scholarly journals What's in a name? Similarities and differences in international terms and meanings for older peoples' housing with services

2012 ◽  
Vol 33 (4) ◽  
pp. 547-578 ◽  
Author(s):  
ANNA L. HOWE ◽  
ANDREW E. JONES ◽  
CHERYL TILSE
Keyword(s):  
Older People ◽  
Institutional Care ◽  
Later Life ◽  
The United States ◽  
Policy Debate ◽  
Systematic Analysis ◽  
Care Services ◽  
Different Types ◽  
Symbolic Meanings ◽  
International Comparative

ABSTRACTThe diversity of terms and meanings relating to housing with services for older people confounds systematic analysis, especially in international comparative research. This paper presents an analysis of over 90 terms identified in literature from the United Kingdom, the United States of America, Canada, Australia and New Zealand reporting types of housing with services under the umbrella of ‘service integrated housing’ (SIH), defined as all forms of accommodation built specifically for older people in which the housing provider takes responsibility for delivery of one or more types of support and care services. A small number of generic terms covering housing for people in later life, home and community care, and institutional care are reviewed first to define the scope of SIH. Review of the remainder identifies different terms applied to similar types of SIH, similar terms applied to different types, and different terms that distinguish different types. Terms are grouped into those covering SIH focused on lifestyle and recreation, those offering only support services, and those offering care as well as support. Considerable commonality is found in underlying forms of SIH, and common themes emerge in discussion of drivers of growth and diversification, formal policies and programmes, and symbolic meanings. In establishing more commonality than difference, clarification of terminology advances policy debate, programme development, research and knowledge transfer within and between countries.

scholarly journals Guest Editorial: The FAMSUP network and its comparative studies of family support for frail older people

2006 ◽  
Vol 26 (5) ◽  
pp. 689-692
Author(s):  
KAREN GLASER ◽  
DOUGLAS A. WOLF ◽  
CECILIA TOMASSINI
Keyword(s):  
Older People ◽  
Family Support ◽  
Guest Editorial ◽  
International Comparisons ◽  
The United States ◽  
Family Networks ◽  
International Comparative ◽  
Using Data ◽  
The University ◽  
Global World

The aim of this special issue is to examine the relationships between support for older people and various socio-demographic, cultural and policy factors in selected European countries and the United States, using the international comparative perspective developed by the members of the Family Support for Older People: Determinants and Consequences (FAMSUP) network. Four of the included papers were delivered by network members at a symposium on ‘Family Support for Older People: International Comparisons’ that was held at the International Sociological Association (ISA) Inter-Congress Conference on Ageing Societies and Ageing Sociology: Diversity and Change in a Global World at the University of Surrey, Roehampton, in the suburbs of London (7–9 September 2004). Another paper, by Jim Ogg, a FAMSUP member, and Sylvie Renaut, investigates family networks among older people using data from the Survey of Health and Retirement in Europe (SHARE).

Being self in later life: maintaining continuity in the face of change

2016 ◽  
Vol 17 (2) ◽  
pp. 141-150
Author(s):  
Gareth O'Rourke
Keyword(s):  
Qualitative Study ◽  
Older People ◽  
Consumer Choice ◽  
Social Care ◽  
Later Life ◽  
Small Scale ◽  
Care Needs ◽  
Helping Relationships ◽  
Content Type ◽  
Care Services

