Search results for ‘Subject term:"older people"’ Sort:
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No wonder she's down
- Author:
- -
- Journal article citation:
- Community Care, 18.01.07, 2007, pp.36-37.
- Publisher:
- Reed Business Information
This case study reports on the case of an older woman who has lot two husbands and a daughter in just two years. The practice panel looks at how services could help her to cope with her depression.
Co-production project in the South Wales Valleys
Dr Liz Jones of the Awen Institute, Centre for Innovative Ageing and Professor Alan Dix, Director of the Computational Foundry at Swansea University, have been working with a community in the village of Troedrhiwfuwch, in the Upper Rhymney Valley in South Wales, to explore and organise their historical archive, and develop digital technologies through co-production methods. The aim is to preserve the historic legacy of the village for future generations. Most of the village structure was demolished by 1985, in the wake of a survey indicating that there was a danger of a landslide. Today, only two houses, and the war memorial and garden, remain as a sign of the place that once was. The project team are working with the community to gather and organise information, and to digitise it. The youngest members of the community who have a living memory of the village are in their fifties and many of the remaining community are now in their eighties and nineties, so these accounts are fragile and need to be gathered before they are lost forever. (Edited publisher abstract)
Exploring the scope for normalisation process theory to help evaluate and understand the processes involved when scaling up integrated models of care: a case study of the scaling up of the Gnosall memory service
- Authors:
- CLARK Michael, et al
- Journal article citation:
- Journal of Integrated Care, 29(1), 2021, pp.3-21.
- Publisher:
- Emerald
Purpose: The scaling up of promising, innovative integration projects presents challenges to social and health care systems. Evidence that a new service provides (cost) effective care in a (pilot) locality can often leave us some way from understanding how the innovation worked and what was crucial about the context to achieve the goals evidenced when applied to other localities. Even unpacking the “black box” of the innovation can still leave gaps in understanding with regard to scaling it up. Theory-led approaches are increasingly proposed as a means of helping to address this knowledge gap in understanding implementation. Our particular interest here is exploring the potential use of theory to help with understanding scaling up integration models across sites. The theory under consideration is Normalisation Process Theory (NPT). Design/methodology/approach: The article draws on a natural experiment providing a range of data from two sites working to scale up a well-thought-of, innovative integrated, primary care-based dementia service to other primary care sites. This provided an opportunity to use NPT as a means of framing understanding to explore what the theory adds to considering issues contributing to the success or failure of such a scaling up project. Findings: NPT offers a framework to potentially develop greater consistency in understanding the roll out of models of integrated care. The knowledge gained here and through further application of NPT could be applied to inform evaluation and planning of scaling-up programmes in the future. Research limitations/implications: The research was limited in the data collected from the case study; nevertheless, in the context of an exploration of the use of the theory, the observations provided a practical context in which to begin to examine the usefulness of NPT prior to embarking on its use in more expensive, larger-scale studies. Practical implications: NPT provides a promising framework to better understand the detail of integrated service models from the point of view of what may contribute to their successful scaling up. Social implications: NPT potentially provides a helpful framework to understand and manage efforts to have new integrated service models more widely adopted in practice and to help ensure that models which are effective in the small scale develop effectively when scaled up. Originality/value: This paper examines the use of NPT as a theory to guide understanding of scaling up promising innovative integration service models. (Edited publisher abstract)
'What works here doesn't work there': the significance of local context for a sustainable and replicable asset‐based community intervention aimed at promoting social interaction in later life
- Authors:
- WILDMAN Josephine M., et al
- Journal article citation:
- Health and Social Care in the Community, 27(4), 2019, pp.1102-1110.
- Publisher:
- Wiley
Interventions that harness local assets to benefit a community are increasingly being promoted to improve health and well‐being. In practice, we know little about how local contexts or reliance on local resources affect the sustainability and scalability of asset‐based community developments. This qualitative case study documents the development and implementation of a novel asset‐based community development project. Based in a large mainly rural county in North East England with relatively high levels of socioeconomic deprivation, the project aimed to prevent social isolation among older people, using a range of food‐related activities. Twenty‐one semi‐structured interviews were conducted with service users, volunteers, project partners, project development workers and senior staff. Interviews explored the project's design and implementation process, outcomes for participants and the wider community, and project sustainability and scalability. Thematic analysis of the data identified four factors likely to be important for creating sustainable and replicable asset‐based community projects. These factors are (a) recognising and harnessing assets among local people who may be otherwise marginalised due to age, geographical isolation and/or socioeconomic deprivation; (b) identifying assets that can be provided by local businesses; (c) genuine project co‐production to develop activities that meet local needs and inspire enthusiasm among all stakeholders; and (d) ongoing organisational support to meet the challenges to sustainability that exist in socioeconomically deprived areas. The authors conclude that successful asset‐based community projects require extensive community input and learning captured from existing programmes can facilitate the replicability of programmes in other community contexts. (Edited publisher abstract)
Helping older people maintain a healthy diet: a review of what works
- Author:
- PUBLIC HEALTH ENGLAND
- Publisher:
- Public Health England
- Publication year:
- 2017
- Place of publication:
- London
