The Four Wall Syndrome

1978 ◽  
Vol 45 (4) ◽  
pp. 163-170
Author(s):  
Myra S. Kennedy
Keyword(s):  
New Brunswick ◽  
Social Services ◽  
Day Care ◽  
Care Program ◽  
Pilot Project ◽  
The Elderly ◽  
Screening Process ◽  
Care For The Elderly ◽  
The Social ◽  
Second Year

A description of a pilot project in daytime care for the elderly and its results will provide the background for the presentation of the theory named “The Four Wall Syndrome”. This phrase was coined by the author to assist in the evaluation of the Day Care candidates and in the projection of the number of interviews as well as the type of interview techniques used when assessing the candidates for admission to a Seniors' Day Care program. The project began in May 1976, under the auspices of the New Brunswick Provincial Department of Social Services. Statistical proof of the project's success ensured its continuance for a second year. When the grant funds for the second year had been used, the Social Service Department decided to perpetuate Seniors' Day Care in the new package deal of community based services for the elderly in three key areas of New Brunswick. The ability of the program co-ordinator to apply “The Four Wall Syndrome” theory to interviews of candidates would assist in the screening process for admission to the program. It is believed that such a theory could be applicable to other programs for the elderly.

scholarly journals Institutionalization of long-term care for the elderly: the experience of St. Petersburg

2021 ◽  
Vol 7 (2) ◽  
pp. 194
Author(s):  
Galina V. Kolosova
Keyword(s):  
Social Services ◽  
Long Term Care ◽  
Institutional Development ◽  
The Elderly ◽  
Term Care ◽  
Care For The Elderly ◽  
The Social ◽  
The Family ◽  
Mechanisms Of Formation

The increase in life expectancy and the growth of the elderly population in the Russian Federation, including in St. Petersburg, dictates the need for changes in the areas of social services and health care. This is not surprising, aging today has become a global process that has different mechanisms of formation and differs by country and territory. But the sociological theoretical study of the topic of aging is still insufficient. European states rely on demographic trends, which determine a new approach to assessing the available resources, prospects for the development and improvement of social service systems in the direction of long-term care for the elderly. It is important, while maintaining continuity in the work of the social services established in the 1990s, to actively include the family, NGOs and volunteerism in the development of these institutions. The purpose of this article is to analyze the achievements and barriers to the institutional development of long - term care for the elderly in St. Petersburg. Methodically, the article is based on the analysis of legal acts regulating the development of long-term care, mainly in St. Petersburg. For the care system to take shape, it requires the participation of families, NGOs and volunteer resources, as well as the study of the best Russian and international experience.

Inter-Sectoral Cost Comparisons: Day Care for the Elderly

1982 ◽  
Vol 11 (3) ◽  
pp. 335-354 ◽  
Author(s):  
Martin Knapp ◽  
Spyros Missiakoulis
Keyword(s):  
Social Services ◽  
Day Care ◽  
Local Authority ◽  
The Elderly ◽  
Voluntary Organizations ◽  
Care Services ◽  
Care For The Elderly ◽  
Health Authorities ◽  
Area Health ◽  
Cost Differences

ABSTRACTIt is often argued that there are significant differences in the costs of providing public and non-public services. However, these arguments have almost invariably been based on crude comparisons of bald expenditure figures of rather dubious validity. In this paper we describe and apply a conceptual framework which attempts to place such inter-sectoral comparisons on a more reliable basis. Our application is to day care services for elderly people provided by local authority social services departments, area health authorities and voluntary organizations, although the framework has much wider relevance. Our results provide clear evidence to refute the oft-made assumption that voluntary services are universally cheaper than their statutory counterparts. Standardizing costs for the dependency characteristics of users and the activities of day units, we find that voluntary-statutory cost differences are dependent upon the scale of operation. Small voluntary units certainly enjoy a cost advantage, but larger voluntary units are unlikely to be cheaper, and are probably more expensive, than local authority units of a similar scale.

A Medical Social Assessment of Admissions to Old People's Homes in Nottingham

1981 ◽  
Vol 139 (3) ◽  
pp. 226-229 ◽  
Author(s):  
Irene M. K. Ovenstone ◽  
Philip T. Bean
Keyword(s):  
General Practitioner ◽  
Social Services ◽  
Local Authority ◽  
Hospital Admissions ◽  
The Elderly ◽  
Social Assessment ◽  
Care For The Elderly ◽  
The Social ◽  
High Level ◽  
Old People's Homes

