Caring for Older People: An Assessment of Community Care in the 1990s
Ashgate Publishing Limited, Jan 1, 2000 - Social Science - 408 pages
This text aims to provide a unique insight into the world of community care in the 1990s. It presents findings from a national study of social care from the perspective of the older service users, their carers and care managers. Descriptive findings from this longitudinal study - conducted by the PSSRU from 1994 and funded by the Department of Health - are set in the context of the history of community care and developments since the passage of the 1990 NHS and Community Care Act. The study's findings highlight important challenges for policy and practice development in the new millennium.
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The Development of Community Care
Origins Design and Context
NeedRelated Circumstances of Users
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assessment assistance attitude to help authorities behavioural disorder bias carer stress carers reported cent of carers cent of users changes chiropody CI/BD No CI/BD co-resident Cohen's kappa compared critical interval need Critical Short Long dependent users disorder of user ECCEP users formal services health problems home care managers home help hours per week housework identified impairment or behavioural improvement independent sector informal support input interval need categories interval need users involved living logistic regressions long interval need manager interview meals meals on wheels need and cognitive need and social need for help Occupational therapy older outcomes overall overstate particularly predictors principal carer principal informal carer proportion of users relation relationship respite responses setting-up period severely cognitively impaired short interval need Short Long Total significant social support social workers support among community-based Table tasks user's users and carers users reported weekly cost