Purpose – The purpose of this paper is to build upon existing knowledge of personalisation through an improved understanding of how the use of personalised social care services can support older people’s sense of self. It contains perspectives that are helpful to the development of personalisation policy and practice and to the future commissioning of social care services. Design/methodology/approach – The research involved a qualitative study with eight participants in two local authority areas in England. A series of three in-depth interviews conducted with each participant over a four to six week period explored their experience of using (in one case refusing) a direct payment to meet their social care needs. Ethical approval was obtained prior to the start of fieldwork via the research ethics committee of the author’s home university. Findings – Two inter-related themes emerge as findings of the research. First, that the locus of personalisation resides within the interpersonal dynamics of helping relationships; participants experienced personalisation when carers helped to meet needs in ways that validated their narrative of self. Second, whilst the experience of personalisation is not strongly related to consumer choice, it is important that older people are able to exercise control over and within helping relationships. Research limitations/implications – This is a small scale qualitative study conducted with only eight participants. Whilst it offers valid insights into what constitutes personalisation and the processes by which it was achieved for the participants, caution is required in applying the findings more generally. With the exception of one case, the study is focused exclusively on first person accounts of older people. Future studies might usefully be designed to incorporate the accounts of other involved parties such as family members and paid carers. Originality/value – The paper provides an alternative way of approaching personalisation of social care services for older people by exploring it in terms of its impact on self. It identifies the development of accommodations of “special requirements of Self” in helping relationships as a key mechanism of personalisation. This offers a balance to the current focus on consumer choice and control through the development of market like mechanisms.

The impact of age-related risks and inequalities on mental health in later life

2020 ◽  
pp. 81-104
Author(s):  
Alisoun Milne
Keyword(s):  
Mental Health ◽  
Older People ◽  
Later Life ◽  
Age Discrimination ◽  
Psychological Wellbeing ◽  
Physical And Mental Health ◽  
Care Services ◽  
Age Related ◽  
Indirect Discrimination ◽  
The Impact

In broad terms there are two sets of age-related risks to mental health. The first set are those arising directly from experiences and losses common to later life, including physical ill health and/or disability, being a carer, retirement, and bereavement. These are associated with impaired psychological wellbeing and heightened risk of depression, particularly amongst older people with few economic or social resources. The second set of risks arise from ageism and age discrimination, and their intersection with other types of discrimination such as sexism for older women. Direct and indirect discrimination is widespread; it is located in all areas of society including health and social care services. It is profoundly damaging to older peoples’ psychological wellbeing and is associated with fear, helplessness, low self-esteem, anxiety and depression. It is also linked to exclusion, marginalisation and abuse. In recent years there have been efforts to ensure that older people are overtly included in policies intended to improve the population’s physical and mental health; this includes access to treatments e.g. for depression. There has also been a focus on addressing age discrimination in specific arenas e.g. in employment and mental health services. These initiatives have had mixed success.

Living well in later life in Scotland

2017 ◽  
Vol 21 (1) ◽  
pp. 22-30 ◽  
Author(s):  
Anne Hendry
Keyword(s):  
Older People ◽  
Social Care ◽  
Action Plan ◽  
Later Life ◽  
Ageing Population ◽  
Content Type ◽  
Living Well ◽  
Care Services ◽  
Health And Social Care ◽  
Scottish Government

Purpose The purpose of this paper is to describe the development, implementation and early impact of a national action plan for active and healthy ageing in Scotland. Design/methodology/approach The Joint Improvement Team, NHS Health Scotland, the Scottish Government and the Health and Social Care Alliance Scotland (ALLIANCE) co-produced the action plan with older people from the Scottish Older People’s Assembly. Together they supported partnerships to embed the action plan as an important element of the reshaping care for older people transformation programme in Scotland. Findings A cross-sector improvement network supported health, housing and care partnerships to use a £300 million Change Fund to implement evidence based preventative approaches to enable older people to live well. Older people in Scotland spent over two million days at home than would have been expected based on previous balance of care and impact of ageing. Practical implications Improving the health and wellbeing of older people is not just the responsibility of health and social care services. Enabling older people to live independent, active and fulfilling lives requires coordinated effort that spans national and local government policy areas, mobilises all sectors of society, and involves all health and care disciplines. Success starts with listening to what matters to older people, and working together, and with older people and local communities, to make that a reality. Originality/value This case study from Scotland offers transferable learning for other systems who have an ageing population and an ambitions to enable them to live well in later life.

