Search results for ‘Subject term:"older people"’ Sort:
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Over the age limit
- Author:
- MARSHALL Tony
- Journal article citation:
- Roof, November 2009, pp.22-24.
- Publisher:
- Shelter
The implications of the rapidly ageing population for government housing strategy are discussed. The article asks whether the current provisions of independent living with home care, sheltered housing and residential care are fit for purposes, and what changes may have to made to existing sheltered housing.
Alcohol and older people
- Authors:
- SIMMILL-BINNING Cheryl, PAYLOR Ian, WILSON Alison
- Journal article citation:
- Drugs and Alcohol Today, 9(2), June 2009, pp.13-18.
- Publisher:
- Emerald
This article presents a review of the literature on alcohol and older people, noting that this subject has received very little research attention. In this short review, the authors offer a synopsis of the physical changes and health problems caused by alcohol use among older people. They then present a typology of drinking in later life, before discussing the findings and shortcomings of recent research knowledge. Reference is also made to the implications for alcohol policy, and solutions around training, health promotion and education are discussed.
Delivering digital inclusion: summary of consultation responses
- Author:
- GREAT BRITAIN. Department for Communities and Local Government
- Publisher:
- Great Britain. Department for Communities and Local Government
- Publication year:
- 2009
- Pagination:
- 38p.
- Place of publication:
- London
This report documents key findings from analysis of stakeholder feedback and responses to Delivering Digital Inclusion: An action plan for consultation. It explores what stakeholders perceive to be the core factors shaping successful delivery of the digital inclusion agenda: citizen focus not technology focus; strong leadership; national approach, local delivery; benchmarking, timeframes and measureable outcomes; sustainable, long term funding and planning. It includes a summary of possible interventions for incorporation into government strategy and case studies of what stakeholders are currently doing to deliver digital inclusion themselves.
Some social consequences of remodelling English sheltered housing and care homes to ‘extra care’
- Authors:
- WRIGHT Fay, et al
- Journal article citation:
- Ageing and Society, 29(1), January 2009, pp.135-153.
- Publisher:
- Cambridge University Press
Across the United Kingdom, new build and remodelled ‘extra care’ schemes are being developed in many areas on the assumption that they offer older people with care needs an alternative to residential care. This paper reports an evaluation by a multi-disciplinary team of 10 extra-care schemes remodelled from sheltered housing or residential care units. The evaluation audited buildings and identified social and architectural problems. No two schemes in the sample were alike; some aimed for a dependency balance and others set a dependency threshold for admission. The three criteria used for assessing eligibility were the number of paid care hours the older person had at home, their property status and the type of disability. This article focuses on the wide variation in assessing eligibility for an extra-care place and on some social consequences of remodelling. A number of tenants remained in situ during the remodelling process in six of the schemes. Building professionals were unanimous that retaining some tenants on site caused significant development delays and increased the remodelling costs. There was also a social price to pay. ‘Old’ tenants resented their scheme changing into extra care and were hostile towards ‘new’ tenants who had obvious needs for support. In some extra-care schemes, ‘old’ tenants were refusing to participate in meals and all social activities.
Commentary: the emergence and application of active aging in Europe
- Author:
- WALKER Alan
- Journal article citation:
- Journal of Aging and Social Policy, 21(1), January 2009, pp.75-93.
- Publisher:
- Routledge
- Place of publication:
- Philadelphia, USA
The traditional public discourse on ageing in Europe (poverty, welfare dependency, social and economic exclusion) has fragmented in recent years to encompass both neoliberal ideas (the economic burden of an ageing population) and broader notions that emphasise human rights, participation, social inclusion and opposition to age discrimination. The evolution of European Union policy discourse up to and beyond the Lisbon Strategy reflects both models: a narrow focus on employment issues; and a more comprehensive approach to active ageing. However, it is the former that continues to dominate policy instruments. Possible reasons for the failure of active ageing ideas to influence policy are examined, and a way forward based on seven principles is discussed.
