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Preventing social isolation in later life: findings and insights from a pilot Queensland intervention study
- Authors:
- BARTLETT Helen, et al
- Journal article citation:
- Ageing and Society, 33(7), 2013, pp.1167-1189.
- Publisher:
- Cambridge University Press
This paper reports on the challenges of attempting to undertake a rigorous evaluation of three demonstration pilot projects targeting older people at risk of social isolation, conducted within different social settings in Queensland, Australia. The demonstration projects were part of the Queensland Cross-Government Project to Reduce Social Isolation in Older People (CGPRSIOP) led by the Office for Seniors within the Queensland Department of Communities. The programme incorporated validated psychological measures to evaluate the effectiveness of interventions. While use of these measures suggested some promising results, the focus of this paper is on the methodological and practical challenges associated with utilising evaluation measures in community-based interventions. The detailed consideration of the methodological issues involved in this programme highlights some key lessons and offers new insights into evaluating interventions for reducing social isolation. (Edited publisher abstract)
Structural issues in befriending and advocacy: evaluation of a befriending scheme for elders in residential care
- Authors:
- LANSLEY John, WHITTAKER Terri
- Journal article citation:
- Generations Review, 4(1), March 1994, pp.8-10.
- Publisher:
- British Society of Gerontology
The scheme evaluated by the authors' was the Good Friend Service which was started by Liverpool Personal Service Society (PSS) in 1985. Describes the problems and possibilities associated with evaluating the befriending and advocacy scheme. These include: the politics of funding; constraints in planning and delivering services; integration of residential care and community resources; professionalism and advocacy; and the volunteers' and residents' own perception of the scheme.
Care of the elderly with psychiatric disorders
- Author:
- SPOOR Chris
- Publisher:
- University of Aberdeen. Health Economics Research Unit
- Publication year:
- 1988
- Pagination:
- 40p., tables, bibliog.
- Place of publication:
- Aberdeen
Reports on a study which set out to specify and measure the benefits generated by various service options for care of the elderly with psychiatric disorders.
Indicators of a balanced long-term service and support system: examining the impact on individuals aging with a lifelong disability
- Authors:
- RUIZ Sarah, et al
- Journal article citation:
- Journal of Gerontological Social Work, 55(2), February 2012, pp.126-145.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The authors examine how rebalancing efforts can support the needs of individuals aging with a lifelong disability. The National Balancing Indicator project examined the overall long-term supports and services system (LTSS) progress in five indicators within the Sustainability, Coordination and Transparency, and Prevention principles toward a balanced LTSS system in the US for those aging with a lifelong disability. The assessment of individual state efforts to create a balanced participant-directed LTSS system measured against the National Balancing Indicators, suggests states are improving their systems to handle a growing population of individuals aging with a lifelong disability, but more progress is still needed and different states are at very different stages of their rebalancing progress. The authors conclude that states need to continue to create a seamless system that allows individuals with lifelong disabilities to transition smoothly through the life course.
The Stroud/ADI dementia quality framework: a cross-national population-level framework for assessing the quality of life impacts of services and policies for people with dementia and their family carers
- Authors:
- BANERJEE Sube, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 25(3), March 2010, pp.249-257.
- Publisher:
- Wiley
This paper aims to generate an internationally applicable framework for the systematic assessment of the quality of life impacts of services and policies for older people with dementia and their family carers. Based on a qualitative analysis of text, derived from open groups at six consecutive ‘Alzheimer's Disease International’ (ADI) Conferences (1999-2005), the 312 textual contributions included: presenters texts; transcribed points made during discussion; and written contributions. The results showed that eight interacting domains relating to quality of life emerged: Public Attitudes and Understanding; Government and Social Policy; Funding for Services; Health; Communication; Choice and Personhood; Environment; and Quality of Care leading to the development of the Stroud/ADI Dementia Quality Framework. In conclusion the authors assert that the Stroud/ADI Dementia Quality Framework helps to structure the assessment of the quality of life impacts of population level approaches in dementia impacts. Available information can be mapped onto the framework. With its international approach, the Stroud/ADI Dementia Quality Framework has validity across cultures and across countries. It is intended as a useful aid for the assessment of services and policies for people with dementia and their family carers.
