Search results for ‘Subject term:"older people"’ Sort:
Results 1 - 10 of 21
Home care: commissioning for older people with complex needs
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2014
- Place of publication:
- London
This film highlights the challenges of commissioning home care for older people. It shows examples of providing good quality, person centred home care for older people with complex needs. The St Monica's trust approach to high quality person centred home care is built on the recruitment of the right staff and support , training and partnership working. This resource is aimed at commissioners of home care for older people, commissioners, care providers and carers. (Edited publisher abstract)
Delivering A Better Life for older people with high support needs in Scotland
- Author:
- INSTITUTE FOR RESEARCH AND INNOVATION IN SOCIAL SERVICES
- Publisher:
- Institute for Research and Innovation in Social Services
- Publication year:
- 2014
- Pagination:
- 24
- Place of publication:
- Glasgow
'A Better Life' was a major five year programme of work developed by the Joseph Rowntree Foundation which explored how to achieve a good quality of life for older people with high support needs. This briefing looks at the seven key messages from the project in relation to current policy drivers in Scotland and draws out the messages for practice for Scotland. (Edited publisher abstract)
A framework for delivering integrated health and social care for older people with complex needs: consultation document
- Author:
- WALES. Welsh Government
- Publisher:
- Welsh Government
- Publication year:
- 2013
- Pagination:
- 14
- Place of publication:
- Cardiff
Wales already has a higher proportion of people aged over 85 than the other countries of the United Kingdom, and is likely to rise further in the next decade. This framework for integrated health and social care summarises the relevant policy and key principles; and provides clear definitions. It sets out the Welsh Government’s expectations for how all the different partners need to develop and deliver integrated health and social care services, not as something extra but as the normal way of working. It identifies what the evidence indicates as the core requirements on which to base local planning and delivery; and states the outcome-based indicators that will help establish the present baseline position and measure progress. In all, care delivery must be aimed at achieving improved user and patient care through better co-ordination of services; and the the recipient will have a greater say and more control over the care received. Responses to this consultation are required by 31 October 2013. (Edited publisher abstract)
Commissioning care and support for older people with high support needs
- Author:
- JOSEPH ROWNTREE FOUNDATION
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2013
- Pagination:
- 4
- Place of publication:
- York
This paper provides practical guidance for commissioners of older people’s services on the range of models and approaches available for supporting older people with high support needs. It describes the options that are available, what makes them successful and beneficial, and suggests five priorities for commissioners. (Original abstract)
Older people and quality of life: better life in residential care
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2014
- Pagination:
- 4 minutes 11 seconds
- Place of publication:
- London
This video shows older people with high support needs who live in a care home. They talk about what is important in their lives and how they like to be treated. It is based around the Joseph Rowntree Foundation's (JRF) A Better Life programme, and attempts to convey a set of key messages for practitioners. These include: seeing and treating older people with high support needs as individuals and helping them to do the things they want to do; building positive relationships with the people practitioners work with; looking for the strengths and assets each person has and supporting them to play an active role in the development and provision of services; and being open to doing things in new ways. This resource is aimed at anyone involved in providing services to older people with high support needs – commissioners, managers, social workers, care workers and educators – and older people with high support needs and their families and carers. (Edited publisher abstract)
Government response to ACMD report 'Ageing cohort of drug users'
- Author:
- GREAT BRITAIN. Department of Health and Social Care
- Publisher:
- Great Britain. Department of Health and Social Care
- Publication year:
- 2019
- Place of publication:
- London
A policy document which sets out the government's response to the four recommendations made in the Advisory Council on the Misuse of Drugs (ACMD) report Ageing cohort of drug users. Officials from each of the four nations reviewed the council's advice and this document provides a coordinated response from the English, Scottish, Welsh and Northern Irish administrations. The recommendations of the ACMD report include the need for training for specialist community-based drug treatment services on treatments and specific risks for older drug users and a pilot programme to assess whether the navigator model would help older drug users to engage with services. (Edited publisher abstract)
Ageing cohort of drug users
- Author:
- ADVISORY COUNCIL ON THE MISUSE OF DRUGS
- Publisher:
- Advisory Council on the Misuse of Drugs
- Publication year:
- 2019
- Pagination:
- 55
- Place of publication:
- London
A report from the Advisory Council on the Misuse of Drugs to explore the issues for older people with a drug problem, focusing on those who have had a drug problem for an extended period of time. The report describes the changing age profile of drug users, the health and social care needs of this population, and explains why current services are not meeting the needs of this group. It also identifies effective services responses and best practice. The report identifies research which suggests that older drugs users have multiple additional risk factors resulting from their deteriorating physical and mental health, difficulty in navigating complex health and social care systems and experience of stigma. It also finds that specialist community drug services are insufficiently prepared to manage the complex needs of this group. The recommendations for practise and policy include that specialist community-based drug treatment services should develop training for staff to highlight the treatments and specific risks for older drug users. (Edited publisher abstract)
Transitioning into spousal caregiving: contribution of caregiving intensity and caregivers’ multiple chronic conditions to functional health
- Authors:
- LIU Huiying, LOU Vivian W.Q.
