Is use of formal community services by older women related to changes in their informal care arrangements?

2012 ◽  
Vol 34 (2) ◽  
pp. 310-329 ◽  
Author(s):  
SAMANTHA J. MCKENZIE ◽  
JAYNE C. LUCKE ◽  
RICHARD L. HOCKEY ◽  
ANNETTE J. DOBSON ◽  
LEIGH R. TOOTH
Keyword(s):  
Older Women ◽  
Support Services ◽  
Service Use ◽  
Community Support ◽  
Community Health Services ◽  
Community Services ◽  
Sleep Difficulty ◽  
Complete Representation ◽  
Formal Service ◽  
The Relationship

ABSTRACTThis paper examines how the relationships between the factors (predisposing, enabling and illness) of the 1973 Andersen framework and service use are influenced by changes in the caring role in older women of the 1921–26 cohort of the Australian Longitudinal Study on Women's Health. Outcome variables were the use of three formal community support services: (a) nursing or community health services, (b) home-making services and (c) home maintenance services. Predictor variables were survey wave and the following carer characteristics: level of education, country of birth, age, area of residence, ability to manage on income, need for care, sleep difficulty and changes in caring role. Carer changes were a significant predictor of formal service use. Their inclusion did not attenuate the relationship between the Andersen framework factors and service use, but instead provided a more complete representation of carers' situations. Women were more likely to have used support services if they had changed into or out of co-resident caring or continued to provide co-resident care for a frail, ill or disabled person, needed care themselves, and reported sleep difficulties compared with women who did not provide care. These findings are important because they indicate that support services are particularly relevant to women who are changing their caring role and who are themselves in need of care.

scholarly journals EXPLORING RACIAL-ETHNICITY DIFFERENCES IN SERVICES USED BY GRANDPARENTS RAISING GRANDCHILDREN

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S674-S674
Author(s):  
Tamar E Shovali ◽  
Kerstin G Emerson
Keyword(s):  
Financial Services ◽  
Service Use ◽  
Community Services ◽  
White Children ◽  
Formal Service ◽  
Service Accessibility ◽  
The Us ◽  
Formal Services ◽  
Race Ethnicity ◽  
Nationally Representative

Abstract Nearly three million grandparents in the US serve as primary caregivers for their grandchildren. Little research on formal service use and grandfamilies exists for Black and Hispanic populations. To begin to address this gap we conducted exploratory analyses using nationally representative estimates of characteristics and service accessibility of noninstitutionalized children living with grandparents from the 2013 National Survey of Children in Nonparental Care. Our goal was to understand differences in service use as a function of grandfamily race/ethnicity. We specifically explored grandparents’ formal service count, financial services received, confidence in obtaining/using community services, and level of role preparation by race/ethnicity. We calculated descriptive statistics for these service variables for grandparents raising Hispanic, White, Black, and Other identified grandchildren (N = 892). On average, there was a minimal range for the number of formal services used (M range = 5.26 – 5.84, possible = 0 – 10 higher equals more services used), reported number of financial services (M range = 0.71 - 0.78, possible = 0 – 3 higher equals more financial services received), and confidence obtaining/using services (M range = 7.4—7.9, possible = 1 – 9 higher equal more confidence). Most prepared to take on the caregiving role were grandparents of White children (55%) followed by Black (21.6%), Other (12.3%), and Hispanic (11.1%) indicating that although grandparents in this sample report being confident and able to access formal services, grandparents of White children report being feeling more prepared to take on caregiving than grandparents of Black, Hispanic, and Other combined.

scholarly journals 48 Specialist Physiotherapist Leading in the Frailty Revolution in Ambulatory Emergency Care at the John Radcliffe Hospital, Oxford

2020 ◽  
Vol 49 (Supplement_1) ◽  
pp. i14-i17
Author(s):  
B Greensitt
Keyword(s):  
Support Services ◽  
Community Support ◽  
Training Programme ◽  
Community Services ◽  
Ambulatory Setting ◽  
Admission Rates ◽  
John Radcliffe Hospital ◽  
Bed Days ◽  
The Impact ◽  
Therapy Intervention

