Search results for ‘Subject term:"older people"’ Sort:
Results 1 - 10 of 22
Decentralised budgeting and care for the elderly
- Authors:
- CHALLIS David, DAVIES Bleddyn
- Publisher:
- University of Kent. Personal Social Services Research Unit
- Publication year:
- 1988
- Pagination:
- 24p., tables.
- Place of publication:
- Canterbury
-
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
A new approach to community care for the elderly
- Authors:
- CHALLIS David, DAVIES Bleddyn
- Journal article citation:
- British Journal of Social Work, 10(1), 1980, pp.1-18.
- Publisher:
- Oxford University Press
Argues that only a limited number of service innovations can be introduced into an organisation at one time. Innovation in community care of the elderly is an urgent necessity, and the Kent Community Care Scheme is such an innovation.
Community care for the frail elderly: an urban experiment
- Authors:
- CHALLIS David, et al
- Journal article citation:
- British Journal of Social Work, 18(Supplement), 1988, pp.13-42.
- Publisher:
- Oxford University Press
Describes the development of the Gateshead project, outcomes, measures of quality of life and adequacy of care.
Case management for long-term conditions: implementation and processes
- Authors:
- REILLY Siobhan, HUGHES Jane, CHALLIS David
- Journal article citation:
- Ageing and Society, 30(1), January 2010, pp.125-155.
- Publisher:
- Cambridge University Press
This literature review focused on comprehensive case management by nurses for adults with long-term conditions living in the community. Twenty-nine studies were included; the majority were concerned with case management for frail older people, and others focused on people with multiple chronic diseases, high-cost patients, or those at high risk of hospital admissions. All the studies reported that case managers undertook the core tasks of assessment, care planning and the implementation of the care plan, but there was more variation in who carried out case finding, monitoring, review and case closure. Few studies provided adequate implementation information. Three issues were identified as key to the coherent and sustainable implementation of case management for people with long-term conditions: fidelity to the core elements of case management; size of caseload; and case-management practice. It is recommended that future evaluations of case-management interventions include a comprehensive process component or, at the very least, that interventions should be more fully described.
Frail old people at the margins of care:some recent research findings
- Authors:
- CHALLIS David, HUGHES Jane
- Journal article citation:
- British Journal of Psychiatry, 180, February 2002, pp.126-130.
- Publisher:
- Cambridge University Press
Community-based care at the margin is a substitute for institutional care. Three factors are considered critical: definitions of eligibility, assessment procedures and balance of care. This research examines determinants of the margin between institutional and home-based care, reviews current practice, identifies the implications and contributes to planning of integrated long-term care services for frail older people. Findings suggest that greater standardisation of approaches to the determination of eligibility for social care and to assessment of need is required. Providing care at home for some of those currently entering care homes is feasible, but will require different service structures and staff roles, including specialist clinicians.
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.
Care management and dementia: an evaluation of the Lewisham Intensive Case Management Scheme
- Authors:
- CHALLIS David, et al
- Publisher:
- University of Kent. Personal Social Services Research Unit
- Publication year:
- 1996
- Pagination:
- 36p.,tables,bibliog.
- Place of publication:
- Canterbury
Research study evaluating a locally based, multidisciplinary care management system for older people with dementia.
Providing alternatives to long-stay hospital care for frail elderly patients: is it cost effective?
- Author:
- CHALLIS David
- Journal article citation:
- International Journal of Geriatric Psychiatry, 7(11), November 1992, pp.773-781.
- Publisher:
- Wiley
Identifies problems faced in attempting to analyse the relative cost-effectiveness of long-stay hospital care and community care: comparisons of average costs often ignore the substantial variation of the costs of individuals within settings; excessive weight is placed on those factors more easily measured than those that indicate quality or effectiveness. Considers studies that have attempted to cost alternatives to long-stay hospital care for the frail elderly and of case management, and at lessons that can be learnt from other countries experiences in this area.
Supporting frail elderly people at home
- Authors:
- CHALLIS David, et al
- Publisher:
- University of Kent. Personal Social Services Research Unit
- Publication year:
- 1989
- Pagination:
- 66p., tables, bibliog.
- Place of publication:
- Canterbury
Presents the findings of an evaluation of a project which built on some of the case management approaches undertaken in Kent and Gateshead, but sought to extend these activities into joint health and social services models of provision.