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Encounters in close care relations from the perspective of personal assistants working with persons with severe disablilityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study contributes to the understanding of the complexity underlying the daily community care of disabled persons with an extensive need for care and assistance. (Source: Health and Social Care in the Community)
Source: Health and Social Care in the Community - October 8, 2009 Category: Health Management Authors: Gerd Ahlström, Barbro Wadensten Source Type: journals

Empowerment and Indigenous Australian health: a synthesis of findings from Family Wellbeing formative researchEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This paper employs a thematic qualitative analysis to synthesise seven discrete formative evaluation reports of an Indigenous Australian family empowerment programme across four study settings in Australia's Northern Territory and Queensland between 1998 and 2005. The aim of the study, which involved a total of 148 adult and 70 school children participants, is to develop a deeper understanding of the contribution of community empowerment education programmes to improving Indigenous health, beyond the evidence derived from the original discrete micro evaluative studies. Within a context beset by trans-generational grief and...
Source: Health and Social Care in the Community - October 4, 2009 Category: Health Management Authors: Komla Tsey, Mary Whiteside, Melissa Haswell-Elkins, Roxanne Bainbridge, Yvonne Cadet-James, Andrew Wilson Source Type: journals

Silenced voices: hearing the stories of parents bereaved through the suicide death of a young adult childEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The current paper reports findings from a qualitative research project that aimed to explore parents' experiences following the suicide death of their young adult child. Twenty-two Australian parents told of the suicide death of their son or daughter during the data collection period (2003 to late 2004). One narrative theme drawn from the interview data is reported here: the way in which suicide-bereaved parents feel unable to talk about their child's life and death, their experience of suicide and their resultant bereavement. Parents reported being silenced by others and silencing themselves in relation to talking about t...
Source: Health and Social Care in the Community - September 29, 2009 Category: Health Management Authors: Myfanwy Maple, Helen Edwards, David Plummer, Victor Minichiello Source Type: journals

Coming out to care: gay and lesbian carers' experiences of dementia servicesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reports on findings from a qualitative study, undertaken in England that explored the experiences of 21 gay men and lesbian women who care, or cared, for a person with dementia. The aim of the study was to explore how a person's gay or lesbian sexuality might impact upon their experience of providing care in this context. This paper reports on one theme that emerged from the wider study [ndash] carers' experiences of 'coming out' to service providers. Respondents were recruited using 'snowballing' methods and the study employed semi-structured interviewing techniques. Data collection occurred over a protracted...
Source: Health and Social Care in the Community - August 25, 2009 Category: Health Management Authors: Elizabeth Price Source Type: journals

'My biggest fear was that people would reject me once they knew my status…': stigma as experienced by patients in an HIV/AIDS clinic in Johannesburg, South AfricaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study suggests that three decades into the epidemic, stigmatisation remains a core feature of the patient experience of HIV/AIDS. In the clinic in which this research was conducted, HIV/AIDS was regarded as a chronic condition increasingly manageable by ongoing access to ART. However, this approach was not shared by many family members, neighbours and employers who held highly stigmatised views. (Source: Health and Social Care in the Community)
Source: Health and Social Care in the Community - August 24, 2009 Category: Health Management Authors: Leah Gilbert, Liz Walker Source Type: journals

User involvement in the development of a health promotion technology for older people: findings from the SWISH projectEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study has identified key social determinants of health that could usefully be added to 'Life Checks' for older people and that could also inform the commissioning of community well-being. Modified with the addition of social domains, the HRAO technology could be a suitable tool to achieve current policy objectives. (Source: Health and Social Care in the Community)
Source: Health and Social Care in the Community - August 24, 2009 Category: Health Management Authors: S. Iliffe, K. Kharicha, D. Harari, C. Swift, C. Goodman, J. Manthorpe Source Type: journals

A non-randomised controlled trial of the Home Independence Program (HIP): an Australian restorative programme for older home-care clientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study compared the outcomes for individuals who participated in HIP with those of individuals who received 'usual' home-care services. The study was conducted in metropolitan Perth, Western Australia, between 2001 and 2003, when HIP was being trialled as a service in just one region. One hundred clients were recruited into each group and were visited at home on three occasions [ndash] service start and at 3 months and 1 year. Standardised outcome measures were used to measure functional dependency, morale, confidence in performing everyday activities without falling and functional mobility. Service outcomes were also ...
Source: Health and Social Care in the Community - August 5, 2009 Category: Health Management Authors: Gill Lewin, Suzanne Vandermeulen Source Type: journals

