Associations with Changes in Level of Functional Ability. Results from a Follow-up Survey at Two and a Half Years of People Aged 85 Years and Over at Baseline Interview

1994 ◽  
Vol 14 (1) ◽  
pp. 53-73 ◽  
Author(s):  
Ann Bowling ◽  
Morag Farquhar ◽  
Emily Grundy
Keyword(s):  
Social Support ◽  
Social Work ◽  
Social Services ◽  
Functional Ability ◽  
Daily Living ◽  
Very Elderly ◽  
Health And Social Services ◽  
Home Help ◽  
Home Help Services

ABSTRACTThis paper describes association with changes in functional ability among very elderly people who were interviewed first in 1987 when they were aged 85+, and followed-up in 1990. It focuses, in particular, on those with severe difficulties with ADL. It was notable that while those with chronic problems with disability used more health and social services, few received services specific to rehabilitation and social support (e.g. physiotherapy, occupational therapy and social work), and substantial numbers in this group (30–45%) did not receive any chiropody services; although the provision of instrumental aid with tasks of daily living was relatively high from home help services, and, in particular, from relatives.

scholarly journals SOCIAL VULNERABILITY OF INTERNALLY DISPLACED PERSONS AS THE BASIS OF SOCIAL WORK WITH THEM

2021 ◽  
pp. 120-123
Author(s):  
Vira Nikitina
Keyword(s):  
Social Support ◽  
Social Work ◽  
Social Services ◽  
Social Protection ◽  
Humanitarian Assistance ◽  
Psychological State ◽  
Internally Displaced Persons ◽  
Displaced Persons ◽  
Internally Displaced ◽  
The Social

The article deals with basing of the necessity of social work with internally displaced persons (IDPs) in modern Ukraine, as not all of the problems of these people that have arisen as a result of forced resettlement have been resolved. The problem is in difference of the life trajectories of IDPs: some of migrants are in higher levels of income in the social hierarchy than residents of host communities, while others still live in collective housing in need of humanitarian assistance. Social differentiation within IDPs raises debates about the need to maintain common approaches to their social protection and social work with them. The purpose of this article is to prove the presence of signs of vulnerability in internally displaced persons, which necessitates the provision of social support by specialists working in the field of social work. To achieve this goal, the method of theoretical generalization and the method of deduction were used. The results of the study are the identification of such features of the social position of IDPs in Ukraine and features of their socio-psychological state, which evidence the presence of indicators of vulnerability, and therefore are the reason of social work with them in different areas. The presence of dual vulnerabilities in IDPs (the status of an orphan or a child deprived of parental care, a child or a person with a disability, a member of a family with many children, etc.) increases the need for social support from social services professionals.

Activities of Daily Living after Hip Fracture: Pre- and Post Discharge

1992 ◽  
Vol 12 (6) ◽  
pp. 342-356 ◽  
Author(s):  
Mary Egan ◽  
S.A. Warren ◽  
Patrick A. Hessel ◽  
Gail Gilewich
Keyword(s):  
Social Support ◽  
Health Status ◽  
Activities Of Daily Living ◽  
Mental Status ◽  
Daily Living ◽  
Post Discharge ◽  
Telephone Interviews ◽  
Adl Performance ◽  
At Home

Sixty-one individuals hospitalized for hip fractures received activities of daily living (ADL) assessments during the 3 days prior to discharge. Information was also collected regarding anticipated role loss, depression, mental status, health status, and social support. Independence in ADL at home was measured 3 weeks following discharge by telephone interviews. The concordance between predischarge and post discharge ADL scores was low but statistically significant (Kw = .223; p < .05). Approximately 50.8% of the subjects demonstrated greater dependence post discharge. More dependent ADL performance at home was not related to role loss, depression, mental status, health status, or social support. Predischarge ADL assessments are often taken into consideration when formulating discharge plans. However, these evaluations do not always accurately predict post discharge ADL independence. It is recommended, therefore, that community follow-up be carried out with patients who have fractured hips.

scholarly journals Caregiver Burden is Reduced by Personalized Social Support for Non-Dependent Old Persons: a Longitudinal Study of 876 Old Persons and Their Caregivers

