Search results for ‘Subject term:"older people"’ Sort:
Results 1 - 10 of 33
St. Monica Trust: domiciliary care services report
- Author:
- OXFORD BROOKES UNIVERSITY. Institute of Public Care
- Publisher:
- Oxford Brookes University. Institute of Public Care
- Publication year:
- 2011
- Pagination:
- 55p.
- Place of publication:
- Oxford
Demand for domiciliary based services for older people is growing in response to population demand and to policy demands for effective alternatives to residential and hospital based care. In addition, the client-provider relationship is changing, with local authorities and, to some extent, health authorities being removed from the contracting transaction, and more direct choice and control for service users. This report was prepared for St Monica Trust with the aim of: identifying the different forms of domiciliary service which can be provided, from home help to intensive rehabilitative services and end of life care; describing key approaches and business models, and consideration of their cost and business development implications; and identifying examples of existing services. The research comprised an analysis of existing published materials, and telephone conversations with a few existing services to explore the financial costing and employment issues. The report concludes by considering future marketing and business strategies, especially in relation to: local authority and GP consortia; personal budget and individual budget holders; and self-funders.
What makes migrant live-in home care workers in elder care be satisfied with their job?
- Author:
- IECOVICH Esther
- Journal article citation:
- Gerontologist, 51(5), October 2011, pp.617-629.
- Publisher:
- Oxford University Press
The study investigated job satisfaction of migrant live-in home care workers who provide care to older people in Israel. It also explored the extent to which quality of relationships between the care provider and care recipient and workplace characteristics was related to job satisfaction. Three hundred and thirty five Philippine workers and their care recipients participated. Findings revealed that job satisfaction, quality of relationships, and workplace characteristics were positive. Job satisfaction was linked to workers’ qualifications, workplace characteristics, and quality of relationships from the perspective of care recipients, whereas satisfaction with benefits was affected by workplace characteristics and quality of relationships from the perspective of the care workers. The author concluded that enabling migrant live-in care workers more job decision authority and variety could increase overall job satisfaction. Suggestions for future research focusing on additional job-related characteristics that explain job satisfaction is needed.
The vulnerable elderly's need for recognizing relationships – a challenge to Danish home-based care
- Author:
- LIVENG Anne
- Journal article citation:
- Journal of Social Work Practice, 25(3), September 2011, pp.271-283.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article explores the most vulnerable elderly with complex problems receiving home-based care. Their perspective is examined from several qualitative interviews and observations. The interviews suggested that they often live on the edge of accepted standards for living, but want to live as they always have – to be respected as competent human beings and be identified through the life they have lived. To establish a relationship in which an elderly person can be recognised in an existential sense could indeed be the key to establishing contact. The author suggests that in order to develop this approach, staff have to possess certain competencies, and there needs to be some organisational backup for developing this type of relationship. Home-based care in Denmark is founded on new public management (NPM) theory, although rules and regulations implied in NPM do not always provide home helpers with the time, support, autonomy or flexibility necessary for them to establish a recognising type of relationship. The author questions whether the application of NPM in the welfare state increases exclusion for those who are most dependent on public support.
Ethics of using assistive technology in the care for community-dwelling elderly people: an overview of the literature
- Authors:
- ZWIJSEN Sandra, NIEMEIJER Alistair, HERTOGH Cees
- Journal article citation:
- Aging and Mental Health, 15(4), May 2011, pp.419-427.
- Publisher:
- Taylor and Francis
This review examines existing literature on the ethical considerations in the field of assistive technology. It specifically focuses on community-dwelling older people with dementia. In the 46 papers meeting the inclusion criteria, three main themes were uncovered. The first theme, personal living environment, involves the subthemes privacy, autonomy and obtrusiveness. The second, the outside world, involves the subthemes stigma and human contact. The third, the design of assistive technology devices, involves the subthemes individual approach, affordability and safety. However, ethical debate does not appear to be a priority. The little discussion there is relies heavily on concepts such as autonomy and obtrusiveness. Most ethical objections discussed originate from the view that people should be independent and self-determinant. The authors conclude that other ethical approaches that view people as social and reciprocal might be more applicable in the debate on ethical aspects of assistive technology use.
One-year predictors of turnover among personal-care workers for older adults living at home in Italy
- Authors:
- BILOTTA Claudio, NICOLINI Paola, VERGANI Carlo
- Journal article citation:
- Ageing and Society, 31(4), May 2011, pp.611-624.
- Publisher:
- Cambridge University Press
Privately-employed personal-care workers for community-dwelling older adults are widespread in Italy. There have been estimated to be over 700,000 personal-care workers in Italy, with 93% being foreigners. The turnover of these workers is known to be high. This study aimed to identify the predictors of the turnover of personal-care workers. This prospective cohort study in Milan, Italy enrolled 121 older adults living at home along with their personal-care workers and 107 informal carers. The older participants underwent a comprehensive geriatric assessment. At 1 year follow-up, 12 of the older participants had been placed in a nursing home and 26 had died. Of the 83 still living at home, 22 (26.5%) had changed their personal-care staff. Analysis found that the only characteristic of personal-care staff significantly associated with turnover at 1 year follow-up was living far away from their families. Two characteristics of the elders, namely being widowed and having cognitive impairment, were found to be predictors of a low turnover of personal-care workers. These older adults were more likely to keep their personal-care workers at the one-year follow-up independently of the perceived quality of care.
Abuse is in the eyes of the beholder: using multiple perspectives to evaluate elder mistreatment under round-the-clock foreign home carers in Israel
- Author:
- AYALON Liat
- Journal article citation:
- Ageing and Society, 31(3), April 2011, pp.499-520.
