Search results for ‘Subject term:"older people"’ Sort:
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Anchor care team: an appraisal
- Authors:
- GIBBS Ian, WRIGHT Ken
- Publisher:
- Anchor Housing Trust
- Publication year:
- 1993
- Pagination:
- 36p.,tables.
- Place of publication:
- Oxford
An appraisal of the work of the Anchor Care Team working in a sheltered housing scheme in Newcastle. Includes an appendix on the Guttman Scaling Technique for assessing older people.
Providing alternatives to long-stay hospital care for frail elderly patients: is it cost effective?
- Author:
- CHALLIS David
- Journal article citation:
- International Journal of Geriatric Psychiatry, 7(11), November 1992, pp.773-781.
- Publisher:
- Wiley
Identifies problems faced in attempting to analyse the relative cost-effectiveness of long-stay hospital care and community care: comparisons of average costs often ignore the substantial variation of the costs of individuals within settings; excessive weight is placed on those factors more easily measured than those that indicate quality or effectiveness. Considers studies that have attempted to cost alternatives to long-stay hospital care for the frail elderly and of case management, and at lessons that can be learnt from other countries experiences in this area.
Long-term care at home for the elderly: a four-year follow-up
- Authors:
- CHESTERMAN John, et al
- Journal article citation:
- British Journal of Social Work, 18(Supplement), 1988, pp.43-53.
- Publisher:
- Oxford University Press
Comparison of costs between a model of case-management in community care and more standard service provision methods.
Increasing efficiency in community-based, long-term care for the frail elderly
- Author:
- MILLER L.S.
- Journal article citation:
- Social Work Research and Abstracts, 24(2), Summer 1988, pp.7-14.
- Publisher:
- National Association of Social Workers
Describes methods used to evaluate the effectiveness of an intensive community-care programme in California and the contribution made by case-management and accurate selection.
Targeting, care management and preventative services for older people: the cost-effectiveness of a pilot self-assessment approach in one local authority
- Authors:
- CLARKSON Paul, et al
- Journal article citation:
- British Journal of Social Work, 40(7), October 2010, pp.2255-2273.
- Publisher:
- Oxford University Press
This paper details a pilot project in a local authority that aimed to target access to assessment for older people with low needs who would normally have failed eligibility thresholds. Self-assessment was used where these older people could identify their preferences for a range of preventative services. The study evaluated the costs and benefits, in terms of reported satisfaction, of the approach compared with the usual care management assessment. Although self-assessed cases were offered more advice as to a wider range of preventative services, which generated greater costs, total costs were lower for this group. This cost saving arose from the use of staff with a lower unit cost who also spent less time on administrative duties and gathering information. Satisfaction with self-assessment was comparable to a professional assessment, therefore representing a cost-effective approach. The project offered evidence of how councils can target resources through assessment and how self-assessment approaches may be appropriately configured to offer value for these users.
The development of a national standard assessment instrument for use in continuing care homes
- Authors:
- CHALLIS David, et al
- Journal article citation:
- Working with Older People, 3(2), April 1999, pp.24-26.
- Publisher:
- Emerald
Following a focused training programme in eight homes, staff using a modified American Minimum Data Set/Resident Assessment Instrument carried out 125 assessments. The pilot study found that the MDS/RAI has potential to be used in continuing care homes in the UK. Reports on a study to examine the possibility of developing a standard assessment instrument for residents in care homes, which could assess individual care needs, assist in constructing care plans and provide appropriate information to permit costing the level of care provided.
Transforming community care: a distorted vision?
- Authors:
- GORMAN Helen, POSTLE Karen
- Publisher:
- Venture Press
- Publication year:
- 2003
- Pagination:
- 103p.
- Place of publication:
- Birmingham
The authors use their research to show powerfully how a generation of social workers have been disillusioned by care management. They also use their own practice experience with older people to demonstrate the continuing possibilities for social work to empower service users and practitioners to develop care management in the future. The book reveals social workers are increasingly bogged down with bureaucracy, leaving them with less time to spend with elderly people. It also highlights funding difficulties, with local authorities unable to afford to spend cash on preventative work.
Transforming community care: a distorted vision?
- Authors:
- GORMAN Helen, POSTLE Karen
- Publisher:
- Venture Press
- Publication year:
- 2002
- Pagination:
- 103p.,bibliog.
The authors use their research to show powerfully how a generation of social workers have been disillusioned by care management. They also use their own practice experience with older people to demonstrate the continuing possibilities for social work to empower service users and practitioners to develop care management in the future. The book reveals social workers are increasingly bogged down with bureaucracy, leaving them with less time to spend with elderly people. It also highlights funding difficulties, with local authorities unable to afford to spend cash on preventative work.
Care management, dementia care and specialist mental health services: and evaluation
- Authors:
- CHALLIS David, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 17(4), April 2002, pp.315-325.
- Publisher:
- Wiley
This article evaluates a model of intensive case management for people with dementia based in a community-based mental health service for older people. Individuals in one community team setting received case management and were compared with those in a similar team without such a service. The impact of the scheme upon placement occurred in the second year at the end of which 51% of the experimental group remained at home compared with 33% of the comparison group. For the experimental group significant improvements in the social contacts of older people were noted; a decrease in the stress of their carers was observed, together with a reduction in their input to the care of the client; and there were significant improvements on ratings of overall need reduction, aspects of daily living and level of risk. Differences between the two groups based on service receipt showed higher costs for the experimental group. Discusses the issues which influence the cost-effectiveness of intensive case management. The benefits of locating this service within a specialist mental health team are explored in the context of promoting greater service integration between health and social services.
Long term care for the elderly: the community care scheme
- Authors:
- CHALLIS David, DAVIES Bleddyn
- Journal article citation:
- British Journal of Social Work, 15(6), December 1985, pp.563-579.
- Publisher:
- Oxford University Press
Describes the full evaluation of the community care scheme for older people in Kent. Compares the cost-effectiveness of the scheme for users and carers with the range of services which would otherwise have been received. Argues that effective case management by a key worker is an essential feature of more effective home care for the very frail elderly and that the case management role is an appropriate model of social work for other long term care groups.