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Over 50s outreach pilot: qualitative research
- Authors:
- JONES Gerwyn, GRIFFITHS Rita
- Publisher:
- Corporate Document Services; Great Britain. Department for Work and Pensions
- Publication year:
- 2006
- Pagination:
- 105p.
- Place of publication:
- Leeds
The pilot involves external organisations acting as an intermediary between the Jobcentre and the customer. These organisations will: contact people aged 50 and over who are not in work, and encourage their use of Jobcentre Plus services or volunteering opportunities; market the back to work help, employment and volunteering opportunities available and overcoming the concerns of some IB and IS clients that their benefits may be affected if they approach a Jobcentre Plus office with a work related enquiry; and promote the back to work help available through Jobcentre Plus to people aged 50 and over who may not be aware of this help or who do not normally have contact with Jobcentre Plus. The evaluation of these pilots will demonstrate what methods of contact and awareness raising worked most successfully to encourage people who would not otherwise have asked about or taken up Jobcentre Plus services and work or volunteering opportunities to do so. The methods that are most successful can then be disseminated throughout Jobcentre Plus to be incorporated into the continuous improvement of their services.
Quality of life measures for depressed and non-depressed Chinese older people
- Authors:
- CHAN Sally Wai-chi, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 21(11), November 2006, pp.1086-1092.
- Publisher:
- Wiley
The aim was to compare the perception of quality of life (QoL) between depressed and non-depressed Chinese older people in Hong Kong and examined the factors that influence this perception. A cross-sectional study was conducted with a convenience sample of 80 older people with a diagnosis of depression and 179 non-depressed controls. The depressed group had a lower rating in perceived QoL in all aspects than the non-depressed group. Level of depression and functional abilities were predictors of quality of life ratings for the both groups and activities of daily living was the predictor of quality of life for the depressed group only. The study identified the subjective perception of QoL amongst depressed older people is significantly lower than that amongst non-depressed older people. Depression affects the bio-psychosocial status of Chinese older people. This study provides insight for healthcare professionals in planning innovative services to meet their health needs.
Nutrient intake and psychological health in an elderly Chinese population
- Authors:
- WOO J., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 21(11), November 2006, pp.1036-1043.
- Publisher:
- Wiley
Associations between nutrition and cognitive impairment, and nutrition and depression, have been observed. Elderly people are at risk of under nutrition, and also have higher prevalence of cognitive impairment and depression. The objective was to examine the relationship between nutrient intake and psychological health in the elderly, adjusting for confounding factors. Three thousand nine hundred and ninety-nine men and women aged 65 years and over living in the community, with approximately equal numbers in three age groups: 65-69, 70-74, 75+ years. Dietary intake was assessed using a 7-day food frequency questionnaire. Cognitive function was assessed by the cognitive part of the Community Screening Instrument for Dementia (CSID). Depression was assessed using the Geriatric Depression Scale (GDS). Information was also collected for confounding factors: demographics, educational level, socioeconomic status, medical history, smoking, alcohol intake, and physical activity. Logistic regression analyses were carried out to examine associations between lifestyle and dietary variables, and CSID and GDS, controlling for confounders. Both CSID and GDS scores were associated with co-morbidity, demographic and socioeconomic factors. Few associations between lifestyle factors and CSID score were observed. Dietary factors inversely associated with GDS score include total fat intake, vitamins A, B2, B3, C, fibre, and vegetables. In terms of nutrient density, iron and isoflavone intake were additional factors. Association exists between intake of various nutrients and psychological health independent of other confounding factors in the elderly population. A follow-up study of this cohort or interventional studies are needed to elucidate cause effect relationship.
Individual standards for intermediate care for older people with mental health difficulties
- Author:
- HEALTH AND SOCIAL CARE ADVISORY SERVICE
- Publisher:
- Health and Social Care Advisory Service
- Publication year:
- 2006
- Pagination:
- 17p.
- Place of publication:
- London
This paper presents the standards and the early findings from the Department of Health funded national project on Intermediate Care for Older People with Mental Health difficulties. The project benchmarked the intermediate care service provision in seven sites across England during March and April 2006 against best practice standards developed by HASCAS. An overarching view is that is that there is often poor integration and understanding between mainstream older peoples intermediate care services and older peoples mental health services and that this results in sub optimal care.
Evaluation of the intensive activity period 50plus pilots
- Authors:
- ATKINSON Joan, et al
- Publisher:
- Corporate Document Services; Great Britain. Department for Work and Pensions
- Publication year:
- 2006
- Pagination:
- 163p.
