowling; decorating the care home; themed evenings; and outdoor activities. A garden party is a great opportunity to raise funds for a local charity. Local newspapers will be keen to report how the Games are affecting the local community, and therefore contacting the local media can provide an opportunity for some publicity to raise the profile of the care home.