Search results for ‘Subject term:"older people"’ Sort:
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The right to take risks
- Author:
- FAULKNER Alison
- Journal article citation:
- Journal of Adult Protection, 14(6), 2012, pp.287-296.
- Publisher:
- Emerald
This article reports on a consultation which aimed to explore the views of disabled people and service users about risk. It reached nine individuals and one focus group, reaching a total of 17 disabled people and service users. Findings revealed that disabled people and service users have quite different concerns about risk to those of the professionals and the regulatory bodies acting on their behalf. Many people talked of the fear of losing their independence, of asserting their rights and the fear of powerlessness in the face of bureaucracy and uncaring staff. The author concluded that raising awareness among professionals and policy makers about the risks that service users themselves fear and experience should demonstrate just how important it is that the people whose risk is under consideration are involved in the process.
Supporting people: key findings from the supporting people baseline user survey
- Author:
- GREAT BRITAIN. Office of the Deputy Prime Minister
- Publisher:
- Great Britain. Office of the Deputy Prime Minister
- Publication year:
- 2005
- Pagination:
- 8p.
- Place of publication:
- London
Summary that outlines the key findings from a survey of people using services that are eligible for funding via the Supporting People programme, conducted before the programme went live. Identifies older people with support needs as the key users of Supporting People (71%), with single homeless people making up 8% of users and homeless families 2% of all users. Examines types of services received by users and types of services they would like to receive.
Autonomy and risk: the role of client wishes in community-based long-term care
- Author:
- HENNESSY C.H.
- Journal article citation:
- Gerontologist, 29(5), October 1989, pp.633-639.
- Publisher:
- Oxford University Press
An evaluation of the On Lok Senior Health Services programme in S. Francisco examines the handling of conflict between agency decisions and client wishes.
Some limits and political implications of participation within health and social care for older adults
- Author:
- CAREY Malcolm
- Journal article citation:
- Ageing and Society, 39(8), 2019, pp.1691-1708.
- Publisher:
- Cambridge University Press
This paper critically examines service user participation and involvement for older adults. It concentrates on research and community-led engagement for older people, and maintains that despite extensive support and expansion, participation offers a complex form of governance and ideological control, as well as a means by which local governments and some welfare professions seek to legitimise or extend their activities. Some of the paradoxes of participation are discussed, including tensions that persist between rhetorical claims of empowerment, active citizenship and democratic engagement, on one hand, despite tendencies towards risk-aversion, welfare retrenchment and participant ambivalence, on the other. The paper also highlights practical problems in relation to participative research and community involvement, and questions arguments that participation may challenge the authority of welfare professionals. Critical theory is drawn upon to contextualise the role of participative narratives within wider welfare, including its role in moving debate away from ownership or redistribution while masking and validating policy-related goals which can counter many older people's needs. Tension is also noted between participation projects represented as resources to support ageing identities as opposed to those representing technologies for social regulation and conformity. (Edited publisher abstract)
Financial abuse of older people by a family member: a difficult terrain for service providers in Australia
- Authors:
- ADAMS Valerie Margaret, et al
- Journal article citation:
- Journal of Elder Abuse and Neglect, 26(3), 2014, pp.270-290.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Financial abuse by a family member is the most common form of abuse experienced by older Australians, and early intervention is required. National online surveys of 228 chief executive officers and 214 aged care service providers found that, while they were well placed to recognise financial abuse, it was often difficult to intervene successfully. Problems providers encountered included difficulties in detecting abuse, the need for consent before they could take action, the risk that the abusive family member would withdraw the client from the service, and a lack of resources to deal with the complexities inherent in situations of financial abuse. (Edited publisher abstract)
Predicting social care costs: a feasibility study
- Authors:
- BARDSLEY Martin, et al
- Publisher:
- Nuffield Trust
- Publication year:
- 2011
- Pagination:
- 81p.
- Place of publication:
- London
This report describes a study that explored whether statistical models can be used to predict an individual person’s future need for intensive social care in the UK. The aim of the project was to obtain pseudonymous individual-level data from several primary care, secondary care and social care organisations; link collate and analyse these data at the individual level; and attempt to develop a statistical model to predict which individuals are at greatest risk of requiring intensive social care in the 12 months after prediction. Data was provided by 4 Primary Care Trusts (PCTs) and one care trust. The research shows how it is possible to link routine data from health and social care information systems in a way that protects individuals’ identities. The project showed that it is possible to construct predictive models for social care. How these models might fit into everyday working practice now needs investigating. The predictive accuracy of the models was comparable to some of the models used by the NHS to predict hospital admissions. The authors comment that linked person-level information has the potential to improve quality of care services, whether through improved identification of high-risk individuals, comparative performance measures, service evaluations or budget-setting. There is a need to ensure that the quality of information about social care services improves comparably to the recent improvement seen in the quality of data about individual health care use.
Evaluating self-determination: an adult protection case study
- Author:
- PRESTON-SHOOT Michael
- Journal article citation:
- Journal of Adult Protection, 3(1), February 2001, pp.4-14.
- Publisher:
- Emerald
Self-determination is widely regarded as a core social work value and as central to work in adult protection. However, it is not unproblematic and raises difficult questions about how to balance empowerment and protection, or rights and risks. Inter-agency procedures and the recent publication of policy guidance may reflect these difficult questions rather than assist practitioners and managers to resolve practice dilemmas they encounter.
The right to choose
- Author:
- GEORGE Mike
- Journal article citation:
- Community Care, 3.10.96, 1996, pp.32-33.
- Publisher:
- Reed Business Information
Describes one social worker's dilemma when faced with an elderly woman who was at risk, but still wanted to make her own decisions.
Consumer expectations of self‐managing aged home care packages in Australia
- Authors:
- LARAGY Carmel, VASILIADIS Sophie D.
- Journal article citation:
- Health and Social Care in the Community, 28(6), 2020, pp.2362-2373.
- Publisher:
- Wiley
This study investigated the expectations of older people who chose to participate in a self‐management trial of home aged care packages conducted by COTA Australia. Empowerment theory is used to interpret the findings. All Australian home aged care support packages are delivered using a consumer directed care (CDC) model, and most are managed by an aged care provider. The COTA Australia trial gave older people the opportunity to self‐manage their package and have more control over spending and less constraints on its use. This study examined three questions: (a) what motivated the older person, or an informal carer acting on their behalf, to participate in the self‐managing trial; (b) what outcomes they expected (c) and what was their attitude towards risk. The trial was conducted over 9 months in 2018–2019. Seven registered home aged care providers from six Australian states and territories recruited 103 consumers to the trial, with having an informal carer act on their behalf. Online questionnaires with consumers (n = 103) and informal carers (n = 66), and 18 semi‐structured interviews showed that older consumers and their informal carers had high expectations that self‐management would result in: increased choice and control and more flexible use of funds; lower administration fees and more money to spend on services and supports; improved relations with service providers and the opportunity to select support staff. Participants wanted clear information and guidelines and support from their provider. While wanting to have more control and be empowered, few respondents noted concerns about possible risks. This finding raises questions about consumers' awareness of risks that are documented in the literature, and it challenges providers to balance risk management with facilitating independence and autonomy. (Edited publisher abstract)
Why must government must ring the changes on charges
- Author:
- WRIGHT Simon
- Journal article citation:
- Working with Older People, 4(3), July 2000, pp.21-23.
- Publisher:
- Emerald
The author argues that the government's announcement that it will amend the Care Standards Bill to enable it to issue enforceable guidelines on charging for care services is a step in the right direction. Describes some of the adverse consequences on service users when councils charge for essential services and the safeguards that should be included in any national guidance.