Search results for ‘Subject term:"older people"’ Sort:
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Looking forward to care in old age: expectations of the next generation
- Authors:
- LEVENSON Ros, JEYASINGHAM Mercy, JOULE Nikki
- Publisher:
- King's Fund
- Publication year:
- 2005
- Pagination:
- 51p.
- Place of publication:
- London
What do today’s middle-aged people expect of care services in the future? Based on discussions with seven focus groups of people in their 50s, living in different communities in London, this paper reports on what kind and quality of care they want, and the type of housing, residential and community care options they expect. It also probes how roles and people’s expectations of children to care for their parents are changing.
Prevalence and risk factors for depressive symptoms among community-dwelling elders in Taiwan
- Authors:
- TSAI Yun-Fang, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 20(11), November 2005, pp.1097-1102.
- Publisher:
- Wiley
Depression in the elderly has become a serious health care issue worldwide. However, no studies have determined the prevalence and risk factors for depressive symptoms among a representative sample of community-dwelling elders in Taiwan. The aim was to determine the prevalence and risk factors for depressive symptoms among community-dwelling elders in Taiwan. Stratified random sampling was used to recruit a representative sample of 1200 elderly participants from northern, middle, southern, and eastern regions of Taiwan. The prevalence of depressive symptoms was 27.5%. Logistic regression analysis demonstrated that having a respiratory disease, poor cognitive function, poor social support network, dissatisfaction with living situation, perception of poor health status, and perceived income inadequacy were significant predictors of depressive symptoms in this sample. The risk factors for depression identified in this study need to be considered when assessing the health of elderly persons. In addition, interventions to reduce depressive symptoms in elders should include strategies to change some of these modifiable risk factors.
A prospective baseline study of frail older people before the introduction of an immediate care service
- Authors:
- YOUNG John, et al
- Journal article citation:
- Health and Social Care in the Community, 13(4), July 2005, pp.307-312.
- Publisher:
- Wiley
This article describes the first part of a two-stage research project designed to investigate the clinical and service outcomes of a comprehensive intermediate care service. It is a baseline study of patients presenting to two elderly care departments as emergencies with the clinical syndromes of falls, incontinence, confusion or poor mobility before the introduction of a city-wide intermediate care service. The outcome measures were: mortality; disability (Barthel Index, BI); social activities (Nottingham Extended Activities of Daily Living); service use; and carer distress (General Health Questionnaire 28). These were measured at 3, 6 and 12 months after recruitment. Eight hundred and twenty-three patients were recruited (median age 84 years; 70% were women; 45% had cognitive impairment). There was a high mortality rate (36%), evidence for incomplete recovery, a gradual decline in independence over 12 months and a high degree of carer stress. There was little use of rehabilitation services, about 25% required readmission to hospital by each assessment point and there was a gradual increase in institutional care admissions. These findings support a needs-based argument for a more comprehensive community service for frail older people.
National minimum information standards for older people
- Author:
- SCOTLAND. Scottish Executive. Health Department
- Publisher:
- Scotland. Scottish Executive
- Publication year:
- 2005
- Pagination:
- 40p.
- Place of publication:
- Edinburgh
Housing, community care and supported housing: resolving contradictions
- Editors:
- FOORD Mark, SIMIC Paul, (eds.)
- Publisher:
- Chartered Institute of Housing
- Publication year:
- 2005
- Pagination:
- 258p.
- Place of publication:
- Coventry
The changes which have taken place in community care and supported housing over the last few years have probably been greater than in any other aspect of housing. There is now almost a new profession of 'housing carers'. This book looks at the effects of these changes and the prospects for the future. It ranges over the broad policy issues as well as looking at certain aspects - like services for older people, the homeless, and people with mental health problems. It considers information needs and the prospects for new technologies to give people more control and help them feel more secure. The book brings an 'equality' perspective to the issues and critically considers government policy and its recent development.
Social work with older people of tomorrow: restoring the person-in-situation
- Author:
- SILVERSTONE Barbara
- Journal article citation:
- Families in Society, 86(3), July 2005, pp.309-319.
- Publisher:
- The Alliance for Children and Families
The author proposes that, in practice with older adults, the social work profession revisit its traditional allegiance to the person-in-situation paradigm and redress an imbalance that has obscured older clients as persons in their own right. The case is made that older adults and their subjective reality must be restored as a focus of social work practice if the profession is to play a significant and much-needed role in community-based services to a growing future population of older persons living in their own homes and directing their lives but in need of support. Building on the practice wisdom of the past and current generic models of social work practice in North America, guidelines are presented as a starting place for building practice models applicable to older clients. The broader context of community health and social services programs is examined from the perspective of the obstacles to and potential opportunities for increasing professional social work services to older persons and their families.
Cheaper for whom: costs experienced by formal caregivers in adult family living programs
- Authors:
- DOSMAN Donna, KEATING Norah
- Journal article citation:
- Journal of Aging and Social Policy, 17(2), 2005, pp.67-83.
- Publisher:
- Routledge
- Place of publication:
- Philadelphia, USA
A current emphasis in Canadian public policy is on community care for frail seniors. Such care is viewed as attractive in part because public costs are lower than for traditional nursing home care. Adult Family Living (AFL) is seen as an exemplar of this community focus. Data from a multi-model evaluation of residential continuing care in western Canada are used to show that while AFL programs have lower public costs than nursing homes, AFL caregivers incur high levels of economic and non-economic costs. We address the question of the sustainability of this approach to community-based residential care in light of the apparent transfer of public costs to AFL caregivers.
Retirement homelessness
- Author:
- CAMM John
- Journal article citation:
- Community Practitioner, 78(3), March 2005, pp.81-82.
- Publisher:
- Community Practitioners' and Health Visitors' Association
Looks at the problems facing older homeless people and the role of the community practitioner, given that homeless people often have difficulty accessing health services, but it can be even harder for those who are older.
Care collaborations for older people's and adult services
- Authors:
- SOUTH LANARKSHIRE JOINT FUTURE PARTNERSHIP, OFFICE FOR PUBLIC MANAGEMENT
- Publisher:
- South Lanarkshire Joint Future Partnership
- Publication year:
- 2005
- Pagination:
- 31p.
- Place of publication:
- Glasgow
In 2005 a series of events were run by OPM in four areas of South Lanarkshire, Scotland. The events aimed to assess how well older people's and adults health and social care services were performing, highlight examples of good practice and identify ways to improve services. The events brought together service users, carers, service managers and professionals. The events were a follow up to similar events held in 2003. This report summarises the main findings of the 2005 events. The first section explores the current situation across the four localities under the themes of: integrated services, single shared assessment, integrated human resources and joint performance management. The second section of the report looks at participants' views on the future in terms of challenges and actions to delivery improvements. An action plan of next steps is then summarised. Some of the key challenges for South Lanarkshire were identified as: demographic changes, need for continued investment in the infrastructure including transport and information technology, the need to identify and learn from progress in particular areas, and how to maintain capacity for managing change across the whole system.
Moving on? An overview of delayed discharges in Scotland
- Author:
- AUDIT SCOTLAND
- Publisher:
- Audit Scotland
- Publication year:
- 2005
- Pagination:
- 26p.
- Place of publication:
- Edinburgh
A report by Audit Scotland on behalf of the Auditor General for Scotland and the Accounts Commission which has the key finding that solving the problem of delayed discharges needs action across all parts of the health and community care system. Findings are presented from a project carried out during 2004 with the Tayside Partnership and ISD to build an interactive whole systems model for Tayside which looked at ways to reduce the number of delayed discharges for older people. This project involved testing out various strategies that could be adopted in different parts of Tayside’s local care system. A high-level review involving the analysis of national data and interviews with delayed discharge managers and teams is presented in terms of analysis of national delayed discharge data, national measures to tackle delayed discharges, local measures undertaken by partnerships, and how taking a whole systems approach would help. Three out of every four people delayed in hospital are waiting for community care assessments to be completed or community care arrangements to be put in place.