Search results for ‘Subject term:"older people"’ Sort:
Results 1 - 5 of 5
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.
Care management, dementia care and specialist mental health services: and evaluation
- Authors:
- CHALLIS David, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 17(4), April 2002, pp.315-325.
- Publisher:
- Wiley
This article evaluates a model of intensive case management for people with dementia based in a community-based mental health service for older people. Individuals in one community team setting received case management and were compared with those in a similar team without such a service. The impact of the scheme upon placement occurred in the second year at the end of which 51% of the experimental group remained at home compared with 33% of the comparison group. For the experimental group significant improvements in the social contacts of older people were noted; a decrease in the stress of their carers was observed, together with a reduction in their input to the care of the client; and there were significant improvements on ratings of overall need reduction, aspects of daily living and level of risk. Differences between the two groups based on service receipt showed higher costs for the experimental group. Discusses the issues which influence the cost-effectiveness of intensive case management. The benefits of locating this service within a specialist mental health team are explored in the context of promoting greater service integration between health and social services.
Life was better at home
- Authors:
- CHALLIS David, et al
- Journal article citation:
- Care Plan, 4(1), September 1997, p.17.
- Publisher:
- Positive Publications/ Anglia Polytechnic University, Faculty of Health and Social Work
Describes the Lewisham Case Management Scheme which was one of a number of care management schemes studied by the Personal Social Services Research Unit. Summarises the Unit's findings which show that providing specialist domiciliary services for people with dementia can benefit service users and carers.
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.
Policy, organisation and practice of specialist old age psychiatry in England
- Authors:
- CHALLIS David, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 17(11), November 2002, pp.1018-1026.
- Publisher:
- Wiley
The aim of this article is to describe and compare service arrangements in old age psychiatry across England according to three broad domains: levels of professional autonomy; degree of community orientation (delivery of and links with community services) and degree of integration between health and social care provision. The findings indicate that there is marked variation in the deployment and use of professional staff in old age psychiatry, ranging from open access to multidisciplinary assessment to services only accessible by clinician referral. Patterns of linkage with primary care are likewise variable with only half of services providing the types of support recommended by the Audit Commission. Community orientation was evident to a considerable extent in support to care homes and assessment practices. Links between health and social care appeared strongest in terms of liaison and training. There was less evidence of more formal integration through shared management of staff or for links with intensive home support for those with dementia.