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Engaging caregivers in health-related housing decisions for older adults with cognitive impairment: a cluster randomized trial
- Authors:
- ADELKPEDJOU Rheda, et al
- Journal article citation:
- Gerontologist, 60(5), 2020, pp.947-957.
- Publisher:
- Oxford University Press
In a two-arm pragmatic cluster randomized trial with home care teams working in health centers in the Province of Quebec, the researchers randomized health centers to receive training in interprofessional SDM (intervention) or not (control). Eligible caregivers had made a housing decision for a cognitively impaired adult aged 65 years or older who was receiving services from a home care team. The primary outcome was the proportion of caregivers reporting an active role in decision making. The researchers performed intention-to-treat multilevel analysis. Results: the researchers consecutively enrolled a random group of 16 health centers and recruited 309 caregivers, among whom 296 were included in the analysis. In the intervention arm, the proportion of caregivers reporting an active role in decision making increased by 12% (95% CI −2% to 27%; p = .10). After removal of an influential cluster outlier, the proportion increased to 18% (95% CI: 7%–29%; p < .01). Discussion and implications: Training home care teams in interprofessional SDM increased caregiver involvement in health-related housing decisions for cognitively impaired older adults. (Edited publisher abstract)
Ageing well: a housing manifesto
- Author:
- OLDER PEOPLE'S HOUSING CHAMPION'S NETWORK
- Publisher:
- Older People’s Housing Champions Network
- Publication year:
- 2017
- Pagination:
- 8
Aimed at decision makers across planning, housing, health and care, this manifesto provides ten recommendations to help all older people have access to a decent home in later life, enabling them to age well at home, remaining part of their community and involved with family and friends. The recommendations covering improving existing homes for good ageing; building new homes which meet the needs of people in later life; providing access to independent information and advice about later life housing, care and related finance; and engaging older people in planning and developing housing strategies. (Edited publisher abstract)
Learning from international experiences: developing older LGBT affirmative housing and care options in England
- Author:
- ROSS Paul D. S.
- Journal article citation:
- Quality in Ageing and Older Adults, 17(1), 2016, pp.60-70.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to formulate recommendations from international and local examples to aid the design and delivery affirmative housing and care options for older LGBT individuals in England. Design/methodology/approach: This paper combines a desk-top review conducted by the author with personal views and recommendations for practice by discussing the levers within both the Care Act and Equality Act for greater LGBT participation in the design, delivery and evaluation of housing with care services. Findings: The provision of LGBT affirmative housing and care options for individuals in England is currently limited. International and European evidence suggests that multi-faceted, person-centred approaches are central in delivering affirmative services to older LGBT individuals. Originality/value: This paper adds to a growing literature on minority housing and care services. The author draws on both a professional and personal interest in facilitating the development of LGBT affirmative services in England. (Edited publisher abstract)
Meaningful and effective involvement of older people: a guide for care, health and housing agencies
- Authors:
- REED Jan, COOK Glenda
- Publisher:
- Counsel and Care
- Publication year:
- 2007
- Pagination:
- 38p.
- Place of publication:
- London
This publication gives guidance to professionals about how to effectively involve older people in the development of services. After working with older people, professionals recommend that organisations ensure that intention; inclusion; information; infrastructure; integration; influence and the impact of decisions on older people should be adhered to in order to create better ways of involving them in debates and decisions about the way that services are developed. Discussions with older people have revealed that they feel a need to be involved and, importantly, to make a difference – these guidelines are designed to help this happen. They feel that local authorities and providers make decisions without consulting them and therefore miss out on the expertise and experience that they can provide. This will go some way towards both helping older people feel that their opinions are being listened to as well as helping organisations benefit from their expertise.
Older people as research colleagues
- Author:
- BRIGHT Les, GREEN Bert
- Journal article citation:
- Working with Older People, 7(4), December 2003, pp.14-16.
- Publisher:
- Emerald
Describes how, in a three-year research project, Housing Decisions in Old Age, between the charity Counsel and Care and Lancaster's University's Department of Applied Social Science, the researchers established from the outset the principle of involving older people. Their view being that the findings would be enriched by being more reflective of, and responsive to,the concerns of older people.
Crossing the housing and care divide: integrating housing and social care for older people
- Authors:
- CAMERON Ailsa, et al
- Journal article citation:
- Housing Care and Support, 4(2), May 2001, pp.15-18.
- Publisher:
- Emerald
The fundamental role of housing in community care long been acknowledged. However, progress in achieving any real integration of housing and social care has been slow. This article reports the findings from the Crossing the Housing and Care Divide programme, which was jointly sponsored by the Housing Corporation and Anchor Trust. The programme aimed to stimulate developments in services for older people that would enable housing to become part of community care, lead to greater inter-agency working, enhance the involvement of users in the planning, monitoring and delivery of services and deliver a high quality of service more cost-effectively. The programme offers many practical lessons for the effectiveness of services.
Working with older people: a community development approach
- Authors:
- JONES Nigel, PORTEUS Jeremy
- Journal article citation:
- Housing Care and Support, 2(2), June 1999, pp.22-24.
- Publisher:
- Emerald
Provides an account of two projects initiated by Anchor Trust and funded by the Department of Health Community Care Development Programme for a period of two years - 1996 to 1998. The projects, in Brighton and Hartlepool, were supported by the local authorities, health agencies and the voluntary sector, and worked in close collaboration with them to establish local service networks with older people. The projects were evaluated by the Nuffield Institute for Health, and this article is based on a forthcoming evaluation report.
Sharing power: integrating user involvement and multi-agency working to improve housing for older people
- Authors:
- MIDGLEY Gerald, MUNLO Isaac, BROWN Mandy
- Publisher:
- Policy Press
- Publication year:
- 1997
- Pagination:
- 88p.,bibliog.
- Place of publication:
- Bristol
Report exploring the problems that exist in the areas of assessment, information provision and planning in the housing system for older people and identifies ways to address them. Presents practical advice for all planners and managers who are concerned with multi-agency working and user involvement.
Housing and community care: exploring the role of home improvement agencies
- Authors:
- SMART Gavin, MEANS Robin
- Publisher:
- Anchor Trust/Care and Repair England
- Publication year:
- 1997
- Pagination:
- 107p.,bibliog.
- Place of publication:
- Kidlington
Research study looking at the contribution to community care services made by home improvement agencies (HIAs) through their home improvement and home adaptation work. Tests out how HIA's are helping to deliver the Government's commitment to housing being at the centre of community care, explores what constitutes success from the perspectives of health and social services agencies who have decided to partially fund HIA's, and contributes to the development of a cost effectiveness methodology which might help to demonstrate the value of HIA's in terms of enabling vulnerable people to remain in their own homes.
Sharing in sheltered housing
- Author:
- LLOYD Peter
- Journal article citation:
- LGIU Equalities News, 21, July 1994, p.9.
Argues for greater participation of occupants of sheltered housing in the management of the schemes in which they live, and examines the implications for the managers in these schemes.