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Good practice guidelines for UK clinical psychology training providers for the training and consolidation of clinical practice in relation to older people
- Authors:
- PSIGE, BRITISH PSYCHOLOGICAL SOCIETY
- Publisher:
- British Psychological Society
- Publication year:
- 2006
- Pagination:
- 20p.
- Place of publication:
- Leicester
Nearly a fifth (19.5 per cent) of people in the UK are aged 65 or older. They are consumers of 50 per cent of health and social care spending. Older people have at least equivalent rates of psychological distress generally as compared to younger people and show significant levels of depression and suicide as well as dementia. However, just over five per cent of the Clinical Psychology workforce specialises in work with older adults (DoH and BPS National Workforce Survey 2003) and fewer than 10 per cent of clinical psychology contacts are with older people (DOH), reflecting historical imbalances in resource allocation, under diagnosis and under treatment. The recent Workforce Survey of Applied Psychologists conducted jointly by the British Psychological Society and the Department of Health showed no proportionate growth in services to older people over the last decade.
A feasibility study of the effects of implementing a staff-level recovery-oriented training intervention in older people’s mental health services
- Authors:
- DALEY Stephanie, et al
- Journal article citation:
- Aging and Mental Health, 24(11), 2020, pp.1926-1934.
- Publisher:
- Taylor and Francis
Method: The study used a mixed-method pre-post design. The study took place in NHS older people’s mental health services, UK. Staff participants were multi-disciplinary mental health team members from the same service. The intervention was a manualised staff-level recovery intervention called the Older Adults Recovery Intervention (OARI). Measurement included the Recovery Knowledge Inventory and the Recovery Attitudes Questionnaire (RAQ-7) as well as fidelity data and in-depth qualitative interviews. Results: OARI was delivered to 204 staff in 15 clinical teams. There was a statistically significant change towards improvement in four of the six recovery attitude and knowledge sub-scales. There were positive findings in change in practice at individual level, but not at team level. A number of context barriers were identified leading to the intervention not being delivered as intended. Conclusions: Further development of OARI will involve a clearer distinction about the practice implications for service users with dementia versus functional illnesses, a stronger focus on implementation support, more use of evidence in training materials and a tailoring of context to meet professional group training needs. Overall, this study contributes novel data to the evidence base for recovery within older people’s mental health services. (Edited publisher abstract)
Exploring the role of volunteers in social care for older adults
- Authors:
- CAMERON Ailsa, et al
- Journal article citation:
- Quality in Ageing and Older Adults, 21(2), 2020, pp.129-139.
- Publisher:
- Emerald
This paper aims to report the findings of a study that explores the contribution volunteers make to social care for older adults, identifying lessons for the social care sector and policymakers. Design/methodology/approach: An exploratory multiple case study design was used to capture the perspectives and experiences of managers of services, volunteer co-ordinators, volunteers, paid care staff and older people. Seven diverse social care organisations took part in the study drawn from three locations in the South West of England.Findings: This study identified three distinct models of volunteer contribution to social care services for older people. Although the contributions made by volunteers to services are valued, the study drew attention to some of the challenges related to their involvement. Research limitations/implications: The organisations taking part in this small-scale study were all based in the South West of England, and the findings are therefore not generalisable but contribute to the growing evidence base related to this important field.Practical implications: This study demonstrates the importance of the volunteer co-ordinator role and suggests that it is properly funded and resourced. It also confirms the importance of volunteers receiving appropriate training and support. Originality/value: Given the increasing involvement of volunteers in the provision of social care, this paper provides lessons to ensure the role of volunteers in social care enhances rather than diminishes the quality of care provided. (Edited publisher abstract)
Exploring education and training in relation to older people's health and social care
- Authors:
- BURGER Sarah-Ann, et al
- Publisher:
- Picker Institute Europe
- Publication year:
- 2018
- Pagination:
- 118
- Place of publication:
- Oxford