Later life and the social model of disability: a comfortable partnership?

2002 ◽  
Vol 22 (6) ◽  
pp. 791-806 ◽  
Author(s):  
CHRISTINE OLDMAN
Keyword(s):  
Older People ◽  
Disability Studies ◽  
Medical Model ◽  
Later Life ◽  
Social Model ◽  
Social Model Of Disability ◽  
Critical Gerontology ◽  
Care Services ◽  
The Social ◽  
Modern Perspective

There has been very limited debate about the usefulness of links between later life and disability studies. The paper reviews the arguments for and against a closer association. The social model of disability makes crucial the separation of disability from impairment and shows that it is society that does the disabling. This is never so clear as in the case of housing policies for older people, the focus of this article. Older people suffer discrimination and have to submit to a medical model of later life if they receive health or social care services. The argument against an association between later life studies and disability studies is that later life is an immensely diverse experience, much of it nothing to do with disability. Moreover, some older people reject the negative connotation when later life is equated with disability. The paper argues, however, for a specific application of the social model of disability to the situation of older people with impairments who receive services. It also asserts that the social model of disability can be accommodated in critical gerontology and, in particular, in a post-modern perspective. The paper concludes with examples of the value of the social model of disability at both the policy and political levels.

Psychiatry of older adults

Psychiatry ◽  
2019 ◽  
Author(s):  
Rebecca McKnight ◽  
Jonathan Price ◽  
John Geddes
Keyword(s):  
Older Adults ◽  
Substantia Nigra ◽  
Older People ◽  
Short Term Memory ◽  
Senile Plaques ◽  
Later Life ◽  
Social Needs ◽  
Tau Proteins ◽  
Care Services ◽  
The Brain

The provision of mental health services for older adults faces two main challenges: … 1 The world population is ageing, leading to increased numbers of elderly patients (Fig. 18.1). 2 These patients are more likely to present with multiple, complex co- morbidities which must be managed alongside acute or chronic psychiatric problems…. To provide effective care, services must combine treatment for mental, physical, and social needs of older people. The multidisciplinary team is key to delivering this, often in specialized environments such as a day centre programme. A huge number of physical, psychological, and social changes occur within the normal process of ageing. A basic understanding of these is necessary in order to identify those individuals in whom there is path­ology. Covering theories behind the ageing process is outside the scope of this text, but some references are given on p. 220. The following changes are seen in the brain during normal ageing: … ● The weight of the brain decreases by 5– 20 per cent between 70 and 90 years, with a compensatory increase in ventricular size. ● There is neuronal loss, especially in the hippocampus, cortex, substantia nigra, and cerebellum. ● Senile plaques are found in the neocortex, amygdala, and hippocampus. ● Tau proteins form neurofibrillary tangles, found normally only in the hippocampus. ● Lewy bodies are seen in the substantia nigra. ● Ischaemic lesions (reduced blood flow, lacunar infarcts) are seen in 50 per cent of normal people over 65 years…. From mid life there is a decline in intellectual func­tions, as measured with standard intelligence tests, together with deterioration of short- term memory and slowness. IQ peaks at about 25 years, remains stable until 60– 70 years, and then declines. Problem- solving reduces after about age 60. There may be alterations in personality and attitudes, such as increasing cautiousness, rigidity, and ‘disengagement’ from the outside world. Later life presents a series of major changes. Many individuals retire, lose partners, lose their physical health, and are forced to live on much lower incomes and in poorer- quality housing than younger people. These are difficult transitions which may predispose to mental illness. The majority of older people remain living at home: half with a partner, and 10 per cent with other family members. Those who live alone may be­come isolated and lonely.

scholarly journals Exercise Intensities of Gardening Tasks Within Older Adult Allotment Gardeners in Wales

