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Social and custodial needs of older adults in prison
- Authors:
- HAYES Adrian J., et al
- Journal article citation:
- Age and Ageing, 42(5), 2013, pp.589-593.
- Publisher:
- Oxford University Press
Background: Older prisoners are a fast-growing group but there is limited evidence for how well their needs are being met. Objectives: To quantify the social and custodial needs of older prisoners and suggest improvements for service provision. Design: cross-sectional study. Setting: twelve prisons holding adult males in North West England. Subjects: Two hundred and sixty-two prisoners; 97 aged between 50 and 59, 165 aged 60 and over. Methods: interview and case-note review for issues of social and custodial need and quality of life in prison, including Forensic Camberwell Assessment of Need and Lubben Scale for social networks. Results: Many had problems mixing with younger prisoners, accommodation and activities, and limited contact with friends and family. A small group had personal care needs which were not well managed in prison. Conclusion: Older prisoners have distinct social and custodial needs which need to be addressed by a national strategy for their care and management. (Publisher abstract)
Acquiescence in needs assessment studies of the elderly
- Authors:
- CALSYN Robert J., ROADES Laurie, CALSYN Dylan S.
- Journal article citation:
- Gerontologist, 32(2), 1992, pp.246-252.
- Publisher:
- Oxford University Press
Reports on a study demonstrating that acquiescence response (i.e. the tendency to question positively regardless of context) can lead to inflamed estimates of needs assessment.
The needs of older people with dementia in residential care
- Authors:
- HANDCOCK Geraldine A., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 21(1), January 2006, pp.43-49.
- Publisher:
- Wiley
The aim of this study was to identify the unmet needs of people with dementia in care and the characteristics associated with high levels of needs. Two hundred and thirty-eight people with dementia were recruited from residential care homes nationally. Needs were identified using the Camberwell Assessment of Needs for the Elderly (CANE). Residents with dementia had a mean of 4.4 (SD 2.6) unmet and 12.1 (SD 2.6) met needs. Environmental and physical health needs were usually met. However, sensory or physical disability (including mobility problems and incontinence) needs, mental health needs, and social needs, such as company and daytime activities, were often unmet. Unmet needs were associated with psychological problems, such as anxiety and depression, but not with severity of dementia or level of dependency. The authors conclude that mental health services and residential home staff need to be aware that many needs remain unmet and much can be done to improve the quality of life of the residents with dementia.
Making sense of needs assessment
- Author:
- RICHARDS Sally
- Journal article citation:
- Research Policy and Planning, 12(1), 1994, pp.5-9.
- Publisher:
- Social Services Research Group
Underlying the community care reforms is an ambiguous approach to the concept of need. Outlines the implications of this for practitioners and describes the development of an ethnographic study of the assessments of elderly people which explores how the concept of need is handled in practice.
Needs assessment experience among area agencies on aging
- Author:
- CHEUNG Kam-Fong Monit
- Journal article citation:
- Journal of Gerontological Social Work, 19(3/4), 1993, pp.77-93.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The Older Americans Act requires that Area Agencies on Aging (AAAs) must 'assess the kinds and levels of services needed by older persons in the planning and service area, and the effectiveness of the use of resources in meeting these needs'. Since methods of needs assessment can vary from a complex and quantitative policy analysis to a local public hearing, it is important to establish a needs assessment framework for AAAs' reference. Discusses needs assessment experiences among AAAs, and based on these experiences to develop a framework for connecting needs assessment ideas to the national ageing network.
Home from home
- Author:
- BURLANE K.
- Journal article citation:
- Community Care, 11.5.89, 1989, pp.23-25.
- Publisher:
- Reed Business Information
Barnsley SSD's 'personalised' short-term care scheme for elderly people : careful needs assessment and matching of carers with clients are needed to ensure success.
Needs assessment in private homes for the elderly: address to the national conference of the National Confederation of Registered Rest Homes Associations,... Plymouth, 1986
- Author:
- UNIVERSITY OF YORK. Social Policy Research Unit
- Publisher:
- University of York
- Publication year:
- 1986
- Pagination:
- 12p.
- Place of publication:
- York
Estimating local relative expenditure needs of changes in social care means-testing arrangements: a microsimulation approach
- Authors:
- FERNANDEZ Jose-Luis, SNELL Tom
- Publishers:
- University of Kent. Personal Social Services Research Unit, London School of Economics. Personal Social Services Research Unit
- Publication year:
- 2018
- Pagination:
- 28
- Place of publication:
- Canterbury
In the English social care system, adults with eligible social care needs undergo a means-test to determine the relative contributions of the individual and their local authority to care costs according to the national minimum eligibility criteria set out in the Care Act 2014. This report summarises the methodology and results of a formula for estimating relative spending needs across English local authorities associated with proposed changes in the social care means-testing arrangements. The methods follow a microsimulation-based approach, and focus exclusively on the impact of changes in means-testing arrangements on older people. According to the proposed rules modelled in this analysis, the upper capital threshold would be raised from £23,250 to £27,000 for individuals in the community or for individuals in a care home whose property is disregarded. For individuals in care homes without a property or whose property was taken into account when calculating assessable income, the upper capital limit would increase to £118,000. The lower limit (disregarded assets) would increase from £14,250 to £17,000. (Edited publisher abstract)
Seeking assistance in later life: how do older people evaluate their need for assistance?
- Authors:
- CANVIN Krysia, et al
- Journal article citation:
- Age and Ageing, 47(3), 2018, p.466–473.
- Publisher:
- Oxford University Press
Background: legislation places an onus on local authorities to be aware of care needs in their locality and to prevent and reduce care and support needs. The existing literature overlooks ostensibly ‘healthy’ and/or non-users of specific services, non-health services and informal assistance and therefore inadequately explains what happens before or instead of individuals seeking services. The authors sought to address these gaps by exploring older adults’ accounts of seeking assistance in later life. Methods: semi-structured qualitative interviews with 40 adults aged 68–95. Participants were invited to discuss any type of support, intervention, or service provision, whether medical, social, family-provided, paid or unpaid. Findings: this paper reports older people’s accounts of how they evaluated their need for assistance. People in the sample engaged in a recursive process, evaluating their needs on an issue-by-issue basis. Participants’ progression through this process hinged on four factors: their acknowledgement of decline; the perceived impact of decline on their usual activities and independence; their preparedness to be a recipient of assistance; and, the opportunity to assert their need. In lieu of seeking assistance, participants engaged in self-management, but also received unsolicited or emergency assistance. Conclusions: older people’s adaptations to change and attempts to meet their needs without assistance mean that they do not present to services, limiting the local authority’s knowledge of their needs and ability to plan appropriate services. Our findings offer four stages for policymakers, service providers and carers to target to address the uptake of assistance. (Edited publisher abstract)
Health and social care needs assessments of the older prison population: a guidance document
- Authors:
- MUNDAY David, LEAMAN Jane, O'MOORE Eamonn
- Publisher:
- Public Health England
- Publication year:
- 2017
- Pagination:
- 59
- Place of publication:
- London
This document provides evidence-based guidance on how to carry out a health and social care needs assessment of older people in prisons. It can be used by commissioners of prison healthcare services and social care services to understand the needs of older people in prisons and commission and deliver services that meet their needs. The document is structured around 13 chapters which each address a key theme that should be considered. They include demographics, review of physical environment, risk factors for disease, prevalence of disease, medicines optimisation, prevalence of social care need, promoting health and wellbeing, palliative care services, user engagement, mapping services to meet need, and planning for release and continuity of care. Each chapter includes national level data on levels of need; data sources and indicators that can used to assess need; and examples from practice. (Edited publisher abstract)