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Challenges and barriers to services for immigrant seniors in Canada: “you are among others but you feel alone”
- Authors:
- STEWART Miriam, et al
- Journal article citation:
- International Journal of Migration Health and Social Care, 7(1), 2011, pp.16-32.
- Publisher:
- Emerald
This study investigated challenges and barriers to services experienced by immigrant older people in Canada. Older immigrants from diverse ethnicities described their challenges, support needs, and barriers to service access. Service providers and policy makers from organisations serving immigrant seniors were interviewed to understand their views on barriers to access and appropriateness of services for immigrant seniors. Findings revealed financial and language difficulties, health problems, discrimination, family conflicts, and social isolation. Most appreciated the standard of living and the services provided, but believed that support received was inadequate. Service providers and policy makers faced high costs of programmes and inadequate financial and human resources. The authors concluded that the barriers encountered by service providers in assisting older immigrants point to the importance of inter-sectoral coordination, cultural sensitivity training, and expansion of service providers' mandates.
Unmet needs of low-level services
- Authors:
- CLOUGH Roger, et al
- Journal article citation:
- Housing Care and Support, 10(4), December 2007, pp.27-31.
- Publisher:
- Emerald
This article draws on consultations with older people produced for a Joseph Rowntree Foundation (JRF) study on the unmet need for low-level services among older people in England published in 2007. Since it was published there have been significant changes to the social care scene. The Government has given further emphasis to individual budgets. Many local authorities have further restricted the criteria for eligibility to social care services, and publications such as 'Time to Care' (CSCI, 2007) have highlighted the shortcomings of home care services, as well as their strengths and importance. In this article, the authors set out to relate findings from their research to current realities.
Towards a new deal for care and carers. Report of the PSA Commission on Care, 2016
- Authors:
- ELIAS Juanita, et al
- Publication year:
- 2016
- Pagination:
- 52
This report, commissioned by the Political Studies Association, looks at the current crisis facing the care of older in England. The report argues that a New Deal for older people should bring together three different aspect of care provision - the recognition of issues of care, the importance of the redistribution of resources, and representation of the voices of both those that are cared for and those that care. The report is based on a review of the primary and secondary literature as well as an online survey of 169 care workers, and interviews with care providers and local authority officials. Chapters cover: an overview of the care landscape in England, also looking at the nature of the paid and unpaid workforce; the current challenges in financing care, highlighting reductions in spending, rising demand, and the pressures placed on unpaid carers; how individuals access the care they need, and the cost and difficulties of gaining access to care; and results from the survey of care workers. The report concludes that the social care system is unsustainable and in crisis. It also highlights how women bear the brunt of the current crisis, as they are both more likely to provide unpaid care and to be recipients of care. Recommendations include: the establishment of a National Care Service free at the point of access; increased investment in social care; professionalisation and support of the care workforce; and recognition of the work of unpaid carers. (Edited publisher abstract)
Transition from home care to nursing home: unmet needs in a home- and community-based program for older adults
- Authors:
- ROBISON Julie, et al
- Journal article citation:
- Journal of Aging and Social Policy, 24(3), July 2012, pp.251-270.
- Publisher:
- Routledge
- Place of publication:
- Philadelphia, USA
An effort is under way in the United States to move long-term care services from institutional to home and community-based settings. This article employs quantitative and qualitative methods to identify unmet needs of a cohort of 1,577 clients from the Connecticut Home Care Program for Elders who transitioned from a state-wide home and community-based service programme for older adults to long-term nursing home residence. Administrative data, care manager notes, and focus group discussions identified programme service gaps that inadequately accommodated acute health problems, mental health issues, and stressed family caregivers; additional unmet needs highlighted an inadequate workforce, transportation barriers, and limited supportive housing options. Implications for national and state-level policy are discussed.
A better life: what older people with high support needs value
- Authors:
- KATZ Jeanne, et al
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2011
- Pagination:
- 4p.
- Place of publication:
- York
Finding the best way to develop and fund support for the increasing numbers of older people in society is a political priority. This report examines what older people with high physical and mental support needs want and value in their lives. It explores the views of older people and the factors that help or hinder them, and proposes a model which demonstrates how their needs could be met. Key findings show that the participants wanted and valued different things in their lives, but all expressed common human needs for social, psychological and physical well-being. People valued their close emotional relationships, though some expressed concerns about ‘imposing’ on family and friends. Having control over their lives was important but meant different things to different people. Adjusting well to change was also central to psychological well-being, and this might require support. Participants faced various challenges and difficulties, some a result of illness, disability and ageing but many because of lack of access to information, money, technology, equipment and transport. A model is presented as a framework for commissioning services, based on outcomes for older people rather than on the input of services.
A better life: what older people with high support needs value
- Authors:
- KATZ Jeanne, et al
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2011
- Pagination:
- 58p., bibliog.