Abstract Background The Ambulatory Assessment Unit (AAU) at the John Radcliffe Hospital aims to provide excellent care for complex patients with varying range of medical presentations. It sees over 50% of the acute take in operational hours, with over 40% of AAU patients over the age of 70. Staff feedback consistently identified a suboptimal service provided to the frail group within this patient cohort. A dedicated physiotherapist specialising in older people living with frailty joined the team in October 2018 to address this. Aims Early identification of patients with frailty attending the unit Improve staff understanding of frailty to enhance patient care Assess patients to either enable a patient to return home safely or support ambulatory pathway Refer to community services that can support the patient and enable them to live well after hospital attendance Review the impact of the specialist physiotherapist’s role Methods Introduction of frailty identification as per frailty team guidance Frailty questionnaire to ascertain baseline understanding and learning needs to develop staff training Assess patients using a Comprehensive Geriatric Assessment Raise staff and patient awareness of community support services available within the community Data collection to review interventions taken, bed days saved and re-attendance rates Results 129 new patients were seen in a 4-month period. 85% returned home the same day; 64% had their ambulatory pathway supported with therapy intervention and 21% had an acute admission avoided directly due to therapy. 15% were admitted to an acute bed for safety 60% of patients were referred to community services and 50% were signposted to a range of community and support services The re-admission rates for therapy related reasons within 7 days and 30 days were 0% and 4% respectively. 38 bed days were saved with a calculated cost saving of £15,162 Future service delivery and conclusions There is ongoing work to obtain patient experience data for those who had their admission avoided directly due to therapy intervention. A training programme on frailty for all members of the MDT is to be developed. A dedicated therapy service in an ambulatory setting has a role in ensuring that patients’ needs are met in the most appropriate place and enhances their quality of life after hospital attendance.

A Consideration of Love Labour in Informal Caring: Family Caring in Ireland

2010 ◽  
Vol 18 (1) ◽  
pp. 82-99
Author(s):  
Jacqui O'Riordan ◽  
Féilim O'Hadhmaill ◽  
Helen Duggan
Keyword(s):  
Support Services ◽  
Extended Family ◽  
Family Members ◽  
Community Support ◽  
Community Services ◽  
Family Carers ◽  
Theoretical Perspectives ◽  
Community Support Services ◽  
Close Relatives

This paper is drawn from research on family carers1 that was carried out in the Cork area of Ireland in 2007–08. The research itself focused on the experiences of family carers and their access to support services in the locality. Key findings indicate that individuals are often caring for family members over the long term, often with minimal access to discretionary community support services. The assumption made by the Irish State, by community services, by carers themselves and by extended family members and friends, is that the onus is and should be on close relatives, and particularly women, to take the major responsibility for caring, when this care takes place in the home (Timonen and McMenamin 2002). This also contributes to the invisibility and undervaluation of family carers (Baker et al. 2004; Lynch 2007). The development of theoretical perspectives on caring can contribute to highlighting the manner in which assumptions about family, domesticity, gender roles and household continue to disadvantage those located primarily within the private sphere.

A Typology of Caregiving Situations and Service Use in Family Carers of Older People in Six European Countries

GeroPsych ◽  
2011 ◽  
Vol 24 (1) ◽  
pp. 5-18 ◽  
Author(s):  
Mirko Di Rosa ◽  
Christopher Kofahl ◽  
Kevin McKee ◽  
Barbara Bień ◽  
Giovanni Lamura ◽  
...  
Keyword(s):  
Health Services ◽  
Older People ◽  
Support Services ◽  
Family Caregiving ◽  
Service Use ◽  
European Countries ◽  
Limited Resources ◽  
Family Carers ◽  
Policy Initiatives ◽  
Typology Of Care

This paper presents the EUROFAMCARE study findings, examining a typology of care situations for family carers of older people, and the interplay of carers with social and health services. Despite the complexity of family caregiving situations across Europe, our analyses determined the existence of seven “caregiving situations,” varying on a range of critical indicators. Our study also describes the availability and use of different support services for carers and care receivers, and carers’ preferences for the characteristics of support services. Our findings have relevance for policy initiatives in Europe, where limited resources need to be more equitably distributed and services should be targeted to caregiving situations reflecting the greatest need, and organized to reflect the preferences of family carers.