- Publisher:
- Cambridge University Press
This study investigated the differences in the perceived occurrence of abuse and neglect between older care recipients, their family carers, and foreign home-care workers in Israel. Participants included 148 family members and foreign home-care workers and 75 care recipients, who completed a survey of abuse and neglect. Findings revealed significant discrepancies in their reports of neglect, with 66% of foreign home-care workers more likely to identify neglect, 28% of the older adults, or 30% of their family members. The different participants assigned the responsibility for the abuse to different perpetrators. Overall, the results suggest that even with round-the-clock home care, the basic needs of many older adults are not met, and that many experience substantial abuse. In conclusion, better education regarding elder abuse and neglect may lead to more accurate and consistent reports, and using data from all three sources may improve the early identification of abuse and neglect.
The effectiveness of crisis resolution/home treatment teams for older people with mental health problems: a systematic review and scoping exercise
- Authors:
- TOOT Sandeep, DEVINE Mike, ORRELL Martin
- Journal article citation:
- International Journal of Geriatric Psychiatry, 26(12), December 2011, pp.1221-1230.
- Publisher:
- Wiley
This systematic review assessed the effectiveness of crisis resolution/home treatment teams (CRHTTs) for older people with mental health problems. A scoping exercise was also carried out to assess the typologies of older people's CRHTTs in practice, and to review these in the context of policy and research findings. CRHTTs were effective in reducing numbers of admissions to hospitals, but outcomes such as length of hospital stay and maintenance of community residence was inconclusive. The scoping exercise defined three types of home treatment service model: generic home treatment teams; specialist older adults’ home treatment teams; and intermediate care services. These home treatment teams seemed to be effectively managing crises and reducing admissions. The review highlighted a lack of evidence for the effectiveness of crisis resolution/home treatment teams in supporting older people with mental health problems to remain at home. The authors suggest the need for a randomised controlled trial to establish the efficacy of crisis resolution/home treatment services for older people with mental health problems, as well as an assessment of the home treatment service models available in the UK.
Social determinants of older adults’ awareness of community support services in Hamilton, Ontario
- Authors:
- TINDALE J., et al
- Journal article citation:
- Health and Social Care in the Community, 19(6), November 2011, pp.661-672.
- Publisher:
- Wiley
Community support services (CSSs), such as food services, transportation services, and volunteer visiting, enable persons coping with health or social issues to continue to live in the community. However, lack of awareness can lead to these services being underutilised. This study aimed to determine middle-aged and older adults’ awareness of CSSs and to identify the relationship between the social determinants of health and awareness of CSSs. In a telephone interview, 1152 community-dwelling older adults from Ontario, Canada were asked to read a series of 4 vignettes and whether they were able to identify a CSS they could turn to in that situation. Across the 4 vignettes, 40% of participants did name a CSS as a possible source of assistance. The respondents most likely to have awareness of CSS include the middle-aged and higher-income groups. Being knowledgeable about where to look for information about CSSs, having social support and being a member of a club or voluntary organisations are also significant predictors of awareness of CSSs. The results suggest that efforts be made to improve the level of awareness and access to CSSs among older adults by targeting their social networks as well as their health and social care providers.
Post acute care of the elderly in Singapore
- Author:
- GOH Soon Noi
- Journal article citation:
- Asia Pacific Journal of Social Work and Development, 21(1), June 2011, pp.31-53.
- Publisher:
- Taylor and Francis
This paper is concerned with understanding the family care of elderly people and their use of post-acute care services such as community hospitals, nursing homes, day rehabilitation centres, and home care. The use of post-acute care services is a result of a complex, inter-related set of physical, social, psychological, organisational, and environmental factors. The aim of this multi-method study was to use Andersen Behavioural Model of Health Service Use to explore how these factors are associated with the use of post-acute care services. The study involved: a survey of 299 elderly patients from a public acute-care hospital using a structured questionnaire; in-depth interviews with 13 of these patients and their family members; and 3 focus groups with service providers. The survey showed that the following factors are associated with the use of post-acute care services: medical and physical conditions; perceived health and utility; knowledge and previous use of service; ethnicity; family size; paid help; housing type; and living arrangements. The results from the interviews and focus group discussions consistently pointed to the affordability of services as an important factor. The question of service accessibility and its implications on practice, policy and research are discussed.
Livindhome: living independently at home: reforms in home care in 9 European countries
- Authors:
- ROSTGAARD Tina, et al
- Publisher:
- Danish National Centre for Social Research
- Publication year:
- 2011
- Pagination:
- 252p., bibliog.
- Place of publication:
- Copenhagen
This report presents findings from the project Living Independently at Home: Reforms in organisation and governance of European home care for older people and people with disabilities (LIVINDHOME). The study provides an overview of recent and current reforms in the organisation and governance of home care systems in nine European countries, and analyses the intended and unintended results of these reforms, in particular, how the reforms have affected the organisation, supply and quality of care. The focus of the study is home care for older people and for people with disabilities. In countries that have more family-oriented welfare traditions (Austria, Germany, Italy, Ireland), comprehensive approaches to long-term care have started to develop only relatively recently. Despite increases in funding for long-term care, home care provision in Italy and Ireland remains highly fragmented, with major local variations in access to services. The second group of countries (Denmark, England, Finland, Norway, and Sweden) have had more or less comprehensive home care services in place for many years. These have been delivered by local authorities under a legislative framework set by central government. Reforms have here involved the introduction of market- and consumer-related mechanisms into the supply and delivery of home care.