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Sheltered housing and care for older people: perspectives of tenants and scheme managers
- Authors:
- TAYLOR Brian J., NEILL Andrea
- Journal article citation:
- Quality in Ageing, 10(4), December 2009, pp.18-28.
- Publisher:
- Pier Professional
- Place of publication:
- Brighton
Sheltered housing schemes for older people took a new turn in the UK with the community care policy of the early 1990s giving care provision for people living in such schemes. There is relatively little research on what sheltered housing schemes provide and what makes them work well. This study looked at sheltered housing provision for older people in the north Antrim area of Northern Ireland through 10 focus groups with tenants and 16 questionnaires administered with managers of schemes. The findings showed that tenants valued the independence and choice of sheltered housing in comparison with institutional care. They also highly valued the social interaction and social events with other tenants. Scheme managers were often available to tenants for long and anti-social hours. The home care arrangements were regarded as satisfactory although there were criticisms of the limited hours for tasks and the skills of some care workers. Some scheme managers thought that the publicly-funded homecare service would be more efficient if the staff were managed from the housing scheme. The overall conclusion was that well-planned and well-located supported housing schemes with appropriate attention to social aspects lead to good self-reported quality of life and satisfaction of the tenants. An area for further research is the effectiveness of different arrangements for the provision of care in such schemes.
Professional decision making on elder abuse: systematic narrative review
- Authors:
- KILLICK Campbell, TAYLOR Brian J.
- Journal article citation:
- Journal of Elder Abuse and Neglect, 21(3), July 2009, pp.211-238.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Nine bibliographic databases were searched for studies on professional decision making regarding abuse of older people. The findings of the 19 articles meeting the inclusion criteria were synthesised using a structured narrative approach. Common themes identified were abuse factors, situational factors, and broader contextual factors. Abuse factors relating to risk levels and client vulnerability were central; age, gender, and health status were considered as key indicators of vulnerability. The opinion of adult protection workers about the potential effectiveness of their intervention was a factor in deciding about responding to alleged or suspected abuse. Professionals struggled with complex ethical dilemmas created by elder abuse, particularly when the victim did not want an investigation. A structured approach to narrative synthesis of a diverse range of studies retrieved through an explicit search and inclusion process provided a useful summary of key issues for practice and identified gaps in the research literature.