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The association between aging inmate housing management models and non-geriatric health services in state correctional institutions
- Authors:
- THIVIERGE-RIKARD R. V., THOMPSON Maxine S.
- Journal article citation:
- Journal of Aging and Social Policy, 19(4), November 2007, pp.39-56.
- Publisher:
- Routledge
- Place of publication:
- Philadelphia, USA
US prisons generally place elderly prisoners in specialised segregated housing units away from the general prison population, consolidate them in specialised units within the main prison, or provide a combination of the two. Proponents of the segregated model argue that ageing inmates will receive specialised medical treatment in geriatric units, while those who favour the consolidated model argue that they will have the benefit of both geriatric and non-geriatric health care. This paper examines the association between the type of housing management model adopted and the availability of non-geriatric physical and mental health care, using data from the 2000 Bureau of Justice Statistics Census of State and Federal Adult Correctional Facilities. The results show that institutions choosing the consolidated model provide more mental health services, and that this finding is generally independent of the characteristics of the prison facility.(Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Directory of services for older people 2007/08
- Author:
- TRUELOVE Angharad
- Publisher:
- Keyways
- Publication year:
- 2007
- Pagination:
- 300p.
- Place of publication:
- Chichester
Published in co-operation with the Guardian, this new directory provides a comprehensive directory of contact details of services for older people, helping you to make a referral, transfer or discharge. This reference book will put you directly in touch with specialists, clinics and key teams in PCTs, County Councils and hospitals across the UK.
Promoting independence: the long marathon to achieving choice and control for older people
- Authors:
- ROBERTSON Guy, GILLIARD Jane, WILLIAMS Craig
- Publisher:
- Care Services Improvement Partnership
- Publication year:
- 2007
- Pagination:
- 27p.
- Place of publication:
- London
The drive towards prevention and early intervention is one of the major themes of the recent White Paper "Our health, our care, our say". This conference presents some of the latest thinking about how to make a reality of this. Drawing on the experience of the 50 or so pilot sites working on this agenda, combined with the views of some of the leading figures in the public sector, this conference is aimed at giving practical support on implementing the preventative agenda.
The challenge of dignity in care: upholding the rights of the individual
- Author:
- LEVENSON Ros
- Publisher:
- Help the Aged
- Publication year:
- 2007
- Pagination:
- 55p., bibliog.
- Place of publication:
- London
Dignity in Care aims to ensure all older people are treated with dignity when using health and social care services. High quality services should be delivered in a person centred way that respects the dignity of the older person receiving them. Unfortunately this is not always the case and older people do not always receive the respect they deserve.
Completion of a durable power of attorney for health care: what does cognition have to do with it?
- Authors:
- McGUIRE Lisa C., et al
- Journal article citation:
- Gerontologist, 47(4), August 2007, pp.457-467.
- Publisher:
- Oxford University Press
This study examined the association between cognitive functioning and completion of a durable power of attorney for health care. Participants were from the Second Longitudinal Study on Aging (LSOA II), a nationally representative sample of community-dwelling persons who were at least 70 years of age at the time of participation. The sample included 325 older adult respondents (144 men, 181 women) with a mean age of 80.7 years and a mean educational attainment of 11.6 years. Researchers measured each respondent's cognitive functioning during follow-up by using an adapted Telephone Interview of Cognitive Status, and a proxy informant indicated whether the respondent completed a durable power of attorney for health care. A durable power of attorney for health care was completed by 60.8% of respondents prior to their death. Logistic regression demonstrated that respondents with the first quartile of global cognitive functioning were 76% less likely to have completed a durable power of attorney than those with the fourth quartile of cognitive functioning. Implications: The factors associated with completion of durable power of attorney for health care by older adults with lower levels of cognitive functioning should be investigated further. Such data could be used to inform interventions to increase the completion rates of durable power of attorney for health care among this particular group of older adults.
The comprehensive care clinic
- Authors:
- CARPIAC-CLAVER Maria, GUZMAN Jenice S., CASTLE Steven C.
- Journal article citation:
- Health and Social Work, 32(3), August 2007, pp.219-223.
- Publisher:
- Oxford University Press
This article describes, the Comprehensive Care Clinic in Los Angeles which aimed to help elderly veterans cope better with chronic comorbid conditions. The interdisciplinary team aimed to serve the psychosocial and medical needs of a population of elderly veterans with chronic cormobid conditions. The Clinic consisted of a monthly group clinic and provided increased access to their health care team, closer monitoring of chronic illness symptoms and education for self-care and encouraged social support among its members.
