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Adults with Incapacity (Scotland) Act 2000: communication and assessing capacity: a guide for social work and health care staff
- Author:
- KILLEEN Jan
- Publisher:
- Scotland. Scottish Government
- Publication year:
- 2008
- Pagination:
- 40p.
- Place of publication:
- Edinburgh
This guide was produced to support professionals in assessing the capacity of individuals who may come under protection of the Adults with Incapacity (Scotland) Act 2000. This guide is primarily for social work and health care staff in Scotland, including care managers, clinical psychologists, and medical practitioners. The starting point for assessing someone’s capacity to make a particular decision is always the assumption that the individual has capacity.
Assessment of mental capacity: who can do it?
- Authors:
- SINGHAL Ankush, et al
- Journal article citation:
- Psychiatric Bulletin, 32(1), January 2008, pp.17-20.
- Publisher:
- Royal College of Psychiatrists
The aim was to determine the point prevalence of mental incapacity and the ‘Bournewood gap’ in general adult and old age mental health in-patients. The correlation of mental capacity assessment between doctors and nurses was investigated. Data were gathered on one census day for all general adult and old age psychiatric in-patients at three hospital sites. Half the sample lacked capacity and one third fell into the ‘Bournewood gap’. The capacity assessment by nurses and doctors correlated highly (=0.719, P=0.0001). ‘Bournewood gap’ patients should have their needs assessed in order to identify and protect their rights. Appropriately trained mental health nursing staff can undertake this assessment.
Diagnosing Aspergers syndrome in the elderly: a series of case presentations
- Authors:
- JAMES Ian Andrew, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 21(10), October 2006, pp.951-960.
- Publisher:
- Wiley
There are over 200 000 people in the UK diagnosed with Aspergers Syndrome (AS). Most of these are children and young adults, owing to the fact the disorder was established relatively recently. It can be argued, therefore, that there are many older adults who may have met the criteria for AS as children, but never received such a diagnosis due to the fact it had yet to be established. What happened to these people as they aged? This paper examines this issue in detail and presents five case studies of elderly individuals who the authors believe meet the criteria of AS. The work illustrates AS presentation in old age, the assessment problems and tools required to assess older people, and the implications of such formulations for clinical practice. Older patients with undiagnosed AS may currently be receiving inappropriate treatments. Greater awareness of AS in the older population would enable better management of such patients.
Care coordination for older people in the non-statutory sector: lessons from research
- Authors:
- CHALLIS David, et al
- Publisher:
- University of Manchester. Personal Social Services Research Unit
- Publication year:
- 2016
- Pagination:
- 18
- Place of publication:
- Manchester
This research explores care coordination arrangements for older people in the non-statutory sector and looks at what is required to promote its capacity to meet increasing expectations resulting from the changed policy environment. Care coordination arrangements covered in the study were defined as the assessment of needs undertaken by a worker with specialist knowledge and the compiling, monitoring and review of a support plan by a care coordinator. The research also took into account the introduction of personal budgets for older people and self-directed support. Evidence was collected from a variety of sources, including: a scoping review of the literature, consultations with people who had experience of services, a survey of non-statutory organisations, and interviews with practitioners and mangers. The briefing summarises the findings in the following areas: messages from the literature review, standards to guide practice, service arrangements across England, priorities for developing quality services and implications for service development. To summarise lessons from the research, the findings were subjected to a SWOT analysis to identify risks of developing key services in the non-statutory sector and success factors. Strengths identified in the non-statutory sector identified were their independence and flexible approach to staffing. Areas of weakness related to their small scale and sometimes limited range of care coordination task undertaken. It also identified opportunities for non-statutory organisations to provide specialist services and to work in partnership with other local agencies. Threats for further development were associated with fixed term funding and uncertainty due to the commissioning process. The research was undertaken by the undertaken by Personal Social Services Research Unit and was conducted in partnership with staff in Age UK Trafford and LMCP Care Link. (Edited publisher abstract)
Occupational therapy in the prevention and management of falls in adults: practice guideline
- Author:
- COLLEGE OF OCCUPATIONAL THERAPISTS
- Publisher:
- College of Occupational Therapists
- Publication year:
- 2015
- Pagination:
- 117
- Place of publication:
- London
Practice guideline providing evidence-based recommendations to support occupational therapists working with adults in the prevention and management of falls. The recommendations are intended to be used alongside the therapist's clinical expertise in their assessment of need and implementation of interventions. The guideline reviewed evidence relating to improved identification and assessment of people at risk; improved intervention to reduce falls risk; interventions to maximise functional independence, including positive risk taking; self-management; and improved understanding of the importance of education and training. Details of the guideline development process and guideline methodology are also included. The guideline recommendations focus on three key categories, to reflect the occupational therapists role: keeping safe at home: reducing risk of falls; keeping active: reducing fear of falling; falls management: making it meaningful. This guideline will also be useful to inform service users and carers, other health professionals, managers and commissioners working in adult services, about the roles and responsibilities of the occupational therapist in this area. Appendices provide details of the service user consultation; literature search strategy and evidence-based review tables. (Edited publisher abstract)
Measuring stigma in older and younger adults with HIV/AIDS: an analysis of an HIV stigma scale and initial exploration of subscales
- Author:
- EMLET Charles A.
