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European challenges in delivering social services in rural regions: a scoping review
- Authors:
- MANTHORPE Jill, LIVSEY Lynne
- Journal article citation:
- European Journal of Social Work, 12(1), March 2009, pp.5-24.
- Publisher:
- Taylor and Francis
This article presents an overview of the challenges facing the diverse rural regions of Europe in delivering social services to its citizens. This is at a time of significant socio-economic and demographic change in Europe. Changes include the impact of globalisation, European integration, population ageing, international and regional migration and restructuring of employment. The uneven impact of change is transforming rural regions in different ways. The article uses findings from a scoping review of the literature that explored different definitions and policy dimensions of the term 'rural social services'. A desktop search was undertaken of social services and rural policy literature published in the English language, from 1996 to 2007, and the limitations of this are acknowledged. This narrative review aims to scope the broad nature of challenges facing rural regions with regard to social services provision. The findings are grouped in sections exploring definitions, common trends and debates, key questions and underlying paradigms. The article concludes that policy makers and social work professionals may find it useful to take a wide view of existing literature while recognising that it is often limited and compartmentalised.
Nursing home social services: a systematic review of the literature from 2010 to 2020
- Authors:
- MILLER Vivian J., et al
- Journal article citation:
- Social Work in Health Care, 60(4), 2021, pp.387-409.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Nursing home (NH) social workers carry out person-centered care, guided by the 1987 Nursing Home Reform Act. As the projected population of individuals requiring NH care is expected to grow and become more racially and ethnically diverse, the social worker in this setting becomes increasingly important. The aims of this study are to: (1) identify existing research that discusses the role of social work and nursing facilities, (2) synthesize findings to determine what is most often reported in the literature, and (3) present recommendations for practice, research, and policy. This study used the PICO framework and PRISMA guidelines to systematically search for articles published in English between 2010 and 2020 across 11 databases. A final sample of 23 articles discussed social work in the NH organized into three categories: (1) qualifications of the NH social worker (n = 5), (2) social worker responsibilities (n = 11), and (3) policy dictates practice (n = 7). Future research ought to include primary data collection methods with NH social workers, as well as NH residents and family, as residents must be at the center of their care. Considering policy modifications to further enhance the social work role of the interdisciplinary team is warranted. (Edited publisher abstract)
Implementing the Single Assessment Process for older people in England: lessons from the literature
- Authors:
- ABENDSTERN Michele, et al
- Journal article citation:
- Research Policy and Planning, 26(1), 2008, pp.15-31.
- Publisher:
- Social Services Research Group
With the introduction of the Single Assessment Process (SAP) in England, in 2004, the government aimed to address the shortcomings of the assessment of older people with health and social care needs. The SAP promoted a person-centred approach, multi-professional working and the standardisation of assessment in practice. By reviewing the literature on assessment from the mid-1980s to the present, this article indentifies issues that may help or hinder effective implementation of the SAP. In addressing assessment from the viewpoint of suggested that achieving the aims of the SAP will be a complex process, with historically contentious issues in assessment practice remaining relevant to the implementation of this policy.
Show me the way to go home: a narrative review of the literature on delayed hospital discharges and older people
- Authors:
- GLASBY Jon, LITTLECHILD Rosemary, PRYCE Kathryn
- Journal article citation:
- British Journal of Social Work, 34(8), December 2004, pp.1189-1197.
- Publisher:
- Oxford University Press
This Research Note reports findings from a narrative review of the literature on the rate and cause of delayed hospital discharge in the UK. In addition to summarizing our knowledge to date in this important area, the Research Note raises a series of questions about aspects of current hospital discharge policy and practice (and in particular, the recent reimbursement policy to charge social services departments for delayed discharges).
The hidden store: older people's contributions to rural communities
- Author:
- LE MESURIER Nick
- Publisher:
- Age Concern
- Publication year:
- 2003
- Pagination:
- 57p.,bibliog.
- Place of publication:
- London
This report considers the characteristics of older people in the English countryside and the experience of Age Concern in providing services for and with them. It reviews the literature on older people in rural communities, and finds that, where they are mentioned at all, it is usually between the lines and in the margins of most studies of rural society. This in spite of the fact that the English countryside contains a higher proportion of older people than urban areas, and that many voluntary services which help to maintain social capital in the countryside are run for and by older people themselves.