2015 ◽  
Vol 23 (2) ◽  
pp. 161-168 ◽  
Author(s):  
Jemma L. Hawkins ◽  
Alexander Smith ◽  
Karianne Backx ◽  
Deborah A. Clayton
Keyword(s):  
Older Adult ◽  
Psychological Health ◽  
Later Life ◽  
The United States ◽  
Physical Activities ◽  
Metabolic Equivalent ◽  
Effective Form ◽  
Different Types ◽  
Physical And Psychological Health ◽  
Different Populations

Previous research has suggested that gardening activity could be an effective form of regular exercise for improving physical and psychological health in later life. However, there is a lack of data regarding the exercise intensities of various gardening tasks across different types of gardening and different populations. The purpose of this study was to examine the exercise intensity of gardening activity for older adult allotment gardeners in Wales, United Kingdom following a similar procedure used in previous studies conducted in the United States and South Korea by Park and colleagues (2008a; 2011). Oxygen consumption (VO2) and energy expenditure for six gardening tasks were measured via indirect calorimetery using the portable Oxycon mobile device. From these measures, estimated metabolic equivalent units (METs) were calculated. Consistent with Park et al. (2008a; 2011) the six gardening tasks were classified as low to moderate-high intensity physical activities based on their metabolic values (1.9–5.7 METs).

scholarly journals The need for community care among older people in China

2015 ◽  
Vol 36 (06) ◽  
pp. 1312-1332 ◽  
Author(s):  
JUNSHAN ZHOU ◽  
ALAN WALKER
Keyword(s):  
Older People ◽  
Social Care ◽  
Community Care ◽  
Institutional Care ◽  
Binary Logistic Regression ◽  
Binary Logistic Regression Analysis ◽  
Care Services ◽  
Healthy Longevity ◽  
New Information ◽  
Care System

ABSTRACTThe social care system of China has come under close scrutiny from policy makers due to the rapid ageing of China's population. Unfortunately, there is very little Chinese research evidence that might be used to plan future service developments. This article is a contribution to filling that gap and it provides essential new information on the expressed demand among older people in China for various community care services. The data are from the 2008 wave of the Chinese Longitudinal Healthy Longevity Survey. According to the characteristics of the dependent variables, we used Binary Logistic Regression Analysis to analyse the need for community care among older people in China. The results show considerable need for such care, but China is still a developing country and there are insufficient resources to fund a Western-style social care system (even if that was desirable). Thus, it is argued that the development of social care in China should emphasise community-based care, in partnership with families, with institutional care as a last resort. In addition, it is argued that China (and other countries) should introduce measures to prevent the demand for social care.

scholarly journals Effects of Date Labels and Freshness Indicators on Food Waste Patterns in the United States and the United Kingdom

2021 ◽  
Vol 13 (14) ◽  
pp. 7897
Author(s):  
Carter Weis ◽  
Anjali Narang ◽  
Bradley Rickard ◽  
Diogo M. Souza-Monteiro
Keyword(s):  
Food Waste ◽  
The United States ◽  
Policy Debate ◽  
Convenience Sample ◽  
Additional Information ◽  
The United Kingdom ◽  
The Us ◽  
Different Types ◽  
Packaged Foods ◽  
The Uk

To meet the target for Sustainable Development Goal 12.3, household food waste will need to be reduced by at least 284 million tonnes globally by 2030. American and British households waste a significant amount of food, and date labels are considered to be a contributor to this situation. Using a split-plot experimental design implemented on a survey administered to a convenience sample of UK and US consumers, we aimed to determine how different types of date labels and freshness indicators affect the stated likelihoods of discarding 15 foods. We find that not all date labels would lead to reductions in waste, and that semantics matter. Overall, the likelihood to waste across products was similar between the US and the UK; however, American consumers showed a larger response to the additional information provided by the freshness indicators. Our results shed new light on the ongoing policy debate related to national strategies for simplifying and harmonizing the use of date labels for packaged foods, as well as the potential effects from the use of freshness indicators.

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