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Facing the challenges in the development of long-term care for older people in Europe in the context of an economic crisis
- Authors:
- DEUSDAD Blanca A., PACE Charles, ANTTONEN Anneli
- Journal article citation:
- Journal of Social Service Research, 42(2), 2016, pp.144-150.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article introduces the content of this special issue, which incorporates eight articles in which authors evaluate recent changes and developments in long term conditions (LTCs) for older people in European countries, most particularly from the perspective of restructuring taking place in the LTC for older people. The economic and state financial crises are the most important drivers behind widespread overall restructuring processes. (Edited publisher abstract)
COMMUNI-CARE: assessment tool for reactions and behaviours of patients with dementia in a multisensory stimulation environment
- Authors:
- LOPEZ Jose Javier Blanco, et al
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 15(4), 2016, p.526–538.
- Publisher:
- Sage
Background: The ‘Snoezelen’ is an approach based on stimulation and sensory stimulation proposals, giving priority to the notion of caretaking. The aim of this paper is to present the creation and validation of the COMMUNI-CARE scale. This is a new tool that allows for an evaluation of the psycho-emotional well-being that the patient with dementia shows in a ‘Snoezelen’ multisensory stimulation environment. Methods: In total 429 evaluations in 143 multisensory stimulation interventions were made using the COMMUNI-CARE scale, in 16 patients between 53 and 85 years of age, diagnosed with moderate to severe dementia. The goal was to evaluate the psycho-emotional well-being the patients present. Results: The tool’s internal consistency showed a Crombach alpha of 0.90. The concurrent validity between the COMMUNI-CARE scale and the Clinical Global Impression (CGI) was of r = −0.961. The Kappa index used to determine the reliability between evaluators was of K = 0.87. Conclusions: The COMMUNI-CARE scale fulfills the basic principles of classic psychometrics of construct, and criterion validity and reliability. It does so while showing a clear idea, through its five subscales (anxiety, communication, pleasure, adaptation to the surroundings and affection), of the degree of well-being that the patient with dementia shows during such interventions. This scale embodies, through psychometrics, a very subjective human experience with a tool unavailable to date. (Edited publisher abstract)
Politics of defamilialization: a comparison of Italy, Japan, Korea and Spain
- Authors:
- ESTEVEZ-ABE Margarita, NALDINI Manuela
- Journal article citation:
- Journal of European Social Policy, 26(4), 2016, pp.327-343.
- Publisher:
- Sage
This article investigates the politics of ‘defamilialization of care’ in four familialist countries – Italy, Japan, Korea and Spain – during the past 15 years. By ‘defamilialization of care’, the authors refer to those public policies, which aim at reducing the care responsibility of the family – both for the young and the old. They build upon the existing literature on new social risks by highlighting the role of those macro-political institutions such as electoral systems and government types in order to demonstrate that there are two very different types of politics of defamilialization: (1) election-oriented and (2) problem-oriented. The authors attribute different policy outcomes in the four familialist countries to their specific institutional configurations rather than to partisan government composition or different cultural orientations. (Edited publisher abstract)
Retirement migration, the ‘other’ story: caring for frail elderly British citizens in Spain
- Authors:
- HALL Kelly, HARDILL Irene
- Journal article citation:
- Ageing and Society, 36(3), 2016, pp.562-585.
- Publisher:
- Cambridge University Press
This paper draws on narrative interviews with vulnerable older British people in Spain, focusing on those who have encountered a severe decline in health, are frail and in need of care. It looks at the formal and informal networks and agencies that support these individuals, in particular the resources and strategies they employ to access care. Drawing on a framework of care provision developed by Glucksmann and Lyons, four broad modes of provision for old age care used by older British people in Spain are identified: state/public, family/community, voluntary/not-for-profit and market/for-profit. The paper argues that there are language, cultural, spatial and financial barriers when accessing care in Spain as an older British citizen. It is concluded that there are some frail, vulnerable people that may fall through a support gap, whereby they are no longer the responsibility of UK welfare services, yet not fully recognised in their new country of residence, and asks if more should be done to support this population. (Edited publisher abstract)