Fresh fields: rural social care: research, policy and practice agendas
- Authors:
- CRAIG Gary, MANTHORPE Jill
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2000
- Pagination:
- 56p.,bibliog.
- Place of publication:
- Layerthorpe
This report focuses on the difficulties surrounding the provision of good quality, affordable and appropriate social care for older people and those with disability who live in Britain's sparsely populated areas. It draws on a wide ranging literature review, a reanalysis of data collected on local government reorganisation and on a telephone survey of rural authorities to set out agendas for research, policy and practice for those concerned with the provision of rural social care.
Unmet need and older people: towards a synthesis of user and provider views
- Authors:
- CORDINGLEY Lis, HUGHES Jane, CHALLIS David
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2001
- Pagination:
- 52p.
- Place of publication:
- York
Reviews literature on unmet need among older people. Begins by surveying commonly overlooked needs identified by older people, and reasons why older people may resist support or help, and then describes studies which examine the processes by which social services departments identify and respond to the needs of older people. The final section suggests a number of alternative strategies for identifying unmet needs.
Exploring unmet need: the challenge of a user-centred response
- Authors:
- GODFREY Mary, CALLAGHAN Gill
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2001
- Pagination:
- 30p.
- Place of publication:
- York
Explores the meaning of need and unmet need from the perspective of policy, service providers and older people themselves. Argues that need is socially constructed and examines existing research evidence to make explicit the assumptions underpinning policy; review what is known about unmet need within this framework; examine the barriers which prevent older people seeking help; and consider how a user conception of need might be developed.
Case definition for health and social care services integrated initiatives
- Authors:
- CHENG Siu Mee, CATALLO Cristina
- Journal article citation:
- Journal of Integrated Care, 27(4), 2019, pp.264-275.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to develop a case definition of integrated health and social services initiatives that serve older adults, and will provide characteristics to aid in the identification of such initiatives. The case definition is intended to ease the identification of integrated health and social care initiatives. Design/methodology/approach: A limited search was undertaken of both scientific and grey literature that documented and/or examined integrated health and social services initiatives. In addition, literature on well-documented and generally accepted integrated healthcare and social services models that reflect collaborations from healthcare and social services organizations that support older adults was also used to develop the case definition. Findings:The case definition is as follows: healthcare organizations from across the continuum of care working together with social services organizations, so that services are complementary and coordinated in a seamless and unified system, with care continuity for the patient/client in order to achieve desired health outcomes within a holistic perspective; the initiatives comprise at least one healthcare organization and one social care organization; and these initiatives possess 18 characteristics, grouped under 9 themes: patient care approach; program goals; measurement; service and care quality; accountability and responsibility; information sharing; culture; leadership; and staff and professional interaction. Research limitations/implications: A limitation of this study is that the characteristics are based on a limited literature search. The quality of some of the literature both grey and published was not definitive: information on how they undertook the literature search was not provided; exclusion and inclusion criteria were not included; and there was insufficient detail on the design of the studies included. Furthermore, the literature reviews are based on integrated initiatives that target both seniors and non-senior’s based services. The cross-section of initiatives studied is also different in scale and type, and these differences were not explored. Practical implications: The case definition is a useful tool in aiding to further the understanding of integrated health and social care initiatives. The number of definitions that exist for integrated health and social care initiatives can make it confusing to clearly understand this field and topic. The characteristics identified can assist in providing greater clarity and understanding on health and social care integration. Originality/value: This study provides greater coherence in the literature on health and social care integration. It aids in better framing the phenomenon of healthcare and social services integration, thereby enhancing understanding. Finally, the study provides a very useful and concrete list of identifying characteristics, to aid in identifying integrated health and social care initiatives that serve older adults. (Edited publisher abstract)
What counts as evidence? The communication of information about older people between health and social care professionals
- Authors:
- POWELL Jackie, et al
- Journal article citation:
- Research Policy and Planning, 21(3), 2003, pp.1-11.
- Publisher:
- Social Services Research Group
Draws on a study to provide an evidence base for strategies and effectiveness of the transfer of information about older people between health and social care practitioners at the health and social care interface. Reports on the development of a systematic approach to the review of the related research literature and presents some key findings. Goes on to discuss some methodological issues arising from a review covering both health and social care research. By locating this systematic review within the wider debate on evidence-based practice, considers the nature and scope of this form of evidence alongside other forms of evidence and their use in professional practice. Concludes with some observations regarding the relevance of the findings from this study for both practice and further research.