This research, commissioned by Dunhill Medical Trust, evaluates the education and training for the workforce providing care for older people in the UK and looks at the views of health and social care staff on the training they have received. The research involved a knowledge audit involving desk research and telephone interviews with eight stakeholders; qualitative telephone depth interviews with 41 health and social care staff; and a systematic review which analysed the results of 36 studies. The findings cover: the impact of education and training on care; what training should include; barriers to learning; initiatives and best practice models that currently exist; and barriers to provide quality care to older people. The results found a need for tailored training, more continuing professional development, and for more recognition and incentives for those choosing a career in health and social care for older people. Other findings included that existing research is scarce and its results are inconclusive; and the amount and quality of education and training appears to be varied and inconsistent across geographies and professions. The research also found that whilst education and training are important, it found that continuing professional development, access to knowledge and information and a positive and supportive culture were more so. (Edited publisher abstract)
Hydration and older people in the UK: addressing the problem, understanding the solutions
- Author:
- WILSON Lisa
- Publisher:
- International Longevity Centre UK
- Publication year:
- 2014
- Pagination:
- 23
- Place of publication:
- London
This action plan outlines the key factors resulting in dehydration for older people (particularly vulnerable older people) and highlights the need for urgent reform in both regulation and policy with regard to this issue. Dehydration can have a severe impact on health and well-being, leading to functional and long term health problems, particularly in older people, but as yet this is rarely reflected in the development of nutrition and health policy. Hydration remains an area of health and social care policy which continues to be overlooked, often due to the mistaken assumption that it is included as a part overall nutritional care. The report considers five main areas of hydration policy and practice: raising awareness, good practice, screening, workforce training and research to better understand the current situation and the gaps in ensuring good hydration across all care settings. It also presents the challenges and solutions to drinking and hydration issues for older people whether living independently, in care homes or during hospital stays. There are many effective projects aiming to address hydration issues in the UK. The effectiveness of small, inexpensive interventions in addressing hydration issues and their associated health risks has been proven and some of those case studies are presented here. (Edited publisher abstract)
Housing options advice for older people: a self-training kit for advisers
- Author:
- HOUSING AND OLDER PEOPLE DEVELOPMENT GROUP
- Publisher:
- Housing and Older People Development Group
- Publication year:
- 2006
- Pagination:
- 52p.
- Place of publication:
- London
- Edition:
- Rev. ed.
The aim of this Kit is to help generalist advisers, or anyone who works with older people, to develop their knowledge and understanding of housing options for older people. This Kit has been commissioned by the Housing and Older People Development Group (HOPDEV), the body charged with advising Government on matters relating to housing and older people. The pack has been funded through the overall support provided to HOPDEV by the Office of the Deputy Prime Minister and the Department of Health.
Supporting carers back into work: insights from the Working Potential project
- Author:
- CENTRE FOR AGEING BETTER
- Publisher:
- Centre for Ageing Better
- Publication year:
- 2020
- Pagination:
- 18
- Place of publication:
- London
This report looks at the needs of those with caring responsibilities trying to seek employment and how they can be supported back into work. It is based on the qualitative research findings of Manchester Metropolitan University, summarising interviews and focus groups undertaken with carers and coaches from Working Potential project, as part of the Ambition for Ageing Programme, which aimed to engage up to 300 unemployed older carers not engaged with statutory employability programmes. In England, less than a quarter of carers are in part-time or full-time paid work and one in five people aged 50-64 is a carer, with many having to give up work to care. Older carers who have fallen out of work face significant barriers to getting back into employment, both from a practical point of view (e.g. skills, training and CVs) and from a personal point of view (lack of confidence and self-worth). The findings from Working Potential suggest that a holistic approach is needed, to help carers address the practical and emotional barriers to work and to explore work-related opportunities such as volunteering and training. Early stage, individual, and group-based coaching interventions and peer support, such as that offered by Working Potential, will be a useful adjunct to employment support for older carers. In this, the skills of the coach to provide individualised support are key, as is investing time in creating effective relationships between the providers of employment support and employers so that opportunities can be identified or created. (Edited publisher abstract)
Scams prevention and support toolkit
- Authors:
- FENGE Lee-Ann, LEE Sally
- Publisher:
