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Satisfaction with social care services among South Asian and White British older people: the need to understand the system
- Authors:
- WILLIS Rosalind, et al
- Journal article citation:
- Ageing and Society, 36(7), 2016, pp.1364-1387.
- Publisher:
- Cambridge University Press
National surveys show that people from minority ethnic groups tend to be less satisfied with social care services compared with the white population, but do not show why. Research indicates that barriers to accessing services include lack of information, perceptions of cultural inappropriateness and normative expectations of care. Less research has examined the experience of minority ethnic service users after they access services. This study conducted in-depth interviews with 82 South Asian and White British service users and family carers, the majority of whom were older people. Thematic analysis was used. The key theme was understanding the social care system. Participants with a good understanding of the system were more able to adapt and achieve control over their care. Participants with a poor understanding were uncertain about how to access further care, or why a service had been refused. More White British than South Asian participants had a good understanding of the system. There was more in common between the South Asian and White British participants' experiences than might have been expected. Language was an important facilitator of care for South Asian participants, but ethnic matching with staff was less important. Recommendations include better communication throughout the care process to ensure service users and carers have a clear understanding of social care services and hence a better experience. (Publisher abstract)
It could be a pearl to you: exploring recruitment and retention of the program to Encourage Active, Rewarding Lives (PEARLS) with hard-to-reach populations
- Authors:
- STEINMAN Lesley, HAMMERBACK Kristen, SNOWDEN Mark
- Journal article citation:
- Gerontologist, 55(4), 2015, pp.667-676.
- Publisher:
- Oxford University Press
Purpose: Researchers partnered with 3 social service organisations to identify hard-to-reach populations, barriers to reach, and strategies for improving recruitment and retention for Program to Encourage Active, Rewarding Lives (PEARLS), a home-based depression-care management programme for elders. Design and Methods: Semistructured interviews were conducted with staff and former PEARLS participants. All interviews were transcribed verbatim and thematically analysed. Results: Veterans, African Americans, Filipino men, other immigrants and English-language learners, old-older adults, rural communities, and people with limited education were identified as hard to reach. The themes of trust, cultural appropriateness, meet them where they are, and framing and reframing, cut across barriers to participation in PEARLS and approaches for overcoming these barriers. (Edited publisher abstract)
The healthcare experiences of Koreans living in North Carolina: a mixed methods study
- Authors:
- de GAGNE Jennie C., et al
- Journal article citation:
- Health and Social Care in the Community, 22(4), 2014, pp.417-428.
- Publisher:
- Wiley
This study examined the healthcare experiences of Korean immigrants aged 40–64 living in the North Carolina Triangle area of the Southeastern United States. Using a mixed methods design, the authors collected quantitative data via a questionnaire from 125 participants and conducted a focus group with 10 interviewees from December 2010 to February 2011. The quantitative data were analysed using t-tests and chi-square tests, and a thematic analysis was used for the focus group study. Questionnaire findings showed that only 27.2% had sufficient English skills to communicate adequately. Participants with insurance were significantly more likely to be employed (P < 0.001), had higher incomes (P = 0.011) and higher education (P < 0.001), and had greater English-speaking ability (P = 0.011) than those without insurance. Participants who did not use healthcare services showed significantly less knowledge (P < 0.001) of and less satisfaction (P = 0.034) with the healthcare system than those using healthcare services. Sixty-two participants (49.6%) reported having no health insurance for one or more of the following reasons: high costs (75.8%), medical tourism (22.6%) and lack of information or knowledge (6.5%). The following themes emerged from the data collected during the focus group: (i) barriers to utilisation of healthcare services; (ii) facilitators of utilisation of healthcare services; and (iii) social support seeking for health management. Our mixed methods study findings indicate that healthcare disparities exist among Korean immigrants and that a number of factors, including health literacy, may contribute to their poor health outcomes. Continued collaboration among community members, healthcare professionals and academicians is needed to discuss the community's health concerns and to develop sustainable programmes that will ensure meaningful access to care for those with limited English proficiency and medically underserved populations. (Edited publisher abstract)
A sense of place: retirement decisions among older black and minority ethnic people
- Author:
- KHAN Omar
- Publisher:
- Runnymede Trust
- Publication year:
- 2012
- Pagination:
- 32p.
- Place of publication:
- London
This report looks at what influences retirement decisions in the black and minority ethnic community and recommends ways in which local and national government should respond to this population. It draws together the views of more than 100 BME older people across the UK. The responses reveal that this is typically a very personal decision, with people weighing up how they can best sustain ties to their family and community while at the same time being financially secure and having good access to services. A major theme of the research is how the government’s “one size fits all” approach is proving inadequate for meeting the needs of BME older people and how targeted, as well as universal, policies are needed to include them more fully in British society. The notion that BME people seek to retire overseas, is becoming outdated, even if it was ever widespread, as an increasing proportion of BME people in Britain were born here. Among the recommendations, the author highlights the need for care homes to provide care that better caters to the needs of ethnic minorities.
Exploring formal service use by older Chinese: a case study on a naturally occurring retirement community
- Author:
- LUN Man Wai Alice
- Journal article citation:
- Journal of Social Service Research, 37(2), March 2011, pp.217-224.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
A naturally occurring retirement community (NORC) develops when a considerable ratio of older to younger people live in housing clusters or neighbourhoods. This study takes advantage of a NORC in New York City to study senior service use by community-dwelling older Chinese. The study comprised a secondary analysis of data from 296 older Chinese who participated in a cross-sectional need assessment survey conducted by a NORC senior service programme between May and July 2002. The purpose of the survey was to assess seniors’ use of NORC services as well as their awareness, need, and satisfaction with the services. Regression analysis found that older age, gender and perceived needs for a welcoming attitude, English language classes, and workshops are significant predictors of service use. The results indicate that older female Chinese participants are more likely to use services. The article concludes that culturally sensitive services should be developed to improve this group’s feelings of being welcomed and to meet their needs for educational programmes.
