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The neighbourhood asset mapping of greater Fishponds: a project delivered by BAB community researchers
- Editors:
- MEANS Robin, WOODSPRING Naomi
- Publisher:
- Bristol Ageing Better
- Publication year:
- 2018
- Pagination:
- 60
- Place of publication:
- Bristol
This report presents the findings of a neighbourhood asset-mapping by community researchers in one area of Bristol, and includes their reflections on the asset-mapping process itself. The mapping included a range of organisations, clubs and activities where older people might engage, either as participants or volunteers, some of which might not be expressly focused on older people. Assets identified ranged from churches and traditional service providers to bicycling and gardening clubs to cafes to individuals who were seen as important resources in their neighbourhoods. The mapping also identified some of the community deficits, which included poor public transportation, obstacles to walkability, and a basic lack of resources and facilities. An important insight from the asset mapping work was how boundaries of wards and neighbourhood partnership areas are artificial from the point of view of both many community groups and many older people, with older residents accessing various assets across ward and neighbourhood partnership boundaries. (Edited publisher abstract)
Dementia across local districts in England 2014 to 2015
- Authors:
- TAMPUBOLON Gindo, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 33(8), 2018, pp.1127-1131.
- Publisher:
- Wiley
Background: The number of older people needing dementia care is projected to rise rapidly, and local districts are now charged with responding to this need. But evidence on local area factors of dementia is scarce. The authors studied the odds of dementia prevalence and its individual risk factors enriched with area factors. Materials and methods: This study analysed objectively assigned dementia prevalence in people aged 60 and over living in community in England, drawing data from the English Longitudinal Study of Ageing 2014 to 2015 and local districts statistics using multilevel logistic models. Dementia status is ascertained using a modified version of the Telephone Interview for Cognitive Status. A number of individual risk factors were considered including social determinants, internet use, social connections, and health behaviours; 2 contextual factors were included: the index of multiple deprivation and land use mix. Results: The prevalence of dementia by this method is 8.8% (95% confidence interval 7.7%‐9.2%) in older adults in England. Maps of dementia prevalence across districts showed prevalent areas. In the full model, no area characteristics were significant in predicting dementia prevalence. Education, social connections, internet use, and moderate to vigorous physical activity showed protective associations. Conclusion: Dementia in older adults in England is largely predicted by individual characteristics, although some districts have a large share of their population with dementia. Given the health and social care costs associated with dementia, differential interventions and support to districts and to groups of individuals defined by these characteristics seem warranted. (Edited publisher abstract)
Building age-friendly neighbourhoods in Greater Manchester: evidence from the Ambition for Ageing programme
- Author:
- THORLEY Jessica
- Publisher:
- Ambition for Ageing
- Publication year:
- 2018
- Pagination:
- 28
- Place of publication:
- London
This report draws on research and learning gathered from the Ambition for Ageing programme, which aimed to help to create more age-friendly places and empower people to live fulfilling lives as they age. Using data and information collected from the programme, the report looks at what older people across Greater Manchester thinks makes a neighbourhood age-friendly. It draws on the: event feedback, participant and volunteer survey responses and a snapshot of case studies. The programme identified key themes for building age-friendly neighbourhoods. These are: the need for positive social connections and community cohesion; participation and meeting opportunities; good accessibility, facilities and transport; community spaces and resources; feelings of safety and security; and available information with effective communication. (Edited publisher abstract)
Older people’s experiences of getting help from neighbours
- Author:
- GRIME Janet Claire
- Journal article citation:
- Working with Older People, 22(3), 2018, pp.178-186.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to investigate older people’s views and experiences of getting help from neighbours in order to consider whether such help is situated within neighbourliness and the implications for social care policy which seeks to harness help from neighbours. Design/methodology/approach: A qualitative study in which 15 older people from the North of England were interviewed to explore relationships with neighbours, managing day to day life and experiences of getting help from neighbours. Findings: Relationships with helper neighbours were reciprocal, dynamic and preceded the start of getting help. The help offered was not negotiated but evolved in response to changes in circumstances and was commensurate with normative views of neighbourliness, i.e. reciprocated sociability and helpfulness but also respect for privacy. Respondents were reluctant to ask for help. Underpinning such reluctance were perceptions of imposing on neighbours, suggestive of anticipated asymmetry in the give-and-take of neighbourliness. Social implications: Policy makers who see the help from neighbours as an output of household production and available as a source of informal care for older people must appreciate that whether help is offered or taken up is dependent on the development of a reciprocal relationship which itself depends on observing and respecting normative boundaries, such as in relation to help giving or receiving and due respect for privacy. Originality/value: There has been little research into older people’s perspectives on getting help from neighbours despite diminishing public services and neighbours viewed as a potential source of care. (Publisher abstract)
Persistent depressive symptoms and cognitive decline in older adults
- Authors:
- ZHENG Fanfan, et al
- Journal article citation:
- British Journal of Psychiatry, 213(5), 2018, pp.638-644.