Relationship Between Level of Income and Method of Contribution and Appointment of Islamic Waqf Bank as an Agent in Collecting Waqf Fund

2014 ◽  
Vol 2 (2) ◽  
pp. 15
Author(s):  
Muhammad Ridhwan Ab. Aziz ◽  
Mohd Asyraf Yusof ◽  
Fuadah Johari ◽  
Hisham Sabri
Keyword(s):  
Support Services ◽  
Quantitative Research ◽  
Financial Institution ◽  
The Other ◽  
Strong Tendency ◽  
Trust Fund ◽  
Cost Of Living ◽  
Good Education ◽  
Unique Structure ◽  
The Relationship

Receiving a good education helps empower people knowledge, thus making them strong enough to look after themselves in any given situation. It keeps oneself aware of given surrounding as well as the rules and regulations of the society they living in. Moreover, the technology that we use today is a result from the advancement and improvement of education. On the other hand Islamic waqf bank is a special designed financial institution in Islam. This bank will benefit the student and also their parents, due to its unique structure that could finance students‟ education in term of fees and cost of living. Islamic waqf bank uses the concept of cash waqf in terms of funding the education. While cash waqf is a trust fund established with money to support services for mankind‟s benefits in the name of Allah. The objective of this article is to examine the relationship between level of income and contribution method of cash waqf fund in Islamic waqf bank as well as the appointment of an agent in collecting waqf fund in Islamic waqf bank. The methodology of this research is a quantitative research towards 287 respondents among Muslim public in this country. The general finding of this article shows that, with proper contribution method and the appointment of Islamic waqf bank as an agent in collecting the cash waqf fund, there is a strong tendency that the Islamic waqf bank‟s operation will be run effectively.

scholarly journals The Utilization of Health Services and Self-Care by Older Women With Sleeping Problems: Results From a Nationally Representative Sample of 9,110 Women

2017 ◽  
Vol 30 (4) ◽  
pp. 540-558 ◽  
Author(s):  
Sophie Meredith ◽  
Jane Frawley ◽  
Jon Adams ◽  
David Sibbritt
Keyword(s):  
Health Service ◽  
Older Women ◽  
Service Use ◽  
Self Care ◽  
Herbal Medicines ◽  
Chronic Illnesses ◽  
Utilization Of Health Services ◽  
Sleeping Problems ◽  
Age Cohort ◽  
Nationally Representative

Objective: This research aims to investigate the health service use—including complementary and alternative medicine (CAM)—and self-care by women aged 62 to 67 with sleeping problems. Method: In total, 9,110 participants (99.6%) responded to questions about sleeping problems, health service utilization and self-care (e.g., herbal medicines and vitamins), demographics, and chronic illnesses. Results: In all, 48.2% ( n = 4,394) women indicated that they had a sleeping problem. Women with sleeping problems consulted a general practitioner (GP) more frequently (odds ratio [OR] = 1.72; 95% confidence interval [CI] = [1.36, 2.17]; p < .005) and were more likely to be using herbal medicines (OR = 1.24; 95% CI = [1.13, 1.36]; p < .005) than women without sleeping problems. Discussion: Health professionals, particularly GPs, may need to actively inquire with older patients in their care with sleeping problems about the use of herbal medicines, to ensure their sleeping problems are being directly and effectively treated, particularly in light of increased risks associated with sleeping problems for this age cohort.

scholarly journals Changes in daily mental health service use and mortality at the commencement and lifting of COVID-19 ‘lockdown’ policy in 10 UK sites: a regression discontinuity in time design

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e049721
Author(s):  
Ioannis Bakolis ◽  
Robert Stewart ◽  
David Baldwin ◽  
Jane Beenstock ◽  
Paul Bibby ◽  
...  
Keyword(s):  
Mental Health ◽  
Inpatient Care ◽  
Service Use ◽  
Regression Discontinuity ◽  
Mental Healthcare ◽  
Service Level ◽  
Community Services ◽  
Mental Health Service Use ◽  
Healthcare Data ◽  
Early Intervention In Psychosis

