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“The abuse of older Australians (Elder Abuse)”: reform activity and imperatives
- Author:
- CHESTERMAN John
- Journal article citation:
- Australian Social Work, 73(3), 2020, pp.381-389.
- Publisher:
- Taylor and Francis
Significant national reform activity is occurring that concerns the abuse of older people by trusted others. This includes an Australian Law Reform Commission report entitled Elder Abuse – A National Legal Response (2017), and the adoption in 2019 of the first ever “National plan to respond to the abuse of older Australians (elder abuse)”. While service responses in this field largely exist at, and will continue to be provided at, state and territory level, this article considers current and needed reform initiatives in a field of increasing national government attention. (Edited publisher abstract)
Why the UK needs a social policy on ageing
- Author:
- WALKER Alan
- Journal article citation:
- Journal of Social Policy, 47(2), 2018, pp.253-273.
- Publisher:
- Cambridge University Press
- Place of publication:
- Cambridge
This article makes the case for a radical new strategy on ageing which focuses on the whole life course with the intention of preventing many of the chronic conditions associated with old age. The case is built on recent research evidence and the life-course concept of ‘active ageing’ is used to encapsulate the practical measures required. Combining biological and social science insights it is argued that, while ageing is inevitable, it is also plastic. This means that it not only manifests itself in different ways but also that it can be modified by mitigating the various risk factors that drive it. Such action would have considerable potential to reduce the personal costs of chronic conditions such as strokes and those falling on family carers but, also, to cut the associated health and social care expenditures. The question of why such apparently beneficial policy action is not being taken is discussed and a range of barriers are identified. One of these appears to be the UK's extreme brand of neo-liberalism, which militates against the collective approach necessary to implement a social policy for active ageing. Although the case is made with primary reference to UK policy and practice, the call for action to prevent chronic conditions has global relevance. (Publisher abstract)
The marketisation of care: rationales and consequences in Nordic and liberal care regimes
- Authors:
- BRENNAN Deborah, et al
- Journal article citation:
- Journal of European Social Policy, 22(4), 2012, pp.377-391.
- Publisher:
- Sage
The use of markets and market mechanisms to deliver care is one of the most significant and contentious ways in which welfare states have been transformed. This article examines debates and policies concerning the marketisation of eldercare and childcare in Sweden, England and Australia. It shows how market discourses and practices intersect with, reinforce or challenge traditions and existing policies and examines whether care markets deliver user empowerment and greater efficiency. Markets for eldercare and childcare have developed in uneven and context specific ways with varying consequences. Both politics and policy history help to shape market outcomes.
Variations in structures, processes and outcomes of community mental health teams for older people: a systematic review of the literature
- Authors:
- ABENDSTERN M., et al
- Journal article citation:
- Aging and Mental Health, 16(7), September 2012, pp.861-873.
- Publisher:
- Taylor and Francis
Specialist community mental health teams (CMHTs) are central to the provision of comprehensive services for older people with mental ill health. Recent guidance documents suggest a core set of attributes that such teams should encompass. This literature review explored existing evidence regarding the structures and processes of CMHTs for older people and to evaluate evidence linking approaches to effectiveness. Searches were limited to the UK for descriptions of organisation and practice. Forty-five studies met inclusion criteria of which seven provided comparative outcome data. Limited evidence was found regarding the effectiveness of many of the core attributes recommended in policy directives although their presence was reported in much of the literature. The contrast between presentation and evaluation of attributes is stark. Whilst some gaps can be filled from related fields, further research is required to evaluate the impact of team design on service user outcomes in order to inform future guidance.
Long-term care for older people and EU Law: the position in England and Scotland
- Authors:
- HERVEY Tamara, et al
- Journal article citation:
- Journal of Social Welfare and Family Law, 34(1), March 2012, pp.105-124.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The implications of EU law for UK healthcare provision have been tracked by the literature, and covered in EU legislation. However, long-term care for older people involves not only healthcare but also social care. This article examined to what extent, if at all, is the current legal position on long-term care for older people in England and Scotland potentially inconsistent with the UK's obligations in EU law? Drawing on empirical data gathered in early 2010 for a European Commission report, this article considers in detail how EU law might apply to the social care aspects of long-term care for older people in England and Scotland. It concludes that EU law is an important element of the long-term care policy context. Implications for practice are discussed.