- Journal article citation:
- Age and Ageing, 48(1), 2019, pp.108-114.
- Publisher:
- Oxford University Press
Background: Both caregiving intensity and caregivers’ multiple chronic conditions (MCCs) are important aspects of caregiving that might affect the health and well-being of older spousal caregivers, but few investigations have simultaneously modelled their impact during the transition into spousal caregiving. Objective: To examine the differential effects of caregiving intensity and caregivers’ MCCs on functional health over time among individuals entering the spousal caregiver role. Methods: A total of 1,866 non-caregivers at the baseline were followed over a 4-year period (2011–2015). The effects of transitioning into caregiving (transitioned into low-intensity and transitioned into high-intensity versus never-caregiver) and caregivers’ MCCs (reported before and during the transitioning period versus no MCCs) on functional health at the follow-up were estimated using mixed-effects regression models. Results: Transitioning into spousal caregiving was associated with a decline in functional health, particularly for those transitioned into high-intensity caregiving, and for those who reported MCCs when transitioning into the caregiver role. The association between transitioning into spousal caregiving and functional decline was strongest for high-intensity caregivers reporting MCCs when transitioning into caregiving, followed by low-intensity caregivers reporting MCCs when transitioning into caregiving. Conclusion: The results highlight the contribution of transitioning into high-intensity caregiving and caregivers’ MCCs to the functional health decline of spousal caregivers. Caregiver support interventions should target spousal caregivers who have newly entered a demanding caregiving role; clinical attention should be emphasised for the development of caregivers’ own MCCs coinciding with the transitioning period.
Capturing the significance of place in the lived experience of dementia
- Author:
- McGOVERN Justine
- Journal article citation:
- Qualitative Social Work, 16(5), 2017, pp.664-679.
- Publisher:
- Sage
In this article, the author reports on a study exploring the impact of an urban setting on the lived experience of dementia for older couples where one member of each couple was diagnosed with the illness over age 64, the other was the primary care partner, and both were residing together in the greater New York metropolitan area at the time of the research. Certain features of city living, such as accessible medical care, public transportation, and social services, are known to provide substantial instrumental and affective support during challenging times However, how dementia care partnerships transform other aspects of urban environments to their own individual and unpredictable advantage is less documented. By describing how older dementia-affected couples make use of informal features of place to meet complex needs, such as affirming couplehood and sustaining autonomy, the study uncovers links between place and quality of life with dementia. There are implications for dementia care and research. These include deepening understanding of the role of place in dementia, establishing knowledge of place as a component of cultural competence, and implementing policies that support place-based care. Moreover, findings propose pathways to greater inclusivity in knowledge building by promoting creative approaches to data collecting supported by naturalistic inquiry. By adopting a strength perspective and a person-inenvironment approach to service provision, social work practice, and research stand to make a difference in the lives of persons affected by dementia and those who care for them. (Publisher abstract)
The care needs of older patients with bipolar disorder
- Authors:
- DAUTZENBERG Geraud, et al
- Journal article citation:
- Aging and Mental Health, 20(9), 2016, pp.899-907.
- Publisher:
- Taylor and Francis
Objectives: With ageing, bipolar disorder evolves into a more complex illness, with increasing cognitive impairment, somatic comorbidity, and polypharmacy. To tailor treatment of these patients, it is important to study their needs, as having more unmet needs is a strong predictor of a lower quality of life. Method: Seventy-eight Dutch patients with bipolar I or II disorder aged 60 years and older in contact with mental health services were interviewed using the Camberwell Assessment of Need in the Elderly (CANE) to assess met and unmet needs, both from a patient and a staff perspective. Results: Patients (mean age 68 years, range 61–98) reported a mean of 4.3 needs compared to 4.4 reported by staff, of which 0.8 were unmet according to patients and 0.5 according to staff. Patients frequently rated company and daytime activities as unmet needs. More current mood symptoms were associated with a higher total number of needs. Less social participation was associated with a higher total number of needs and more unmet needs. Conclusion: Older bipolar patients report fewer needs and unmet needs compared to older patients with depression, schizophrenia, and dementia. A plausible explanation is that older bipolar patients had higher Global Assessment of Functioning scores, were better socially integrated, and had fewer actual mood symptoms, all of which correlated with the number of needs in this study. The results emphasise the necessity to assess the needs of bipolar patients with special attention to social functioning, as it is suggested that staff fail to recognise or anticipate these needs. (Edited publisher abstract)