2020 ◽  
Author(s):  
Sylvie Arlotto ◽  
Stéphanie Gentile ◽  
Anne Claire Durand ◽  
Sylvie Bonin-Guillaume
Keyword(s):  
Social Support ◽  
Longitudinal Study ◽  
Caregiver Burden ◽  
Daily Living ◽  
Poor Health Status ◽  
Frailty Status ◽  
Meal Preparation ◽  
The Impact ◽  
At Home

Abstract Background. Informal care provided by family caregivers to old persons is associated with a high risk of burden and poor health status. This study aimed to analyze the impact of Personalized Social Support (PSS) for non-dependent old persons living in the community on caregiver burden, satisfaction, and frailty. Methods. This non-interventional longitudinal study was performed in the southeast of France: old persons asking for PSS (>70 years of age, with no disability and no severe chronic disease, living at home) and their caregivers were included with a 6-month follow-up. Eligible dyads were visited at home by social workers. Caregiver burden was assessed with Mini-Zarit and frailty status with FiND (Frail Non-Disabled).Results. 876 dyads were eligible for PSS. Old persons were 82.2 ± 5.8 years old and 77.6% were women. Most caregivers were women (64.5%). Most caregivers were the children of the old person (61%), the rest were mostly spouses. Nearly 64% of old persons were frail and 38% were highly dependent. Follow-up was conducted for 686 dyads (78.3%). Of these, only 569 had PSS. The PSS was mainly for housework and meal preparation. At the time of follow-up, 53% of the caregivers for whom the old person had PSS had less difficulty helping their old person. Two-thirds (61.5%) of caregivers were fully satisfied with the PSS. Whether or not they had received the PSS, 73% of caregivers had reduced burden at 6 months, only 6% still had a high burden, 17% were less frail, and 18% felt healthier than at the time of inclusion.Conclusions. Our study highlights that non-dependent old person’s caregivers also experience burden. Implementing social support for activities of daily living had a major impact on their burden but not on their level of frailty. This means that the determinants of caregiver frailty are more complex and further studies are needed.

scholarly journals Caregiver Burden is Reduced by Personalized Social Support for Non-Dependent Old Persons: a Longitudinal Study of 876 Old Persons and Their Caregivers

2020 ◽  
Author(s):  
Sylvie Arlotto ◽  
Stéphanie Gentile ◽  
Anne Claire Durand ◽  
Sylvie Bonin-Guillaume
Keyword(s):  
Social Support ◽  
Longitudinal Study ◽  
Caregiver Burden ◽  
Daily Living ◽  
Poor Health Status ◽  
Frailty Status ◽  
Meal Preparation ◽  
The Impact ◽  
At Home

Abstract Background . Informal care provided by family caregivers to old persons is associated with a high risk of burden and poor health status. This study aimed to analyze the impact of Personalized Social Support (PSS) for non-dependent old persons living in the community on caregiver burden, satisfaction, and frailty. Methods . This non-interventional longitudinal study was performed in the southeast of France: old persons asking for PSS (>70 years of age, with no disability and no severe chronic disease, living at home) and their caregivers were included with a 6-month follow-up. Eligible dyads were visited at home by social workers. Caregiver burden was assessed with Mini-Zarit and frailty status with FiND (Frail Non-Disabled). Results . 876 dyads were eligible for PSS. Old persons were 82.2 ± 5.8 years old and 77.6% were women. Most caregivers were women (64.5%). Most caregivers were the children of the old person (61%), the rest were mostly spouses. Nearly 64% of old persons were frail and 38% were highly dependent. Follow-up was conducted for 686 dyads (78.3%). Of these, only 569 had PSS. The PSS was mainly for housework and meal preparation. At the time of follow-up, 53% of the caregivers for whom the old person had PSS had less difficulty helping their old person. Two-thirds (61.5%) of caregivers were fully satisfied with the PSS. Whether or not they had received the PSS, 73% of caregivers had reduced burden at 6 months, only 6% still had a high burden, 17% were less frail, and 18% felt healthier than at the time of inclusion. Conclusions . Our study highlights that non-dependent old person’s caregivers also experience burden. Implementing social support for activities of daily living had a major impact on their burden but not on their level of frailty. This means that the determinants of caregiver frailty are more complex and further studies are needed. Keywords: Caregiver’s burden. Old person. Personalized social support .

