Search results for ‘Subject term:"older people"’ Sort:
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Epic style of care
- Author:
- MAPP Sue
- Journal article citation:
- Community Care, 11.4.96, 1996, p.6.
- Publisher:
- Reed Business Information
A one-stop solution ending the threat to elderly people's independence has been imported from San Francisco, reports the author.
The aims, role and impact of an intermediate care service for people with dementia: reflections on a conference workshop
- Authors:
- WILKIE David, et al
- Journal article citation:
- Quality in Ageing and Older Adults, 12(2), 2011, pp.109-118.
- Publisher:
- Emerald
The aims, role and impact of a specialist intermediate care service for people with dementia in Kent, entitled the Home Treatment Service (HTS) is described. The authors reflect on two workshops about the service, delivered as part of the "Dementia Care: A Positive Future" conference held in May 2010. The 45 workshop participants included service providers, professionals and family carers. The aims and nature of the service were outlined by members of the clinical team as: adopting a multi-professional approach, emphasising the value of a shared assessment process and having a commitment to flexible and intensive working within a person centred framework. Focusing on the HTS's work with care homes, presenters offered case illustrations to highlight its collaborative approach to working with service users, staff, managers and families to improve the quality of life for users presenting with challenging behaviour and preventing placement breakdown. Discussion with participants explored the obstacles and opportunities in working productively with care homes. The HTS's potential to reduce reliance on anti-psychotic medication was specifically highlighted. In addition to improving user and carer quality of life, outcomes of HTS intervention include a reduction in and quicker discharge from, mental health hospitals and maintaining the person in their existing setting.
Working with the NHS
- Author:
- HUDSON Bob
- Journal article citation:
- Research Matters, 15, April 2003, pp.63-70.
- Publisher:
- Community Care
The Audit Commission is pressing for a whole-systems approach to council-NHS working. Looks at a report from the Audit Commission on integrated services for older people, and reports on two other studies which highlight the difficulties in achieving a whole-systems approach.
Decision-making and moving into long-term care
- Authors:
- HUGHES Mark, MAYES Deborah, LE RICHE Pat
- Journal article citation:
- Generations Review, 11(2), June 2001, pp.10-12.
- Publisher:
- British Society of Gerontology
One of the important outcomes from the Royal Commission on Long Term Care will be the increase in rehabilitation offered to older people thorough the development of intermediate care services. This research looks individuals opportunities to participate in the assessment and care planning process, and the role played by multi-disciplinary panels, composed of health and social services, in agreeing care managers' placement recommendations. The research was funded by the London Borough of Greenwich in a commitment to evidence-based practice.
Primary care and dementia
- Authors:
- ILIFFE Steve, DRENNAN Vari
- Publisher:
- Jessica Kingsley
- Publication year:
- 2001
- Pagination:
- 155p.,bibliog.
- Place of publication:
- London
Part of a series of good practice guides produced by the Bradford Dementia Group at the University of Bradford, this practice and training guide is written with the needs of health and social care professionals working with people with dementia in mind. Drawing together theoretical considerations and examples of good practice, the guide explains how to: make the initial diagnosis (including guidelines for distinguishing dementia from depression); convey the diagnosis to the person with dementia and their family (outlining the use of cognitive tests and the role of anti dementia drugs); support the user through lifestyle adjustments; care for people with dementia as it progresses, both in their own homes and in care home settings. The guide is illustrated with case studies and includes a chapter on understanding and responding to the needs of the carer and the effect on their own health as well as outlining the shared knowledge base required by health and social care practitioners.
Out of the institution
- Author:
- ALLEN Jackie
- Journal article citation:
- Journal of Dementia Care, 5(1), January 1997, pp.18-20.
- Publisher:
- Hawker
In this second article the author traces the growth of a specialist service for people with dementia and the beginnings of community care, as care in the huge Victorian institution gradually improved and developed until the hospital finally closed.
Keyworking in social care: a structured approach to provision
- Author:
- MALLINSON Ian
- Publisher:
- Whiting and Birch
- Publication year:
- 1995
- Pagination:
- 224p.,bibliog.
- Place of publication:
- London
Reviews the history of keyworker systems and offers a new analytical framework, using real-life examples, of current practice. Includes sections on: systems approaches to keyworking; care planning; teamwork; management; matching service users and keyworkers; keyworking in residential care for older people; inter-disciplinary teamwork; day care services; domiciliary care; and residential child care.
The Herbert Protocol for people at risk
- Author:
- GOOD Rachel
- Journal article citation:
- Journal of Dementia Care, 26(1), 2018, pp.14-15.
- Publisher:
- Hawker
The author describes an early intervention scheme, The Herbert Protocol, which is designed to help locate vulnerable people deemed to be at risk of going missing. The protocol was initially introduced by Norfolk police after a war veteran who lived with dementia went missing from his care home and died whilst he was searching for his chldhood home. Information gathered for the Herbert Protocol forms part of an individual's needs assessment and care planning process and it supports multi-agency working between care professionals, local police and in some cases volunteers from Lowland Rescue (national charity). (Edited publisher abstract)
Improving care in care homes: a qualitative evaluation of the Croydon care home support team
- Authors:
- LAWRENCE Vanessa, BANERJEE Sube
- Journal article citation:
- Aging and Mental Health, 14(4), May 2010, pp.416-424.
- Publisher:
- Taylor and Francis
The Croydon care home support team (CHST) was developed in response to reports of patient abuse within long-term care in order to improve standards of care within care homes. The CHST adopts a systemic approach that places an equal emphasis on the social, mental health and nursing needs of residents and aims to address the whole culture of care within the individual homes. This paper describes a qualitative methodology used to assess the perceived impact of the CHST among care home staff. In-depth interviews were conducted with 14 care home managers and 24 members of care home staff across 14 care homes. Grounded theory principles guided the collection and analysis of the data. The results demonstrated improved communication between staff, improved staff development and confidence, and improved quality of care, and point towards the effectiveness of the CHST model. The collaborative approach of the CHST was considered pivotal to its success and presented as an effective method of engaging care home managers and staff. The data demonstrate the potential for specialist multi-disciplinary teams to raise standards of care across long-term care settings. Increased awareness of safeguarding issues, improved staff morale and communication and ongoing opportunities for discussion and problem solving promised to sustain improvements.
International experiments in integrated care for the elderly: a synthesis of the evidence
- Authors:
- JOHRI Mira, BELAND Francois, BERGMAN Howard
- Journal article citation:
- International Journal of Geriatric Psychiatry, 18(3), March 2003, pp.222-235.
- Publisher:
- Wiley
The OECD countries have recently promoted policies of deinstitutionalisation and community-based care for the elderly. These policies respond to common cost pressures associated with population aging, and the challenge of providing improved care for the elderly. They aim to substitute less costly services for institutional ones, to improve patient satisfaction and decrease expenses. The authors conducted a systematic review of recent demonstration projects testing innovative models of care for the elderly in OECD countries. Projects included aimed to create comprehensive integration of acute and long-term care services, and were evaluated using a comparison group. The following common features of an effective integrated system of care were identified: a single entry point system; case management, geriatric assessment and a multidisciplinary team; and use of financial incentives to promote downward substitution. Community-based care can impact favourably on rates of institutionalisation and costs. Comprehensive approaches to programme restructuring are necessary, as cost-effectiveness depends on characteristics of the system of care.