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Retaining independence and autonomy in a rural area: older people's preferences for specialised housing
- Authors:
- BURHOLT Vanessa, WINDLE Gill
- Journal article citation:
- Research Policy and Planning, 25(1), 2007, pp.13-26.
- Publisher:
- Social Services Research Group
This paper aims to identify older people's preferences from a range of supported living environments. It compares the importance of privacy and physical space, physical care, domestic services, security, social activities, and control or autonomy in future accommodation. Random sampling procedures were used to draw a proportional sample of 423 people aged 70 years and over from each rural community in Gwynedd, North Wales a part of the HAPPI (Housing for an Ageing Population: Planning Implications) project. A questionnaire was administered through face-to-face interviews. The findings show that more participants rated privacy and physical space and control of life as important, compared with the other domains. Participants were most likely to indicate that sheltered housing would meet their needs in each of the domains. The paper concludes with the implications for planning of supported living environments.
A matter of preference
- Authors:
- BURHOLT Vanessa, WINDLE Gill
- Journal article citation:
- Professional Social Work, December 2003, pp.18-19.
- Publisher:
- British Association of Social Workers
Presents the findings of a study comparing older people's views on sheltered housing, extra care sheltered housing and residential care. The study also looked at what factors were considered when making a choice of these forms of supported living accommodation.
Extracare: meeting the needs of fit or frail older people?
- Authors:
- BURHOLT Vanessa, et al
- Publisher:
- Swansea University. Centre for Innovative Ageing
- Publication year:
- 2011
- Pagination:
- 96
- Place of publication:
- Swansea
Extracare has been described as innovative housing schemes that combine both independent living with high levels of care for older people. This research addresses some of the knowledge gaps regarding supported living environments by looking at the integration and management of complex care in three key settings: extracare, residential care and home care. It examines the quality of life and experience of older people and assesses the cost effectiveness of extracare compared to residential and home care. The study sample included 183 older people aged 60-98 years who completed a questionnaire survey. In addition, 91 participants also took part in in-depth interviews. The research found that extracare provides for proportionally fewer frail older people than the other care environments. When compared with residential and community care, extracare clearly has a variable capacity for meeting the needs of older people, with extracare managers unwilling to admit or continue to cater for people suffering with cognitive deterioration. The analysis of social networks indicated that extracare environments provide the conditions for increased social interaction and this is particularly effective for older widows. However, there were no differences in the levels of loneliness between the three living environments. The analysis revealed that, on the whole, the type of care environment is not predictive of quality of life. The report makes a number of recommendations, including deinstitutionalization of older people with mild to moderate cognitive impairment; setting clear standards for extracare; encouraging a more flexible approach to the provision of complex care in extracare facilities; and supporting the use of innovative care packages to help people remain independent in the community or in extracare schemes. (Edited publisher abstract)