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The Stroud/ADI dementia quality framework: a cross-national population-level framework for assessing the quality of life impacts of services and policies for people with dementia and their family carers
- Authors:
- BANERJEE Sube, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 25(3), March 2010, pp.249-257.
- Publisher:
- Wiley
This paper aims to generate an internationally applicable framework for the systematic assessment of the quality of life impacts of services and policies for older people with dementia and their family carers. Based on a qualitative analysis of text, derived from open groups at six consecutive ‘Alzheimer's Disease International’ (ADI) Conferences (1999-2005), the 312 textual contributions included: presenters texts; transcribed points made during discussion; and written contributions. The results showed that eight interacting domains relating to quality of life emerged: Public Attitudes and Understanding; Government and Social Policy; Funding for Services; Health; Communication; Choice and Personhood; Environment; and Quality of Care leading to the development of the Stroud/ADI Dementia Quality Framework. In conclusion the authors assert that the Stroud/ADI Dementia Quality Framework helps to structure the assessment of the quality of life impacts of population level approaches in dementia impacts. Available information can be mapped onto the framework. With its international approach, the Stroud/ADI Dementia Quality Framework has validity across cultures and across countries. It is intended as a useful aid for the assessment of services and policies for people with dementia and their family carers.
Improving care in care homes: a qualitative evaluation of the Croydon care home support team
- Authors:
- LAWRENCE Vanessa, BANERJEE Sube
- Journal article citation:
- Aging and Mental Health, 14(4), May 2010, pp.416-424.
- Publisher:
- Taylor and Francis
The Croydon care home support team (CHST) was developed in response to reports of patient abuse within long-term care in order to improve standards of care within care homes. The CHST adopts a systemic approach that places an equal emphasis on the social, mental health and nursing needs of residents and aims to address the whole culture of care within the individual homes. This paper describes a qualitative methodology used to assess the perceived impact of the CHST among care home staff. In-depth interviews were conducted with 14 care home managers and 24 members of care home staff across 14 care homes. Grounded theory principles guided the collection and analysis of the data. The results demonstrated improved communication between staff, improved staff development and confidence, and improved quality of care, and point towards the effectiveness of the CHST model. The collaborative approach of the CHST was considered pivotal to its success and presented as an effective method of engaging care home managers and staff. The data demonstrate the potential for specialist multi-disciplinary teams to raise standards of care across long-term care settings. Increased awareness of safeguarding issues, improved staff morale and communication and ongoing opportunities for discussion and problem solving promised to sustain improvements.