Search results for ‘Subject term:"older people"’ Sort:
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Care home handbook
- Author:
- COUNSEL AND CARE
- Publisher:
- Counsel and Care
- Publication year:
- 2010
- Pagination:
- 56p.
- Place of publication:
- London
- Edition:
- 4th ed.
Handbook providing information to service users and their carers about the issues around deciding on a care home, finding and paying for one, and living in a care home. Sections cover: Making a decision about care; Choosing a care home; Paying for a care home; Living in a care home, and Making a complaint. The final section provides a list of organisations that can provide further information and advice. Content is relevant for people in England and Wales.
National review of access and eligibility in adults' social care: overview report
- Author:
- CARE AND SOCIAL SERVICES INSPECTORATE WALES
- Publisher:
- Care and Social Services Inspectorate Wales
- Publication year:
- 2010
- Pagination:
- 19p.
- Place of publication:
- Cardiff
In order to manage their resources, local authorities have to apply eligibility criteria in order to identify the people whose needs they will meet and those they will not. The aim of this review was to investigate the issues that impact on access to social services, including the application of eligibility criteria. The review primarily focuses on services for older people. The research involved a survey completed by all 22 local authorities. This was followed by fieldwork in 8 local authorities involving small group, semi-structured discussions with a number of identified officers. The report discusses: the thresholds for accessing social services; whether officers understand and monitor how eligibility criteria are applied; where eligibility criteria fit with the broader issues on access to services; and whether the application of eligibility criteria is fair and consistent. The findings showed that most local authorities (15 out of 22) set their eligibility criteria at critical and substantial. The barrier to getting support is at the stage of first contact where decisions are made regarding who gets through to assessment. The overall picture is of tightening resources, with increasing demand, people presenting with increasingly complex or severe levels of need, and changes to eligibility criteria due to financial pressures.
Deciding to move to a care home: the shared territory of advocacy and social work support
- Authors:
- MANTHORPE Jill, MARTINEAU Stephen
- Journal article citation:
- Practice: Social Work in Action, 22(4), September 2010, pp.217-231.
- Publisher:
- Taylor and Francis
This scoping study maps the literature on advocacy in relation to the decision to move to a care home, to identify and analyse research findings and to highlight where there may be gaps in the evidence base. Searches were undertaken for studies published in English from 2000 to 2008 relating to the UK context and social work practice, and where the topic was advocacy in relation to the decision by older people to enter a care home. The study found that none of the articles and reports included in the review directly focused on advocacy and entry into care homes, exposing a lack of research in this field. Although the review located many descriptive examples of advocacy schemes it found that their scope is wide, interpretations of independence vary, and evaluations are rare, and the material reviewed failed to identify ways in which independent advocates might feature in supporting older people who wish to move between care homes. The authors conclude that the implications for practice are that social workers will need to work with independent advocates, ensuring that rights to Independent Mental Capacity Advocate services are exercised, and that they also have a role in quality assurance of advocacy services.
HIV diagnosis disclosure: stigma management and stigma resistance
- Authors:
- POINDEXTER Cynthia Cannon, SHIPPY R. Andrew
- Journal article citation:
- Journal of Gerontological Social Work, 53(4), May 2010, pp.366-381.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
HIV stigma is the context within which HIV persons experience their daily lives. This stigma affects personal relationships, social and medical services, and physical and mental well-being. In this article that authors report on diagnosis disclosure decision comments arising serendipitously in five focus group discussions with 34 HIV-infected people over the age of 50, from New York, United States. Three main disclosure themes were identified, demonstrate the complexity of diagnosis disclosure decision-making: hiding or selectively disclosing, or stigma management; partial disclosure because of the perception of partial control of the information; and widespread or complete voluntary diagnosis disclosure, representing stigma resistance. In conclusion, the authors suggest that social workers and other human services practitioners should remember the diversity within the HIV population, the ageing population, and the HIV-positive aging population. Experiences of HIV stigma, and choices about diagnosis disclosure and stigma management or resistance, are individual, reciprocal, and dynamic.
The myriad strategies for seeking control in the dying process
- Authors:
- SCHROEPFER Tracy A., NOH Hyunjin, KAVANAUGH Melinda
- Journal article citation:
- Gerontologist, 49(6), December 2010, pp.755-766.
- Publisher:
- Oxford University Press
This study explored the role control plays in the dying process of terminally ill older people by investigating the aspects of the dying process over which they seek to exercise control, the strategies they use and whether they desire to exercise more control. In-depth face-to-face interviews were conducted with 84 terminally ill older people receiving hospice care. Results revealed that all 84 respondents were using at least one primary control strategy in their dying process, 83 of whom did so in combination with another primary or compensatory secondary control strategy. Decision making, independence, mental attitude, instrumental activities of daily living, activities of daily living and relationships were aspects of the dying process over which the respondents sought to exercise control. Over half of the respondents wanted more control but felt their illness prevented it. The findings highlight the importance of terminally ill older people having opportunities to exercise control in the dying process.
