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Being a social worker in homes for the aged: the real, the ideal, and the gaps between
- Authors:
- KOREN Chaya, DORON Israel
- Journal article citation:
- Journal of Gerontological Social Work, 44(3/4), 2005, pp.95-114.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Various theoretical research studies, both academic and professional, have considered the important role social work plays in institutional settings. However, worldwide, very little empirical research has been conducted to examine how social work actually functions in homes for the aged. The study considered here helps to address this, by describing three key aspects of this issue: (1) the function social workers in homes for the aged in Israel actually fulfill (their “real” function); (2) the role that these social workers think that they should be fulfilling (their “ideal” function); and (3) the gap that separates “the real” (what social workers actually do) from “the ideal” (what social workers feel they should be doing). The study's research findings show not only that a gap exists, but also its essence. In the case of both the real roles social workers play in homes for the aged and what they perceive to be the ideal roles they should play, as well as in the case of the gap between the two, “paternalistic” activities were emphasized far more than “empowering” activities, which advocate or promote autonomy. The data obtained outlines possible future research directions, identified while attempting to understand the factors that contribute to the current reality of care in homes for the aged.
Statistics Release: care homes, Scotland September 2004
- Author:
- SCOTLAND. Scottish Executive. National Statistics
- Publisher:
- Scotland. Scottish Executive
- Publication year:
- 2005
- Pagination:
- 20p.
- Place of publication:
- Edinburgh
Statistics Release: Care homes, Scotland March 2004
- Author:
- SCOTLAND. Scottish Executive. National Statistics
- Publisher:
- Scotland. Scottish Executive
- Publication year:
- 2004
- Pagination:
- 18p.
- Place of publication:
- Edinburgh
Facilitating choice and control for older people in long-term care
- Author:
- BOYLE Geraldine
- Journal article citation:
- Health and Social Care in the Community, 12(3), May 2004, pp.212-220.
- Publisher:
- Wiley
Community care reforms enabled some older people with severe disabilities to remain at home with domiciliary care services as an alternative to institutional admission. This paper explores the extent to which the reforms actually enabled people receiving domiciliary care to have greater choice and control in their daily lives than those in institutions using findings from a comparative study in Greater Belfast, Northern Ireland, that determined the extent to which subjective quality of life, particularly autonomy, varied according to type of setting. Interviews were held with 214 residents in 45 residential and nursing homes and 44 older people receiving domiciliary care in private households using a structured schedule. Subjective autonomy was assessed using a measure of perceived choice consisting of 33 activities relating to aspects of everyday life such as when to get up or see visitors or friends and how much privacy was available. Qualitative data were also recorded which informed on the older people's perspectives on their own lives, particularly the extent to which they exercised choice on a daily basis. The study found that older people living in institutions perceived themselves to have greater decisional autonomy in their everyday lives than those receiving domiciliary care. Indeed, it was clear that living at home did not ensure that one's decisional autonomy would be supported. However, living alone may facilitate exercising a relatively higher degree of autonomy when living at home. While community care reforms have provided some older people with severe disabilities with the option of receiving care at home, this has not necessarily enabled them to have greater choice and control in their everyday lives than older people admitted to institutions.
Client-centred, community-based care for frail seniors
- Authors:
- CHAPMAN Sherry Anne, KEATING Norah, EALES Jacquie
- Journal article citation:
- Health and Social Care in the Community, 11(3), May 2003, pp.253-261.
- Publisher:
- Wiley
Compared with nursing home care, community care, often viewed in Canada as care at home, is assumed to be best for older adults with chronic disease or disabilities since it is seen as client-focused and less costly. As the number of frail seniors living in the community increases, Canadian governments seek to provide alternate models of nursing home care. As part of a larger initiative meant to increase the scope of community programmes a demonstration project was conducted in western Canada to evaluate the implementation of client-centred, community-based residential care with individuals requiring nursing home level care. This study explores 2 main implementation challenges: whether care that is responsive to individual preferences can be provided to people who cannot assume active decision-making roles, and whether care can be centred in the community if people are living in residential care settings rather than in their own homes. Focus groups were conducted with 2 key stakeholder groups with varying informal (family members) and formal (programme staff) relationships with residents living in 3 new programmes. From content analysis the programmes appeared successful in conveying the importance of recognising residents as individuals and keeping them connected to the community, but fell short of implementation expectations. Themes illustrating the challenges are: engaging with others in a care partnership; responding to residents' preferences and care needs with limited resources; and maintaining residents' connections with the community. To improve feasibility some changes could be pursued within existing financial resources. However, moderating the funding to bring it somewhat closer to nursing home levels could support the sustainability of community-situated programmes for frail seniors.
Residential care homes, Scotland 1999
- Author:
- SCOTLAND. Scottish Executive
- Publisher:
- Scotland. Scottish Executive
- Publication year:
- 1999
- Pagination:
- 6p.
- Place of publication:
- Edinburgh
Statistics Release: residential care homes, Scotland 2000
- Author:
- SCOTLAND. Scottish Executive. National Statistics
- Publisher:
- Scotland. Scottish Executive
- Publication year:
- 2000
- Pagination:
- 6p.
- Place of publication:
- Edinburgh
Care homes for older people: national minimum standards
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- The Stationery Office
- Publication year:
- 2001
- Pagination:
- 68p.
- Place of publication:
- London
This document contains a statement of national minimum standards published by the Secretary of State under section 23(1) of the Care Standards Act 2000.
The Comparative guide to the Care Standards Act 2000: parts I and II with the Registered Home Act 1984 (Residential Care Homes); for inspectors, legal advisers and providers
- Authors:
- WITTON Marion, GRANT Neil
- Publisher:
- M.Witton & Bevan Ashford
- Publication year:
- 2001
- Pagination:
- 40p.
- Place of publication:
- Bristol
The Care Standards Act 200 replaces the Registered Homes Act 1984. It provides for the registration authorities to be the newly created National Care Standards Commission for England, and the National Assembly for Wales. This comparative guide sets out the new requirements under the Care Standards Act Parts I and II alongside the previous requirements of the Registered Homes Act with a clear explanation of the changes. Note is made where there was no previous equivalent, or where previous requirements have been removed. Some requirements under both the previous and the new regime are set out in regulations but this guide focuses on the Acts.
Shared misconceptions
- Author:
- CAPLE Chris
- Journal article citation:
- Community Care, 20.9.01, 2001, p.28.
- Publisher:
- Reed Business Information
Two care home residents can still share a bedroom in a care home if they want. The authors out the confusion over the new national minimum standards and the question of minimum room size.