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Frail old people at the margins of care:some recent research findings
- Authors:
- CHALLIS David, HUGHES Jane
- Journal article citation:
- British Journal of Psychiatry, 180, February 2002, pp.126-130.
- Publisher:
- Cambridge University Press
Community-based care at the margin is a substitute for institutional care. Three factors are considered critical: definitions of eligibility, assessment procedures and balance of care. This research examines determinants of the margin between institutional and home-based care, reviews current practice, identifies the implications and contributes to planning of integrated long-term care services for frail older people. Findings suggest that greater standardisation of approaches to the determination of eligibility for social care and to assessment of need is required. Providing care at home for some of those currently entering care homes is feasible, but will require different service structures and staff roles, including specialist clinicians.