Removing the policy barriers to integrated care: the Torbay experience
- Author:
- COLCLOUGH Peter
- Publisher:
- Nuffield Trust
- Publication year:
- 2009
- Pagination:
- 4p.
- Place of publication:
- London
This is the report of a discussion on the implications of integrated care developments for NHS policy as implemented in Torbay, Devon. It is one of a series of five events, organised by the Nuffield Trust, which aim to draw on experience in areas where integrated models of care are being developed in order to facilitate closer working between primary and secondary care, and health and social care. Questions to be addressed include: can integrated care be developed while also enabling patients to exercise choice?; do current incentives such as payment by results and practice based commissioning support closer integration of care?; does the current NHS operating framework and performance management regime facilitate or inhibit integration?
The need for reappraising psychological therapies in the light of IAPT
- Author:
- ROGERS Edwin
- Journal article citation:
- Journal of Mental Health Training Education and Practice, 4(1), March 2009, pp.19-26.
- Publisher:
- Emerald
The government IAPT plan reveals a welcome determination to tackle the country's mental health problems - especially by using evidence-based psychological therapies to improve quality of life and prevent mental/emotional problems worsening. Unfortunately, the scales are already heavily weighted in favour of cognitive behavioural therapy (CBT) in that it is considered the only evidence-based therapy by most NHS mental health authorities. There are also signs of an ill-informed, media-lead, groundswell of public opinion headed in the same direction. While acknowledging the value of CBT, there is a strong case that alternative psychological therapies can achieve far better results - especially in the longer term. Unfortunately, the other disciplines frequently present as poor alternatives - not least because of their disparate, sometimes archaic, foundational dogmas, and their potential cost. Fortunately, much dogma can now be updated in the light of neuroscience, and the time factors can be shortened, paving the way for a more unified approach to mental health therapy; with potentially successful treatment across all categories of patient.
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.
Working together for older people in rural areas
- Authors:
- GREAT BRITAIN. Cabinet Office. Social Exclusion Task Force, GREAT BRITAIN. Department for the Environment, Food and Rural Affairs
- Publisher:
- Great Britain. Cabinet Office. Social Exclusion Task Force
- Publication year:
- 2009
- Pagination:
- 47p.
- Place of publication:
- London
This is the final report of a joint project between the Social Exclusion Task Force and the Department for Environment, Food and Rural Affairs. It examines evidence on the social exclusion experienced by older people in rural areas and identifies examples of innovative service delivery in these areas. Transport, health and social care, social and civic activities and housing options are some of the issues examined. The service delivery projects are presented under headings that mirror the three principles of public service reform that the government has set out for the decade ahead: citizen empowerment; a new professionalism; strategic leadership. The report concludes that public services and communities are already adapting in the context of the opportunities and challenges that ageing in rural areas presents. The appendix includes details of the research methodology and case study toolkit.
Speaking up to safeguard: lessons and findings from the benchmarking advocacy and abuse project, 2008-09
- Author:
- DUNNING Andrew
- Publisher:
- Older Peoples Advocacy Alliance
- Publication year:
- 2009
- Pagination:
- 48p., bibliog.
- Place of publication:
- Stoke-on-Trent
This report draws upon an exploratory project on benchmarking advocacy and abuse initiated by the Older People's Advocacy Alliance (OPAAL) UK. The aims of the project were to: gather data which helps understanding of the impact of advocacy when working with victims of elder abuse; learn more about the relationships between advocacy schemes and the Safeguarding Adults teams and processes; explore the potential for advocacy schemes to benchmark best practice in working with victims of elder abuse. The report begins by establishing the context of advocacy and abuse. It describes the prevalence of abuse, the needs for advocacy and developments in legislation, policy and practice. The project methods are outlined and the findings are presented and discussed. Findings relate to: demographic data; referral; types of abuse experienced; case examples; goals of advocacy intervention; advocacy in practice; outcomes of advocacy intervention. The report concludes with recommendations for next steps.