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Older adult caregivers of developmentally disabled household members: service needs and fulfillment
- Authors:
- CASERTA M.S., et al
- Journal article citation:
- Journal of Gerontological Social Work, 10(1/2), 1987, pp.35-50.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Reports on a survey to identify the need for formal support services.
Hydra revisited: substituting formal for self- and informal in-home care among older adults with disabilities
- Author:
- PENNING Margaret J.
- Journal article citation:
- Gerontologist, 42(1), February 2002, pp.4-16.
- Publisher:
- Oxford University Press
In response to concerns among policy makers and others that increases in the availability of publicly funded formal services will lead to reductions in self- and informal care, this study examines the relationship between the extent of formal in-home care received and levels of self- and informal care. Two-stage least squares regression analyses were conducted, using data drawn from interviews conducted with a sample of 661 older users and nonusers of publicly subsidized home care services. No evidence was found to indicate that more extensive use of formal services is associated with less extensive self- or informal care. This is true among those receiving publicly subsidized services as well as those required to pay part or all of the cost of the in-home services they receive. The findings provide little support for the substitution hypothesis that an increase in the use of formal in-home services will tend to erode levels of informal or self-care.
Quality in social care: achieving excellence in home care
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2014
- Pagination:
- 19 minutes 48 seconds
- Place of publication:
- London
Service users get together with a social care academic and a leader in the home care sector to discuss how excellence can be achieved in domiciliary care. We see examples of excellence in support offered to older people, people with learning disabilities and people with physical disabilities in their own homes. Much of the focus is on the relationship between staff members and the people they support because getting that right is fundamental to excellent care. This film has now been revised. This film was previously available under the title 'Defining excellence: excellence in domiciliary care '. (Edited publisher abstract)
Factors associated with the amount of public home care received by elderly and intellectually disabled individuals in a large Norwegian municipality
- Authors:
- DOHL Oystein, et al
- Journal article citation:
- Health and Social Care in the Community, 24(3), 2016, pp.297-308.
- Publisher:
- Wiley
This study reports an analysis of factors associated with home care use in a setting in which long-term care services are provided within a publicly financed welfare system. The study considered two groups of home care recipients: elderly individuals and intellectually disabled individuals. Routinely collected data on users of public home care in the municipality of Trondheim in October 2012, including 2493 people aged 67 years or older and 270 intellectually disabled people, were used. Multivariate regression analysis was used to analyse the relationship between the time spent in direct contact with recipients by public healthcare personnel and perceived individual determinants of home care use (i.e. physical disability, cognitive impairment, diagnoses, age and gender, as well as socioeconomic characteristics). Physical disability and cognitive impairment are routinely registered for long-term care users through a standardised instrument that is used in all Norwegian municipalities. Factor analysis was used to aggregate the individual items into composite variables that were included as need variables. Both physical disability and cognitive impairment were strong predictors of the amount of received care for both elderly and intellectually disabled individuals. The study identified a negative interaction effect between physical disability and cognitive impairment for elderly home care users. For elderly individuals, results also found significant positive associations between weekly hours of home care and having comorbidity, living alone, living in a service flat and having a safety alarm. The reduction in the amount of care for elderly individuals living with a cohabitant was substantially greater for males than for females. For intellectually disabled individuals, receiving services involuntarily due to severe behavioural problems was a strong predictor of the amount of care received. The analysis showed that routinely collected data capture important predictors of home care use and thus facilitate both short-term budgeting and long-term planning of home care services. (Edited publisher abstract)
Defining excellence: excellence in domiciliary care
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2012
- Place of publication:
- London
Service users get together with a social care academic and a leader in the home care sector to discuss how excellence can be achieved in domiciliary care. We see examples of excellence in support offered to older people, people with learning disabilities and people with physical disabilities in their own homes. Much of the focus is on the relationship between staff members and the people they support because getting that right is fundamental to excellent care. This film has now been revised and is available under the new title 'Quality in social care: achieving excellence in home care'.
