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The abuse of older people: an evaluation of the care management model and the impact of anti-discriminatory practice
- Authors:
- HARGREAVES Susan, HUGHES Beverley
- Journal article citation:
- Practice: Social Work in Action, 8(3), 1996, pp.19-30.
- Publisher:
- Taylor and Francis
This paper summarises the findings of a research study involving a group of care managers in a northern town, where multi-disciplinary guidelines, based on the care management framework, have been introduced for staff to follow when the abuse of older people is suspected or confirmed. The paper explores how care managers are addressing issues of identification, assessment and intervention in cases of suspected or confirmed abuse of older people; and to what extent issues of age, race, gender and ability/disability influence decision making. The advantages and disadvantages of the care management model as applied to abuse of older people are discussed; and focus is given to the disjunction between guidelines, which recommend a standard response, and individual practice, which was found to differ widely in emphasis. Finally, it points to how future preventative strategies can be developed.
A model for the comprehensive assessment of older people and their carers
- Author:
- HUGHES Beverley
- Journal article citation:
- British Journal of Social Work, 23(4), August 1993, pp.345-364.
- Publisher:
- Oxford University Press
Although local authorities and social services departments are in the process of developing systems of assessment in relation to care management, there has been little debate about the principles which ought to underpin assessment processes, nor about the purpose, scope and content of comprehensive assessment with older people. Discusses these issues and proposes a framework for comprehensive assessment with older people and their carers which embodies a meaningful mechanism for user and carer participation and empowerment, which acknowledges not only need and risk but strengths and resources, which regards the older person as the centre of a network of personal, familial, and social factors which together determine quality of life and level of risk.