Old People's Homes and the Production of Welfare


Book Description

In 1980 old people comprised over half the clients of Local Authority Social Services Departments and accounted for about half of their resources, yet until then residential care of the aged had been a backwater of both research and practice. During the 1970s a large research literature had developed on the subject, particularly in the United States. However, studies had been partial in their focus on issues, making no attempt to draw together their arguments to create a model that described and evaluated competing theories about what it is that determines the quality of residential life. Originally published in 1981, Bleddyn Davies and Martin Knapp filled that gap in this book. The authors discuss not only the theoretical arguments about residential care and the degree to which those theories had been verified by research, but also how far the factors considered to be important had been successfully measured, considering the choices to be made between alternative varieties of care that had grown up so rapidly in the previous five years. The authors conclude with an analysis of how their approach should contribute to the discussion of issues that was to be faced by British policy-makers in the 1980s as our welfare systems attempted to cope with the increasing numbers of the very old.




Independence and the Elderly


Book Description

In the 1980s much research into the needs of the elderly was undertaken from the perspective of a ‘sickness’ model, a model which reinforced labels of elderly people as frail, disabled, dependent and economically unproductive. Few studies adopted a positive attitude to ageing and elderly people. Originally published in 1986, reissued here with a new preface, this book helped to redress this imbalance by focusing on the theme of independence, examined particularly from the perspective of current housing and social policies relating to elderly people at the time. The author looks at sheltered housing in detail, including discussion of alarm systems, ‘staying put’ schemes and residential homes. The book was essential reading for academics and practitioners in the health and social welfare fields with a concern for the elderly and the ways in which they could retain a meaningful independence.




Performance Indicators in Social Care for Older People


Book Description

Set within a national context, this book reviews the historical development and measurement issues of performance indicators within social care and the public sector for older people. It will be of particular interest in the UK for local service providers




Care-Related Quality of Life in Old Age


Book Description

It’s a core issue at the heart of elder care: while best-practice data exist for long-term care, quality of life as a concept, measure and standard for care outcomes remains elusive. The result of an ambitious European research initiative, the Care Keys Project addresses quality of life issues among frail, care-dependent seniors, taking their social as well as health needs into account. This resulting volume explains the theory behind Care Keys, its methodology, empirical findings, and practical considerations in promoting effective, efficient elder care aimed at social and emotional well-being and including disabled and cognitively impaired patients.




Researching Social Gerontology


Book Description

This accessible introduction to key concepts, methods and issues in social gerontological research presents a unique view of the research process by focusing on the relationships between conceptual definition and research methodology and between research, policy and practice. At a theoretical level, the text draws on the core gerontological concepts of age, dependency, social support and quality of life to illustrate their complexity, and the difficulties of measurement. On a practical level, the contributors present a number of methodological approaches which have been particularly useful in social gerontological research. Finally, they consider three critical issues: whether old people require special ethical consideration; the prospects for funding; and the importance of disseminating research effectively. Researching Social Gerontology has been specially commissioned by the British Society for Gerontology to outline current thinking in conceptual and methodological development, and the context in which gerontological research is being carried out. As such it will prove stimulating and useful for researchers at all levels, practitioners, policy-makers and those with a more general interest in the ageing process.




The Nonprofit Sector in International Perspective


Book Description

Arising as a market-induced improvement on existing governmental services and competing with the government for customers and resources, nonprofit organizations are a relatively unexplored area of public policy. This collection of essays, written by scholars from a variety of disciplines, adds new dimensions to the theory of nonprofit organizations, and describes the public policies regarding nonprofit organizations that do or should exist in both developing and developed countries. The contributors consider why governments subsidize such organizations, the problems such subsidies create, and the role played, from an international perspective, by religion and other ideological institutions in the founding and managing of nonprofit services.







Matching Resources to Needs in Community Care


Book Description

First published in 1986, Matching Resources to Needs describes the PSSRU’s community care approach and analyses the first of the community care projects, a seminal set of experiments in the care of the elderly at high risk of institutional long-term care. The experiments create field structures which provide incentives to improve efficiency, decentralised power over resources being balanced by enhanced accountability. The first part explains the approach, analyses the causes of inefficiency in ~British social care, and reviews British and American evidence about the relationships between resources, recipient characteristics and outcomes. The approach is compared with some two dozen American experiments hitherto unknown in the UK. It describes the design of the project and its evaluation. The authors then examine the experimental results. They show that cost and welfare effects are better and the costs of outcomes are lower for recipients of community car. The third part of the book uses observational and other data to explore the relationships between structures, assumptive worlds, causal processes and outcomes and their costs. It also analyses the performance of the core tasks of entrepreneurial case management for types of case. The book concludes with a discussion of the broader implications of this approach to community care.




Distance, Equity and Older People’s Experiences in the Nordic Periphery


Book Description

This book demonstrates how the largely neglected and multifaceted concept of distance can be used as a primary lens to expand and enrich our understandings of what older people say about their lives, needs and wishes in diverse surroundings in the Northern periphery and beyond. It asks how physical, social and emotional distances shape older people’s everyday lives and practices. Contributions from leading experts provides interdisciplinary investigations into the experiences and stories of older people in the Northern periphery. These insights demonstrate the utility of the concept, distance, when reflecting on the central aspects of contemporary ageing societies. The book explores key themes such as care, age politics, technology, intergenerational relations and migration, providing perspectives that are applicable across a variety of international geographical contexts. This innovative book offers a valuable theoretical and methodological contribution with critical new perspectives on ageing in relation to distances. It will be of interest to students and scholars interested in sociology, human geography, health and social care, ageing and gerontological studies, gender studies and Arctic studies.




Equity and Efficiency Policy in Community Care


Book Description

This title was first published in 2000: Equity and Efficiency Policy provides a completely new perspective on post-reform community care, analyzes its fairness, effectiveness and efficiency in a new way and uses its powerful new techniques applied to a major national collection of evidence to suggest how to develop the Modernization Agenda. It - describes, for the first time, how differences in the levels of each of the main services alone and in combination affect a wide range of user and carer benefits; - uses this knowledge to analyze in a new way and make policy proposals about some of the pressing policy issues of the government’s Modernization Agenda.