Persuasion and types of enticements offered by pharmaceutical companies to Gold Coast general practitioners in an attempt to encourage a health website recommendationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study was undertaken to determine if pharmaceutical companies persuade and offer enticements to Gold Coast (Queensland, Australia) general practitioners (GPs), in an attempt to encourage them to recommend health websites to the health consumer. A survey instrument consisting of seven single response questions was mailed to 250 (61%) out of 410 GPs. Questions were designed to measure the percentages (%) and proportions associated with levels of persuasion and types of enticements pharmaceutical companies are offering GPs, in an attempt to encourage them to recommend health websites to the health consumer. The survey in...
Source: Health and Social Care in the Community - August 5, 2009 Category: Health Management Authors: Wayne Usher, James Skinner Source Type: journals

Snapshot of flexible funding outcomes in four countriesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews social participation outcomes identified in discrete studies of flexible funding programmes across four countries. The outcomes of an Australian flexible funding support programme were studied in 2007; a study tour of independent living programmes was conducted in England and Scotland during 2005; Swedish co-operatives and government administrators providing personal assistance to live independently were visited in 2006 and Australian independent living support groups operating for over 20 years were visited in 2008. Fifty-six interviews were conducted with people with a disability, families, support s...
Source: Health and Social Care in the Community - August 5, 2009 Category: Health Management Authors: Carmel Laragy Source Type: journals

Features and impacts of five multidisciplinary community–university research partnershipsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article describes the features and impacts of five research partnerships addressing health or social service issues, which constituted a convenience sample from the province of Ontario, Canada. The article describes their characteristics, ways of operating, outputs, types of requests received from community members and mid-term impacts. Requests directed to partnerships were tracked over a 10-month period in 2003 to 2004, using a research contact checklist, and 174 community members later completed an impact questionnaire capturing perceptions of the impacts of the partnerships on personal knowledge and research skill...
Source: Health and Social Care in the Community - July 28, 2009 Category: Health Management Authors: Gillian King, Michelle Servais, Cheryl Forchuk, Heather Chalmers, Melissa Currie, Mary Law, Jacqueline Specht, Peter Rosenbaum, Teena Willoughby, Marilyn Kertoy Source Type: journals

Constructing area-level indicators of successful ageing in TaiwanEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We constructed area-level indicators of successful ageing in Taiwan. Area-level successful ageing was defined as follows: the living environment in a community/city is beneficial for physical, psychological and social health, and the people living in the area are well informed about the issues that pertain to maintaining health and behave in ways that promote their health. A modified Delphi method and analytical hierarchy process were used, with eight experts completing three successive rounds of questionnaires to determine the appropriate dimensions and indicators. In total, 65 indicators of area-level successful ageing w...
Source: Health and Social Care in the Community - July 28, 2009 Category: Health Management Authors: Hui-Chuan Hsu, Chiung-Yi Tsai, Ming-Cheng Chang, Dih-Ling Luh Source Type: journals

Knowledge of urinary incontinence among Chinese community nurses and community-dwelling older peopleEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The purpose of this study was to describe knowledge of urinary incontinence among community nurses and community-dwelling older people in China. The descriptive study was undertaken in 2007 using a cross-sectional research design. A random sampling method was used to recruit 100 Chinese older people and 100 Chinese nurses in JinShan and NanHui communities, Shanghai, China. All participants completed all items of a demographic survey and the Urinary Incontinence Knowledge Scale (UIKS). Based on the literature, the UIKS was developed in 2007. The value of content validity index tested by five experts was 0.75. Measures of in...
Source: Health and Social Care in the Community - July 28, 2009 Category: Health Management Authors: Haobin Yuan, Beverly A. Williams Source Type: journals

Over-the-counter advice seeking about complementary and alternative medicines (CAM) in community pharmacies and health shops: an ethnographic studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In many ways, consumers of complementary and alternative medicine (CAM) embody the values that current policies aim to encourage such as self-caring and private consumption. For example, the British Government's choice agenda suggests patient choice and self-management are key government priorities and state that good information should be at the heart of all services. However, research on community pharmacies suggests that there is a continued lack of knowledge about CAM, especially herbal medicines and the limited research on health shops indicates that advice about CAM products is varied and inconsistent. Recognising th...
Source: Health and Social Care in the Community - July 28, 2009 Category: Health Management Authors: Helen Cramer, Alison Shaw, Lesley Wye, Marjorie Weiss Source Type: journals

