Search results for ‘Subject term:"older people"’ Sort:
Results 1 - 10 of 35
Older people and permanent ccare: whose decision?
- Author:
- DWYER Sandra
- Journal article citation:
- British Journal of Social Work, 35(7), October 2005, pp.1081-1092.
- Publisher:
- Oxford University Press
This paper looks at decision making when older people enter permanent care, and focuses on power issues. The recent past is reviewed and related to aspects of the current picture. Dementia and capacity are a specific focus. The complexities of the work for practitioners, together with their sometimes difficult working environments, engender a climate which can be counter productive to protecting the self-determination of older people.
National Care Homes Research and Development Forum
- Author:
- COOK Glenda
- Journal article citation:
- Generations Review, 15(4), October 2005, pp.48-49.
- Publisher:
- British Society of Gerontology
The National Care Homes Research and Development forum was established on 19th November 2003 to provide a platform for practitioners and researchers to network, share information and ideas arising from their work. This article gives a rationale for the development of the forum and highlights its current work.
The business of caring: King's Fund inquiry into care services for older people in London
- Authors:
- ROBINSON Janice, BANKS Penny
- Publisher:
- King's Fund
- Publication year:
- 2005
- Pagination:
- 177p.,bibliog.
- Place of publication:
- London
Concerns about the care system for older people have been commonplace in recent years. Aware of these concerns, the King's Fund established an Inquiry into the way in which care services are provided for older people in London. Drawing on the experience of older people and their carers, care staff and managers, regulators, and commissioners, the year-long Inquiry concluded that there are major shortcomings in the current care system that disadvantage older people and their carers. This report of their findings calls for investment in market development, reform of social policies and mobilisation of more public and private resources.
What chance of a free for all?
- Author:
- ANDREWS Crispin
- Journal article citation:
- Community Care, 21.04.05, 2005, pp.32-33.
- Publisher:
- Reed Business Information
Personal care has been free in Scotland for nearly three years. Reports on what the major political parties are offering older people in England and Wales.
Facing the cost of long-term care: towards a sustainable funding system
- Author:
- HIRSCH Donald
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2005
- Pagination:
- 38p., bibliog.
- Place of publication:
- York
Over the past decade it has become ever clearer that the UK lacks an adequate, coherent and fair basis for paying for long-term care for older people. As a result, services are already under strain, not all needs are being met, and all are ill-prepared to meet future challenges as the population continues to age. This study brings together evidence and discussions assembled by the Joseph Rowntree Foundation. It identifies some key challenges that need addressing in order to start moving towards a fairer, more rational and adequate system of funding It deliberately avoids proposing a radical redesign of the whole system, though there is a case for that. Rather it provides a platform for sensible discussion of how to design improvements in the funding system.
Assuring the quality of long-term care insurance benefits through care management: the California Partnership for Long-term Care
- Authors:
- SCHLARBACH Andrew, DAL SANTO Teresa S., MILLS-DICK Kelly
- Journal article citation:
- Journal of Aging and Social Policy, 17(3), 2005, pp.61-83.
- Publisher:
- Routledge
- Place of publication:
- Philadelphia, USA
Despite recent improvements in long-term care insurance (LTCI) policies, concerns have been raised regarding just how well LTCI benefits actually meet elderly consumers' health and financial needs. In this case study, we examined the quality assurance (QA) provisions in a state-sponsored LTCI program, the California Partnership for Long-Term Care (CPLTC). CPLTC invests the primary responsibility for QA with care management networks, which assure quality services through care monitoring, quarterly service record reviews, and annual documentation of care manager clinical competence. Study findings suggest a number of limitations in existing QA policies and procedures, which can undermine the ability of care managers and other third parties to identify and rectify potential unmet needs among LTCI policyholders. These findings, while based on an intensive analysis of QA provisions in a particular, state-sponsored LTCI program, are likely to have implications for other LTCI programs and policies, most of which have less well-developed QA provisions. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580)
Long-term care for older people
- Author:
- ORGANISATION FOR ECONOMIC CO-OPERATION AND DEVELOPMENT
- Publisher:
- Organisation for Economic Co-operation and Development
- Publication year:
- 2005
- Pagination:
- 137p.
