Use of community and long-term care by people with dementia in the UK: A review of some issues in service provision and carer and user preferences

There has been debate for some years as to whether the best model of care for people with dementia emphasises specialist facilities or integrated service provision. Although the United Kingdom National Service Framework for Older People recommended that local authority social services departments encourage the development of specialist residential care for people with dementia, uncertainty continues as to the benefits of particular care regimes, partly because research evidence is limited. This paper examines a large number of ‘performance measures’ from long-term care facilities in North West England that have residents with dementia. Of the 287 in the survey, 56 per cent described themselves as specialist services for elderly people with mental ill-health problems (known familiarly as ‘EMI homes’). It was envisaged that EMI homes would score higher than non-EMI homes on several measures of service quality for people with dementia that were developed from research evidence and policy documents. The analysis, however, found that EMI homes performed better than non-EMI homes on only a few measures. While both home types achieved good results on some standards, on others both performed poorly. Overall, EMI and non-EMI homes offered a similar service.

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Organizing across borders

International Social Work ◽

10.1177/0020872805055329 ◽

2005 ◽

Vol 48 (5) ◽

pp. 643-653 ◽

Cited By ~ 2

Author(s):

Chris Holden

Keyword(s):

Case Studies ◽

Long Term Care ◽

Care Work ◽

Term Care ◽

User Choice ◽

Care Services ◽

Organization Of Care ◽

The Uk

Internationalized providers of care services face competing incentives and pressures relating to profit and quality. Case studies of corporate providers of long-term care in the UK demonstrate that their mode of organization has important implications for both user choice and the organization of care work. French Les fournisseurs internationalisés sont soumis à des pressions et à des incitatifs concurrentiels pour produire des profits et de la qualité. Des études de cas portant sur les fournisseurs institutionnels d'assistance à long terme au Royaume-Uni révèlent que leur mode d'organisation a d'importantes répercussions tant au niveau du choix des bénéficiaires qu'au niveau de l'organisation du travail d'assistance. Spanish Los prestadores transnacionales de servicios se enfrentan con incentivos que compiten entre sí y con la tensión entre calidad y ganancia. Se estudian unoscasos de prestadores de cuidados de larga duración en el Reino Unido. Estos demuestran que el modo de organización tiene consecuencias importantes, tanto para opciones abiertas al usuario como para la organización de los cuidados.

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Television Viewing and People With Dementia Living in Long-Term Care

Journal of Applied Gerontology ◽

10.1177/0733464808330964 ◽

2009 ◽

Vol 28 (5) ◽

pp. 638-648 ◽

Cited By ~ 4

Author(s):

Kate de Medeiros ◽

Erica Beall ◽

Stephen Vozzella ◽

Jason Brandt

Keyword(s):

Television Viewing ◽

Long Term Care ◽

Term Care ◽

People With Dementia

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A Study on Environment-related Factors that Promote Wayfinding for People with Dementia - Focused on the Context of Long-term Care Facilities for People with Dementia

Journal of The Korea Institute of Healthcare Architecture ◽

10.15682/jkiha.2014.20.4.27 ◽

2014 ◽

Vol 20 (4) ◽

pp. 27-38

Author(s):

Yeo Jin Choi ◽

Young-Seon Choi

Keyword(s):

Long Term Care ◽

Related Factors ◽

Term Care ◽

People With Dementia ◽

Care Facilities

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The Effect of Long Term Care Resources on Burdens for Caregiving People Living with Dementia in Taiwan

10.21203/rs.3.rs-841921/v1 ◽

2021 ◽

Author(s):

Yang-Hao Ou ◽

Ming-Che Chang ◽

Wen-Fu Wang ◽

Kai-Ming Jhang

Keyword(s):

Caregiver Burden ◽

Long Term Care ◽

Dementia Care ◽

Care Team ◽

Control Group ◽

Term Care ◽

People With Dementia ◽

Home Based ◽

Caregiver Group

Abstract Background: There is an increasing awareness of caregiver's burden, especially in those caring for people with dementia. The caregiver burden has been studied extensively in Western countries; however, the interpretation of the results and replication of the intervention may deem unfit in the Chinese culture. Therefore, this study identifies the change in caregiver burden by interventional methods under current Taiwan's long-term care Act 2.0.Method: A total of 2,598 newly diagnosed dementia outpatients was evaluated by the Changhua Christian Hospital dementia care team. Eighty patients utilize one of the three care resources, including community-based services (n = 33), home-based services (n = 19), or taking care by foreign caregivers (n = 28). Participants in the control group were selected by matching their global CDR score, gender, age, and caregivers' age with a 1:4 ratio. All caregivers completed the Zarit Burden Interview (ZBI) questionnaires before and six months after utilizing the care resources. Results: The home-based and the foreign caregiver groups have the highest baseline ZBI scores with 37.63±16.14 and 36.57±17.14, respectively. The second ZBI score was assessed about six months after the baseline showing that the home-based group remained the highest caregiver burden (ZBI = 31.74±12.23) and the foreign caregiver group showed the lowest burden (ZBI = 25.68±12.09). The mean difference in the ZBI score confirmed that the foreign caregiver group had the most improvement, averaging a decrease of 17.99±31.08 points (adjust observation time). A linear regression model showed that home-based care and foreign caregiver contributes the most reduction in caregiver burden (-11.83 and -19,07 ZBI scores, respectively).Conclusion: Caring for people with dementia includes caring for their caregivers. Dementia care team should provide proper social resources, which are crucial in the alleviation of caregiver burden.

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