The costs of change: a case study of the process of implementing individual budgets across pilot local authorities in EnglandEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article will describe the initial approach adopted in estimating set-up costs, followed by a description of the findings for the first year of implementation and likely subsequent set-up costs. We also identify the range of factors that might affect reported costs. (Source: Health and Social Care in the Community)
Source: Health and Social Care in the Community - July 22, 2009 Category: Health Management Authors: Karen Jones, Ann Netten Source Type: journals

Forming partnerships with parents from a community development perspective: lessons learnt from Sure StartEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The aim of this study is to explore some of the issues of service user participation in the planning and delivery of public services from a community development perspective. It draws on an action research evaluation study of a local Sure Start programme, which was introduced into an area without a tradition of community involvement in decisions about local services. The study describes and analyses the challenges of parent participation in the organisation and delivery of the Sure Start programme at an operational and strategic level, using findings from semi-structured interviews, observations and critical conversations ...
Source: Health and Social Care in the Community - July 21, 2009 Category: Health Management Authors: Virginia MacNeill Source Type: journals

What is the perceived nature of parental care and support for young people with cystic fibrosis as they enter adult health services?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The majority of those diagnosed with cystic fibrosis (CF) now live to adulthood. In response to increased survival age, transition services have been developed to ensure smooth transfer from paediatric to adult specialist healthcare, although the majority of treatment and care continues to be delivered in the home. However, little is known about how young adults and staff conceptualise the nature of the parental role after young people have left paediatric care. The aim of this study is to explore the nature of parental support that is perceived to be available at this time. As part of a larger study of transitional care, ...
Source: Health and Social Care in the Community - July 21, 2009 Category: Health Management Authors: Nicola Iles, Karen Lowton Source Type: journals

A primary care cardiovascular risk reduction clinic in Canada was more effective and no more expensive than usual on-demand primary care – a randomised controlled trialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective of this randomised controlled trial was to compare the effects and expense of three approaches to care (1) proactive cardiovascular risk reduction (CaRR) clinic; (2) nurse telephone calls; or (3) usual care for people with cardiovascular risk factors in a Primary Care, Health Service Organisation (HSO) in Ontario, Canada. Subjects included consenting patients with an identified cardiovascular disease (CVD) risk factor identified from the HSO computerised patient information system in 2004. Patients were excluded if they were mentally incompetent, (Source: Health and Social Care in the Community)
Source: Health and Social Care in the Community - July 21, 2009 Category: Health Management Authors: Michael Mills, Patricia Loney, Ellen Jamieson, Amiram Gafni, Gina Browne, Barbara Bell, Lori Chalklin, Jim Kraemer, David Wallik, Chris Williams, Stephen Duncan Source Type: journals

Why are some care homes better than others? An empirical study of the factors associated with quality of care for older people in residential homes in Surrey, EnglandEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This paper reports an empirical study that investigated associations between the quality of care received by older people in residential settings and features of the care homes in which they live. Data were gathered from the first announced inspection reports (2002[ndash]2003) of all 258 care homes for older people in one county of England (Surrey). The number of inspected standards failed in each home was used as the main indicator of quality of care. Independent variables (for each home) were: size, type, specialist registration, on-site nursing, ownership, year registered, location, maximum fee, vacancies, resident depe...
Source: Health and Social Care in the Community - July 7, 2009 Category: Health Management Authors: Heather Gage, Wendy Knibb, Joanne Evans, Peter Williams, Neil Rickman, Karen Bryan Source Type: journals

The health, social care and housing needs of lesbian, gay, bisexual and transgender older people: a review of the literatureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This paper reports the findings of a literature review of the health, social care and housing needs of older lesbian, gay, bisexual and transgender (LGBT) adults undertaken in 2006 for the Welsh Assembly Government. Peer-reviewed literature was identified through database searches of BNI, PubMed, CINAHL, DARE, ASSIA and PsychInfo. Follow-up searches were conducted using references to key papers and journals as well as specific authors who had published key papers. A total of 187 papers or chapters were retrieved, of which 66 were included in the study; major themes were identified and the findings synthesised using a meta-...
Source: Health and Social Care in the Community - June 24, 2009 Category: Health Management Authors: Samia Addis, Myfanwy Davies, Giles Greene, Sara MacBride-Stewart, Michael Shepherd Source Type: journals

