Supporting Older Homeless Persons’ Positive Relocations to Long-Term Care: Service Provider Views

2020 ◽  
Vol 60 (6) ◽  
pp. 1149-1158
Author(s):  
Tamara Sussman ◽  
Rachel Barken ◽  
Amanda Grenier
Keyword(s):  
Older Persons ◽  
Long Term Care ◽  
Service Providers ◽  
Housing Stock ◽  
Care Service ◽  
Functional Limitations ◽  
Homeless Persons ◽  
Cross Sectional ◽  
Term Care

Abstract Background and Objectives This study sought to explore the challenges and opportunities associated with supporting older homeless persons’ relocations to long-term care (LTC) from the perspective of service providers. It aims to inform how to improve relocation processes for this vulnerable and growing subpopulation of older persons. Research Design and Methods This cross-sectional qualitative study employed semistructured face-to-face interviews with service providers from two Health and Social Service Centres in Montreal, Quebec. All interviews were audio-recorded, transcribed verbatim, and thematically analyzed in five stages. Results A total of eight service providers reported on their experiences supporting over 40 relocations of older homeless persons (50+) in the last year. According to participants, older homeless persons’ trajectories into LTC typically included a series of neglected medical issues followed by hospitalization and eventual relocation to LTC. Systemic barriers such as limited-time for proper planning, insufficient housing options for persons with minor functional limitations, disregard for preferred geographic location, multiple moves, and staff prejudices worked together to expedite premature relocation and challenge relocation processes. Discussion and Implications Older homeless persons appear to be at heightened risk of premature and challenging relocation processes. Expanding housing stock for persons with functional limitations, strengthening intersectoral collaborations, providing education and training to staff, and ensuring flexibility around rules and regulations in receiving LTC homes would both improve access to aging in place for this marginalized group of older persons and ensure conditions are in place to support positive relocations to LTC for those who require it.

Long-Term Care Service Trajectories and Their Predictors for Persons Living With Dementia: Results From a Canadian Study

2017 ◽  
Vol 31 (1) ◽  
pp. 139-164 ◽  
Author(s):  
Denise S. Cloutier ◽  
Margaret J. Penning ◽  
Kim Nuernberger ◽  
Deanne Taylor ◽  
Stuart MacDonald
Keyword(s):  
Daily Living ◽  
Older Persons ◽  
Long Term Care ◽  
Care Service ◽  
Aging In Place ◽  
Publicly Funded ◽  
Canadian Study ◽  
Term Care ◽  
Transition Analysis

Objective: We used latent transition analysis to explore common long-term care (LTC) service trajectories and their predictors for older adults with dementia. Method: Using linked administrative data collected over a 4-year interval (2008-2011), the study sample included 3,541 older persons with dementia who were clients of publicly funded LTC in British Columbia, Canada. Results: Our results revealed relatively equal reliance on home care (HC) and facility-based residential care (RC) as starting points. HC service users were further differentiated into “intermittent HC” and “continuous HC” groups. Mortality was highest for the RC group. Age, changes in cognitive performance, and activities of daily living were important predictors of transitions into HC or RC. Discussion: Reliance on HC and RC by persons with dementia raises critical questions about ensuring that an adequate range of services is available in local communities to support aging in place and to ensure appropriate timing for entry into institutions.

scholarly journals Factors Influencing Patients Using Long-Term Care Service of Discharge Planning by Andersen Behavioral Model: A Hospital-Based Cross-Sectional Study in Eastern Taiwan

2021 ◽  
Vol 18 (6) ◽  
pp. 2949
Author(s):  
Yi-Chien Chen ◽  
Wei-Ting Chang ◽  
Chin-Yu Huang ◽  
Peng-Lin Tseng ◽  
Chao-Hsien Lee
Keyword(s):  
Long Term Care ◽  
Discharge Planning ◽  
Care Service ◽  
Behavioral Model ◽  
Planning Service ◽  
Enabling Factors ◽  
Cross Sectional ◽  
Term Care ◽  
Andersen Behavioral Model