This review of evidence looks at ‘what works’ in supporting older people to maintain a healthy diet and reduce the risk of malnutrition. Malnutrition in older people can have a significant impact on their health and social care needs. The report draws on evidence from a literature review on the success criteria for community programmes encouraging healthy eating for people over 65 years; and on findings from telephone interviews with older people’s leads from PHE centres, local authorities, local AHSNs and third sector organisations in England to discover what examples of emerging practices exist that could be scaled-up and used by others. The literature review highlighted four programme success criteria: access to healthier food and drink options and food poverty; ability to prepare healthier food; functional and cognitive impairment and ability to eat healthier food including poor oral health; and food and dietary resilience. Findings on emerging practice show that many areas have developed innovative programmes of work aimed at tackling malnutrition among older people. These include: Purbeck Malnutrition Taskforce Pilot; Older People’s Essential Nutrition (OPEN), Eastleigh; Nutrition and Wellbeing Service, Hertfordshire Independent Living Service (HILS); Vitality for Life, Kensington and Chelsea; Paperweight armbands and raising awareness of malnutrition among older people, Salford; Staffordshire Eat Well programme; Casserole Club, Staffordshire; and One to One Nutritional Support, Kent. (Edited publisher abstract)
Testing promising approaches to reducing loneliness: results and learnings of Age UK's loneliness Pilot
- Author:
- AGE UK
- Publisher:
- Age UK
- Publication year:
- 2016
- Pagination:
- 36
- Place of publication:
- London
This report shares the results of Age UK’s loneliness pilot programme, which aimed to find out Age UK services could better reach older people experiencing loneliness, develop individually tailored solutions and help older people access activities and services within their community. Chapter one outlines origins of the programme, which involved eight local Age UKs in a 12 month pilot. Local services developed three common approaches: recruiting ‘eyes on the ground’ to identify older people experiencing, or at risk of, loneliness; developing co-operative networks with other agencies; and use of traditional befriending services. Chapter two highlights examples of services that local Age UKs are delivering and how the adoption of certain approaches improved their impact on lonely older people. Chapter three look at some of the impacts of the programme. It found that a large number of the older people supported during the programme experienced a reduction in their loneliness scores. This was especially true amongst older people who were often lonely. Some older people also identified feelings of increased independence, wellbeing and connectedness with people. Chapter four outlines the next steps for the Age UK programme. (Edited publisher abstract)
Supporting older people to stay in their communities
- Author:
- OUTSIDE THE BOX
- Publisher:
- Outside the Box
- Publication year:
- 2015
- Pagination:
- 30
- Place of publication:
- Glasgow
A report from the We’re Here Too events, which were held in Falkirk and Greenock in 2015 and brought together people who wanted to see more opportunities for all older people to be able to participate in the issues that interest them. The report sets out the policy context and outlines examples of good practice, including: building community capacity in Highland Perthshire; chain reaction in Newcastle; learning from the lives of older people in Inverclyde; and Get Together groups in East Renfrewshire. The report suggest that people from different places describe similar experiences and the impact of what they were doing: older people are making a contribution in peer support roles and as volunteers; people are getting significant benefits, including people with higher support needs - the main impacts are in more social connections and improved mental wellbeing; there are benefits for people’s physical health and wellbeing when they are more active and looking after themselves. (Edited publisher abstract)
Never too late: older people and alcohol misuse
- Author:
- MORTIMER Jacky
- Journal article citation:
- Working with Older People, 15(2), 2011, pp.71-79.
- Publisher:
- Emerald
This paper explores some of the issues around older people and alcohol. The paper highlights good practice through case studies and identifies some practical ways to prevent and reduce the risk of alcohol abuse by older people. More brief intervention for older drinkers, more specialist projects for older drinkers, and training and support for staff in all services dealing with older people who misuse alcohol is urgently needed. Additionally, specialist training for dementia services to enable them to work effectively with alcohol-related brain injury and drinkers in drug and alcohol services who are ageing are also needed. Finally, the need more research on substance misuse in older people, primarily in order to generate practical responses is highlighted.
A case study of a Canadian homelessness intervention programme for elderly people
- Authors:
- PLOEG Jenny, et al
- Journal article citation:
- Health and Social Care in the Community, 16(6), December 2008, pp.593-605.
- Publisher:
- Wiley
The aims of this study were to describe: (1) how the Homelessness Intervention Programme addressed the needs of elderly people who were homeless or at risk of homelessness; and (2) the factors that influenced the ability of the programme to address client needs. The programme was offered by a multi-service non-profit agency serving low-income families and individuals in an urban neighbourhood in Ontario, Canada. Using a case study approach, 10 individual interviews and three focus groups were conducted with programme clients, programme providers, other service providers and programme funders. Programme providers completed intake forms, monthly follow-up forms and exit/housing change forms for each of the 129 clients served by the programme over a 28-month period. Approximately equal proportions of clients were between 54 years old and 65 years old (47%) and over 65 years (53%). There were equal proportions of women and men. In addition to being homeless or marginally housed, clients lived with multiple and complex issues including chronic illness, mental illness and substance abuse. Through the facilitation of continuity of care, the programme was able to meet the needs of this vulnerable group of elderly people. Three types of continuity of care were facilitated: relational, informational and management continuity. The study confirmed the value of a continuous caring relationship with an identified provider and the delivery of a seamless service through coordination, integration and information sharing between different providers. Study findings also highlighted the broader systemic factors that acted as barriers to the programme and its ability to meet the needs of elderly people. These factors included limited housing options available; limited income supports; and lack of coordinated, accessible community health and support services. The central findings stress the importance of continuity of care as a guiding concept for intervention programmes for homeless and marginally housed elderly people.
Undoing undue influence
- Author:
- QUINN Mary Joy
- Journal article citation:
- Journal of Elder Abuse and Neglect, 12(2), 2000, pp.9-17.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Undue influence has long been recognised within the legal profession and the courts, usually within the context of will contests. The field of elder abuse and neglect is now beginning to focus on the issue as practitioners try to understand the actions of seemingly competent and capable elders who give away major assets or gifts sometimes to virtual strangers. Undue influence frequently accompanies other types of elder abuse and neglect, usually occurring when a close personal relationship exists. This article describes the dynamics of undue influence, outlines the profiles of victims and abusers, and offers intervention and prevention strategies.