Effectiveness of Supportive Educative Learning programme on the level of strain experienced by caregivers of stroke patients in ThailandEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study aimed to develop and implement a nurse-led Supportive Educative Learning programme for family caregivers (SELF) of stroke survivors in Thailand and to evaluate the effect of the SELF programme on family caregiver's strain and quality of life. This was a non-randomised comparative study with concurrent controls, using a two-group pre-test and post-test design. A total of 140 stroke survivors and 140 family caregivers were recruited; 70 patients/caregiver pair in each group. Caregivers of patients admitted to the intervention hospital following an acute stroke received the intervention, while caregivers of patient...
Source: Health and Social Care in the Community - June 9, 2009 Category: Health Management Authors: R. Oupra, R. Griffiths, J. Pryor, S. Mott Source Type: journals

Physiotherapists in under-resourced South African communities reflect on practiceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study explored how the first cohort of physiotherapists experienced their year-long CS and how they felt their undergraduate training prepared them for practice. A survey was conducted at the end of 2003 amongst the first cohort of CS physiotherapists who emerged from the physiotherapy programme of a South African university. All 23 of the graduates from the 2002 final year class were invited to participate in the study. A self-administered open-ended questionnaire was faxed to the participants. Twenty of the 23 questionnaires were completed and returned within a month. The questionnaires were coded and the data were ...
Source: Health and Social Care in the Community - May 28, 2009 Category: Health Management Authors: Serela S. Ramklass Source Type: journals

The role of advocacy and interpretation services in the delivery of quality healthcare to diverse minority communities in London, United KingdomEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Inequalities in access to appropriate and acceptable healthcare contributes to a pattern of poorer health status, reduced life expectancy and greater dissatisfaction with healthcare amongst people from Black and minority ethnic communities (BME). Language acts as a further barrier to access. The development of bilingual advocacy fuses two key functions [ndash] interpretation and advocacy [ndash] to ensure that people from BME communities are able to have their healthcare needs met appropriately. This paper explores the development of bilingual advocacy in East London, which has a highly diverse population speaking over 100...
Source: Health and Social Care in the Community - May 27, 2009 Category: Health Management Authors: Walid El Ansari, Karen Newbigging, Carolyn Roth, Farida Malik Source Type: journals

Contribution of child protection workers' attitudes to their risk assessments and intervention recommendations: a study in IsraelEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The study examines the contributions of workers' attitudes towards issues in child welfare (removal from home of children at risk, the ability of alternative care to foster children's development, optimal duration of alternative care, and parents' and children's participation in the intervention recommendation) with their risk assessments and intervention recommendations. The study participants were 236 out of 240 licensed child protection workers in Israel (98.3% response rate) who were attending an annual professional conference in November 2005. They were presented with a vignette describing the case of a child at risk ...
Source: Health and Social Care in the Community - May 27, 2009 Category: Health Management Authors: Bilha Davidson-Arad, Rami Benbenishty Source Type: journals

Consumer health organisations for people with diabetes and arthritis: who contacts them and why?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
As health systems worldwide confront a growing prevalence of chronic disease, attention has focused on self-management as a strategy for delivering better outcomes for individuals and the health system. Consumer health organisations (CHOs) offer an existing, but under-utilised, resource for supporting self-management. This paper reports on a study designed to investigate the use of CHOs among people with diabetes and arthritis. A cross-sectional computer-assisted telephone interview survey was completed by 279 people who had made contact with one of four CHOs in Queensland, Australia, between July and August 2006. Self-rep...
Source: Health and Social Care in the Community - May 15, 2009 Category: Health Management Authors: Frances M. Boyle, Allyson J. Mutch, Julie H. Dean, Marie-Louise Dick, Christopher B. Del Mar Source Type: journals

The potential of ecological theory for building an integrated framework to develop the public health contribution of health visitingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In line with recent UK and Scottish policy imperatives, there is increasing pressure for the health visiting service to assume an enhanced role in improving public health. Although health visiting has so far maintained its unique position as a primarily preventive service within the UK health service, its distinctive contribution now appears under threat. The continuing absence of a comprehensive and integrated conceptual basis for practice has a negative impact on the profession's ability to respond to current challenges. Establishing an integrative framework to conceptualise health visiting practice would enable more sen...
Source: Health and Social Care in the Community - May 13, 2009 Category: Health Management Authors: Alison Bryans, Flora Cornish, Jean McIntosh Source Type: journals

