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Current policy and legislation in England regarding older people: what this means for older people with learning disabilities: a discussion paper
- Authors:
- TURNER Sue, UEKI Madeline Cooper
- Journal article citation:
- British Journal of Learning Disabilities, 43(4), 2015, pp.254-260.
- Publisher:
- Wiley
Background: This paper seeks to explore the opportunities and challenges generated by current policy, guidance and legislation in England relating to older people, in terms of the practical implications for older people with learning disabilities. Methods: Using the broad themes housing, employment, social inclusion and isolation, care and support, and promoting better health and well-being, this paper discusses potential practical opportunities and concerns for older people with learning disabilities arising from policy and legislation such as current initiatives regarding integration, personalisation and the dementia policy. Consideration is given to the implications of changing policy and practice for both current and future generations of people with a learning disability as they reach older age. Conclusions: This discussion paper concludes that whilst there is potential for older people with a learning disability to benefit from policy and practice aimed at improving the lives of older people generally, the tendency for policy to be targeted at specific groups without adequately considering the diversity of those groups often leaves those with a learning disability at the margins of being able to make the most of changes. (Publisher abstract)
Not all that glitters is gold: long-term care reforms in the last two decades in Europe
- Authors:
- RANCI Costanzo, PAVOLINI Emmanuele
- Journal article citation:
- Journal of European Social Policy, 25(3), 2015, pp.270-285.
- Publisher:
- Sage
This article explores changes that took place in long-term care (LTC) policies during the last two decades in six European welfare states. It addresses three issues: (1) why reforms took place, (2) the main actors and coalitions driving this process and the institutional mechanisms at work and (3) the main outcomes of reform processes. In order to analyse the development of LTC policies, the article applies theoretical concepts of historical institutionalism. The interpretation is that institutional change in LTC policy has taken place through a protracted institutional dynamic in which continuity and discontinuity are inextricably linked and where tensions and contradictions have played a crucial role. With regard to outcomes, the article analyses coverage and citizens’ social rights, working conditions in the care sector and trajectories of de-/re-familization of care. The final impact is that the level of universalism has generally increased in Europe, but that in part it has adopted a new form of ‘restricted universalism’, characterized by universal entitlements to LTC benefits constrained by limitations in provision due to financial constraints and budget ceilings. (Edited publisher abstract)
Adult safeguarding policy and law: a thematic chronology relevant to care homes and hospitals
- Authors:
- MANTHORPE Jill, STEVENS Martin
- Journal article citation:
- Social Policy and Society, 14(2), 2015, pp.203-216.
- Publisher:
- Cambridge University Press
Elder abuse is a 'social problem', as illustrated by the production of policy documents and legislation that define and revise the scope and nature of the problem. This article synthesises and discusses the policy documents and legal changes that have taken place in England since 2000, when the first policy guidance to address adult safeguarding as a whole was produced. The focus of this article is on particular locations, namely care home and hospital settings, and the applicable policy and legislation. The policy documents and legal changes identified are analysed using Blumer's five phases of policy implementation and Matland's ambiguity-conflict matrix to explore their implications for policy implementation and coherence. The analysis suggests that responses to elder abuse have created different kinds of ambiguity and conflict, requiring both top-down and bottom-up policy interventions. (Publisher abstract)
Age- and child-friendly cities and the promise of intergenerational space
- Authors:
- BIGGS Simon, CARR Ashley
- Journal article citation:
- Journal of Social Work Practice, 29(1), 2015, pp.99-112.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Descriptions of age-friendly and child-friendly cities exhibit similarities and differences, yet both are essential if we are to develop an understanding of intergenerational space. It is argued that combining age-based priorities and the possibilities for generational empathy provide a way of reintroducing intergenerational relations as key to the debate on the future of the City. By shifting the focus or debate towards a critical understanding of intergenerational relations, a way forward is suggested that draws on the work of Guy Debord and on contemporary debates about environments ‘for all ages’. Seen through a life course lens, the urban environment becomes instrumental in shifting debate, away from the fixed needs of work and consumption and towards a more flexible creation of urban time and space that includes social and emotional aspects of intergenerational belonging and community. (Publisher abstract)
From care in homes to care at home: European experiences with (de)institutionalisation in long-term care
- Authors:
- ILINCA Stefania, LEICHSENRING Kai, RODRIGUES Ricardo
- Publisher:
- European Centre for Social Welfare Policy and Research
- Publication year:
- 2015
- Pagination:
- 15
- Place of publication:
- Vienna
Many countries across Europe have developed strategies to support community-based services in an attempt to replace traditional institutional models of care. Differences in needs, approaches and commitment levels have led to diverse results and pace of progress. However, much can be learned from their experiences and from examples of strategies and models which proved to be effective. This Policy Briefing presents a typology of long-term care regimes and proposes four case studies to illustrate the main barriers and drivers to deinstitutionalisation. Austria (Standard care mix) illustrates the importance of developing strong support systems for informal carers and strengthening home-based care provision. Sweden (UniversalNordic) has made great strides towards deinstitutionalisation by promoting coordination between care providers, but, the coverage and cost of services will soon become unsustainable unless appropriate support for family-based care is provided. Italy (Family-based) and the Czech Republic (Transition) represent situations where the rates of institutionalisation are relatively low and current policy is challenged to contain future growth. Both systems offer significant support to informal and family carers, but this historic over-reliance on household contributions to care is leading to a widening gap between supply and demand, which needs to be addressed through the strengthening of community-based services.The briefing concludes with a discussion of the core principles for reaching a sustainable balance between different long-term care settings. (Edited publisher abstract)