Family homes: using parental property to provide future housing for people with learning disabilities: guidance for families and advisors
- Author:
- KING Nigel
- Publisher:
- Mental Health Foundation
- Publication year:
- 2001
- Pagination:
- 85p.
- Place of publication:
- London
This report culminates from a project which explored how the family home, whether owned or rented, could be used to provide secure accommodation for the person with learning disabilities in the future. It was undertaken as part of the Foundation for People with Learning Disabilities' Growing Older with Learning Disabilities (GOLD) programme.
Safe to wander?: principles and guidance on good practice in caring for residents with dementia and related disorders where consideration is being given to the use of wandering technologies in care homes and hospitals
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2005
- Pagination:
- 11p.,bibliog.
- Place of publication:
- Edinburgh
This guidance looks at the principles which should be applied when considering the use of wandering technology and the current legal implications of its use. This guidance is not exhaustive, it should be used to help guide staff in conjunction with standards produced in Scotland by the National Care Standards Committee and local policies and procedures in care homes and hospital settings. Although primarily aimed towards the care of residents with dementia in care homes and hospitals, this guidance may also be helpful in relation to care of people with a learning disability or an acquired brain injury.The guidance is also relevant to people living in their own homes particularly as the use of developing technologies can be helpful in delaying and preventing admissions to institutional settings.
The test of time
- Author:
- GEORGE Mike
- Journal article citation:
- Care and Health Magazine, 38, 18.6.03, 2003, pp.16-18.
- Publisher:
- Care and Health
A fifth of adults with learning difficulties live with elderly parent. This article looks at how well the social care sector is serving this population of carers.
Care in the community: home care use among adults with intellectual and developmental disabilities over time
- Authors:
- MARTIN Lynn, OUELLET-KUNTZ Helene, McKENZIE Katherine
- Journal article citation:
- Journal of Policy and Practice in Intellectual Disabilities, 14(3), 2017, pp.251-254.
- Publisher:
- Wiley
Community-based healthcare services have quickly evolved over the last few decades to respond to the growing population of older adults, and their desire to remain independent in the community. In Ontario, Canada, deinstitutionalization has resulted in all persons with intellectual and developmental disabilities living and ageing, in the community. This paper compares use of home care services in Ontario among adults (age 18–99 years) with and without intellectual and developmental disabilities over time. Home care use over a 5-year period was compared between a cohort of 46,008 adults with intellectual and developmental disabilities and a random sample of 3,272,080 adults without intellectual and developmental disabilities. Persons with and without intellectual and developmental disabilities received similar types of home care services. Adults with intellectual and developmental disabilities had much higher rates of admission to home care, and at much earlier ages. While this remained true over time, slight differences by age were noted between groups. Higher use at earlier ages suggests that home care services are responding to the needs of adults with intellectual and developmental disabilities. Future research should identify (or develop) best practices for promoting independence in the community for adults with intellectual and developmental disabilities with healthcare needs. (Edited publisher abstract)
Personal social services: expenditure and unit costs, England: 2013-14, final release
- Author:
- HEALTH AND SOCIAL CARE INFORMATION CENTRE. Adult Social Care Statistics
- Publisher:
- Health and Social Care Information Centre
- Publication year:
- 2014
- Pagination:
- 53
- Place of publication:
- London
This summary provides information about the money spent on adult social care by the social services departments of councils with adult social services responsibilities (CASSRs) in England. It contains information taken from CASSR administrative systems used to record personal social services expenditure and income. Gross current expenditure by CASSRs on adult social care in England in 2013-14 was £17.2 billion. This represents an increase of half of one per cent in cash terms from 2012-13, which is the equivalent of a one per cent decrease in real terms. Over the five year period from 2008-09, there has been a decrease of three per cent in real terms. 51 per cent (£8.8 billion) of expenditure in 2013-14 was on older people (those aged 65 and over), compared to 52 per cent in 2012-13. The average cost per adult aged 18 and over supported in residential care, nursing care or intensively in their own home was £597 per week in 2013-14, compared to the real term figure of £613 in 2012-13; a three per cent decrease in real terms and one per cent in cash terms. (Edited publisher abstract)