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Caregivers create a veteran-centric community in VHA medical foster homes
- Authors:
- HAVERHALS Leah M., et al
- Journal article citation:
- Journal of Gerontological Social Work, 59(6), 2016, pp.441-457.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The Veteran’s Health Administration’s Medical Foster Home program offers a unique long-term care option for veterans who require nursing-home- or assisted-living-level care. Veterans in a medical foster home reside with community-based caregivers who provide 24-hr-a-day care and monitoring. The veterans often remain in the medical foster home until end of life. Support and oversight is provided to the caregiver from the Veteran’s Health Administration’s community-based medical team. This qualitative descriptive study is based on secondary analysis of interviews with 20 medical foster home caregivers from 7 programs across the United States. The study’s research aims are to describe and explain (a) the type of care backgrounds and skills these caregivers possess, (b) caregivers’ primary motivations to open their homes to veterans who often have complex medical and social needs, and (c) how caregivers function in their role as primary caregiver for veterans. Findings indicated that caregivers interviewed had worked in long-term care settings and/or cared for family members. A strong desire to serve veterans was a primary motivation for caregivers, rather than financial gain. The caregivers’ long-term care skills aided them in building and sustaining the unique medical foster home family-like community. (Publisher abstract)
Shared homes as an alternative to nursing home care: impact of VA’s Medical Foster Home program on hospitalization
- Authors:
- LEVY Cari R., et al
- Journal article citation:
- Gerontologist, 56(1), 2016, pp.62-71.
- Publisher:
- Oxford University Press
Purpose: This study compares hospitalisation rates for common conditions in the Veteran Affairs (VA) Medical Foster Home (MFH) programme where a non-family caregiver provides personal care in their own home to VA nursing homes, known as Community Living Centers (CLCs). Design and Methods: The study used a nested, matched, case control design. It examined 817 MFH residents and matched each to 3 CLC residents selected from a pool of 325,031. CLC and MFH cases were matched on (a) baseline time period, (b) follow-up time period, (c) age, (d) gender, (e) race, (f) risk of mortality calculated from comorbidities, and (g) history of hospitalization for the selected condition during the baseline period. Odds ratio (OR) and related confidence interval (CI) were calculated to contrast MFH cases and matched CLC controls. Results: Compared with matched CLC cases, MFH residents were less likely to be hospitalised for adverse care events, anxiety disorders, mood disorders, skin infections, pressure ulcers and bacterial infections other than tuberculosis or septicemia. MFH cases and matched CLC controls did not differ in rates of urinary tract infections, pneumonia, septicemia, suicide/self-injury, falls, other injury besides falls, history of injury, delirium/dementia/cognitive impairments, or adverse drug events. Hospitalisation rates were not higher for any conditions studied in the MFH cohort compared with the CLC cohort. Implications: MFH participants had the same or lower rates of hospitalisations for conditions examined compared with CLC controls suggesting that noninstitutional care by a nonfamilial caregiver does not increase hospitalisation rates for common medical conditions. (Edited publisher abstract)
Cross-border placements
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2016
- Place of publication:
- London
This guidance has been produced to assist local authorities in the UK (England, Scotland, Wales and Northern Ireland) involved in cross-border placements as described in Schedule 1 to the Care Act 2014. Its aim is to support continuity of care across the UK’s borders by setting out clear values and good practice. A cross-border placement is where an adult is being, or has been, placed by an English, Welsh or Scottish local authority or Northern Irish health and social care trust into accommodation in a different UK country in order to meet their social care needs. The guidance covers the key principles, a general overview of the main legal frameworks, the process and reporting arrangements, handling complaints, disputes between authorities and provider failure. Includes short case studies, examples of case law which may have an impact on the setting up of cross-border placements and a list of references. (Edited publisher abstract)
“I live with other people and not alone”: a survey of the views and experiences of older people using Shared Lives (adult placement)
- Authors:
- BROOKES Nadia, PALMER Sinead, CALLAGHAN Lisa
- Journal article citation:
- Working with Older People, 20(3), 2016, pp.179-186.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to report on the views and experiences of older people using Shared Lives (adult placement) in 2012/2013. Design/methodology/approach: As part of a survey collecting information about outcomes for older users of Shared Lives issues of whether it had made a difference to quality of life, and positive and negative experiences of support were explored. Findings: Questionnaires were returned by 150 older people using Shared Lives services. Findings suggest that this model of community-based support has a number of advantages for some older people, such as reducing social isolation and loneliness, promoting independence, choice and control, providing emotional support and increased well-being. Research limitations/implications: The questionnaire was self-completed and so responses were not followed up to provide deeper insights. Practical implications: Shared Lives is not appropriate for everyone but it is suggested that this option should form part of local commissioning strategies, be part of a range of options for social care practitioners to consider in their work with older people and helps to meet various current policy imperatives. Originality/value The potential of Shared Lives for older people is under-researched and this paper contributes to the literature in exploring the views of older people about family-based support in the community. (Publisher abstract)
Parental co-residence, shared living and emerging adulthood in Europe: semi-dependent housing across welfare regime and housing system contexts
- Authors:
- ARUNDEL Rowan, ROLAND Richard
- Journal article citation:
- Journal of Youth Studies, 19(7), 2016, pp.885-905.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Transitions to adulthood not only represent a key period for individual development but also contribute to processes of social stratification. Growing evidence has pointed to increased complexity, postponement and individualisation in transition dynamics. Previous research has focused on trends in school-to-work transitions and family formation; however, the central role of housing represents an interrelated process that is less understood. As pathways to adulthood have diversified, many young people experience partial independence in one sphere while continued dependence in others. Semi-dependent housing, either through parental co-residence or shared living, can be an important coping mechanism. Using the European Survey on Income and Living Conditionst, the research investigates the role that semi-dependent living plays within emerging adulthood across varied European contexts. The data suggests that the extent and type of semi-dependent housing varies substantially across EU15 countries. The findings indicate that levels of housing independence can be partly explained by welfare regime context while the propensity for shared living appears correlated with affordability in the rental market. Although socio-cultural and economic trends play an important and interrelated role, the study argues that housing dynamics of young adulthood and the role of semi-dependent living is fundamentally shaped by the context of the housing system and welfare regime. (Publisher abstract)
The state of Shared Lives in England: report 2016
- Author:
- SHARED LIVES PLUS
- Publisher:
- Shared Lives Plus
- Publication year:
- 2016
- Pagination:
- 32
- Place of publication:
- Liverpool
This report draws on a survey of Shared Lives Plus members across the country to provide an analysis of services across England, covering the period 2014/15. The report includes figures on numbers of people using Shared Lives services, the number of carers, staff turnover and motivation, types of arrangement (live in, short breaks and day support) and numbers of users by region. The results show that the number of people using Shared Lives support is continuing to rise. In 2014/15 11,570 people were getting help from Shared Lives compared to 10,440 in 2013/14. People with learning disabilities remain the primary users of Shared Lives support, accounting for 76% of all users. The next largest group getting help via Shared Lives were people with mental health problems who made up 7% of users. The survey also reports a rise in both the number of older people and people with dementia using Shared Lives. There has also been an increase of over 50% in use of Shared Lives as day support. Projected cost savings are provided to show the total savings that could be made if Shared Lives reached its full potential. Short case studies are also included to illustrate the benefits of Shared Lives schemes. (Edited publisher abstract)