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Home of Your Own programs: models of creative collaboration
- Author:
- QUINN Peggy
- Journal article citation:
- Journal of Community Practice, 12(1/2), 2004, pp.37-49.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philapelphia, USA
This description of Home of Your Own (HOYO) programs offers strategies for community collaboration that benefit people with disabilities. As more people with disabilities choose to live in the community rather than in institutions and as the population of the U.S. ages, community practitioners need to understand their needs as well as the resources available to assist them. HOYO programmes involve home buyers, financial institutions, realtors and organizations such as Centers for Independent Living, in locating properties, training clients and publicizing the programme. Practitioners and instructors can utilize HOYO programmes to illustrate the positive results of cooperation between federal, state and local agencies. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580)
Reducing depression among older people receiving care: summary of intervention methods and findings
- Authors:
- LYNE K.J., et al
- Publisher:
- North Yorkshire and York Primary Care Trust
- Publication year:
- 2007
- Place of publication:
- York
Depression is very common among older people and often goes untreated. Common causes are loss of relationships through bereavement and loss of role. Another frequent cause of depression in older people is physical disabilities which prevent roles or activities which a person has especially valued. Difficulty in travelling outside one’s home is a common example. Others would be loss of valued activities like needlework, reading or writing through eyesight problems or arthritis. Depression is especially common within services for older people with many physical disabilities. Surveys have found around 25% of older home care customers to be depressed. Among another such group, older people who live in care homes, the proportion is around 40%. As life expectancy increases, more people suffer age-related physical disabilities. According to the 2006 White Paper, Our Health, Our Care, Our Say: “One of the greatest long-term challenges facing the health and social care system is to ensure that longer life means more years of health and well-being”. This concerns all services for older people – health services and social care, nursing and care homes, sheltered housing and home-based support services. How can they respond to depressed older people in their care? This intervention project explored whether depression could be reduced among older people, living in care homes and typically aged over 80, through guiding their regular care staff to assist life-improvements which particularly mattered to an individual.
Kaiser Permanente’s manifesto 2005 demonstration: the promises and limits of devolution
- Authors:
- LEUTZ Walter, et al
- Journal article citation:
- Journal of Aging and Social Policy, 14(3/4), 2002, pp.233-243.
- Publisher:
- Routledge
- Place of publication:
- Philadelphia, USA
In 1996, the eight-million member Kaiser Permanente HMO adopted a vision statement that said by 2005 it would expand its services to include home- and community-based services for its members with disabilities. It funded a 3-year, 32-site demonstration that showed that it was feasible to link HMO services with existing home- and community-based (HCB) services and that members appreciated the improved coordination and access. This private-sector project showed that devolution can produce innovative and feasible models of care, but it also showed that without federal financial and regulatory support, such models are unlikely to take hold if they are focused on “unprofitable” populations, for example, those who are chronically ill, poor, and/or disabled. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Cognitive disability and direct care costs for elderly people
- Authors:
- KAVANAGH Shane, KNAPP Martin
- Journal article citation:
- British Journal of Psychiatry, 174(6), June 1999, pp.539-546.
- Publisher:
- Cambridge University Press
Population ageing and the high costs of care support for elderly people have concentrated attention on economic issues. Examines whether there is an association between costs and cognitive disability by comparing service utilisation and direct costs for elderly people with different degrees of cognitive disability, and between people living in households and in communal establishments. Discusses how population ageing is closely associated with higher utilisation of health and social care services, and how new treatment or service arrangements provoke debate about their cost implications. The study aims to provide 'benchmark' information to inform debates about the potential costs of various treatment and service charges.