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Developing an empirical profile for elder abuse research in Canada
- Authors:
- WALSH Christine A., YON Yongjie
- Journal article citation:
- Journal of Elder Abuse and Neglect, 24(2), April 2012, pp.104-119.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
In the context of the ageing population of Canada and associated caregiving demands, this article aims to provide a review of existing literature and to identify recommendations and directions for future elder abuse research. It covers definitions of elder abuse, Canadian resources on elder abuse, prevalence rates of elder abuse in Canada, risk and protective factors, characteristics of individuals experiencing abuse and of perpetrators, and environmental factors. The authors identify significant gaps in the knowledge base that affect the development of effective programming and policies, concluding that an accurate picture of the extent and nature of elder abuse in Canada is unavailable. They include recommendations for research directions to support elder abuse policy work.
Lessons from the Arkansas cash and counseling program: how the experiences of diverse older consumers and their caregivers address family policy concerns
- Authors:
- SAN ANTONIO Patricia, et al
- Journal article citation:
- Journal of Aging and Social Policy, 22(1), January 2010, pp.1-17.
- Publisher:
- Routledge
- Place of publication:
- Philadelphia, USA
The Cash and Counseling Demonstration and Evaluation (CCDE) program was a trial of an unfettered consumer directed service offering Medicaid recipients in three states a cash allowance and information services in lieu of agency delivered care. Based on this experience the concerns of policy makers were drawn together into four family policy questions often asked about consumer-directed services and examining issues such as quality, suitability, and fraud and abuse. The data reported are drawn from in-home interviews with 19 adults with diverse disabilities over 50 years of age and their care unit members who participated in IndependentChoices, the Arkansas implementation of CCDE. Building on other CCDE evaluation survey data, this analysis discusses recipient and care givers’ experiences of receiving, giving, and managing care. It demonstrates how the program allows consumers choice, so that they receive the services they want, but at the same time the programme’s flexibility allows policy makers to safeguard both consumers and programme resources through the use of representatives, state consultants, and fiscal intermediaries. The authors conclude that overall the experience with Arkansas CCDE has been quite positive and that it might act as a model to help address the needs of both consumers with diverse disabilities and policy makers in other states.
Connecting though campaigning
- Author:
- KITCHEN Gary
- Journal article citation:
- Working with Older People, 9(4), December 2005, pp.31-34.
- Publisher:
- Emerald
The author describes his work with the Age Concern Campaigns Partnership in Lancashire, which was established in March 2005 to raise awareness of issues affecting older people. The Campaign Partnership has found that its work can help enable charities to influence public policy and public opinion so that all older people may benefit.
A sea of change in the teacup!
- Author:
- JONES Ray
- Journal article citation:
- Journal of Integrated Care, 13(4), August 2005, pp.2-5.
- Publisher:
- Emerald
Considers five reports produced by the Government, which focus on disabled and older people, and which stretch across a wide continuum of perspectives and policy.
The application of social innovation as it relates to older people and the implications for future policymaking: a scoping review
- Authors:
- CROSSEN-WHITE Holly Louise, HEMINGWAY Ann, LADKIN Adele
- Journal article citation:
- Quality in Ageing and Older Adults, 21(3), 2020, pp.143-153.
- Publisher:
- Emerald
Purpose: Social innovation has received increasing attention in recent decades (Agostini et al., 2017). This study aims to consider how the concept has been applied to the issue of ageing and what can be learnt about effective policy responses. Design/methodology/approach: The acknowledged lack of understanding generally about the concept makes it timely to undertake a scoping review of the current evidence from social innovation projects associated with older people. A scoping review is considered appropriate where there is a need to “identify and analyse knowledge gaps” (Munn et al., 2018, p. 2). Findings: Findings from the scoping review indicate that, as yet, the concept of social innovation is not fully defined. However, it has widespread appeal across a diverse range of disciplines and has the potential to generate innovative policy responses. Originality/value: A key argument identified is the need to change the public’s perceptions of ageing and devise public policies that encourage and nurture age-friendly communities. In summation, although social innovation has the potential to act as a policy driver, but to be effective, it is necessary to devise robust strategies to ensure full user-engagement and active involvement of communities. Therefore, it is the process of delivery that needs urgent attention in any future research into social innovation. (Edited publisher abstract)
The Productivity Commission Inquiry into Aged Care: a critical review
- Author:
- HUGHES Mark
- Journal article citation:
- Australian Social Work, 64(4), December 2011, pp.526-536.