Healthcare consumption in men and women aged 65 and above in the two years preceding decision about long-term municipal care
- Authors:
- KRISTENSSON Jimmie, HALLBERG Ingalill Rahm, JAKOBSSON Ulf
- Journal article citation:
- Health and Social Care in the Community, 15(5), September 2007, pp.474-485.
- Publisher:
- Wiley
The aim of this study was to investigate healthcare consumption in men and women aged 65 and above in the two years preceding decision about long-term municipal care at home or in special accommodation and to investigate determinants for healthcare consumption. The study comprised 362 people (aged 65 or over), all subject to a decision about municipal care and/or services during 2002–2003, drawn from the Swedish National Study on Aging and Care (SNAC). Data were collected from three existing registers, the SNAC data covered age, gender, marital status, functional ability, informal care and living conditions and were merged with the Skane County Council's patient administration system PASiS and PrivaStat covering healthcare consumption from the year 2000 and forward. About 50% of the acute hospital stays (n = 392) occurred within 5 months prior to municipal care. The men had significantly longer stays in hospital, more diagnoses and contacts with other staff groups beside physicians in outpatient care compared to the women. The regression analysis showed heart conditions, cancer, musculoskeletal problems, genitourinary diseases, injuries and unspecified symptoms to be significantly associated with various kinds of healthcare consumption. The findings indicated a breakpoint in terms of hospital admissions about 5 months prior to municipal care and service and a share of 15% having several admissions to hospital. Early detection and preventive interventions to these people in a transitional stage of becoming increasingly dependent on continuous care and services seems urgent to prevent escalating acute healthcare consumption.
The human rights of older people in healthcare: eighteenth report of session 2006-07: Vol. 1: Report and formal minutes
- Author:
- GREAT BRITAIN. Parliament. Joint Committee on Human Rights
- Publisher:
- Stationery Office
- Publication year:
- 2007
- Pagination:
- 105p.
- Place of publication:
- London
In this report, 'The Human Rights of Older People in Healthcare (HL 156-1 / HC 378-I)', the Committee looks at how the principles of human rights can be applied to older people in hospitals and care homes to ensure they are treated with greater dignity and respect. It looks first at the current position before covering: the leadership of the Department of Health; the implementation of the Human Rights Act by service providers; health and social care inspectorates and the National Institute for Health and Clinical Excellence (NICE); the role of staff in protecting human rights; and empowering older people. The report finds that, although there are examples of excellent care, there are concerns about poor treatment, neglect, abuse, discrimination, and ill-considered discharge. There is a significant difference between the 'duty to provide' under care standards legislation and the 'right to receive' under human rights legislation and the culture needs to change. The Committee recommends legislation and a role for the Commission for Equality and Human Rights, and also recommends measures to strengthen human rights obligations and duties, including better guidance and standards, and bringing private and voluntary care homes into the scope of the Human Rights Act
Feet for purpose: the campaign to improve foot care for older people
- Author:
- AGE CONCERN
- Publisher:
- Age Concern
- Publication year:
- 2007
- Pagination:
- 30p.
- Place of publication:
- London
Good foot care is crucial in helping older people to stay active and independent. But many older people struggle to care for their feet due to sight impairment or arthritis, or they simply can’t reach their feet to cut their toenails. Nearly 1 in 3 older people are unable to cut their own toenails. More than half of new episodes of foot care are for people aged 65 and over. In the past eight years there was a 20% drop in the number of treatments in NHS chiropody of new patients. Despite rising demand for foot care services, more and more Primary Care Trusts are rationing these services.
Predictors of health service barriers for older Chinese immigrants in Canada
- Authors:
- LAI Daniel W., CHAU Shirley B.Y.
- Journal article citation:
- Health and Social Work, 32(1), February 2007, pp.57-65.
- Publisher:
- Oxford University Press
Elderly people from ethnic minority groups often experience different barriers in accessing health services. Earlier studies on access usually focused on types and frequency but failed to address the predictors of service barriers. This study examined access barriers to health services faced by older Chinese immigrants in Canada. Factor analysis results indicated that service barriers were related to administrative problems in delivery, cultural incompatibility, personal attitudes, and circumstantial challenges. Stepwise multiple regression showed that predictors of barriers include female gender, being single, being an immigrant from Hong Kong, shorter length of residency in Canada, less adequate financial status, not having someone to trust and confide in, stronger identification with Chinese health beliefs, and not self-identified as Canadian. Social work interventions should strengthen support and resources for the vulnerable groups identified in the findings. Service providers should adjust service delivery to better serve elderly immigrants who still maintain strong Chinese cultural values and beliefs.