Search results for ‘Subject term:"residential care"’ Sort:
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Secure accomodation advisory group interim report
- Author:
- SCOTLAND. Scottish Executive
- Publisher:
- Scotland. Scottish Executive
- Publication year:
- 2003
- Pagination:
- 33p.
- Place of publication:
- Edinburgh
Research
- Author:
- BOOTH Tim
- Journal article citation:
- Community Care, 11.3.93, 1993, p.26.
- Publisher:
- Reed Business Information
Looks at research into elderly people leaving home, with the aim of gaining understanding of how they feel about entering residential care.
The role of clinicians in Residential home assessments
- Author:
- McKEGANEY Neil P.
- Journal article citation:
- Social Policy and Administration, 25(2), June 1991, pp.149-159.
- Publisher:
- Wiley
Describes research on clinicians' assessments which showed that they were non-standardized and subject to different interpretations.
Future Care Provision in Hawick: a report of an engagement exercise in Hawick
- Author:
- NATIONAL DEVELOPMENT TEAM FOR INCLUSION
- Publisher:
- National Development Team for Inclusion
- Publication year:
- 2022
- Pagination:
- 21
- Place of publication:
- Bath
The National Development Team for Inclusion (NDTi) was commissioned by Scottish Borders Council and the Scottish Borders Health and Social Care Partnership (HSCP) to undertake some early engagement work with the Hawick community and key stakeholders regarding views about the development of a care village in the area and options for health and social care provision in the future. This report details the results of that engagement which will be used to inform the future plans for the area and the development of a more detailed business case. Scottish Borders recognise that this engagement is not a one off process and ongoing conversations will be take place using the principles of co-production to build on this work and inform future plans. We heard that people valued existing health and care services in Hawick including from the community hospital, Deanfield care home, supported housing and community groups. They missed some of the services that had closed, and a core message was not to close any further facilities until new services were opened. A number of gaps in services were highlighted, which reflected the demographics and focus of those engaging. Three of the main ones were a lack of support for independent living (through care at home and/or linked to sheltered housing), care and support for people with dementia, and carer support and respite. Other gaps included palliative care /end of life care at home, 24-hour care for younger people and having information about support when it is needed. There were concerns about a funding gap between the cost of the services needed and resources available, and a view that that services should be more joined up. Overall, it was clear that people want flexible care options to meet their needs in a way that preserves their dignity and independence at home and in residential settings through: better integration between housing, care and health services; a person-centred approach where staff understands what matters to an individual; future proofing when repurposing /designing care provision; training and development for all care staff. (Edited publisher abstract)
The experience of animal therapy in residential aged care in New Zealand: a narrative analysis
- Authors:
- WONG Gemma, BREHENY Mary
- Journal article citation:
- Ageing and Society, 41(11), 2021, pp.2641-2659.
- Publisher:
- Cambridge University Press
Animal therapy has been shown to have both physiological and psychological benefits for older people, including improvements in outlook and social interaction. Volunteer-led animal visitation programmes are common within residential aged care facilities in New Zealand. Visits by animals and handlers are intended to improve the quality of life of people in residential care. Very little research has been conducted on the informal animal visitation programmes typical in care facilities in New Zealand. This project examined the experience of animal therapy in two residential aged care homes that receive animal visits from an animal welfare organisation. In-depth interviews were conducted with seven older people about their experiences of the programme and analysed using narrative analysis. Three overarching narratives were identified: animal therapy as a fleeting pleasure, residential care as a sad environment, and identity outside residential care as highly valued. Older people in residential care do value animal therapy, but it is narrated as a fleeting pleasure, rather than having a long-lasting or far-reaching impact on the daily experience of residential care. In some ways, the structure of the animal therapy programme may underscore the challenges to everyday autonomy and identity experienced in residential aged care. These findings can be used to develop animal visiting programmes which recognise the importance of a valued social identity in later life. (Edited publisher abstract)
Admission to long-stay residential care and mortality among people with and without dementia living at home but on the boundary of residential care: a competing risks survival analysis
- Authors:
- CARTER L, et al
- Journal article citation:
- Aging and Mental Health, 25(10), 2021, pp.1869-1876.
- Publisher:
- Taylor and Francis
Background: Health policy in many countries is underpinned by a commitment to support dependent older people to remain in their own home for as long as possible and practicable. This study explores factors affecting both admission to long-stay residential care (LSRC) and mortality among people with and without dementia who are currently living at home with intensive formal care support. Methods: This is a cross-sectional study based on administrative data collected on 429 dependent older people in Ireland, 269 of whom were people with dementia. A cause-specific hazard model was used to investigate the hazard of admission to LSRC, while accounting for mortality as a competing risk and vice versa. Results: Admission to LSRC was higher for people with dementia relative to people without and for those receiving lower amounts of informal care. The hazard of mortality was significantly higher for older people aged 85+, whereas it was lower for individuals with a medium level of dependency relative to those with high levels of dependency. The hazard of mortality was also influenced by the amount of informal care provision. Conclusion: People with dementia are more likely to be admitted to LSRC than people without. Care for people with dementia needs to be more specialised and personal, and intensity of provision should not be equated to the number of care hours on offer. Informal care provision may help to prevent admission to LSRC. Advanced age, physical dependency and informal care provision affect mortality, raising interesting issues in relation to resource allocation. (Edited publisher abstract)
Institutional talk and practices: a journey into small group-homes for intellectually disabled children
- Author:
- FYLKESNES Ingunn
- Journal article citation:
- Disability and Society, 36(6), 2021, pp.999-1020.