Offender health and social care: a review of the evidence on inter-agency collaborationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The involvement of health and social care agencies in crime reduction partnerships remains key to government strategy despite a growing awareness of the equivocal outcomes of inter-agency working in other settings. This paper reports findings from a literature review designed to assess the extent to which existing crime reduction partnerships have been able to overcome the barriers to joint working. The review focuses in particular on Drug (and Alcohol) Action Teams (D(A)ATs), Crime and Disorder Reduction Partnerships (CDRPs), Multi-Agency Public Protection-Arrangements (MAPPAs) and Youth Offending Teams (YOTs). A comprehe...
Source: Health and Social Care in the Community - May 13, 2009 Category: Health Management Authors: Iestyn Williams Source Type: journals

Support for family caregivers: what do service providers say about accessibility, availability and affordability of services?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This paper reports on a survey of providers of caregiver support services in Singapore (N = 36). The overall aim of the survey was to provide feedback to service planners and programme staff on the delivery of services to caregivers and opportunities for improvement. A questionnaire, comprising both closed and open-ended questions, was used to collect data. The results showed that most health and social service providers offer counselling, case management, caregiver assessment, financial assistance and information. A minority provide emergency, short-stay respite care and day care. About one in three provide transportation...
Source: Health and Social Care in the Community - May 13, 2009 Category: Health Management Authors: Guat Tin Ng Source Type: journals

Perceptions of adolescents and young people regarding endemic dental fluorosis in a rural area of Brazil: psychosocial sufferingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Severe dental fluorosis is endemic in some rural areas of Brazil. This paper describes the psychosocial consequences of this condition and how it has affected the self-esteem of adolescents and young people in a rural area in Brazil. Semi-structured, face-to-face interviews were carried out with 23 adolescents and young people affected by severe dental fluorosis and 14 of their teachers. The study revealed the affected individuals were embarrassed to smile at strangers due to a presumed association between fluorosis and a lack of dental hygiene. Further findings include conflicts between affected and non-affected students ...
Source: Health and Social Care in the Community - May 13, 2009 Category: Health Management Authors: Lia Silva de Castilho, Efigênia Ferreira e Ferreira, Edson Perini Source Type: journals

'It's been really, really hard': a qualitative study of the health problems of people receiving emergency relief in AustraliaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The aim of the research reported in this paper was to explore the perspectives and insights of emergency relief recipients in relation to their complex health problems, which had contributed to their position of needing to seek emergency relief. The sample consisted of 20 adults aged between 19 and 51 years who had received emergency relief in a regional city in Victoria, Australia. Non-probability sampling was used, employing the convenience sampling procedure. A qualitative, exploratory research approach utilising in-depth interviews was selected to obtain data from the respondents. The method of data analysis used invol...
Source: Health and Social Care in the Community - May 13, 2009 Category: Health Management Authors: John Frederick, Chris Goddard Source Type: journals

Is there agreement between Canadian older adults and their primary informal caregivers on behaviour towards institutionalisation?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We aimed to compare behaviour towards institutionalisation between frail older adults and their informal caregivers, and identify correlates of differential behaviour. In 2004, during the fourth wave of the longitudinal Program of Research to Integrate Services for the Maintenance of Autonomy (PRISMA) study (province of Québec, Canada), 86.7% of eligible dyads, that is 593 participants and their primary informal caregivers, were asked separately if they thought about placement, discussed it with someone or visited an institution during the previous year. An ordinal measure of behaviour towards institutional placement was ...
Source: Health and Social Care in the Community - May 13, 2009 Category: Health Management Authors: Marie-France Dubois, Nicole Dubuc, Chantal D. Caron, Michel Raîche, Réjean Hébert Source Type: journals

Coordinated care: what does that really mean?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The healthcare system in Australia is struggling to meet the healthcare needs of the ageing population. The pressure on health systems to solve these complex problems can create a sense of urgency to find a panacea in concepts such as coordinated care. A common understanding of coordinated care is often assumed when, in reality, the concept is neither clearly defined nor completely understood. The purpose of this review was to examine and identify the attributes of coordinated care to facilitate a shared definition of this concept within the primary care context. The study was a conceptual review of the literature relating...
Source: Health and Social Care in the Community - May 13, 2009 Category: Health Management Authors: Carolyn Ehrlich, Elizabeth Kendall, Heidi Muenchberger, Kylie Armstrong Source Type: journals

Cost of prescribed and delivered health services resulting from a comprehensive geriatric assessment tool in New ZealandEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective of this study was to estimate the health service use and costs resulting from the introduction of the interRAI Minimum Data Set[ndash]Home Care (MDS[ndash]HC) assessment compared with usual assessment. A randomised controlled trial of elderly people in New Zealand measured the use and cost of prescribed and delivered (4 months post-assessment) health services of 153 participants assessed using the standard [Needs Assessment and Service Co-ordination (NASC)] tool, and 158 participants assessed using the MDS[ndash]HC. The results suggest that the MDS[ndash]HC resulted in more prescribed personal health and comm...
Source: Health and Social Care in the Community - April 29, 2009 Category: Health Management Authors: Paul M. Brown, Laura Wilkinson-Meyers, Matthew Parsons, Kate Weidenbohm, Rob McNeill, Theo Brandt Source Type: journals

