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Help from spouse and from children among older people with functional limitations: comparison of England and Finland
- Authors:
- BLOMGREN Jenni, et al
- Journal article citation:
- Ageing and Society, 32(6), August 2012, pp.905-933.
- Publisher:
- Cambridge University Press
This study, using nationally representative data from England and Finland, investigated receipt of help from spouse and children among community-dwelling people aged 70+ years with functional limitations. In both countries, women and those with more functional limitations had higher odds of receiving spousal and filial help. In England, but not in Finland, those receiving formal public help had lower odds of receiving spousal help than those with no formal help. Those with low education received more filial help in England, but no association was found between formal and filial help. In Finland, the effect of education was not significant but those receiving formal help had higher odds of also receiving filial help. The results suggest that in a liberal market-led state, the role of children may be to help their parents living alone and with low financial resources. The authors concluded that, in the context of a generous welfare state, children may function more as active agents bridging the gap between their parents and traditional services.
Person centred dementia care: problems and possibilities
- Author:
- ARGYLE Elaine
- Journal article citation:
- Working with Older People, 16(2), 2012, pp.69-77.
- Publisher:
- Emerald
The implementation and efficacy of person centred approaches in dementia care is difficult to measure and there are still huge variations in working practices. In order to address these issues the procedure of dementia care mapping has been developed, which aims to assess the wellbeing of people with dementia and other vulnerable groups through the observation of communal activities. This article assesses the implementation of a person centred approach with a group of care home residents. All were female, their ages ranged from 77 to 92. Findings suggest that while participants potentially experienced many benefits from person centred approaches and the social engagement and integration that derived from this, its efficacy and impact was undermined by contextual factors such as staff shortages. The author concluded that practice should transcend its focus on the promotion of individual wellbeing and address the wider group and social contexts which can facilitate or prevent its fulfilment.
The case for tomorrow facing the beyond: a joint discussion document on the future of services for older people
- Author:
- ASSOCIATION OF DIRECTORS OF ADULT SOCIAL SERVICES
- Publisher:
- Association of Directors of Adult Social Services
- Publication year:
- 2012
- Pagination:
- 24p.
- Place of publication:
- London
This policy statement is one of two linked documents produced by the Association of Directors of Adult Social Services (ADASS). This second document outlines the key areas for future development of policy and practice with regard to older people across public care. It draws on a review of evidence and policy, the experience of Directors of Adult Social Services in their day to day contact with service users, carers and providers across England, and consultation with colleagues in related disciplines. ADASS has been supported by the Institute of Public Care at Oxford Brookes University. This paper begins with a brief review of progress, before exploring future challenges and identifying what is needed to achieve better services for older people. Actions that Government and partners need to take to get there are offered, and these summarised in a final action list. The list includes helping to change assumptions about old age, incentivise community services, reduce barriers to integration, make sure choice and control work, protect quality and supply in the market, and help to invest in more social care.
Rapid assessment of the impact of the National Service Framework for Older People in Wales
- Author:
- MORGAN Gareth
- Journal article citation:
- Working with Older People, 16(1), 2012, pp.41-44.
- Publisher:
- Emerald
This paper reports on the first rapid assessment that has been undertaken on the Welsh National Service Framework (NSF) for Older People, and focuses on the perceptions of healthcare staff from Welsh Health Boards. A questionnaire was sent to key colleagues in each of the seven Health Boards. Anonymity was vital to allow colleagues to score their questionnaires honestly. Overall, the impact of the NSF was perceived as too difficult to assess. The most promising element of the NSF appeared to be a perception on the impact on joint health and social care working. Also, the NSF urgently needs to provide evidence of positive impact. The next stage, based on a focussed approach, offers an opportunity to progress this. The authors concluded that a rapid assessment exercise, using existing networks that are built on trust, can yield valid and useful information which can help policy development.
Reshaping care for older people: a programme for change 2011-2021
- Authors:
- SCOTLAND. Scottish Government, CONVENTION OF SCOTTISH LOCAL AUTHORITIES
- Publisher:
- Scotland. Scottish Government
- Publication year:
- 2011
- Pagination:
- 34p.