- Publisher:
- Taylor and Francis
This article sheds light on a group of children who are hardly visible within the body of research: intellectually disabled children living away from home in full-time institutional settings. The purpose of the study was to contribute to the extended knowledge of these children’s everyday life and to inform researchers, authorities and service providers. Participant observations have been the main method of generating data, supported by interviews with professionals and parents. An interpretive analytical approach was employed. The results presented in this article show how institutional talk and practices can evolve within institutional systems, and how these factors affect the everyday lives of children. (Edited publisher abstract)
Professional carers’ attachment style and reflective functioning: links with adolescent behavioral and emotional adaptation in residential care
- Authors:
- PASCUZZO Katherine, et al
- Journal article citation:
- Children and Youth Services Review, 126, 2021, p.106044.
- Publisher:
- Elsevier
While previous research has underscored the importance of the professional carer-adolescent relationship in residential care as a means for promoting youth adaptation, very little is known on the processes at work. Namely, can professional carers’ interest and curiosity in adolescents’ mental states mitigate the negative associations between professional carers’ insecure attachment and adolescents’ behavioral and emotional adaptation? This is an important question to examine given that insecure attachment among carers may constitute an important obstacle to developing positive relationships with adolescents in their care. Thirty-four dyads consisting of professional carers and adolescent boys living in juvenile residential care units took part in the current study. Carers completed the Attachment Style Questionnaire (ASQ) as well as an adapted version of the Parental Reflective Functioning Questionnaire (PRFQ). Adolescents completed the Youth Self-Report (YSR) and Psychological Availability and Reliance on Adult (PARA) questionnaires as indicators of their socio-emotional adaptation. Results of hierarchical multiple regression analysis revealed that lower carer anxious attachment and greater carer reflective functioning (interest and curiosity in mental states) were associated with fewer youth internalizing problems. Furthermore, carers’ reflective functioning was found to moderate the association between carers’ anxious attachment and both youth internalizing and externalizing problems. Specifically, for carers low in reflective functioning, as their levels of anxious attachment increased, so did adolescents’ internalizing behavior problems. For carers high in reflective functioning, anxious attachment was not related to youth internalizing problems. A similar moderation effect was found for youth externalizing problems. For carers low in reflective functioning, as their levels of anxious attachment increased, so did adolescents’ externalizing behavior problems. For carers high in reflective functioning, anxious attachment was not related to youth externalizing problems. The role of carers’ reflective functioning, abilities that can be developed and enhanced despite one’s insecure attachment, within the context of residential care is discussed. (Edited publisher abstract)
Behind closed doors: human rights in residential care for people with an intellectual disability in Ireland
- Authors:
- MURPHY Kieron, BANTRY-WHITE Eleanor
- Journal article citation:
- Disability and Society, 36(5), 2021, pp.750-771.
- Publisher:
- Taylor and Francis
Historically people with an intellectual disability have been excluded from society and many continue to live separately in institutions, group homes and segregated campuses. This article provides a unique analysis of what it is like to live separately from society in Irish centres for people with a disability. An analysis was undertaken of data from 627 inspection reports published in 2016 by the Inspectorate of residential care in Ireland. A Human Rights Framework was developed, based on the United Nations Convention on Rights of Persons with Disabilities (CRPD), to interpret the data by linking various interrelated articles of the CRPD into nine Human Rights Themes. The findings demonstrated that people with an intellectual disability were not regarded as citizens capable of full inclusion in society but rather experienced daily restrictions on their lives. The findings also emphasised the need to ensure human rights are at the core of service delivery. (Edited publisher abstract)
A schema therapy based milieu in secure residential youth care: effects on aggression, group climate, repressive staff interventions, and team functioning
- Authors:
- WIJK-HERBRINK Marjolein Francisca van, et al
- Journal article citation:
- Residential Treatment for Children and Youth, 38(3), 2021, pp.289-306.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Group care workers of residential youth care settings face the challenge of creating a warm and involved treatment climate against the demands and restrictions of the treatment setting. We tested the effects of SafePath, a milieu-based intervention based on Schema Therapy principles, during the first year of implementation on two secure residential treatment units compared to two control units. Staff’s daily reports on 139 individual patients were coded on use of schema mode language (implementation check), occurrences of aggression (primary outcome) and repressive staff interventions. In addition, repeated questionnaires were filled out by patients (n = 87) on group climate and by staff (n = 50) on team functioning. Compared to the control units, SafePath units showed higher improvements in group climate and repressive interventions. Both SafePath and control units showed decreased aggression over time. Team functioning was consistently better in the SafePath units compared to the care-as-usual units from baseline through 12 months. In conclusion, a Schema Therapy based milieu as implemented with SafePath may contribute to a warm and supportive group climate with less repressive interventions in secure residential youth care. (Edited publisher abstract)