Evaluating the role of the Sure Start Plus Adviser in providing integrated support for pregnant teenagers and young parentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This paper offers a descriptive evaluation of the role and performance of the Sure Start Plus Adviser in providing integrated support for pregnant teenagers and young parents, and focuses on their interprofessional working. The study, based upon interviews and questionnaires with advisers, pregnant and parenting teenagers and mainstream professionals, was conducted within five Local Authorities in the north-east of England. Findings show differences in how the role was undertaken and in terms of its impact within different authorities. The principal contribution was perceived as providing one-to-one advice, personal and em...
Source: Health and Social Care in the Community - April 27, 2009 Category: Health Management Authors: Nigel Malin, Gillian Morrow Source Type: journals

Understanding service context: development of a service pro forma to describe and measure elderly peoples' community and intermediate care servicesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The purpose of this paper was to develop a pro forma which classifies the components of service delivery and organization which may impact on the outcomes of elderly peoples' community and intermediate care services. The resulting analytic template provides a basis for comparison between services and may help guide service commissioning and development. A qualitative approach was used in which key evaluations and reports were selected on the basis that they described elderly peoples' community and intermediate care services. These were analysed systematically using a qualitative (template) approach to draw out the key them...
Source: Health and Social Care in the Community - April 27, 2009 Category: Health Management Authors: Susan A. Nancarrow, Anna M. Moran, Stuart G. Parker Source Type: journals

Service-user and carer perspectives on compliance and compulsory treatment in community mental health servicesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This paper reports on a qualitative study analyzing service-user (SU) and carer perspectives on medication compliance and their experience of compulsory treatment. Eleven SUs and eight carers were interviewed. The research is set against the background of changes to mental health legislation in England, in the form of Supervised Community Treatment. This signals a change in community mental health practice and urges a reconsideration of concepts such as compliance, concordance and coercion. These concepts are discussed in the context of legislative changes and in relation to the perspectives of service-SUs and carers. Five...
Source: Health and Social Care in the Community - April 27, 2009 Category: Health Management Authors: Iris Gault Source Type: journals

Factors associated with non-use of inpatient hospital care service by elderly people in ChinaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objectives of this cross-sectional study were to estimate non-use of inpatient hospital care service by elderly people in China and to examine associations between service non-use during the past 12 months and an array of predisposing, enabling and need factors. Using a fully structured questionnaire, trained health personnel interviewed 4046 Chinese aged 60 and older in Zhejiang province selected by a two-stage stratified cluster sampling scheme between September and December 2007. Based on the Andersen behavioural model, hierarchical logistic regression analysis was used to explore the predictors of non-use of this s...
Source: Health and Social Care in the Community - April 27, 2009 Category: Health Management Authors: Junfang Wang, Yinyin Wu, Biao Zhou, Shuangshuang Zhang, Weijun Zheng, Kun Chen Source Type: journals

Integrated dementia care in The Netherlands: a multiple case study of case management programmesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The number of dementia patients is growing, and they require a variety of services, making integrated care essential for the ability to continue living in the community. Many healthcare systems in developed countries are exploring new approaches for delivering health and social care. The purpose of this study was to describe and analyse a new approach in extensive case management programmes concerned with long-term dementia care in The Netherlands. The focus is on the characteristics, and success and failure factors of these programmes. A multiple case study was conducted in eight regional dementia care provider networks i...
Source: Health and Social Care in the Community - April 27, 2009 Category: Health Management Authors: Mirella M.N. Minkman, Suzanne A. Ligthart, Robbert Huijsman Source Type: journals

Experiences of disability consumer-directed care users in Australia: results from a longitudinal qualitative studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The rapidly growing body of literature suggests that Consumer-directed Care (CDC) has the potential to empower consumers and improve the flexibility and quality of care. However, reports highlighting quality and risk concerns associated with CDC focusing on a longer time frame have been few. This paper presents the findings from a qualitative longitudinal evaluation of an Australian CDC programme. Focusing on the period between 2003 and 2008, it reports on the experiences of 12 families caring for a dependent family member. It is based on two external evaluations completed 6 and 36 months after enrolment, and one internal ...
Source: Health and Social Care in the Community - April 27, 2009 Category: Health Management Authors: Goetz Ottmann, Carmel Laragy, Michelle Haddon Source Type: journals