Report of the community research project focusing on the level of interaction between black and minority ethnic individuals aged 50 and over and service providers in relation to mental well being in Worcestershire
- Authors:
- GONZALEZ Sergio, et al
- Publisher:
- National Institute for Mental Health in England
- Publication year:
- 2008
- Pagination:
- 95p.
- Place of publication:
- Leeds
This Community Engagement project focuses on the level of interaction between older black and minority ethnic individuals and service providers in relation to mental well being. The participants were 40 members of the Worcestershire black and minority ethnic communities, and were representative of Chinese, Pakistani, Indian, Bangladeshi and one other background. Data was collected by means of one to one semi-structured interviews. The findings highlight a wide range of issues which impact on the daily interactions of members of the Worcestershire BME community and health professionals. In addition, personal attitudes to, and perceptions of, general health and mental health were collected. Problems with communication were flagged up by the participants. These problems ranged from single language problems to more complex interaction difficulties possibly due to cultural differences. Misunderstandings, incorrect assumptions and simple lack of communications on both the service providers’ and the service users’ sides were central to the research findings. The recommendations focus on providing interpreter services and multilingual information, together with the awareness that often the printed media is not the best way to get information across. Informational support to help GPs meet the clients’ needs and promote the link between physical and mental health are amongst the recommendations. [NB This publisher no longer exists]
Evaluation report of the Meri Yaadain dementia project
- Authors:
- AZAM Nazia, GIRLINGTON ADVICE AND TRAINING CENTRE
- Publisher:
- Girlington Advice and Training Centre
- Publication year:
- 2007
- Pagination:
- 32p.
- Place of publication:
- Bradford
The number of black and ethnic minority people in the UK affected by dementia is increasing – largely due to the changing age structure of the population. This report is an evaluation of a pilot project based within Bradford Adult Services called ‘Meri Yaadain‘, meaning ‘my memories’. It presents findings from qualitative research using interviews and case studies of social workers, GP staff, health and social care managers, people with dementia, and their carers. The findings revealed issues such as social stigma and a lack of awareness of dementia within the Asian community. There is no word for dementia within Asian languages, which exacerbates the issues further. However, this project addressed those issues, and the report details how all interviewed expressed positive feedback. It outlines how the ‘Meri Yaadain’ dementia project offered support and information in an easily understood format, eliminating language barriers, and offered awareness and education about dementia. It also helped reduce the social stigma associated with the illness, where, traditionally, sufferers had been labelled as ‘mad’. The report concludes that there was clear support for the continuation of the project, from all parties involved, and in summary, offers some recommendations.
How a link nurse ensured equal treatment for people of Asian origin with dementia
- Author:
- KAUR Harjinder
- Journal article citation:
- Nursing Times, 22.6.10, 2010, pp.12-15.
- Publisher:
- Nursing Times
A review of services for older people with dementia from black and minority ethnic communities in Wolverhampton found that these groups were under represented in mental health services. The review also highlighted that the proportion of older people with dementia from black and minority ethnic groups is set to increase. The recommendations from the review have led to the creation of an Asian link nurse role specifically for Punjabi speaking people of Asian origin. The role of the Asian link nurse, the activities undertaken so far and the challenges identified are described.
Meeting the mental health needs of older people from black and minority ethnic communities
- Authors:
- SHAH Ajit, ADELMAN Simon
- Journal article citation:
- Mental Health Today, November 2009, pp.25-29.
- Publisher:
- Pavilion
- Place of publication:
- Hove
The proportion of people from black and minority ethnic (BME) groups over the age of 65 has progressively increased over the last three decades in England and Wales, and now stands at 8.2 per cent. This article describes the inequality in access to mental health care in older people from BME groups and potential ways forward under the sub-headings: scale of the problem; inequality in mental health care; barriers to receiving appropriate care; recognising and tackling suicide risk; policy context; finding a way forward; and beyond psychiatry
Ageing and cultural diversity: policy and practice issues
- Authors:
- WARBURTON Jeni, BARTLETT Helen, RAO Visala
- Journal article citation:
- Australian Social Work, 62(2), June 2009, pp.168-185.
- Publisher:
- Taylor and Francis
The proportion of older people in Australia from culturally and linguistically diverse backgrounds is projected to increase significantly over the next decade, with the composition shifting from a mainly European base to include new source countries from Asia and Africa. This growth and complexity provides a range of challenges for practitioners and policy makers working in this field. The present paper draws on a multimethod scoping study designed to explore these challenges and identify practice responses. Data from a review of current literature, as well as from key informer interviews and a symposium held in Queensland, are reported in this paper and their compatibility with broader national and international studies discussed and noted. Findings highlight the particular challenges associated with service provision, developing appropriate models of aged care, and addressing social isolation. Conclusions focus on the need for a more rigorous research agenda to highlight and evaluate effective practice solutions; the need for a strengths-based approach in working with these communities, recognising the contribution made by community leaders, volunteers, and others; and the need to work in partnership to achieve ageing-well outcomes.