ObjectivesTo investigate changes in daily mental health (MH) service use and mortality in response to the introduction and the lifting of the COVID-19 ‘lockdown’ policy in Spring 2020.DesignA regression discontinuity in time (RDiT) analysis of daily service-level activity.Setting and participantsMental healthcare data were extracted from 10 UK providers.Outcome measuresDaily (weekly for one site) deaths from all causes, referrals and discharges, inpatient care (admissions, discharges, caseloads) and community services (face-to-face (f2f)/non-f2f contacts, caseloads): Adult, older adult and child/adolescent mental health; early intervention in psychosis; home treatment teams and liaison/Accident and Emergency (A&E). Data were extracted from 1 Jan 2019 to 31 May 2020 for all sites, supplemented to 31 July 2020 for four sites. Changes around the commencement and lifting of COVID-19 ‘lockdown’ policy (23 March and 10 May, respectively) were estimated using a RDiT design with a difference-in-difference approach generating incidence rate ratios (IRRs), meta-analysed across sites.ResultsPooled estimates for the lockdown transition showed increased daily deaths (IRR 2.31, 95% CI 1.86 to 2.87), reduced referrals (IRR 0.62, 95% CI 0.55 to 0.70) and reduced inpatient admissions (IRR 0.75, 95% CI 0.67 to 0.83) and caseloads (IRR 0.85, 95% CI 0.79 to 0.91) compared with the pre lockdown period. All community services saw shifts from f2f to non-f2f contacts, but varied in caseload changes. Lift of lockdown was associated with reduced deaths (IRR 0.42, 95% CI 0.27 to 0.66), increased referrals (IRR 1.36, 95% CI 1.15 to 1.60) and increased inpatient admissions (IRR 1.21, 95% CI 1.04 to 1.42) and caseloads (IRR 1.06, 95% CI 1.00 to 1.12) compared with the lockdown period. Site-wide activity, inpatient care and community services did not return to pre lockdown levels after lift of lockdown, while number of deaths did. Between-site heterogeneity most often indicated variation in size rather than direction of effect.ConclusionsMH service delivery underwent sizeable changes during the first national lockdown, with as-yet unknown and unevaluated consequences.

scholarly journals Delivery of Community Support Services for Older Adults in Social Housing

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 910-911
Author(s):  
Matthew Yau ◽  
Christine Sheppard ◽  
Jocelyn Charles ◽  
Andrea Austen ◽  
Sander Hitzig
Keyword(s):  
Older Adults ◽  
Service Delivery ◽  
Low Income ◽  
Support Services ◽  
Social Housing ◽  
Service Providers ◽  
Community Support ◽  
Community Agencies ◽  
Visible Minorities ◽  
Community Support Services

Abstract Community support services are an integral component of aging in place. In social housing, older adult tenants struggle to access these services due to the siloed nature of housing and health services. This study aims to describe the relationship between community support services and social housing for older adults and examine ways to optimize delivery. Data on government-funded community support services delivered to 74 seniors’ social housing buildings in Toronto, Ontario was analyzed. Neighbourhood profile data for each building was also collected, and correlational analyses were used to examine the link between neighbourhood characteristics and service delivery. Fifty-six community agencies provided 5,976 units of services across 17 service categories, most commonly mental health supports, case management and congregate dining. On average, each building was supported by nine agencies that provided 80 units of service across 10 service categories. Buildings in neighbourhoods with a higher proportion of low-income older adults had more agencies providing on-site services (r = .275, p &lt; .05), while those in neighbourhoods with more immigrants (r = -.417, p &lt; .01), non-English speakers (r = -.325, p &lt; .01), and visible minorities (r = -.381, p &lt; .01) received fewer services. Findings point to a lack of coordination between service providers, with multiple agencies offering duplicative services within the same building. Vulnerable seniors from equity-seeking groups, including those who do not speak English and recent immigrants, may be excluded from many services, and future service delivery for seniors should strive to address disparities in availability and access.

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