Quality of private personal care for elderly people in Italy living at home with disabilities: risk of nursing home placement at a 1-year follow-upEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The aim of this prospective study was to evaluate the correlation between the self-perceived quality of private personal care for elderly people living at home and the 1-year risk of hospital admission, nursing home placement and death. We enrolled 100 community-dwelling elderly outpatients (mean age 85 years), who had been receiving private personal care for any kind of disability for at least 1 month. Quality of care was described by both the elderly person without overt cognitive impairment and their informal caregivers, and this was categorised for analysis as 'poor or fair' or 'optimal or intermediate'. Rates of hospi...
Source: Health and Social Care in the Community - April 27, 2009 Category: Health Management Authors: Claudio Bilotta, Paola Nicolini, Carlo Vergani Source Type: journals

Telling stories from everyday practice, an opportunity to see a bigger picture: a participatory action research project about developing discharge planningEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In spite of laws, rules and routines, findings from Swedish as well as international research show that discharge planning is not a simple matter. There is considerable knowledge about discharge planning, but the quality of the actual process in practice remains poor. With this in mind, a research and developmental health and social care network decided to use participation action research to explore the discharge planning situation in order to generate new ideas for development. This paper reports on the research process and the findings about our enhanced understanding about the discharge planning situation. Story dialog...
Source: Health and Social Care in the Community - April 27, 2009 Category: Health Management Authors: Pia Petersson, Jane Springett, Kerstin Blomqvist Source Type: journals

The Mental Capacity Act 2005 Deprivation of Liberty Safeguards and people with dementia: the implications for social care regulationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Mental Capacity Act 2005 introduced legal safeguards (which came into force in April 2009) aimed at protecting the liberty of people lacking capacity admitted to institutions in England and Wales. This paper discusses the adequacy of the Deprivation of Liberty Safeguards for protecting the liberty of residents in social care settings and the role of regulation in monitoring their implementation. In particular, the potential impact of planned unitary regulation on the regulator's ability to protect residents' liberty is critiqued, centring on people with dementia living in care homes. It is suggested that the capacity o...
Source: Health and Social Care in the Community - April 18, 2009 Category: Health Management Authors: Geraldine Boyle Source Type: journals

Outcomes of coordinated and integrated interventions targeting frail elderly people: a systematic review of randomised controlled trialsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The aim of this study was to review randomised controlled trials on integrated and coordinated interventions targeting frail elderly people living in the community, their outcome measurements and their effects on the client, the caregiver and healthcare utilisation. A literature search of PubMed, AgeLine, Cinahl and AMED was carried out with the following inclusion criteria: original article; integrated intervention including case management or equivalent coordinated organisation; frail elderly people living in the community; randomised controlled trials; in the English language, and published in refereed journals between ...
Source: Health and Social Care in the Community - February 26, 2009 Category: Health Management Authors: Kajsa Eklund, Katarina Wilhelmson Source Type: journals

Older carers in the UK: are there really gender differences? New analysis of the Individual Sample of Anonymised Records from the 2001 UK CensusEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The aim of this paper is to disentangle the role of gender and partnership status in the caring commitments of older people (age 65 and over). Logistic and interval regression models are applied to individual records from the 2001 UK Census to estimate: (1) the impact of gender on the likelihood of being a carer; (2) the impact of gender on the hours of care provided; and (3) the impact of gender on the likelihood of being a carer for different groups defined by marital status. In the general population the share of women who provide care is higher than the corresponding share of men, but men have a higher probability of b...
Source: Health and Social Care in the Community - February 25, 2009 Category: Health Management Authors: Emilia Del Bono, Emanuela Sala, Ruth Hancock Source Type: journals

Recognizing the co-occurrence of domestic and child abuse: a comparison of community- and hospital-based midwivesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study aimed to compare and contrast how midwives working in either hospital or community settings are currently responding to the co-occurrence of domestic and child abuse (CA), their perceived role and willingness to identify abuse, record keeping, reporting of suspected or definite cases of CA and training received. A survey questionnaire was sent to 861 hospital and community midwives throughout Northern Ireland which resulted in 488 midwives completing the questionnaire, leading to a 57% response rate. Comparisons were made using descriptive statistics and cross-tabulation, and the questionnaire was validated usin...
Source: Health and Social Care in the Community - February 25, 2009 Category: Health Management Authors: Anne Lazenbatt, Margaret EM Thompson-Cree Source Type: journals