Comparative political economy of long-term care for elderly people: political logic of universalistic social care policy development
- Author:
- HIEDA Takeshi
- Journal article citation:
- Social Policy and Administration, 46(3), June 2012, pp.258-279.
- Publisher:
- Wiley
Despite there being common socio-demographic pressures across industrialised countries, the public elder care programmes tend to vary. This study explored the causal relationship between political institutions and public long-term care programmes. It examined time-series and cross-section data of advanced democracies, from 1980 until 2001. It argued that countries with fragmented party systems have difficulties in developing universalistic public elder care programmes, whereas countries with party-vote-oriented electoral systems and cohesive party systems are likely to develop better elder care programmes. For whilst the former types of political institutions prioritise patronage-based, particularistic benefits, the latter types encourage political actors to appeal to broader constituencies through universalistic welfare programmes. The empirical results suggest that politicians' reliance on personal votes obstruct the expansion of public spending for elder care.
Generational conflict, consumption and the ageing welfare state in the United Kingdom
- Authors:
- HIGGS Paul, GILLEARD Chris
- Journal article citation:
- Ageing and Society, 30(8), November 2010, pp.1439-1451.
- Publisher:
- Cambridge University Press
In the UK, the welfare state is now over 60 years old. Those born into, grown up with, and now growing old within its influence are a unique group. These people benefit from healthier childhoods and better education than previous generations. Whilst it is accepted that they have done well under the welfare state, some critics have argued that these advantages are at the expense of younger cohorts. The very success of this welfare generation is perceived as undermining the future viability of the welfare state, and some argue that the current levels of income and wealth enjoyed by older cohorts can only be sustained by cutbacks in entitlements for younger cohorts. This will lead to a growing ‘generational fracture’ over welfare policy. This article challenges this position, and argues that both younger and older groups find themselves working out their circumstances in conditions determined more by the contingencies of the market than by social policy.
Extra care housing: a concept without a consensus
- Authors:
- TINKER Anthea, et al
- Journal article citation:
- Quality in Ageing, 8(4), December 2007, pp.33-44.
- Publisher:
- Pier Professional
- Place of publication:
- Brighton
Extra care housing has developed from sheltered housing and has increasingly been seen as a popular option by policy makers. In this article the authors examine the trends in social policy which have led to the evolution of extra care housing. They then discuss what is expected from extra care housing, the lack of a single definition, and whether a single definition is desirable.
Baby boomers and adult ageing: issues for social and public policy
- Authors:
- BIGGS Simon, et al
- Journal article citation:
- Quality in Ageing, 8(3), September 2007, pp.32-40.
- Publisher:
- Pier Professional
- Place of publication:
- Brighton
This article provides a critical assessment of academic and policy approaches to population ageing with an emphasis on the baby boomer cohort and constructions of late-life identity. It is suggested that policy towards an ageing population has shifted in focus, away from particular social hazards and towards an attempt to re-engineer the meaning of legitimate ageing and social participation in later life. Three themes are identified: constructing the baby boomers as a force for social change, a downward drift of the age associated with 'older people' and a shift away from defining ageing identifies through consumption, back towards work and production. The article concludes with a discussion of the implications for future social and public policy.
The withdrawal of the welfare state: elderly care in Sweden in the 1990s
- Authors:
- BLOMBERG Staffan, EDEBALK Per Gunnar, PETERSSON Jan
- Journal article citation:
- European Journal of Social Work, 3(2), July 2000, pp.151-163.
- Publisher:
- Taylor and Francis
In Sweden, clear changes in the care of the elderly have occurred during the 1990s, with fewer people being provided public care, although greater efforts are now directed towards those most in need of help. Elderly people are cared for increasingly in other ways: by the family, by means of market-provided care, and by voluntary and informal means. Differences between municipalities are considerable. A comparative study was conducted in eight Swedish municipalities, four of them characterized by extensive reorganization of home-help services, and the other four constituting a reference group where such changes had not occurred. The aim was to examine processes of setting local priorities and adjustments in a period of marked structural change.