Minimising the use of restraint in care homes for older people: making decisions
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2010
- Place of publication:
- London
In this film, three experts – an occupational therapist, a care home adviser who is a co-author of a report on restraint and a geriatrician discuss the complex issue of restraint in care homes. Each expert discusses a different aspect of restraint, considering how care home staff can balance the duty to care with the need to protect residents. To minimise the use of restraint and to help residents live the life they want to achieve, care home staff need to find out about the individuals in their care. Through dialogue and negotiation, they can help residents to exercise choice. The Mental Capacity Act provides a useful framework for decision making and this is explained in full. Note: This film is no longer available to view.
In home or at home? How collective decision making in a new care facility enhances social interaction and wellbeing amongst older adults
- Authors:
- KNIGHT Craig, HASLAM S. Alexander, HASLAM Catherine
- Journal article citation:
- Ageing and Society, 30(8), November 2010, pp.1393-1418.
- Publisher:
- Cambridge University Press
In long-term care, the reliance on a ‘hotel style of living’ degrades social identity, life satisfaction and even lifespan. This study investigated the links between the empowerment of residents and their subsequent quality of life in the context of a move into a new care facility in South-West England. Twenty seven residents on one floor of a new care facility were involved in decisions surrounding its décor, while those on another floor were not. The residents' attitudes and behaviour were monitored at three points over five months. Findings revealed that members of the empowered group reported increased identification with staff and fellow residents, displayed enhanced citizenship, reported improved well-being, and made more use of the communal space. Also, staff found the empowered residents to be more engaged with their environment and the people around them, to be generally happier and to have better health. These patterns were observed one month after the move and remained four months later.
Shared decision-making in the primary care treatment of late-life major depression: a needed new intervention?
- Authors:
- RAUE Patrick J., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 25(11), November 2010, pp.1101-1111.
- Publisher:
- Wiley
This article argues that clinicians consider models of shared decision-making (SDM) for their potential ability to improve the treatment of major depression in the primary care setting and overcome the limitations of collaborative care and other interventions. SDM involves a collaborative process whereby clinician and patients exchange information and experiences to arrive at a mutually agreed upon treatment decision. SDM may directly alleviate such key depressive symptoms as helplessness and hopelessness, and indirectly improve clinical outcomes by increasing patient adherence. This article explores SDM models derived from the medical field and their benefits. It then describes the characteristics and techniques of SDM for depressed individuals, particularly emphasising its relevance to the unique treatment concerns of depressed older adults. Finally, it describes an SDM intervention to engage older adults in depression treatment in the primary care sector, and presents a case model to illustrate this process. It concludes that SDM is a promising intervention for depressed elderly patients that enhances autonomy and empowerment.
Housing transitions: older people's changing housing needs
- Authors:
- HILL Katherine, SUTTON Liz
- Publisher:
- University of Loughborough. Centre for Research in Social Policy
- Publication year:
- 2010
- Pagination:
- 20p., bibliog.
- Place of publication:
- Loughborough
The home environment becomes of greater importance to older people in later life, especially if their health or mobility deteriorates. This project involved in-depth interviews with people (aged 65-84 at the first interview) 2 years apart to explore their changing needs and resources as they moved through later life. The research took a holistic approach to demonstrate the range of different structural, social and individual resources that people drew on to help manage their changing needs. The purpose of this paper was to focus on the findings that relate to older people remaining in, or moving from, their home in later life. This summary highlights the implications for housing information and options, home adaptations and the appropriateness of housing in relation to older people’s well-being and independence. The paper examines changes in older people’s home circumstances including: the experience and impact of moving; the factors that help or hinder moving; adaptations, alterations, and refurbishments; and changes in warden service.
Social work practitioner knowledge and assessment of late-life depression
- Author:
- GELLIS Zvi D.
- Journal article citation:
- Journal of Gerontological Social Work, 53(6), August 2010, pp.495-511.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
A random sample of 168 social work practitioners currently registered with the National Association of Social Workers (NASW) and working with adults in New York State completed surveys to examine levels of knowledge and self-efficacy (confidence) in evaluation of depression in late life. The survey instrument consisted of socio-demographic and job-related questions, knowledge about late-life depression, confidence ratings in clinical practice, rankings of common clinical problems, and knowledge about ageing issues. Relationships among knowledge on aging, job-related variables, and predictors of knowledge of geriatric depression were examined. All participants were women and had gained MSW degrees, participants were aged between 33 and 62 years. Participants had worked in the social work field for a mean of 12.3 years and 63% reported that they had weekly contact with older adults. The most common clinical problem seen by the social work sample was depression (73.3%). Overall the participants scored relatively well regarding knowledge of late-life depression (79% correct). Participants scored at the lower end on knowledge about ageing, and experienced great difficulty on the items pertaining to evaluation of suicide risk in older adults. Implications of the findings for social work practice are discussed.