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Change and transformation: the impact of an action-research evaluation on the development of a new service
- Authors:
- REID Gaynor, et al
- Journal article citation:
- Learning in Health and Social Care, 6(2), June 2007, pp.61-71.
- Publisher:
- Blackwell
Evaluation is an essential part of service development and quality management and this is especially pertinent when introducing new initiatives. In 2001 a new countywide assessment and rehabilitation Intermediate Care service, consisting of three care management Rehabilitation Link Teams (RLT), was implemented for older people. To monitor the implementation and impact of the service an evaluation study was conducted. The study centred on evaluating team development, interagency working, outcomes from multiple perspectives (client, carer, clinical and service) and the cost effectiveness of the service. Of particular importance to the study was the action-research approach that provided the underpinning philosophy to the study. This paper provides insight into the ways that the action-research approach was used to facilitate learning and change within the organization. To enable this to happen, it was important for the health and social care staff to understand that the researchers’ role was not to judge their role proficiency, but to gather information to facilitate learning and understanding within the organization. It was also vital that the teams being evaluated were provided with regular insight into the emerging study findings and opportunity to address these. Three examples are provided to illustrate how regular information feedback sessions influenced the implementation of the service. Insight is also provided into the participant's views of being evaluated. Although at times, the RLT members found the evaluation burdensome, almost all stated that the action-research approach allowed opportunity for reflection, catharsis and personal action planning. Overall, the action-research approach to evaluation fitted well with the organization's need to learn and change simultaneously, allowing emergent data collection to inform decision making and service and team development.
Changing the focus: a strategy for developing services for elderly people in Humberside
- Author:
- HUMBERSIDE. Social Services Department
- Publisher:
- Humberside. Social Services Department
- Publication year:
- 1993
- Pagination:
- 87p.
- Place of publication:
- Beverley
Sets out Humberside's strategy in relation to improving services for older people. Describes the care management system being set up to assess and monitor the needs of users.
Developing integrated health and social care services for older persons in Europe
- Author:
- LEICHSENRING Kai
- Journal article citation:
- International Journal of Integrated Care, 4(3), 2004, Online only
- Publisher:
- International Foundation for Integrated Care
This paper aims to distribute first results of the EU Fifth Framework Project ‘Providing integrated health and social care for older persons - issues, problems and solutions’. The paper draws on existing definitions of integrated care in various countries and by various scholars. Given the context of an international comparative study it tries to avoid providing a single, ready-made definition but underlines the role of social care as part and parcel of this type of integrated care in the participating countries. The paper is based on national reports from researchers representing ten organisations (university institutes, consultancy firms, research institutes, the public and the NGO sector) from 9 European countries: Austria, Denmark, Finland, France, Germany, Greece, Italy, the Netherlands, and the UK. Literature reviews made intensive use of grey literature and evaluation studies in the context of at least five model ways of working in each country. As a result of the cross-national overview an attempt to classify different approaches and definitions is made and indicators of relative importance of the different instruments used in integrating health and social care services are provided. The cross-national overview shows that issues concerning co-ordination and integration of services are high on the agenda in most countries. Depending on the state of service development, various approaches and instruments can be observed. Different national frameworks, in particular with respect to financing and organisation, systemic development, professionalisation and professional cultures, basic societal values (family ethics), and political approaches have to be taken into account during the second phase of PROCARE during which transversal and transnational analysis will be undertaken based on an in-depth analysis of two model ways of working in each country.
Time to design upwards in mental health services for older people
- Author:
- GOSS Tony
- Journal article citation:
- Care Plan, 7(3), March 2001, pp.18-22.
- Publisher:
- Positive Publications/ Anglia Polytechnic University, Faculty of Health and Social Work
Four main areas of working need improvement if services for older people with mental health needs are to match the aspirations of the National Service Framework for Older People and the NHS plan. Describes what needs to be done and says that in the future we should be designing services from the recipient upwards.
Developing services for older people and their families
- Editor:
- BLAND Rosemary
- Publisher:
- Jessica Kingsley
- Publication year:
- 1996
- Pagination:
- 216p.,bibliog.
- Place of publication:
- London
Explores the provision of services for older people living at home. Examines the social context of old age, looking at structural barriers such as ageism, racism and sexism, and poverty. Challenges the view that the increasing number of older people in the population is a problem. Discusses practical issues such as: day services for people with dementia; housing and support services; GP and social services collaboration; and short term breaks. Concludes by looking at research into the development of practice through inter agency collaboration, more skillful care management, specialist teams, and changing professional social worker attitudes to services users by empowering them.