- Place of publication:
- Leeds
This research provides qualitative evidence towards the evaluation of the IAP 50 Plus Pilots, which trialled the benefits of making participation in the Intensive Activity Period mandatory for New Deal 25 plus participants aged between 50 and 59. The research focused on four of the 14 pilot sites, and was principally based on face-to-face interviews involving 75 staff, 23 providers and 182 participants, in two waves, in spring 2005 and winter 2005/06. The research confirmed that the pilots were delivered without undue difficulty largely because, with quite small numbers of customers involved, they represented only a fairly modest extension of existing practice, required no significant change in the organisation or provision, and drew on an experienced cadre of NDPAs and IAP providers.
Let people loose
- Author:
- LLOYD Mark
- Journal article citation:
- Community Care, 26.10.06, 2006, pp.32-33.
- Publisher:
- Reed Business Information
This article provides a comparison of older care in Finland and the UK, based on a study visit by staff from Kent Community Housing Trust to the combined health and social services department in the Espoo region. The article concentrates on lessons to be learned for older care – particularly residential – in the UK. It focuses on the benefits of nursing and social care combined services, contrasting Finland’s guiding principle that “regulation stifles the soul” in older care, with the UK approach of overregulation.
A pilot falls prevention programme for community dwelling older people
- Author:
- CHADDERTON Hugh
- Publisher:
- British Geriatrics Society
- Publication year:
- 2006
- Place of publication:
- London
This paper is a short report of a pilot falls prevention programme that took place in an NHS Trust in Wales in 2005-06. The paper includes the epidemiology of falls, the health and social policy framework in Wales, the questions, governance and funding, the setting, patients and methods, a discussion of the findings, and a final summary.
Minding the money: carers and the management of financial assets in later life: report of a scoping study
- Authors:
- ARKSEY Hilary, et al
- Publisher:
- University of York. Social Policy Research Unit
- Publication year:
- 2006
- Pagination:
- 84p., bibliog.
- Place of publication:
- York
Growing numbers of older people need help managing their finances. Longer life expectancy is leading to increases in physical and cognitive impairments that can affect individuals’ capacity to manage their own affairs. Difficulties range from mobility problems that make it hard to get to a bank or post office, to severe dementia requiring another person to take responsibility for all financial matters. As close relatives and friends are the main source of support, they are most likely to help older people with financial management. At the same time, older people’s financial resources are increasingly complex. Growing proportions of post-retirement incomes are derived from occupational pensions and private investments, or claimed through benefits and tax credits. Most people now entering older age also have substantial housing wealth. Difficult decisions may be required concerning investments and savings in later life: converting capital to income; property maintenance and insurance; and equity release through reverse mortgage or downsizing accommodation. These decisions take place in the context of diverse legal and institutional arrangements governing taxation, social security, pensions, and social care charges.
Hungry to be heard: the scandal of malnourished older people in hospital
- Author:
- AGE CONCERN ENGLAND
- Publisher:
- Age Concern England
- Publication year:
- 2006
- Pagination:
- 26p.
- Place of publication:
- London
Six out of 10 older people are at risk of becoming malnourished, or their situation getting worse, in hospital. Up to 14% of older people aged over 65 years in the UK are malnourished. Four out of 10 older people admitted to hospital are malnourished on arrival.Patients over the age of 80 admitted to hospital have a five times higher prevalence of malnutrition than those under the age of 50. Up to 50% of older people in general hospitals have mental health needs. Patients who are malnourished stay in hospital for a longer time, require more medications, and are more likely to suffer from infections. The toll of malnutrition on health and health care costs is estimated to exceed £7.3 billion per year (much more than obesity). Over half of this cost is expended on people aged 65 years and above.
Preferences for routines in older people: associations with cognitive and psychological vulnerability
- Authors:
- BERGUA Valerie, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 21(10), October 2006, pp.990-998.
- Publisher:
- Wiley
Although routine activities are important to normal functioning across all phases of life, their expression in older people may be associated with cognitive and psychological vulnerability. The relationship between these variables was explored in 235 elderly French participants from the PAQUID cohort study. Cross-sectional positive associations were found between preferences for routines, anxiety and depression levels, and cognitive complaints. General cognitive decline over a three-year time span was also associated with a greater desire for routines at the end of this period. The progressive routinization of behaviours and activities in older people is discussed as a marker of affective and cognitive vulnerability, and its understanding has potential for improving the early detection of adaptation difficulties and overall care in this population.