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Care management and professional autonomy: the impact of community care legislation on social work with older people
- Author:
- LYMBERY Mark
- Journal article citation:
- British Journal of Social Work, 28(6), December 1998, pp.863-878.
- Publisher:
- Oxford University Press
This article explores the extent to which the role of care manager has altered the nature of social work practice with older people. It outlines key theories of professions and their applicability to social work, and critically analyses the impact of the 'new managerialism' within social services departments. The article also examines the nature of social workers' practice with older people following the impact of community care legislation, and concludes that the impact on the social work profession has been to locate an increasing control of practice with social work managers, with potentially serious consequences for the continuation of a distinctive social work role in relation to services for older people.
EPIC: an evaluation of a multi-disciplinary care management project; providing home support to frail elderly people; final report
- Authors:
- BLAND Rosemary, HUDSON Harriet
- Publisher:
- University of Stirling. School of Human Sciences. Department of Applied Social S
- Publication year:
- 1994
- Pagination:
- 24p.,tables,bibliog.
- Place of publication:
- Stirling
Describes an evaluation of the EPIC project. Look specifically at outcomes for users, carers and home care workers and at the practice of care management in the project.
Case finding for care management for elderly people: a study of existing information sources
- Authors:
- ROBERTSON Alex, CURRIE Colin, BRAND Eileen
- Publisher:
- Great Britain. Scottish Office. Central Research Unit
- Publication year:
- 1994
- Pagination:
- 40p.,tables,bibliog.
- Place of publication:
- Edinburgh
Research report looking at the possibility of using health assessments, which GP's have been required to compile since 1990 for frail elderly people, as data for indications of need in care management.
Community care assessments: a brief word on language and older people
- Author:
- BARRETT David
- Journal article citation:
- Generations Review, 3(2), June 1993, pp.4-5.
- Publisher:
- British Society of Gerontology
Analysis of verbal language and its everyday usage can lead to a more enlightened view of the complexity of the community care assessment task. Explores some of the linguistic issues and arguments, making the connection with older people and their community care assessors. The latter is then explored in the context of some of the current processes and principles that underpin the present welfare state. When looked at from this perspective assessments are remarkably complex interactions - considers whether they are recognised as such.
Keyworkers for elderly people in the community: case managers and care co-ordinators
- Authors:
- DANT T., GEARING B.
- Journal article citation:
- Journal of Social Policy, 19(3), July 1990, pp.331-36O.
- Publisher:
- Cambridge University Press
- Place of publication:
- Cambridge
Discusses the concepts of case management and keyworker, illustrated by the Kent Community Scheme and the Gloucester Care for Elderly People at Home Project.
Dependent territories: the frail elderly and community care
- Author:
- MACLEAN Una
- Publisher:
- Nuffield Provincial Hospitals Trust
- Publication year:
- 1989
- Pagination:
- 124p., bibliog.
- Place of publication:
- London
Traces the historical roots of services to the elderly; the evolution of the concept of community care; and recent developments - from care attendants to case managers and the management of community care services.
Case management in community care: an evaluated experiment in the home care of the elderly
- Authors:
- CHALLIS David, DAVIES Bleddyn
- Publisher:
- Gower
- Publication year:
- 1986
- Pagination:
- 289p., tables, diags., bibliog
- Place of publication:
- Aldershot
Care coordination: translating policy into practice for older people
- Authors:
- SEDDON Diane, et al
- Journal article citation:
- Quality in Ageing and Older Adults, 14(2), 2013, pp.81-92.
- Publisher:
- Emerald
The findings from research on the implementation of Unified Assessment (UA) policy and the work of care coordinators who oversee the delivery of support to older people with complex needs are presented. The research used a mixed methods approach that included staff interviews (n=95) and focus groups (n=3) spanning eight local authority areas; one in North, Mid and South Wales. The care coordinator role is controversial and the lack of common terminology across health and social care obscures its importance. It is seen as a social care responsibility. Limited ownership amongst healthcare professionals leads to tensions in practice. The challenges of breaking down silo thinking embedded in established professional practices are highlighted as are infrastructural and capacity deficits. Disparities between policy intentions and practice means that UA is failing to meet core objectives relating to the delivery of seamless support. Practice implications identified are that practice development may be supported by: guidelines that are more prescriptive and include a formal role definition; joint training to promote shared understanding of key concepts; investment in administrative and IT infrastructures; and more coordinated direction at strategic level. (Edited publisher abstract)
Managing in the trenches of consumer care: the challenges of understanding and initiating the advance care planning process
- Authors:
- BAUGHMAN Kristin R., et al
- Journal article citation:
- Journal of Gerontological Social Work, 55(8), November 2012, pp.721-737.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This study aimed to better understand how community-based long-term care providers defined advance care planning, and their role in the process. It conducted 8 focus groups with 62 care managers, including social workers and registered nurses, providing care for Ohio's Medicaid waiver programme. Findings revealed that most consumers had little understanding of advance care planning. The care managers defined it broadly, including legal documentation, social aspects, medical considerations, ongoing communication, and consumer education. Care managers saw their roles as information providers, healthcare team members, and educators/coaches. The authors concluded that better education, resources, and coordination were needed to ensure that consumer preferences were realised. Implications for practice are discussed.
The specialisation of needs-assessment in Swedish municipal care for older people: the diffusion of a new organisational model
- Author:
- BLOMBERG Staffan
- Journal article citation:
- European Journal of Social Work, 11(4), 2008, pp.415-429.
- Publisher:
- Taylor and Francis
The 1990s were characterised by strong pressure for organisational reform at the municipality level in the Swedish welfare provision. In social care services for older people, care management reform was one of the many proposals circulating. Within a short time span, a large number of municipalities had implemented this new model and this paper reports and analyses the process of change. A key finding was that the success of the new organisational model was ascribed to new problem-solving functions and a lack of internal (professional) resistance.