- Place of publication:
- York
Finding the best way to develop and fund support for the increasing numbers of older people in society is a political priority. Understanding, measuring, improving and monitoring their overall quality of life (not just the quality of their care) will be the main challenge. This study presents the views of older people with high physical and mental support needs who have described what they want and value in their lives, and proposes a model to assist policy-making, research and practice. Participants included 26 people with high support needs, who were diverse in terms of their gender, ethnicity, geographical location and type of disability or health condition. Most were older, but their ages ranged from 40 to 93. This report identifies current evidence relating to social, psychological and physical factors, barriers and enablers to accessing information, support and financial resources. It considers everyday living, and suggests a framework for eliciting views from people with communication difficulties. The report presents emerging themes and identifies implications for older people themselves, policy makers and commissioners, practitioners and researchers and recognises the importance of individuality for people with challenging lives.
Getting care right for older Londoners
- Author:
- AGE CONCERN
- Publisher:
- Age Concern
- Publication year:
- 2009
- Pagination:
- 19p.
- Place of publication:
- London
Pressure on resource has led to service cuts on a reduction in social care provision for older people across London. This document provides an overview of the needs of older people in London and the ways in which services can be provided to come closer to meeting older people’s needs. It then highlights services that can make an impact, including local preventive services, support for people discharged from hospital, home handyperson services, and the provision of information and advice. Recommendations to improve social care for older people in London are made, which include national funding and an increase of joint working between local authorities, primary care trusts and other key stakeholders.
Improving services and support for older people with mental health problems: executive summary
- Author:
- AGE CONCERN
- Publisher:
- Age Concern
- Publication year:
- 2007
- Pagination:
- 12p.
- Place of publication:
- London
This is the second and final report of the UK Inquiry into Mental Health and Well-Being in Later Life. The Inquiry was launched in late 2003 as a result of concern that mental health in later life is a much neglected area. The range of mental health problems experienced in later life is very wide, including depression, anxiety, delirium (acute confusion), dementia, schizophrenia and other severe mental health problems, and alcohol and drug misuse. This report presents a comprehensive review of key facts and figures relating to each of these, as well as facts and figures on services and sources of support. It aims to illustrate how services and support for older people with mental health problems can be improved. This report draws on evidence from older people, carers, organisations and professionals. Five main areas are identified for action: ending discrimination; prioritising prevention; enabling older people; improving current services; and facilitating change. The report concludes that the levels of unmet mental health needs amongst older people are extremely high, and that age discrimination remains the fundamental problem. The report makes 35 recommendations which are listed along with the recommendations from the Inquiry’s first report.
Needs assessment in dementia
- Authors:
- MEANEY A. M., CROKE M., KIRBY M.
- Journal article citation:
- International Journal of Geriatric Psychiatry, 20(4), April 2005, pp.322-329.
- Publisher:
- Wiley
Resource allocation and service development traditionally focuses on diagnostic categories and consequent perceived need. Identification of the actual level of need in the elderly with dementia, and the degree to which it is unmet is necessary to plan services both individually and as a group. The aim of this study was to characterise the needs of a sample of community dwelling elderly patients with dementia who were referred to an old age psychiatry service in Ireland between July 2002 and July 2003. Eighty-two consecutively referred community dwelling patients with ICD-10 diagnosis of dementia were assessed on The Care Needs Assessment Pack for Dementia (CareNap-D). Data on needs across seven domains (health and mobility, self-care and toileting, social interaction, thinking and memory, behaviour and mental state, housecare, community living) is presented. Subjects had a mean of 33 (range: 13-56) identified needs. Approximately 1/3 of these were unmet with a mean of 13 (range: 0-37) and a mean of 20 (range: 4-39) were met. High levels of unmet need was identified in the domains of behaviour and mental state (84% of those with agitation) and of social interaction (79% of those with partaking in activities need). The specific item of repetitive questioning occurred in 68 individuals and was unmet in 88% of these cases. Increasing age, lower MMSE score, and living alone were associated with greater total levels of unmet need. This data underlines the degree of unmet need in the community dwelling elderly with dementia and the importance of developing a spectrum of services on the basis of the actual needs identified.
Care services inquiry interim report: concerns about care for older Londoners
- Author:
- ROBINSON Janice
- Publisher:
- King's Fund
- Publication year:
- 2004
- Pagination:
- 16p.
- Place of publication:
- London
There is increasing public concern about the availability, quality and appropriateness of care services for London’s diverse older population. Is the ‘care market’ working for older people in London, and will there be enough care services of the right quality for them in the future? In February 2004, the King’s Fund launched its Care Services Inquiry to investigate these questions, led by an independent committee made up of people with experience and expertise in the health, housing and social care of older people. This interim report sets out early findings from the opinions expressed and information submitted to the inquiry between March and September 2004.