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Hoarding severity predicts functional disability in late-life hoarding disorder patients
- Authors:
- AYERS Catherine R., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 29(7), 2014, pp.741-746.
- Publisher:
- Wiley
Objective: Late-life hoarding is a serious psychiatric condition with significant implications in health and functioning. Geriatric hoarding patients show greater impairment in activities of daily living and have a greater number of medical conditions compared with same-aged nonhoarders. This study examined the relationship between geriatric hoarding severity and functional disability severity. Methods: Sixty-five subjects age 60 or older with hoarding disorder (HD) participated in the current study. Participants were assessed with measures of hoarding severity, psychiatric symptoms, and general disability. Hierarchical regression was used to test the unique association of hoarding symptoms with functional disability beyond the effects of demographic factors, anxiety, and depression. Results: When controlling for demographics (age and gender) and psychiatric symptoms (anxiety and depression), hoarding severity predicts functional disability severity. Analyses also show that clinician-administered measures of hoarding are stronger predictors of disability than patient self-report measures. Conclusions: When treating older adults with HD, clinicians must consider symptom impact on daily life. A multidisciplinary team must be utilized to address the wide-ranging consequences of hoarding symptoms. Future work should examine how psychiatric treatment of HD affects functional disability (Publisher abstract)
Power mobility and the built environment: the experiences of older Canadians
- Authors:
- KOROTCHENKO Alexandra, CLARKE Laura Hurd
- Journal article citation:
- Disability and Society, 29(3), 2014, pp.431-443.
- Publisher:
- Taylor and Francis
Using data from qualitative interviews with 15 men and 14 women aged 51–92, this study examines older Canadian adults’ experiences of using power wheelchairs and motorized scooters in the context of the built environment. When functioning properly and utilized within accessible spaces, power mobility devices provided many of the participants with the autonomy they desired. However, the features and functionality of power mobility equipment also constrained participants’ abilities to negotiate their surroundings and maintain valued social roles and physical activities. Participants’ experiences of power mobility technology as enabling or disabling were further complicated by the organization of the built environment, as the men and women described encountering various barriers to mobility within both public and private spaces. The findings are discussed in relation to the extant literature concerning the social and spatial construction of disability. (Edited publisher abstract)
The bigger picture: policy insights and recommendations
- Author:
- LLOYD James
- Publishers:
- Independent Age, Strategic Society Centre
- Publication year:
- 2014
- Pagination:
- 50
- Place of publication:
- London
This report evaluates the performance of government policy on care and support of older people who struggle with day-to-day activities in England during the period 2011 to 2013, using the data and insights from ‘The bigger picture: understanding disability and care in England’s older population’. Part 1 of this report examines the reach of publicly funded support; the unmet need in the older population; and variation and consistency of care and support. Part 2 considers the implications of the Care Act implementation and looks at policy development beyond 2016, focusing on eligible needs after the Act, financial eligibility and the means test after 2016 and mapping, identifying and engaging older population groups. The report concludes that given the feasibility and budget challenges implied by the sheer numbers of older people experiencing difficulties with activities of daily living, a rethink and revolution is required among national and local policymakers around how individuals and families are engaged and supported. This will mean revisiting the balance between consistency and variation in services organised by local authorities, as well as fully integrating and exploiting the different ‘touch points’ and ‘gateways’ available for engaging the older population. It will also mean evaluating which aspects of the vision of the Care Act need to be fulfilled by local authorities directly, or can be devolved to empowered, third-party charities and organisations at a local level. (Edited publisher abstract)
Alternate housing models for older people with disabilities: their clientele, structures and resources in relation to the quality of and satisfaction with care delivery
- Authors:
- DUBUC Nicole, et al
- Journal article citation:
- Ageing and Society, 34(9), 2014, pp.1575-1600.
- Publisher:
- Cambridge University Press
This paper reports on the study of a subsidy programme that was established in Quebec for alternate housing models (AHMs), which allows private and community organisations to offer housing services within the framework of a partnership with public health-care services. The research objectives were: (a) to compare how facility characteristics and services provided by AHMs and nursing homes (NHs) differ; (b) to examine the personal characteristics of residents living in AHMs; and (c) to compare residents with similar characteristics within AHMs and NHs in terms of unmet needs, quality of care, satisfaction with care and services, and psycho-social adaptation to the residence. A cross-sectional study was undertaken with individually matched groups to assess whether AHMs meet the needs of elders in a way similar to NHs. Overall, residents in both groups had moderate to severe levels of disability and about 60 per cent had mild to severe cognitive problems. While their general features were heterogeneous, the AHMs were more comfortable and homelike than the NHs. The quality of and satisfaction with care was appropriate in both settings, although AHMs performed better. Only one-quarter of residents in both settings, however, evidenced a good level of psycho-social adaptation to their residence. This partnership approach is a good strategy to provide a useful range of housing types in communities that can respond to the needs of elders with moderate to severe disabilities. (Publisher abstract)
Research and development work relating to assistive technology: 2013-14
- Authors:
- PARR Aidan, DOWN Keren
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2014
- Pagination:
- 121
- Place of publication:
- London
This annual report provides information about the government funded projects supporting the development, introduction and evaluation of assistive technology that might increase the range of activities and independence or wellbeing of disabled and older people. Section 22 of the Chronically Sick and Disabled Persons Act 1970 requires a report to be laid before Parliament each year describing the research activity the government has funded in order to improve equipment for disabled and older people. The report aims to reflect research and development activity in relation to a wide range of impairments and health conditions and also to reflect the range of government funding programmes across health, social care, education, housing and employment. The report covers any aspect of research and development work in assistive technology, including service provision, research on motivation, cost or patterns of use, as well as technological development. (Edited publisher abstract)
Effects of gender, disability, and age in the receipt of preventive services
- Authors:
- MILLER Nancy A., et al
- Journal article citation:
- Gerontologist, 54(3), 2014, pp.473-487.
