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Health-related quality of life and attitudes to long-term care among carers of older people using social services
- Author:
- ILIFFE Steve
- Journal article citation:
- Research Policy and Planning, 23(3), 2005, pp.165-173.
- Publisher:
- Social Services Research Group
Using three standardised measures to screen for activity limitation (ADLs), depression (GHQ-28) and health related quality of life (HRQoL) (SF36), a study of carers and people aged 75 and over referred consecutively to social services departments in adjacent inner city areas showed a high prevalence of limitations in activities of daily living (ADLs), that a substantial proportion (42 per cent) had GHQ-28 scores high enough to suggest depression and their scores on the SF-36 showed that many carers were low in vitality and tired. Co-resident carers had poorer psychological health and more difficulties with social functioning than non-resident carers, and were older, but were not significantly different in self-reported physical health. Whether carers wanted the cared-for person to remain at home for as long as possible depended on their relationship (spouse or not) and whether the older person was depressed. The carers' own psychological health was not related to their attitude to institutional care. The study suggests that targeting social care resources on carers showing psychological distress may not reduce downstream expenditure on long-term care.
The NSF for Older People: a market town experience
- Authors:
- HAMMOND Judith, ILIFFE Steve, ELLIOT Debra
- Journal article citation:
- Community Practitioner, 75(6), June 2002, pp.211-213.
- Publisher:
- Community Practitioners' and Health Visitors' Association
The National Service Framework for Older People highlights the need for comprehensive assessment of the health and social needs of the community. Reports on a one year project in West Wiltshire Primary Care Group to investigate: the numbers of people of 75 years and over who had not been seen by a health or social care professional in the last tow years; to determine the numbers of people 75 and over at risk of falling or failing health; to raise the profile of carers at each GP practice; and to determine the views of older people in relation to the annual 75 and over health checks.