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Developing services for people with dementia
- Authors:
- McDONALD Ann, HEATH Becky
- Journal article citation:
- Working with Older People, 13(3), September 2009, pp.18-21.
- Publisher:
- Emerald
The authors describe a study carried out in Norfolk, Suffolk and Cambridgeshire, funded by the Department of Health, examining services across the statutory, voluntary and private sectors and exploring how national policy was being interpreted to meet local need. The research looked at how agencies make sense of and apply national guidance on services for people with dementia, the map of services across the region and the extent to which this represents partnership within a mixed economy of care, any examples of innovative practice that can be presented for wider dissemination, and problems and gaps in service provision identified by strategic managers, frontline managers and practitioners, and by service users and carers. The findings were that services for older people with dementia are underdeveloped compared to those for older people generally, but that there is the potential to develop community-based and inclusive services for people who have dementia.
Developing services for people with dementia: findings from research in a rural area
- Authors:
- McDONALD Ann, HEATH Becky
- Journal article citation:
- Quality in Ageing, 9(4), December 2008, pp.9-18.
- Publisher:
- Pier Professional
- Place of publication:
- Brighton
This article describes a piece of work carried out in East Anglia designed to map services across the statutory, voluntary and private sectors, and to describe the ways in which national policy is being interpreted to meet local need. Examples of innovative practice, as well as gaps in service design and delivery, were identified though an examination of local policy documents and qualitative interviews with strategic managers, frontline managers and practitioners, and local carers of people with dementia. The findings confirm that services for older people with dementia are under-developed in comparison with services for older people generally, and in comparison with mental health services for working age adults. There are particular gaps with respect to rarer types of dementia, services for people with learning disabilities, and services for people from minority ethnic groups. Carers have also been affected by a shortage of joined-up information, high eligibility criteria and a change to short-term working by practitioners.