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The inter-relationship between formal and informal care: a study in France and Israel
- Authors:
- LITWIN Howard, ATTIAS-DONFUT Claudine
- Journal article citation:
- Ageing and Society, 29(1), January 2009, pp.71-91.
- Publisher:
- Cambridge University Press
This study examined whether formal care services delivered to frail older people's homes in France and Israel substitute for or complement informal support. The two countries have comparable family welfare systems but many historical, cultural and religious differences. Data for the respondents aged 75 or more years at the first wave of the Survey of Health, Ageing and Retirement in Europe (SHARE) were analysed. Regressions were examined of three patterns of care from outside the household: informal support only, formal support only and both formal and informal care, with the predictor variables including whether informal help was provided by a family member living in the household. The results revealed that about one-half of the respondents received no help at all (France 51%, Israel 55%), about one-tenth received care from a household member (France 8%, Israel 10%), and one-third were helped by informal carers from outside the household (France 34%, Israel 33%). More French respondents (35%) received formal care services at home than Israelis (27%). Most predictors of the care patterns were similar in the two countries. The analysis showed that complementarity is a common outcome of the co-existence of formal and informal care, and that mixed provision occurs more frequently in situations of greater need. It is also shown that spouse care-givers had less formal home-care supports than either co-resident children or other family care-givers. Even so, spouses, children and other family care-givers all had considerable support from formal home-delivered care.
Report into older people and domiciliary care: together with minutes of proceedings of the committee relating to the report and the minutes of evidence
- Author:
- NORTHERN IRELAND. Northern Ireland Assembly. Public Accounts Committee
- Publisher:
- Northern Ireland. Northern Ireland Assembly. Public Accounts Committee
- Publication year:
- 2008
- Place of publication:
- Belfast
Many workers are deserting their posts because of poor morale, a report from the Public Accounts Committee said. It examined how the Department of Health is trying to transform its system from mainly residential care to supported care at home. It said steps must be taken to raise the esteem of the caring profession. The report added: "The committee advised that failure to address this issue could lead to a shortfall in the standard and supply of domiciliary care services for older people." The recommendations come in a paper entitled "Report into Older People and Domiciliary Care at home". Some workers are paid close to the minimum wage of £5.52 per hour and private companies which provide the care have accused health authorities of failing to set aside enough money, said the committee. In the voluntary sector, the lack of guaranteed hours, the low hourly rates payable and the often poor conditions of employment can affect the morale of staff and hinder recruitment and retention of staff.
Informal caregivers' experiences of formal support in a changing context
- Author:
- WILES Janine
- Journal article citation:
- Health and Social Care in the Community, 11(3), May 2003, pp.189-207.
- Publisher:
- Wiley
As the location of long-term care of elderly people moves to homes and communities, and responsibility shifts to families, understanding the experience of people in this situation is necessary to ensure that support is appropriate, accessible and effective. This paper explores informal caregivers' and recipients' relationships with formal support, drawing on thematic and narrative analysis of 30 in-depth interviews with self-identified family caregivers over a year in a mid-size city in Ontario, Canada. All but 6 had some interaction with formal support. The semistructured interviews explored caregivers' knowledge about and perceptions and experiences of accessing and using formal support. Interpretation reveals how confusion and lack of knowledge about services, inflexibility and lack of availability, and increasing pressure on the quantity and quality of publicly funded community-based resources combine to impact negatively on the experience of accessing and using formal support. Different ideas about relative roles and responsibilities of seniors, informal caregivers and 'family' in general, and the state both shape and are shaped by policies and the situated realities of formal support provision. Providing home care creates both opportunities and constraints for caregivers in interactions with formal support. Highlights the difficulties of interacting with publicly funded formal support as the costs of care are moved away from the state and onto families and individuals.
Family caregivers and in-home respite options: the consumer-directed versus agency-based experience
- Authors:
- FEINBERG Lynn Friss, WHITLATCH Carol J.
- Journal article citation:
- Journal of Gerontological Social Work, 30(3/4), 1998, pp.9-28.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This American study examines the preferences for and characteristics of consumer-directed (i.e. direct pay) and professionally-managed (i.e. agency-based) respite for family caregivers of adults with cognitive impairments. Respondents in both groups reported the same "most important" reasons for preferring their respective mode of respite: wanting to be sure their love one was safe, and having good, reliable and trustworthy help. The data revealed a clear preference for consumer direction in respite care in the home. Practice implications are addressed for improving the delivery of in-home respite care.
The development and training needs of homecarers: some issues explored
- Author:
- SAGE Susan
- Journal article citation:
- Elders the Journal of Care and Practice, 3(1), February 1994, pp.19-24.
Explores issues surrounding the training needs of carers.
Creating a break: a home care relief scheme for elderly people and their supporters
- Author:
- THORNTON Patricia
- Publisher:
- Age Concern
- Publication year:
- 1989
- Pagination:
- 204p., tables, bibliogs.
- Place of publication:
- Mitcham
Dementia at home
- Author:
- THOMPSON C.
- Journal article citation:
- Community Care, 4.8.88, 1988, pp.18-19.
- Publisher:
- Reed Business Information
A project examined enhanced home support given to the elderly mentally infirm in two areas.
Partnership in care: a strategy for the support of carers of frail elderly people
- Author:
- TOOTH Jenny
- Publisher:
- Age Concern
- Publication year:
- 1987
- Pagination:
- 30p., diags., bibliog.
- Place of publication:
- London
Overview of the needs of carers aimed at encouraging co-ordination and collaboration between health, social services and the voluntary sector in planning and provision of services.
The capacity to care: a family focused approach to social work practice with the disabled elderly
- Author:
- MOORE S.T.
- Journal article citation:
- Journal of Gerontological Social Work, 10(1/2), 1987, pp.79-97.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Discusses the family care-giving process and the relevance of family theory to social work practice.
In safe hands: home care relief scheme; report 1981-85
- Author:
- AGE CONCERN YORK
- Publisher:
- Age Concern
- Publication year:
- 1986
- Pagination:
- 30p.
- Place of publication:
- York