Integrating mental health services for older people in England - from rhetoric to reality
- Authors:
- TUCKER Sue, et al
- Journal article citation:
- Journal of Interprofessional Care, 23(4), July 2009, pp.341-354.
- Publisher:
- Taylor and Francis
The provision of integrated, person-centred care is particularly important for older people with mental health problems. Nevertheless, a series of reports at the end of the last century highlighted unacceptable differences in collaborative working practices in England, variations that a national service framework specifically aimed to address. This study utilised a cross-sectional survey of old age psychiatrists to explore the extent to which, some three years after the publication of this guidance, structures to deliver integrated care across the interfaces between specialist old age mental health and primary, acute and social care services were in place. Three hundred and eighteen (72%) consultants responded. Measures to facilitate integrated practice were generally poorly developed: many areas missed targets to agree protocols for the management of older people with mental health problems with primary care; more than 45% of respondents reported the presence of fewer than two of four indicators of integration with the acute sector; and approaching 30% of respondents reported the presence of fewer than four of 13 markers of integration with social care. The implications of these findings and the challenges inherent in providing integrated care for this client group are discussed.
Pro-active evaluators: enabling research to be useful, usable and used
- Authors:
- BOAZ Annette, HAYDEN Carol
- Journal article citation:
- Evaluation, 8(4), October 2002, pp.440-453.
- Publisher:
- Sage
Evidence-based policy making presents challenges for researchers as the pragmatic imperative of delivering 'the right information, at the right time, for the right people' can appear to compromise traditional academic roles and responsibilities. Using the recent evaluation of the UK Cabinet Office-led 'Better Government for Older People' programme as a case study, we discuss attempts to meet these challenges in practice. Our experience confirms that there has been a shift from the assumption of rational models (i.e. that evidence will be used as part of a linear planning process) to a more 'realistic' perspective in which evidence from research requires advocates to promote its potential contribution. In turn, this suggests that it is in the interest of the research community to try to understand the policy-making process, and so design, undertake and disseminate their research in a way that maximizes the likelihood of its use in actively contributing to policy development.
Older people
- Author:
- MANRHORPE Jill
- Journal article citation:
- Research Matters, 2002, pp.37-40.
- Publisher:
- Community Care
There is the expectation that joint working will save resources. However this article argues that this hope need not necessarily transpire. For older people the new system of care holds out promise. However the author argues that it is also important to identify what best works at local level.
Caring for older people: an assessment of community care in the 1990s
- Authors:
- BAULD Linda, et al
- Publisher:
- Ashgate
- Publication year:
- 2000
- Pagination:
- 428p.,tables,bibliog.
- Place of publication:
- Aldershot
Aims to provide the detailed information necessary to understand and evaluate current practice in community care for older people, based on the PSSRU's Evaluating Care for the Elderly Project. Describes the development of community care from the post-war period to the present day. Describes the ECEP project and places its findings in a national context. Summarises the projects findings and reflects on their relevance to policy developments. Subsequent chapters describe the findings in detail with reference to the characteristics of the older people in the study, their carers, issues of care management, consistency in social care, and outcomes for users.
All our futures: the reports of the Better Government for Older People Programme
- Publisher:
- Better Government for Older People
- Publication year:
- 2000
- Pagination:
- 3 booklets in pack.
- Place of publication:
- Wolverhampton
Reports relating to the Better Government for Older People programme, a UK-wide action-research programme which aims to improve public services for older people by better meeting their needs, listening to their views and recognising their contribution. Includes a steering committee report, an evaluation summary and a report from the Older People's Advisory Group.