Intention of Use of Long-Term Care Facilities and Home Support Services by Chinese-Canadian Family Caregivers

2008 ◽  
Vol 47 (3) ◽  
pp. 259-276 ◽  
Author(s):  
Daniel W. L. Lai
1981 ◽  
Vol 62 (4) ◽  
pp. 201-209 ◽  
Author(s):  
George S. Getzel

A social work program is presented that assists family members in caring for their elderly relatives through a combination of counseling and support services. The intervention sequence and skills needed are identified by the use of case examples, and practice principles are suggested for use in long-term care.


Author(s):  
Tamara Daly

ABSTRACTThe paper discusses two reforms in Ontario's long-term care. The first is the commercialization of home care as a result of the implementation of a “managed competition” delivery model. The second is the Ministry of Health and Long-Term Care's privileging of “health care” over “social care” through changes to which types of home care and home support services receive public funding. It addresses the effects of these reforms on the state–non-profit relationship, and the shifting balance between public funding of health and social care. At a program level, and with few exceptions, homemaking services have been cut from home care, and home support services are more medicalized. With these changes, growing numbers of people no longer eligible to receive publicly funded home care services look for other alternatives: they draw available resources from home support, they draw on family and friend networks, they hire privately and pay out of pocket, they leave home and enter an institution, or they do without.


2021 ◽  
Vol 42 (6) ◽  
pp. 1474-1480
Author(s):  
Marleen Prins ◽  
Bernadette Willemse ◽  
Claudia van der Velden ◽  
Anne Margriet Pot ◽  
Henriëtte van der Roest

2021 ◽  
Vol 33 (S1) ◽  
pp. 14-14
Author(s):  
Marleen Prins ◽  
Bernadette Willemse ◽  
Claudia van der Velden ◽  
Anne Margriet Pot ◽  
Henriëtte van der Roest

BackgroundTo prevent COVID-19 from spreading in long-term care facilities (LTCFs), the Dutch government took national restrictive measures, including a visitor-ban in LTCFs between mid-March and May 2020.Physical visits were replaced by alternatives as telephone or video calls. This study examines the relationship between the involvement of family caregivers (informal caregivers, ICs) of people with dementia (PwD) living in LTCFs and IC mental health during the visitor-ban. Furthermore, we examine whether this relationship is moderated by the frequency of contact with PwD during the visitor-ban and resilience of ICs.MethodsA cross-sectional study was carried out, 375 Dutch long-term care organizations were invited by email to participate. LTCFs sent eligible ICs a link to an anonymous online survey. Family involvement was assessed by the visiting frequency and doing social (e.g. drinking coffee), or social and task-related (e.g. laundry) activities during visits before the visitor-ban.Results958 ICs of PwD participated. Contact frequency increased for 17% ICs and decreased for 25% compared to visiting frequency. 43% of ICs did only social activities and 57% social and task-related activities. ICs who visited their relatives at least once a week before the visitor-ban were more worried during the visitor-ban than those with less regular visits (main effect). Contact frequency during the visitor-ban was a moderating factor, ICs who visited the PwD daily before, but had at least weekly contact during the visitor-ban, worried less. No main effects for activity type were found on loneliness , however resilience was a moderating factor. Resilient ICs who did more diverse activities (task and social related) before the visitor-ban, experienced less loneliness during the visitor ban.ConclusionsThe results implicate that to reduce worries amongst ICs, LTCFs should facilitate in continuing contact with PwD during a visitor-ban, specifically in highly involved ICs. Also, non-resilient ICs that generally only do social activities are more prone to loneliness. It is advisable for healthcare and welfare professionals to reach out to this group, to help them with overcoming their loneliness.


2021 ◽  
Vol 23 (3) ◽  
pp. 239-248
Author(s):  
Min Jae Lee ◽  
Sujin Shin

Purpose: The aim of this study was to investigate and compare facility workers’ and family caregivers’ perceptions toward closed-circuit television (CCTV) in long-term care facilities.Methods: The participants included 70 family caregivers and 66 facility workers in nine long-term care facilities. A structured questionnaire gathered participants’ perceptions of CCTV in long-term care facilities. Data were analyzed using descriptive statistics, t-test, chi-squared test, and Fisher’s exact test with SPSS 26.0.Results: Family caregivers positively perceived both the function (p<.001) and compulsory installation (p<.001) of CCTV in long-term care facilities compared to facility workers. Also, family caregivers highly perceived the necessity of two improvement plans for CCTV application: “the agreement on a video-data-application plan” (p=.032), and “the necessity of a video-analytics expert” (p=.001) compared to facility workers.Conclusion: Family caregivers were more likely to recognize the importance of CCTV in long-term care facilities than facility workers. Further education on the necessity of CCTV, its positive functions, and various usage methods is required considering that the discussion on CCTV installation in long-term care facilities will become more prevalent. In addition, the legal regulations related to CCTV installation should be prepared in detail. Furthermore, it is necessary to understand that CCTV is not a solution to elder abuse, and long-term care facilities should consider future uses of AI-CCTV.


2017 ◽  
Vol 30 (5) ◽  
pp. 749-759 ◽  
Author(s):  
Chie Fukui ◽  
Mariko Sakka ◽  
Rachel Marry Amiya ◽  
Iori Sato ◽  
Kiyoko Kamibeppu

ABSTRACTBackground:The aim of the study was to develop a family conflict scale for family caregivers of persons with dementia in long-term care facilities and to explore the relationship between family conflicts and family support.Methods:The scale was developed through forward- and back-translations, interviews with 12 staff members in long-term care facilities, and cognitive interviews with 12 family caregivers who met operational definitions in this study. The test was conducted with 334 family caregivers and a retest was conducted with 318 family caregivers who had indicated willingness to participate further.Results:The internal consistency was relatively high for all subscales (Cronbach's α >0.87); sufficient retest reliability was demonstrated for all subscales (intraclass correlation coefficient >0.69). Confirmatory factor analysis supported a three-factor model. Convergent and discriminant validity for each of the family conflict scale subscales, family APGAR, and the Symptom Check List–90 Items–Revised were acceptable. Family caregivers who received no family assistance for caregiving perceived more conflict in their family than those receiving family assistance.Conclusions:The Japanese version of the family conflict scale for family caregivers of persons with dementia in long-term care facilities was developed. The reliability and validity of the scale were verified. When providing support to family caregivers in long-term care facilities, it is necessary to consider the family from multiple viewpoints, including family conflicts and support conditions from other family members.


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