- Publisher:
- Oxford University Press
Purpose of the Study: The authors extend research to examine relations between gender, disability, and age in the receipt of preventive services. Design and Methods: Medical Expenditure Panel Survey data for years 2001–2007 are pooled. Using logit models, the authors examined the relations between gender, disability, and age and the receipt of preventive services. Results: For most services, both women and men with disabilities had higher probabilities of receiving preventive services relative to those without disabilities. There was a pattern of more significant differences for men relative to women. Predicted probabilities for receipt of services were significantly higher among older adults relative to younger adults. A usual source of care was a significant predictor across services. For example, it was estimated that adults aged 18–64 with a place as a usual source of care received 59% of recommended services, whereas those with a person as a source of care received 63% of services relative to 47% for those without a usual source of care. Among older adults, the predicted percentage of preventive services received for no usual source of care was 52% and that for a place or a person as a usual source of care were 71% and 76%, respectively. Across gender, disability, and age, receipt of a range of clinical preventive services is suboptimal. Implications: Policy actions that may mitigate the differences the authors observed include mechanisms to support access to a usual source of care, financial incentives to enhance the receipt of preventive services, and implementation of community-based prevention services with attention to their linkage to clinical care. (Publisher abstract)
Assessing the distributional impact of reforms to disability benefits for older people in the UK: implications of alternative measures of income and disability costs
- Authors:
- HANCOCK Ruth, PUDNEY Stephen
- Journal article citation:
- Ageing and Society, 34(2), 2014, pp.232-257.
- Publisher:
- Cambridge University Press
The UK Attendance Allowance (AA) and Disability Living Allowance (DLA) are non-means-tested benefits paid to many disabled people aged 65 + . They may also increase entitlements to means-tested benefits through the Severe Disability Premium (SDP). The authors investigate proposed reforms involving withdrawal of AA/DLA. Despite their present non-means-tested nature, they show that withdrawal would affect mainly low-income people, whose losses could be mitigated if SDP were retained at its current or a higher level. The authors also show the importance of the method of describing distributional impacts and that use of inappropriate income definitions in official reports has overstated recipients' capacity to absorb the loss of these benefits. (Publisher abstract)
The state of shared lives in England
- Author:
- SHARED LIVES PLUS
- Publisher:
- Shared Lives Plus
- Publication year:
- 2014
- Pagination:
- 15
- Place of publication:
- Liverpool
This report draws on a survey of Shared Lives Plus members to provide the first nationwide analysis of the Shared Lives services in England, covering the period April 2012 - March 2013. It provides a baseline to measure growth and development of the sector. The report includes figures on numbers of people using shared lives services, the number of carers, staff turnover and motivation, and numbers of users by region. The results demonstrate that Shared Lives is already a significant and highly effective part of the social care system, but has potential for growth. The report shows that whilst some regions are making much more use of Shared Lives than others, there are groups of people in every region who are not yet being routinely offered Shared Lives as a distinct choice. (Edited publisher abstract)
Adult social care
- Authors:
- FERGUSON Iain, LAVALETTE Michael
- Publisher:
- Policy Press
- Publication year:
- 2014
- Pagination:
- 76
- Place of publication:
- Bristol
Adult social care in Britain has been at the centre of much media and public attention in recent years. Revelations of horrific abuse in learning disability settings, the collapse of major private care home providers, abject failures of inspection and regulation, and uncertainty over how long-term care of older people should be funded have all given rise to serious public concern. In this book, Iain Ferguson and Michael Lavalette give an historical overview of adult social care and locate the roots of the current crisis in the under-valuing of older people and adults with disabilities and in the marketisation of social care over the past two decades. They examine recent developments in social work with adults, including the personalisation agenda. They critically examine the prospects for adult social care and social work in a context of seemingly never-ending austerity. Responses to the historical overview essay are provided as follows: The Big Society debate and the social care crisis (Bill Jordan); How the market fails social care, (Mark Lymbery); The crisis in social care: deepening the analysis (Dexter Whitfield); Challenging the market and the state (Ian Hood); Personalisation: the experience in Glasgow (Brian Smith); and Supporting informal carers (Claire Cairns). (Edited publisher abstract)
Dignity in care: social inclusion
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2014
- Pagination:
- 17 minutes 32 seconds
- Place of publication:
- London
Many older and disabled people are at risk of becoming socially isolated and should be supported in all aspects of daily living so that they can live ordinary and fulfilling lives. This short film which looks at people doing normal, everyday things like catching the bus or socialising with friends. The film shows a care worker discussing a recent football match with someone he cares for and supports. It shows other examples of supporting people to keep in contact with family and friends, and to participate in social activities; it's an important part of providing dignity in care. Social inclusion, in practice, means doing things such as promoting and supporting access to social networks; or resolving transport issues so that they do not prevent people from participating in the wider community. (Edited publisher abstract)