- Place of publication:
- Edinburgh
Providing high quality care and support for older people is a fundamental principle of social justice and is an important hallmark of a caring and compassionate society. Demographic changes coupled with a decade of difficult public finances means this is one of the 3 biggest challenges facing Scotland – alongside economic recovery and climate change. This document sets out the Scottish vision and immediate actions for reshaping the care and support of older people. It has been co-produced through an extensive period of development and engagement with the people of Scotland and with political, organisational and community interests at both local and national levels. The programme presented provides a framework, built on consensus across all sectors and interests, to address the challenges of supporting and caring for Scotland’s growing older population into the next decade and beyond. This document will be updated to ensure it operates as a key driver for Reshaping Care.
An evidence base for the delivery of adult services
- Author:
- PETCH Alison
- Publisher:
- Association of Directors of Adult Social Services
- Publication year:
- 2011
- Pagination:
- 60p., bibliog.
- Place of publication:
- Edinburgh
This independent evidence review was commissioned by the Association of Directors of Social Work to inform current debates on the future delivery of adult services. It sought to ground such debate in a firm understanding of the conclusions that can be drawn from initiatives evaluated both within the UK and elsewhere, ensuring that any future developments can be based on a clear understanding of the likely impact. The debate is motivated by the aspiration to establish the optimum conditions for the provision of support to the 650,000 people in Scotland who have contact with social services. Key conclusions highlight the need to ensure the most effective configuration for the delivery of adult health and social care is imperative given the current financial and demographic challenges. It has a high profile within the current policy context, exemplified by the Reshaping Care for Older People agenda. Social services for adults have delivered major achievements over the last two decades. There have been major shifts in the models of support from dependency and institutionalisation to greater choice and control by the individual. At the same time there has been recognition of key areas such as the needs of family carers and the demands of dementia that were previously invisible. The large majority of those receiving care and support express high levels of satisfaction.
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.
Strategies of care: changing elderly care in Italy and the Netherlands
- Author:
- ROIT Barbara Da
- Publisher:
- Amsterdam University Press
- Publication year:
- 2010
- Pagination:
- 220p.
- Place of publication:
- Amsterdam
This book traces the changes in the elderly care systems of Italy and the Netherlands since the early 1990s, drawing attention to the advantages and disadvantages of these two very different models. It examines the formal care system of the Dutch, and reveals how this system, despite strong policy pressures, has remained relatively stable, while the Italian system has undergone major transitions despite minimal policy intervention. Based on a wealth of data and extensive interviews with both caregivers and patients, this book is designed for anyone interested in the future of European health care debates. Contents include: changing care systems - an introduction; the context and policy trajectories; the challenge of dependence; changing care packages; care packages in practice; the creation of care packages and the transformations of care systems; and conclusions.
Residential care transformed: revisiting 'The last refuge'
- Authors:
- JOHNSON Julia, ROLPH Sheena, SMITH Randall
- Publisher:
- Palgrave Macmillan
- Publication year:
- 2010
- Pagination:
- 304p.
- Place of publication:
- Basingstoke
Drawing on data deposited at the University of Essex the authors revisit Peter Townsend's classic study of residential care in England and Wales, The Last Refuge (1962), and with input from a hundred older volunteer researchers, the authors traced what happened to the 173 homes that Townsend visited. They also revisited 20 of the surviving local authority, voluntary and private homes. The book straddles the boundary between history and sociology and reviews: the policy context and the history of research into residential care for older people over the last 50 years; provides new insights into the continuing history of residential care for older people about what kinds of homes have survived and why; makes comparisons between particular homes today and in the past demonstrating not only substantial changes but also strong continuities; reveals persisting inequalities in the standard of care home provision in the early 2000s in England and Wales and discusses the ethical and practical challenges involved in designing a revisiting study, reusing archived data and in engaging older people as 'volunteer' researchers.
Care research and disability studies: nothing in common?
- Author:
- KROGER Teppo
- Journal article citation:
- Critical Social Policy, 29(3), August 2009, pp.398-420.
- Publisher:
- Sage
Disability researchers have voiced the criticism that the concept of care, together with research based on it, consists of the view that disabled people are dependent non-autonomous second-class citizens. The perspectives of disability studies and care research certainly are different from each other. Disability studies analyse the oppression and exclusion of disabled people and emphasize that disabled people need human rights and control over their own lives. Care research focuses rather on care relationships, informal and formal care, care-giving work and `an ethics of care'. Nevertheless, it is suggested here that the two perspectives are not mutually exclusive and that the two groups could learn from each other's approaches. For example, the relationship between disabled people and their personal assistants has much the same characteristics as the care relationship and requires a balancing of the needs and interests of the two parties. On the other hand, access to adequate care could be perceived as a basic civil and human right.