Taiwan has been an aged society since March 2018, and the elderly population suffer from multiple comorbidities and long duration of disability. Therefore, the service of discharge planning of long-term care 2.0 is an important stage before patients go back to the community. Strengthening the sensitivity when identifying predisabled patients is a principal development of discharge planning. In the current study, we analyzed the characteristics and predictive factors of patients who used the service of long-term care 2.0 from the perspective of discharge planning. In this retrospective study, we included patients who received the discharge planning service in a hospital located in southern Hualien during November 2017 to October 2018. The data were collected and classified as predisposing factors, enabling factors, and need factors according to the analysis architecture of the Andersen Behavioral Model. There were 280 valid patients included in this current study; age, medical accessibility, possession of a disability card, and cerebrovascular diseases, cardiovascular diseases, and diabetes mellitus were the vital factors which influenced the coherence and cohesion between discharge planning and the service of long-term care 2.0. Among them, the most influencing factor was age. We hope that the current study will make policymakers in hospitals pay attention to the usage of the discharge planning service to link long-term care 2.0 and effectively promote the usage of long-term care 2.0.

scholarly journals The Needs and Utilization of Long-Term Care Service Resources by Dementia Family Caregivers and the Affecting Factors

2020 ◽  
Vol 17 (16) ◽  
pp. 6009
Author(s):  
Chia-Hui Chang ◽  
Yung Ming ◽  
Tsung-Hung Chang ◽  
Yea-Yin Yen ◽  
Shou-Jen Lan
Keyword(s):  
Long Term Care ◽  
Psychological Symptoms ◽  
Care Service ◽  
Cross Sectional Study ◽  
Living Conditions ◽  
Affecting Factors ◽  
Cross Sectional ◽  
Term Care ◽  
The Difference

This study was to evaluate the utilization of long-term care service resources by caregivers of patients with dementia (PWD) and to determine affecting factors. In this cross-sectional study, a total of 100 dyads were enrolled and caregivers responded to the questionnaires. We found 40% of caregivers not using any care resources. Between those caregivers using and not-using care resources, we found differences (p < 0.05) in their health status and living conditions; the difference (p < 0.05) was also found in patients’ behavior and psychological symptoms of dementia (BPSD). The frequency of BPSD (OR = 1.045, p = 0.016, 95% CI = 1.001–1.083) and the living conditions (OR = 3.519, p = 0.007, 95% CI = 1.414–8.759) were related to their use of care resources. Particular BPSDs, such as anxiety or restlessness, throwaway food, aggressive behavior, tearing of clothes, and sexual harassment of patients were related to the caregivers’ use of care resources (p < 0.01). Health professionals have to evaluate the patients’ BPSD and identify the caregivers’ essential needs. Individualized medical care and BPSD-related care resources should be provided for patients and caregivers for taking off their care burden and improving patient care.

Corporate Social Responsibility of Long-Term Care Service Enterprises

2018 ◽  
pp. 203-215
Author(s):  
Vincent T. Law ◽  
Candace W. Ng
Keyword(s):  
Corporate Social Responsibility ◽  
Social Responsibility ◽  
Long Term Care ◽  
Service Providers ◽  
Care Service ◽  
Future Research ◽  
Term Care ◽  
Iso 26000 ◽  
Corporate Social

This chapter attempts to construct a framework for Long-Term Care (LTC) service providers to utilize Corporate Social Responsibility (CSR) concepts as the guiding principles for improving management and operations in a socially responsible manner. The framework adopts selected dimensions of the ISO 26000:2010 standard and the Triple Bottom Line framework in the economic, social, and ethical perspectives. LTC service providers need to understand CSR and can benefit from adopting best practices of CSR. Application of the proposed framework for LTC service providers are discussed. This chapter concludes by proposing future research directions on the relation between LTC and CSR.

Corporate Social Responsibility of Long-Term Care Service Enterprises

2019 ◽  
pp. 584-596
Author(s):  
Vincent T. Law ◽  
Candace W. Ng
Keyword(s):  
Corporate Social Responsibility ◽  
Social Responsibility ◽  
Long Term Care ◽  
Service Providers ◽  
Care Service ◽  
Future Research ◽  
Term Care ◽  
Iso 26000 ◽  
Corporate Social

This chapter attempts to construct a framework for Long-Term Care (LTC) service providers to utilize Corporate Social Responsibility (CSR) concepts as the guiding principles for improving management and operations in a socially responsible manner. The framework adopts selected dimensions of the ISO 26000:2010 standard and the Triple Bottom Line framework in the economic, social, and ethical perspectives. LTC service providers need to understand CSR and can benefit from adopting best practices of CSR. Application of the proposed framework for LTC service providers are discussed. This chapter concludes by proposing future research directions on the relation between LTC and CSR.

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