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Assessing unmet needs of older adults receiving home and community-based services conceptualization and measurement
- Authors:
- LI Hong, MORROW-HOWELL Nancy, PROCTOR Enola
- Journal article citation:
- Journal of Social Work in Long-Term Care, 3(3/4), 2005, pp.103-120.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
This American study reviews the conceptualization and measurement issues related to unmet service needs of older adults receiving home and community-based services. The authors summarize and synthesize the recent literature on unmet service needs to examine (1) how this concept is conceptualized and measured and (2) how this concept could be used to advance the provision of home and community-based services. The findings suggest that measures of unmet needs varied in terms of their focus (e.g., function-specific or service-specific) and sources of information (e.g., care receivers, caregivers, or professions). The findings underscore the need to further refine the conceptualization and measurement of unmet service needs and to assure the proper use of existing measures by social service providers. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
How much is enough? Perspectives of care recipients and professional on the sufficiency of in-home care
- Authors:
- MORROW-HOWELL Nancy, PROCTOR Enola, ROZARIO Philip
- Journal article citation:
- Gerontologist, 41(6), December 2001, pp.723-732.
- Publisher:
- Oxford University Press
This American study aims to increase knowledge about the impact of rater role on the assessment of in-home supportive care. The authors compared the perspectives of care recipients and professionals on one aspect of the broad concept of quality of care in home care the sufficiency of the amount of care provided by informal and formal caregivers. Sufficiency of home care was assessed through concurrent elderly persons' self-reports through telephone interview and nurse clinical reports based on in-home interviews with the elder. Results found professional ratings of the sufficiency of care recipients. From the perspective of both care recipients and professionals, sufficiency of care was significantly related to coresidence of elder and caregiver, and to caregiver health.
Multidimensional assessment of the elderly client
- Author:
- MORROW-HOWELL Nancy
- Journal article citation:
- Families in Society, 73(7), 1992, pp.395-406.
- Publisher:
- The Alliance for Children and Families
Covers physical health, mental health, social support, physical environment, functioning, coping styles and formal service usage, Discussion includes helpful assessment tests, relevant interviewing skills and co-operation with other professionals.
Multi-purpose senior services program deinstitutionalization screen
- Authors:
- MORROW-HOWELL Nancy, et al
- Journal article citation:
- Health and Social Work, 12(3), Summer 1987, pp.197-204.
- Publisher:
- Oxford University Press
A six-item screen and tables that allows the determination of probability of a patient being successfully discharged from a nursing home.
A standardized menu for Goal Attainment Scaling in the care of frail elders
- Author:
- MORROW-HOWELL Nancy
- Journal article citation:
- Gerontologist, 38(6), December 1998, pp.735-742.
- Publisher:
- Oxford University Press
Goal Attainment Scaling (GAS), an individualised measurement approach, is particularly attractive for the evaluation and care planning of frail elders, who often experience multiple, complex problems. Some service providers find GAS too unwieldy for routine use. A modified version of GAS that uses a standardized menu of goals and attainment levels has been developed by a regional referral hospital in Nova Scotia, Canada. This article reviews the development, implementation, benefits and challenges of the standardised menu, as well as the results of a retrospective descriptive study of its measurement properties.
Adequacy of care: the concept and its measurement
- Authors:
- MORROW-HOWELL Nancy, PROCTOR Enola K, DORE Peter
- Journal article citation:
- Research on Social Work Practice, 8(1), January 1998, pp.86-102.
- Publisher:
- Sage
This article presents a methodology for measuring the adequacy of care, both formal and informal, and how well they meet the needs of the elderly living in the community. The measure of adequacy of care derives an assessment of need and assistance received in 14 activities of daily living. In each activity area where the elderly need assistance, assessments are made of the quantity and quality of care received from formal and informal sources. Describes how the scores can be useful to social workers for both clinical and research purposes.
A multidisciplinary ethics teaching conference on a geropsychiatric service
- Author:
- MORROW-HOWELL Nancy
- Journal article citation:
- Gerontologist, 39(1), February 1999, pp.105-108.
- Publisher:
- Oxford University Press
This article describes an ethics case conference on a multidisciplinary geropsychiatric service in the USA and its unique clinical, training and research benefits. Describes the structure of the conference, the major topics addressed, the perceived advantages and the research implications. Concludes that the care of older patients, the education of students and trainees interested in ageing issues and cutting-edge geriatric research are all advanced by such a conference.