- Journal article citation:
- Research on Social Work Practice, 15(4), July 2005, pp.291-300.
- Publisher:
- Sage
This study explores the validity of a scale designed to measure HIV stigma and identify potential subscales. A nonrandom sample of 88 individuals, 44 between the ages of 20 and 39 and 44 ages 50 and older, living with HIV/AIDS in the USA were interviewed and completed a 13-item HIV Stigma Scale. An exploratory factor analysis (EFA) found 12 of the 13 items loaded cleanly into three subscales labeled as Distancing, Blaming, and Discrimination. The three newly identified subscales were found to have convergent validity with social support as expected. Overall, older adults were found to have higher, but nonsignificant scores on the Blaming subscale, whereas those 20 to 39 years old had significantly higher scores related to discrimination. The study concludes that a 13-item HIV stigma scale can discriminate experiences of stigma in older adults and support three subscales while maintaining internal consistency.
Modern Social Services a commitment to the future: the 12th Annual Report of the Chief Inspector of Social Services 2002-2003
- Author:
- GREAT BRITAIN. Department of Health. Social Services Inspectorate
- Publisher:
- Great Britain. Department of Health. Social Services Inspectorate
- Publication year:
- 2003
- Pagination:
- 116p.
- Place of publication:
- London
The report draws on a range of inspection and performance review activity of the Social Services Inspectorate to provide an assessment of performance of councils with social services responsibilities across England. The report illustrates regional highlights and provides information about the activities of SSI.
The poor need not always be with us
- Author:
- BRITTAIN Samuel
- Journal article citation:
- Search, 33, Spring 2000, pp.8-11.
- Publisher:
- Joseph Rowntree Foundation
In December, the Joseph Rowntree Foundation published the second edition of work monitoring annual changes in fifty indicators of poverty and social exclusion. This article considers how useful reviewing these indicators is in helping to improve the lot of those on very low incomes.
Dementia disorders: advances and prospects
- Editor:
- KATONA C.L.E.
- Publisher:
- Chapman and Hall
- Publication year:
- 1989
- Pagination:
- 249p., tables, illus., bibliogs.
- Place of publication:
- London
A multi-disciplinary review of recent progress in, and future directions of, research in dementia. Discusses various medical, social and psychological approaches that can be of help to individuals and their families.
A comprehensive guide to intellectual and developmental disabilities
- Authors:
- BROWN Ivan, PERCY Maire
- Publisher:
- Paul H. Brookes
- Publication year:
- 2007
- Pagination:
- 768p., bibliog.
- Place of publication:
- Baltimore, MD
This comprehensive textbook on children and adults with learning disabilities contains contributions from over 70 authors. These include experts, disability leaders and family members. Its forty five chapters are organised in five main sections. The first section, an overview of intellectual and developmental disabilities, covers: definitions, an historical overview of intellectual disabilities, human rights and advocacy. The second section contains individual chapters on a range of different conditions including Down Syndrome, Fragile X Syndrome, Autism, Aspergers Syndrome, Foetal Alcohol Spectrum Disorder, and ADHD. Section three, support and intervention, includes chapters on person-centred support, behavioural interventions, and the role of diversity in psychological assessment and intervention. Section four covers development of disabilities through the life span and chapters include early childhood, education, transition to adult life, sexuality, parenting and ageing. Section five, which is on health, includes chapters on: the ethics of consent, physical health, nutrition and the implications of Alzheimer's Disease for people with Down Syndrome and other intellectual disabilities. A final chapter in section six discusses current advances and a vision for the future. The publication is relevant for a wide audience, including students, direct care staff, social workers, academics and policy makers.