SummaryA medical, psychiatric and social assessment was conducted on 272 residents admitted consecutively to local authority residential care for the elderly in Nottingham in the year ending 31st January 1978. A high level of medical and psychiatric pathology was discovered, in spite of frequent general practitioner contact in the community and recent hospital admissions. Few of the staff in the old people's homes were sufficiently qualified to deal with the medical and psychiatric conditions of the residents only a third of whom had been examined by a general practitioner during the month after admission. The social service provision in the community showed an uneven pattern and did not appear to have a direct relationship with the residents' requirements, 12 per cent of whom could have remained in the community had there been adequate social assessment and support. Only just over half were appropriately placed, and a further third should have been in the care of the hospital services.Recommendations for change are directed towards the provision of routine medical, psychiatric and social assessment of all potential residents by geriatricians and psychogeriatricians in close collaboration with social services in special local authority assessment homes.

scholarly journals The Role of the Family in Daily Care for the Elderly in Changing Rural Vietnam

2019 ◽  
pp. 97-122
Author(s):  
Dang Thanh Nhan
Keyword(s):  
Family Structure ◽  
Social Services ◽  
Rural Areas ◽  
Social Engagement ◽  
Elderly Care ◽  
The Elderly ◽  
Care For The Elderly ◽  
The Social ◽  
The Family

This paper use datasets on the elderly in four provinces, including 307 el derly in Ha Tinh, Quang Ngai in 2017, 407 elderly in Ninh Binh and Tien Giang in 2016 of the project “Strengthening Social Engagement in Elderly Care in Changing Economic and Family Structure in Asia: Policy and Practical Dialogues between Local Communities in Vietnam and Japan.” This paper aims to evaluate roles of family members, especially of women in caring for the elderly and to explore the difficulties posed for contemporary families in relation to the roles of the community and the state. In particular, the paper will identify the forces influencing the way that each family member provides care for their elderly in the social and culture context of Vietnam. Our findings showed that families play a very important role in elderly care and that women still play crucial roles in caring for the elderly regardless of circumstances. The family is the most important support for the elderly in Vietnam during illness (spouses and children). Family economic con dition, health status, illness, sex, age, and working status have significant impacts on the health of the elderly. It is noted that taking care of the material life for the elderly is one of the burdens that the family faces, which raised need for a more comprehensive system of social security and social services for the elderly especially in the rural areas in the context of increasing migration and recent changes in family structure and functions.

Care of Elderly Germans Suffering from Dementia and other Diseases in Private Social Welfare Institutions in Poland — A Case Study

2016 ◽  
Vol 6 (1) ◽  
pp. 70-85
Author(s):  
Nicole Horáková ◽  
Jan Kajfosz
Keyword(s):  
Social Services ◽  
Narrative Analysis ◽  
Institutional Care ◽  
Family Care ◽  
Field Research ◽  
High Standard ◽  
The Elderly ◽  
Private Care ◽  
The Social ◽  
Care Of Elderly

The European society is getting older and nobody knows how to deal with this problem. There are different models from family care, special housing for elderly to professional institutional care, which has the disadvantage of being very expensive. In Germany we have noticed in the last two or three years a special trend to send old people suffering from dementia to foreign countries, because these people need intensive care and the social services for example in Poland have a high standard. The aim of our survey is to dismantle, by the example of the private care institution situated in Poland, Upper Silesia which specializes on German customers, the social practices associated with placing the elderly in such institutions and also the methods of constructing meanings of these practices providing clarity in the various groups that take part in this process. To reach this aim we used qualitative field research, including discourse and narrative analysis of various materials (interviews, promotional texts, websites), which beside other things allowed us to reconstruct the media image of the surveyed residences for the elderly and show it in a wider context.

Socio-cultural direction in the social service of elderly citizens

2021 ◽  
Author(s):  
Svetlana Nikolaevna Ispulova
Keyword(s):  
Social Service ◽  
Day Care ◽  
Leisure Activities ◽  
Well Being ◽  
The Elderly ◽  
Cultural Work ◽  
Technical Equipment ◽  
Care Department ◽  
Medical Institutions ◽  
The Social

The article presents the experience of socio-cultural work with elderly citizens in the conditions of a complex social service center, as well as the results of an empirical study conducted by the author, aimed at identifying the satisfaction rate of elderly citizens with leisure activities in the day care department. As a result, it was determined that the quality of services provided during the stay in the day care department is rated as high by the clients, which allows asserting the professionalism of the staff working with them; the clients tend to prefer those types of services that are aimed at maintaining health and well-being; the clients are satisfied with the material and technical equipment of the day care department; the clients want to see new types of services in the day care department and are ready to pay for them additionally. These services include going on excursions outside the city, lectures by specialists from medical institutions on various topics related to the health of the elderly and disabled, visiting the cinema, visiting the theater.

STRATEGIES FOR DEVELOPING THE SOCIAL ASSISTANCE SYSTEM FOR THE ELDERLY IN IAŞI

2020 ◽  
Vol 13 (1) ◽  
Author(s):  
Luminița MUNTEANU
Keyword(s):  
Social Services ