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Staff activity patterns in a community mental health team for older people
- Authors:
- VON ABENDORFF Richard, CHALLIS David, NETTEN Ann
- Journal article citation:
- International Journal of Geriatric Psychiatry, 9(11), November 1994, pp.897-906.
- Publisher:
- Wiley
Uses a diary-based approach to examine the distribution of time of different professional staff in two community mental health teams for the elderly. It was possible to discriminate between two broad groups of staff, defined as core workers and extended role members of the teams based upon the range of responsibilities and patterns of time use. The latter group consisted of clinicians and psychologists. About three-quarters of staff time was spent in client-related activities, although there were differences between core and extended workers, the latter undertaking more service-related activities. The similarity of patterns of time use by core workers and other community-based workers is noted and the distinction between key workers and care managers is considered.
Supporting people with dementia at home: challenges and opportunities for the 21st century
- Authors:
- CHALLIS David, et al
- Publisher:
- Ashgate
- Publication year:
- 2009
- Pagination:
- 223p., bibliog.
- Place of publication:
- Aldershot
Providing integrated and co-ordinated community-based care for older people with dementia has gained prominence against the background of an aging population and financial constraint in national budgets. This study of an intensive case management scheme designed for older people with dementia at risk of entry to residential care uses a quasi-experimental approach, where individuals in one community mental health team for older people received case management and were matched to those in a similar community mental health setting without such a service. The Lewisham Case Management Scheme is described in detail. The evidence was analysed in relation to the eventual placement of the older person, their quality of care, quality of life and overall needs, and the needs of their carers. Detailed analyses were carried out of the costs of care, the ways in which case managers undertook their work and how they addressed the problems and needs of the older people and carers in the study. The book offers evidence about the factors which can maximise the independence and well being of older people with dementia from the perspective of older people and their carers. It provides insights into three current areas of concern about the development of services and the implementation of policy: sustainability of innovatory service models, personalisation and the deployment of personal budgets, and the roll out of the National Dementia Strategy. The authors believe that the findings will be of particular value to those commissioning services.