- Publisher:
- Taylor and Francis
The final report of the Productivity Commission Inquiry into Aged Care was handed to the Australian Government in June 2011. The report recommends a substantial restructuring of Australia's aged care system to make it fairer, more responsive to the needs of individual consumers, and more sustainable in the context of population ageing. The aim of this paper is to examine the context for the Inquiry into Aged Care, including some of the key drivers for reform, such as population ageing and inequities in the financing of aged care. It considers the major recommendations of the Inquiry and their reception within the aged care sector. It argues that, while acknowledging the necessity of a safety net and the needs of diverse groups, the recommended reforms continue to advance the neoliberal restructuring of Australia's health and welfare systems. The paper also examines the role and potential of social work in the context of the recommended changes, arguing that the transfer of recommendations into actual policy provides an opportunity for social work to argue its unique contribution and potential in the delivery of aged care.
Lifetime homes, lifetime neighbourhoods - developing a housing strategy for our ageing population
- Author:
- ANDREWS Baroness
- Journal article citation:
- Policy and Politics, 36(4), October 2008, pp.605-610.
- Publisher:
- Policy Press
The government strategy 'Lifetime homes, lifetime neighbourhoods' was launched in February 2008. The author, from the department of Communities and Local Government, discusses the barriers faced in developing the strategy, and the use of evidence to engage stakeholders and develop policy.
Securing good care for older people: taking a long-term view
- Author:
- DAVIES Bleddyn
- Journal article citation:
- Ageing Horizons, 6, 2007, Online only
- Publisher:
- Oxford Institute of Ageing
- Place of publication:
- Oxford
The paper aims to explain and evaluate two key features of Securing Good Care for Older People, the Wanless Report on alternative mechanisms for funding long-term care of older people. The first is the new elements of the methodology for evaluating the alternatives. The paper argues that more successfully than previously and analyses in other countries, these elements focus attention on what are really the core issues: the means and ends which are the unique foci of long-term care, and estimates of the consequences of alternatives for them. By doing so, the report faces the politicians and policy analysis and research communities with a formidable challenge, to master and contribute to the development of the new framework and evidence. Failure to meet the challenge will increases the risk that the policy system will reinforce rather than weaken causes of gross inequity and inefficiency caused by the under-funding of long-term care seemingly unanswerably demonstrated by the report. The second key feature is the type of funding model the Report recommends given expected changes in the balance between demands and public expenditure. It is argued that the report’s analysis as successfully transforms the state of the argument about this as much as about the framework, methodology and evidence for evaluating alternatives, demonstrating the relative weakness of models widely advocated a decade ago. Part 2 discusses how to build on the Report. It discusses the framing of issues and the analysis of evidence for each of the key foci of the report’s main contribution to evaluation methodology. Finally the paper discusses whether the recommended model would be the wisest choice given the environment likely during the next few decades.
Implementing the Single Assessment Process (SAP): opportunities and challenges
- Author:
- DICKINSON Angela
- Journal article citation:
- Journal of Interprofessional Care, 20(4), August 2006, pp.365-379.
- Publisher:
- Taylor and Francis
The Single Assessment Process (SAP) has been introduced as part of the National Service Framework for Older People and has major implications for health and social care. The aim of this study was to evaluate a pilot introduction of the Single Assessment Process in the South-East of England. A qualitative case study design incorporating observation and semi-structured interviews were used to collect data. Assessment visits were observed and recorded, and interviews were carried out with older people and their carers (n = 9), health and social care practitioners, operational managers, and other key individuals involved in the pilot (n = 26). Overall the evaluation found three major themes that had an impact on the implementation of the Single Assessment Process. These were: the process of implementing policy and change, the health and social care boundary, and communication and sharing of assessments. Front-line practitioners (street-level bureaucrats) had a major impact on the SAP implementation, particularly through their reluctance to engage with the process, work together and share assessments. Success of the national SAP implementation will depend on the extent to which those working directly with older people can be engaged in the policy process.
The law and dementia: issues in England and Wales
- Author:
- JONES R.G.
- Journal article citation:
- Aging and Mental Health, 5(4), November 2001, pp.322-328.
- Publisher:
- Taylor and Francis
Reviews the proposals from the Lord Chancellor's Department for new Mental Incapacity law for England and Wales as they may impact on older people with dementia. Various concerns and issues are raised, particularly from the perspective of health care professionals, and the focus is the interface between such issues and the day-to-day clinical realities for a specialist team dealing with old people with dementia. A brief overview of where problems have arisen with the law in recent times is put in the context of the political/legal structures in England and Wales