- National Centre for Post-Qualifying Social Work and Professional Practice
- Publication year:
- 2018
- Pagination:
- 140
- Place of publication:
- Bournemouth
A training toolkit on supporting older people who are, or are at risk of becoming victims of financial abuse from scams. The content covers understanding tactics used by scammers and the impact on decision making; factors relating to vulnerability to scam involvement, which include cognitive impairment, loneliness and social isolation; identifying current and potential victims; the impact of scams on victims and their families; and supporting victims. The training is interactive and participatory using a range of learning methods including group activities, individual reflective exercises and small group discussions. The toolkit includes training guide, links to resources, activities and power point slides. It also contains three information booklets on financial scamming. It has been developed by the National Centre for Post-Qualifying Social Work, Bournemouth University on behalf of Age UK as part of the Scams Prevention and Support Programme. (Edited publisher abstract)
User commissioners report
- Author:
- EDWARDS Sarah
- Publisher:
- Lancaster University
- Publication year:
- 2016
- Pagination:
- 14
- Place of publication:
- Lancaster
This report highlights the research findings of the Helpcare Project (UK) to date, focusing on the provision of care for older people and the role care workers. The project develops innovative practices for the qualification and professionalisation of health and social care workers that can be adapted and adopted across the EU28 to make better use of the existing workforce through training. The findings outlined in this report emerged from data collected from a variety of sources: interviews with carers, prospective users of services, service providers and a review of relevant and current literature. Issues relating to commissioning, regulation, qualifications, cost and the impact of immigrant workers are also included. The report suggests that qualifications are not standardised throughout services and the experience held by employees varies greatly. In addition to the lack of basic and essential training many carers felt that there were little or no opportunities for professional development and that their role was undervalued. All the service users interviewed by the Helpcare researchers said that they would like to be cared for at home and all but one believed that it would be better if their carers were qualified to do the job. The report also raises concerns about the time allocated for care visits and the issues of costs and pay. (Edited publisher abstract)
Comparing nursing home assistive personnel in five countries
- Authors:
- LAXER Katherine, et al
- Journal article citation:
- Ageing International, 41(1), 2016, pp.62-78.
- Publisher:
- Springer
- Place of publication:
- New York
Assistive personnel are the primary caregivers in long-term residential care (LTRC) in industrialised countries. The authors' goal is to describe and compare the work-related characteristics of assistive personnel in LTRC in five countries (Canada, Germany, Norway, U.K., and U.S), which may reflect how various societies view their responsibility to ageing populations and the workers who care for them. OECD and national statistical databases are used to assess and compare the work context for assistive personnel. Analysis of the statistical data is informed by on-site observations in nursing homes with reputations for high quality, close readings of these organisations’ documents and records, and interviews with LTRC staff. Pay is generally low and the work required of assistive personnel is often demanding in all countries studied. While most assistive personnel have completed high school, formal certification requirements vary considerably. Professionalisation is increasing in Norway with its high school major in eldercare, and in Germany, which has a 2-year certificate programme. Financial compensation for assistive personnel in Norway and Canada is greater than in the other countries. Union membership for assistive personnel ranges from very high in Canada to negligible in the U.S. Some countries studied have training programs of only a few months duration to prepare assistive personnel for highly demanding jobs. However, in Germany and Norway, training aims to professionalise the work of assistive personnel for the benefit of workers, employers, and residents. There are high rates of part-time and/or casual work among assistive personnel, associated with reduced employment-related benefits, except in Germany and Norway, where these benefits are statutory for all. Data suggest that unionisation is protective for assistive personnel, however union coverage data were not available for all countries. The need to improve the qualifications and training of assistive personnel was observed to be a national priority everywhere except in the U.S. Compensation is relatively low in the U.K., the U.S. and Germany, despite the important jobs performed by assistive personnel. Finally, to improve future research, statistical mapping of this critical component of the labour force in LTRC should be a greater priority across high-income countries. (Edited publisher abstract)