Family caregivers' viewpoints towards quality of long-term care services for community-dwelling elders in TaiwanEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The population of elderly people in Taiwan is increasing rapidly, and long-term gerontology care has become an important issue in this greying society. The purpose of this study is to explore family caregivers' viewpoints and opinions regarding the long-term care services for community-dwelling older adults in Taiwan. A qualitative study was conducted between August and December of 2005. Fifty family caregivers agreed to participate in this study. Data were collected by focus group interviews, in order to obtain the experience and expectation of family caregivers concerning long-term care services in their daily lives. Thr...
Source: Health and Social Care in the Community - February 25, 2009 Category: Health Management Authors: I. Lee, Hsiu-Hung Wang, Chii-Jun Chiou, Su-Hong Chang Source Type: journals

Staff experience and understanding of working with abused women suffering from mental illnessEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The phenomenon of abused women with mental illness is often unrecognised by staff working within welfare services. This may be explained by staff members' attitudes, insecurity or lack of awareness. Today, there are shortcomings in the knowledge of staff members' experiences and interpretations of abuse against women suffering from mental illness. The aim of this qualitative study was to describe how staff members experience and understand their work with abused women suffering from mental illness. Thematic interviews were conducted with 13 staff members from various welfare services. Data were subject to content analysis....
Source: Health and Social Care in the Community - February 25, 2009 Category: Health Management Authors: A. Bengtsson-Tops, B.-I. Saveman, D. Tops Source Type: journals

Assessment staff in home and community care services: issues of learning and professional identity in AustraliaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Home and Community Care (HACC) is a funding programme of the Commonwealth and State governments of Australia which supports the vast majority of community care services. Gaining access to basic community care services is via an assessment process undertaken by workers in roles that may be comprised partially or solely of assessment and care planning tasks. Arguably, the role of assessor in the HACC programme has become increasingly professionalised in recent years, and the complexity and demands of the role have increased. However, to date, little information has been available about the composition of this workforce, maki...
Source: Health and Social Care in the Community - February 13, 2009 Category: Health Management Authors: Melissa A. Lindeman Source Type: journals

The providers' profile of the disability support workforce in New ZealandEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
To understand one of the predominant groups supporting people with disabilities and illness, this study examined the profile of New Zealand paid caregivers, including their training needs. Paid caregivers, also known as healthcare assistants, caregivers and home health aides, work across several long-term care settings, such as residential homes, continuing-care hospitals and also private homes. Their roles include assisting with personal care and household management. New Zealand, similar to other countries, is facing a health workforce shortage. A three-phased design was used: phase I, a survey of all home-based and resi...
Source: Health and Social Care in the Community - February 12, 2009 Category: Health Management Authors: Diane Jorgensen, Matthew Parsons, Michelle Gundersen Reid, Kate Weidenbohm, John Parsons, Stephen Jacobs Source Type: journals

Banned from working in social care: a secondary analysis of staff characteristics and reasons for their referrals to the POVA list in England and WalesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reports on part of a multi-method study including quantitative and qualitative elements to produce a rounded picture of the factors involved in decisions to place staff members on the POVA list. Based on secondary data analysis of all records of POVA referrals from August 2004 to November 2006 (5294 records) as well as a detailed sample of 298 referrals, this article focuses on the prevalence of different types of alleged harm and their association with various staff, employer and service-users' characteristics. The most common form of alleged abuse was physical abuse (33%), while the least was sexual abuse (6...
Source: Health and Social Care in the Community - February 12, 2009 Category: Health Management Authors: Shereen Hussein, Martin Stevens, Jill Manthorpe, Joan Rapaport, Stephen Martineau, Jess Harris Source Type: journals

Working across boundaries to improve health outcomes: a case study of a housing support and outreach service for homeless people living with HIVEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This paper reports the findings of an evaluation of the 'Housing Support, Outreach and Referral' service developed to support people living with HIV who were homeless or at risk of homelessness. The service was set up as part of the Supporting People Health Pilot programme established to demonstrate the policy links between housing support services and health and social care services by encouraging the development of integrated services. The paper considers the role of housing support in improving people's health, and considers the challenges of working across housing, health and social care boundaries. The evaluation of t...
Source: Health and Social Care in the Community - February 3, 2009 Category: Health Management Authors: Ailsa Cameron, Liz Lloyd, William Turner, Geraldine Macdonald Source Type: journals