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Splitting the difference: a consultation paper on the purchaser/provider split in the home care service
- Author:
- BRANSBURY Lynda
- Publisher:
- Local Government Information Unit
- Publication year:
- 1997
- Pagination:
- 28p.,bibliog.
- Place of publication:
- London
Consultation paper offering an overview of the purchaser provider split in the home care service.
Taking care in the market: a study of agency homecare
- Author:
- KESTENBAUM Ann
- Publisher:
- Independent Living Foundation
- Publication year:
- 1993
- Pagination:
- 35p.,bibliog.
- Place of publication:
- Nottingham
Examines the market for domiciliary care in the East Midlands. Describes the independent sector services currently available to disabled people who are able to pay for them. Details user views of these services, and draws conclusions.
Independent means
- Author:
- GEORGE Mike
- Journal article citation:
- Social Work Today, 24.9.92, 1992, p.14.
- Publisher:
- British Association of Social Workers
Considers whether the ADSS will support the campaign for direct payments to people with disabilities.
Your caring sharing friends and helpers
- Author:
- MACHARDY L.
- Journal article citation:
- Community Care, 7.1.88, 1988, pp.24-25.
- Publisher:
- Reed Business Information
Describes a Community Programme scheme on the Isle of Wight, run jointly by health, SSD, voluntary organisations and trades unions, to provide jobs for unemployed people who offer help to those who are elderly and housebound.
Home or away?: report of a working conference on home support schemes for elderly people with mental and physical disabilities held on 12th December 1986 at Whitbread's Brewery, City of London
- Editor:
- MURPHY Elaine
- Publisher:
- Guys and St. Thomas's Hospitals United Medical Schools. National Unit for Psychi
- Publication year:
- 1987
- Pagination:
- 74p., bibliogs.
- Place of publication:
- London
The Personal Care Scheme in Hounslow: an evaluation
- Author:
- CROWTHER J.
- Journal article citation:
- Social Services Research, 4, 1987, pp.22-28.
- Publisher:
- Social Services Research Group
Reports on an innovative scheme in Hounslow which recruits carers for specific clients with disabilities to provide help with daily living activities.
Care attendant schemes: their management and organisation
- Authors:
- HOPPER Caroline, ROBERTS Jennifer
- Publisher:
- Greater London Association for Disabled People
- Publication year:
- 1986
- Pagination:
- 21p., tables, illus, diags, .
- Place of publication:
- London
Quality in social care: achieving excellence in home care
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2014
- Pagination:
- 19 minutes 48 seconds
- Place of publication:
- London
Service users get together with a social care academic and a leader in the home care sector to discuss how excellence can be achieved in domiciliary care. We see examples of excellence in support offered to older people, people with learning disabilities and people with physical disabilities in their own homes. Much of the focus is on the relationship between staff members and the people they support because getting that right is fundamental to excellent care. This film has now been revised. This film was previously available under the title 'Defining excellence: excellence in domiciliary care '. (Edited publisher abstract)
Factors associated with the amount of public home care received by elderly and intellectually disabled individuals in a large Norwegian municipality
- Authors:
- DOHL Oystein, et al
- Journal article citation:
- Health and Social Care in the Community, 24(3), 2016, pp.297-308.
- Publisher:
- Wiley
This study reports an analysis of factors associated with home care use in a setting in which long-term care services are provided within a publicly financed welfare system. The study considered two groups of home care recipients: elderly individuals and intellectually disabled individuals. Routinely collected data on users of public home care in the municipality of Trondheim in October 2012, including 2493 people aged 67 years or older and 270 intellectually disabled people, were used. Multivariate regression analysis was used to analyse the relationship between the time spent in direct contact with recipients by public healthcare personnel and perceived individual determinants of home care use (i.e. physical disability, cognitive impairment, diagnoses, age and gender, as well as socioeconomic characteristics). Physical disability and cognitive impairment are routinely registered for long-term care users through a standardised instrument that is used in all Norwegian municipalities. Factor analysis was used to aggregate the individual items into composite variables that were included as need variables. Both physical disability and cognitive impairment were strong predictors of the amount of received care for both elderly and intellectually disabled individuals. The study identified a negative interaction effect between physical disability and cognitive impairment for elderly home care users. For elderly individuals, results also found significant positive associations between weekly hours of home care and having comorbidity, living alone, living in a service flat and having a safety alarm. The reduction in the amount of care for elderly individuals living with a cohabitant was substantially greater for males than for females. For intellectually disabled individuals, receiving services involuntarily due to severe behavioural problems was a strong predictor of the amount of care received. The analysis showed that routinely collected data capture important predictors of home care use and thus facilitate both short-term budgeting and long-term planning of home care services. (Edited publisher abstract)
Evaluation of an agency-based occupational therapy intervention to facilitate aging in place
- Authors:
- SHEFFIELD Chava, SMITH Charles A., BECKER Mary
- Journal article citation:
- Gerontologist, 53(6), 2013, pp.907-918.
- Publisher:
- Oxford University Press
Purpose: The United States faces a growing population of older adults and accompanying functional disabilities, coupled with constrained public resources and diminishing informal supports. A variety of interventions that aim to improve client outcomes have been studied, but to date, there is limited translational research that examines the efficacy of moving such interventions from clinical trials to agency settings. Methods: A randomized controlled trial was conducted to evaluate a restorative occupational therapy intervention relative to “usual care” among community-dwelling older adults. The intervention included a detailed assessment from a person–environment perspective and provision of adaptive equipment and home modifications where appropriate. The intervention (n = 31) and control groups (n = 29) were evaluated at 3 months and assessed for changes in functional status, home safety, falls, health-related quality of life (HRQoL; EQ5D), depression, social support, and fear of falling; a 4 subgroup analysis also examined outcomes by waiting list status. An informal economic evaluation compared the intervention to usual care. Results: Findings indicated improvements in home safety (p < .0005, b = −15.87), HRQoL (p = .03, b = 0.08), and fear of falling (p < .05, b = 2.22). Findings did not show improvement in functional status or reduction in actual falls. The intervention resulted in a 39% reduction in recommended hours of personal care, which if implemented, could result in significant cost savings. Implications: The study adds to the growing literature of occupational therapy interventions for older adults, and the findings support the concept that restorative approaches can be successfully implemented in public agencies. (Publisher abstract)