- Place of publication:
- Paris
Long-term care is a cross-cutting policy issue that brings together a range of services for persons who are dependent on help with basic activities of daily living. When the cohorts of the baby-boom generation will reach the oldest age groups over the next three decades, demand for long-term care will rise steeply. How do governments in OECD countries respond to this growing demand? What has been done to improve access to long-term care, improve quality of services and make care affordable? Are there examples of successful strategies to improve the mix of services and policies to enable a larger number of older persons to stay in their homes? And has this helped contain the costs of caring for the elderly? This study reports on the latest trends in long-term care policies in nineteen OECD countries: Australia, Austria, Canada, Germany, Hungary, Ireland, Japan, Korea, Luxembourg, the Netherlands, New Zealand, Norway, Mexico, Poland, Spain, Sweden, Switzerland, the United Kingdom, and the United States. It studies lessons learned from countries that undertook major reforms over the past decade. Trends in expenditure, financing and the number of care recipients are analysed based on new data on cross-country differences. Special attention is given to experience with programmes that provide consumers of services with a choice of care options, including cash to family caregivers. Concise country profiles of long-term care systems and an overview on demography and living situations of older persons make this complex policy field more accessible.
The role of autonomy in explaining mental ill-health and depression among older people in long-term care settings
- Author:
- BOYLE Geraldine
- Journal article citation:
- Ageing and Society, 25(5), September 2005, pp.731-748.
- Publisher:
- Cambridge University Press
This paper examines the extent of mental ill-health and probable depression among older people in long-term care. It presents selected findings from a study in Greater Belfast, Northern Ireland, that compared the quality of life, autonomy and mental health of older people living in nursing and residential homes with those of older people living in private households who were receiving domiciliary care. Structured interviews were conducted with 214 residents in institutions and 44 older people receiving domiciliary care. The study found that those in private households were more severely physically-impaired and had a higher level of mental ill-health than the residents of institutional homes. It is suggested, however, that the mental ill-health effects were associated less with physical impairments than with the restrictions placed on the older person's decisional autonomy, and that long-term care environments that constrain the older person's autonomy contribute to the development of depression. Although the UK National Service Framework for Older People specified that those with depression should be given treatment and support, priority should also be given to preventing the depression associated with living in long-term care settings.
The business of caring
- Author:
- BANKS Penny
- Journal article citation:
- London Age, Autumn 2005, pp.2-3.
- Publisher:
- Age Concern
The author outlines the main finding of the King's Fund Care Services Inquiry. The report, the 'Business of Caring' was a year-long investigation into care services for people in London, and includes a number of recommendations for action by central and local government, the NHS, inspectors and regulators.
Characteristics predicting nursing home admission in the program of all-inclusive care for elderly people
- Author:
- FRIEDMAN Susan M.
- Journal article citation:
- Gerontologist, 45(2), April 2005, pp.157-166.
- Publisher:
- Oxford University Press
This study determined overall risk and predictors of long-term nursing home admission within the Program of All-Inclusive Care for the Elderly (PACE) in the USA. PACE records for 4,646 participants aged 55 years or older who were enrolled in 12 Medicare- and Medicaid-capitated PACE programs during the period from June 1, 1990, to June 30, 1998, were obtained. Participants were enrolled for at least 30 days and had baseline evaluations within 30 days of enrollment. Cox proportional hazard models predicting an outcome of nursing home admission of 30 days or longer were estimated. The cumulative risk of admission to nursing homes for 30 days or longer was 14.9 percent within 3 years. Individuals enrolled from a nursing home were at very high risk for future admission, when compared with those living alone. Among individuals enrolled in PACE from the community, age, instrumental activity of daily living dependence, and bowel incontinence were predictive of subsequent nursing home admission. Concludes that despite the fact that 100 percent of the PACE participants were nursing home certifiable, the risk of being admitted to a nursing home long term following enrollment from the community is low. The presence of some reversible risk factors may have implications for early intervention to reduce risk further, although the effect of these interventions is likely to be modest. Individuals who received long-term care in a nursing home prior to enrollment in PACE remain at high risk of readmission, despite the availability of comprehensive services.