Camberwell Reception Centre: a consideration of the need for health and social services of homeless, single men

1976 ◽  
Vol 5 (4) ◽  
pp. 389-399 ◽  
Author(s):  
Susanne Macgregor Wood
Keyword(s):  
Social Support ◽  
Health Care ◽  
Mental Illness ◽  
Social Services ◽  
Absolute Number ◽  
Health And Social Services ◽  
The Absolute ◽  
One Year ◽  
Reception Centre ◽  
Single Men

SUMMARYThis article casts some light on a neglected area of the health and social services in Britain, namely provision for homeless, single men. It is shown that the services available are grossly inadequate to meet their needs. The paper uses results from a study of Camberwell reception centre which demonstrate that the absolute number of men having either a physical or mental illness who use the centre in any one year is much higher than had previously been calculated. The reception centre is unable to meet their needs which are principally for low-rent accommodation for single people and appropriate health care and social support.

scholarly journals Predictors of employment in people with moderate to severe mental illness participating in a randomized controlled trial of Individual Placement and Support (IPS)

2020 ◽  
pp. 002076402093484
Author(s):  
Tonje Fyhn ◽  
Simon Øverland ◽  
Silje E Reme
Keyword(s):  
Social Support ◽  
Clinical Trial ◽  
Mental Illness ◽  
Severe Mental Illness ◽  
Social Services ◽  
Involuntary Hospitalization ◽  
Individual Placement And Support ◽  
Health And Social Services ◽  
Individual Placement ◽  
Group Allocation

Background: Many people with moderate to severe mental illness have a desire to obtain ordinary employment. To aid further development of health and social services for this group, the aim of this study was to examine candidate modifiable and prognostic markers of employment, and moderating effects of group allocation in a clinical trial. Method: The sample consists of 327 patients in treatment for mental illness, randomized to Individual Placement and Support (IPS) or treatment as usual (TAU) as part of a clinical trial. Psychosocial and demographic baseline characteristics were included as predictors in log binary regression analyses with employment 18 months after inclusion as the outcome, and group allocation as the moderator (IPS or TAU). Results: Directive emotional support and non-directive instrumental support seemed to positively predict employment, but effects were small. Involuntary hospitalization seemed to be a strong negative predictor of employment. Group allocation did not moderate any main effects. Conclusion: Interpretation of the findings suggest that attention should be given to certain aspects of health and social services provided to this target group, and in particular the effect of receiving appropriate types of social support. The findings are novel because social support and involuntary hospitalization do not seem to have been included in previous predictor studies. The results from this study identify new topics for research on employment outcomes for this population.

Poor Functional Status of Stroke Patients after Hospital Discharge: Scope for Intervention?

1992 ◽  
Vol 55 (10) ◽  
pp. 383-385 ◽  
Author(s):  
Susan Corr ◽  
Antony Bayer
Keyword(s):  
Social Services ◽  
Stroke Unit ◽  
Inpatient Rehabilitation ◽  
Stroke Patients ◽  
Outdoor Activities ◽  
Health And Social Services ◽  
Follow Up Study ◽  
Poor Functional Status ◽  
Hospital Rehabilitation

In a follow-up study of stroke patients discharged from hospital after inpatient rehabilitation in a stroke unit, day-to-day functioning was assessed using the Barthel Index and the Frenchay Activities Index. Levels of dependency recorded at discharge tended to persist or worsen over the subsequent 7 to 12 months and very few patients returned to any domestic, leisure or outdoor activities once they were back in the community. Those in residential care were especially disadvantaged. Contact with health and social services was minimal. The findings suggest that there is considerable need for continuing support and intervention for stroke patients after in-hospital rehabilitation. The occupational therapist would seem potentially well-suited to this role.

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