- Publisher:
- Cambridge University Press
Background: Little is known about the effect of persistent depressive symptoms on the trajectory of cognitive decline. Aims: The authors aimed to investigate the longitudinal association between the duration of depressive symptoms and subsequent cognitive decline over a 10-year follow-up period. Method: The English Longitudinal Study of Ageing cohort is a prospective and nationally representative cohort of men and women living in England aged ≥50 years. 7610 participants with two assessments of depressive symptoms at wave 1 (2002–2003) and wave 2 (2004–2005), cognitive data at wave 2 and at least one reassessment of cognitive function (wave 3 to wave 7, 2006–2007 to 2014–2015), were examined. Results: The mean age of the 7610 participants was 65.2 ± 10.1 years, and 57.0% were women. Of these, 1157 (15.2%) participants had episodic depressive symptoms and 525 participants (6.9%) had persistent depressive symptoms. Compared with participants without depressive symptoms at wave 1 and wave 2, the multivariable-adjusted rates of global cognitive decline associated with episodic depressive symptoms and persistent depressive symptoms were faster by –0.065 points/year (95% CI –0.129 to –0.000) and –0.141 points/year (95% CI –0.236 to –0.046), respectively (P for trend < 0.001). Similarly, memory, executive and orientation function also declined faster with increasing duration of depressive symptoms (all P for trend < 0.05). Conclusions: The results demonstrated that depressive symptoms were significantly associated with subsequent cognitive decline over a 10-year follow-up period. Cumulative exposure of long-term depressive symptoms in elderly individuals could predict accelerated subsequent cognitive decline in a dose-response pattern. (Edited publisher abstract)
Being occupied: supporting ‘meaningful activity’ in care homes for older people in England
- Authors:
- SMITH Nick, et al
- Journal article citation:
- Ageing and Society, 38(11), 2018, pp.2218-2240.
- Publisher:
- Cambridge University Press
The benefits of meaningful activity in later life are well documented. Studies show that being occupied contributes to both physical and mental health as well as quality of life. Research also suggests that activity may be beneficial to people residing in care homes, including people living with dementia. This paper presents findings from a study which used the Adult Social Care Outcomes Toolkit (ASCOT) to measure quality of life in six care homes located in the south-east of England. The study found, like previous ones, that care home residents’ days were characterised by a lack of activity. Drawing on observations, interviews and focus groups with residents and staff from these homes, this paper attempts to understand why care home residents do not engage in meaningful activities. The authors reject the idea that these low levels of activity are a natural part of the ageing process or that they can be explained by notions of resident choice. Instead, the findings point to both insufficient funding and working practices within care homes as more substantive explanations. These explanations inform a discussion of how the low levels of engagement in meaningful activity could be addressed and residents’ quality of life improved. (Edited publisher abstract)
Social care: forthcoming Green Paper on older people and parallel programme (England)
- Author:
- JARRETT Tim
- Publisher:
- Great Britain. Parliament. House of Commons Library
- Publication year:
- 2018
- Pagination:
- 30
- Place of publication:
- London
Briefing paper looking at the forthcoming Green Paper on social care for older people and parallel programme of work on social care for working age adults. It provides a background to the plans for a Green Paper and its confirmed contents, which will include: a lifetime cap on what people pay for social care, integration with health and others services, information on carers, workforce, and technological developments. The briefing also outlines the timetable to date and delays and signposts to a selection of commentaries on the proposed Green Paper. (Edited publisher abstract)
Social care: the forthcoming Green Paper on older people (England)
- Author:
- JARRETT Tim
- Publisher:
- Great Britain. Parliament. House of Commons Library
- Publication year:
- 2018
- Pagination:
- 12
- Place of publication:
- London
This briefing paper provides background on the forthcoming Green Paper on social care for older people. It provides the timeline of key announcements, the timetable proposed by the Conservative Government and topic areas that will be included for consultation. These include: details of a lifetime cap on what people pay for social care, changes to the means test, integration with health and other services, carers, workforce, and technological developments. Many of the issue about the sustainability of the care system covered in the Green Paper will also be relevant to working age adults. (Edited publisher abstract)
Lessons learned from the CQC’s Local Systems Reviews Support Programme
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2018
Short report highlighting insights and recommendations from SCIE's work supporting local areas following Care Quality Commission local system reviews. The reviews aimed to understand how services are working together to meet the needs of people who move between health and care services, with a focus on people aged over 65. The recommendations highlight the need for any area developing plans to tackle the interface between health and care to: engage all local partners in planning; clarify governance arrangements to ensure ownership and delivery of action plans are clear; align plans with existing programmes; balance short-term fixes with longer-term improvements; and consider the use of external facilitators to challenge and support planning. The insights will be useful for leaders responsible for developing integrated working within health and wellbeing boards, local authorities and clinical commissioning groups. (Edited publisher abstract)
Research and development work relating to assistive technology: 2017 to 2018
- Author:
- GREAT BRITAIN. Department of Health and Social Care
- Publisher:
- Great Britain. Department of Health and Social Care
- Publication year:
- 2018
- Pagination:
- 65
- Place of publication:
- London
An annual report setting out progress made in government-funded projects which support the development, introduction and evaluation of equipment and assistive technology to increase the independence or well-being of older and disabled people. The report includes developments in assistive technology to address issues in relation to physical health and also those helping people with mental health problems to live more independent lives. This includes systems, combinations of technologies, and interfaces to mainstream technology such as the internet. The report highlights selected studies covering a number of areas, including dementia and mobility, assistive technology in the home; and initiatives to support the uptake and spread of assistive technology. A full list of research projects is included as an annex. (Edited publisher abstract)