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Emerging patterns of care management: arrangements for older people in England
- Authors:
- CHALLIS David, et al
- Journal article citation:
- Social Policy and Administration, 35(6), December 2001, pp.672-687.
- Publisher:
- Wiley
This article explores whether typologies of care management arrangements for older people can be discerned through the analysis of a series of key indicators. Data were drawn from a survey of all English local authorities, undertaken as part of the PSSRU study 'Mapping and Evaluation of Care Management Arrangements for Older People and those with Mental Health Problems'. Care management arrangements were categorised using a limited number of key indicators chosen on an empirical and an a priori basis. This resulted in the formulation of six categories of care management arrangements of older people, within which approximately 80 per cent of local authorities could be included.
Observation: using more than your eyes
- Authors:
- LE RICHE Pat, TANNER Karen
- Journal article citation:
- Working with Older People, 3(1), January 1999, pp.19-22.
- Publisher:
- Emerald
The meaning and usefulness of observation is now playing a central role in social work training. Describes what observation should mean in professional practice, its particular usefulness to care management, and its wider application to organisational issues.
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.
All together now: a collaborative and relationship-centred approach to improving assessment and care management with older people in Swansea
- Authors:
- ANDREWS Nick, DRIFFIELD Deborah, POOLE Vicky
- Journal article citation:
- Quality in Ageing, 10(3), September 2009, pp.12-23.
- Publisher:
- Pier Professional
- Place of publication:
- Brighton
The need for more holistic and inclusive approaches to assessment and care management for older people is widely promoted but difficult to achieve. This paper describes the All Together Now initiative in Swansea, South Wales, which seeks to promote better practice in assessment and care management by actively involving all stakeholders, older people and family carers, and practitioners and service providers from across the statutory and third sectors. The project is underpinned by a relationship-centred approach based on the belief that an enriched environment of care will only be created when the needs of all stakeholders are acknowledged and given attention. How such a model was used to establish the goals for the project is described, together with the proposed model of evaluation.
Toward understanding the clinical aspects of geriatric case management
- Authors:
- FERRY James L., ABRAMSON Julie S.
- Journal article citation:
- Social Work in Health Care, 42(1), 2005, pp.35-56.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Despite the prominence of complex psychosocial problems in aging clients, geriatric case management has generally emphasized the provision of concrete resources and services as its primary function. However, some of the literature as well as the findings of this study, point to competent case management as being contingent on interventions that successfully address key psychosocial problems. This paper presents a qualitative study involving experienced geriatric care managers. Psychosocial problem and intervention categories are identified as well as overarching themes with significant implications for practice. The paper argues that a grounded, thorough, well-explicated and generalizable model for clinically-focused geriatric case management practice is necessary; it also suggests additional research towards the development of such a model. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Implementing the Evercare Programme: interim report; February 28, 2004
- Author:
- EVERCARE
- Publisher:
- Evercare
- Publication year:
- 2004
- Pagination:
- 58p.
- Place of publication:
- Minneapolis, MN
Evercare is an internationally unique health care improvement programme originally developed for the U.S. government that has successfully improved quality whilst reducing costs of care for 60,000 vulnerable older people. In the United States, Evercare reduced hospitalisations by 50 percent amongst its patients in care facilities whilst achieving high family satisfaction and the same mortality outcomes as compared to a control group. In autumn 2002, the Department of Health in England invited Ovation’s Evercare programme to contribute its tools, techniques, and expertise to help Primary Care Trusts (PCTs) enhance the speed and certainty of achieving the NHS Plan. An eight-week assessment in 10 PCTs was completed in February 2003. Following this, nine PCTs elected to implement the Evercare model of care management to improve the health of frail older people whilst reducing their need for hospitalisations. This interim report provides a midterm review of the 17-month implementation phase of the Evercare project. The implementation phase began in April 2003 and runs through August 2004. We are greatly encouraged by the results achieved to date, which can to attributed to the receptivity and enthusiasm of people within the NHS toward making a transformational change in services for older people.
Age Concerns: innovation through care management
- Author:
- STOESZ David
- Journal article citation:
- Journal of Aging and Social Policy, 14(3/4), 2002, pp.245-260.
- Publisher:
- Routledge
- Place of publication:
- Philadelphia, USA
Age Concerns is a proprietary care management firm serving the elderly. Established in 1982, the firm has prospered by employing an integrated model of care whereby the caregivers are employees of Age Concerns. In addition, the firm's ability to keep the elderly at home, out of institutional care, has resonated with consumers. Various features of Age Concerns-organisational format, characteristics of consumers, and economic considerations, are described. In 2001, Age Concerns was acquired by the Senior Care Action Network, a social health maintenance organisation. In an increasingly commercial environment in which the elderly are a burgeoning market, Age Concerns may be a prototype of future elder-care service delivery. (Copies of this article are available from: Haworth Document Delivery Centre Haworth Press Inc., 10 Alice Street Binghamton, NY 13904-1580)
Interrogating person-centred dementia care in social work and social care practice
- Author:
- PARKER Jonathon
- Journal article citation:
- Journal of Social Work, 1(3), December 2001, pp.329-345.
- Publisher:
- Sage
Traditional approaches to the understanding and organization of dementia care, often drawn from medical perspectives, are examined. Alternative understandings based around the conception of 'personhood' are critically considered. Some of the philosophical challenges and practical difficulties raised by this debate are explored in the context of care management in the UK. The concept of personhood presents a challenge to traditional thought and has been influential in promoting the 'new culture' of dementia care within health and social service settings. It is crucial in contemporary social and health care to retain a clear sense of the person with whom we are working at any point in time. Medical, sociological and psychological approaches to dementia should not be seen as mutually exclusive. A shift in culture and thinking does not deny the importance of medical advance but adds a holistic and human element that brings back the person with dementia to centre stage. While the diseases underlying the personal and mental deterioration are important, it is equally important to consider how the disease and its characteristics are interpreted by the person with dementia, their carers, professionals and wider society.
The abuse of older people: an evaluation of the care management model and the impact of anti-discriminatory practice
- Authors:
- HARGREAVES Susan, HUGHES Beverley
- Journal article citation:
- Practice: Social Work in Action, 8(3), 1996, pp.19-30.
- Publisher:
- Taylor and Francis
This paper summarises the findings of a research study involving a group of care managers in a northern town, where multi-disciplinary guidelines, based on the care management framework, have been introduced for staff to follow when the abuse of older people is suspected or confirmed. The paper explores how care managers are addressing issues of identification, assessment and intervention in cases of suspected or confirmed abuse of older people; and to what extent issues of age, race, gender and ability/disability influence decision making. The advantages and disadvantages of the care management model as applied to abuse of older people are discussed; and focus is given to the disjunction between guidelines, which recommend a standard response, and individual practice, which was found to differ widely in emphasis. Finally, it points to how future preventative strategies can be developed.
Social work and case management in the UK: models of professionalism and elderly people
- Author:
- HUGMAN Richard
- Journal article citation:
- Ageing and Society, 14(2), June 1994, pp.237-253.
- Publisher:
- Cambridge University Press
Discrimination against old age and work with elderly people are evident in the practices and organisation of caring professions, of which social work may be taken as an example because of its central role in community care provision. This article examines the implications for the status of professional social work with elderly people of recent proposals to develop the role of care manager in place of the case management model developed in Kent and elsewhere. It is argued that such a move drives from managerial concerns, which ignore the likely consequences for retrenching ageism and other forms of discrimination in services for older people. It is concluded that more careful consideration will be required concerning the context in which new professional models are being developed if these discriminations are not to be reproduced and reinforced, as well as the benefits from case management systems being lost.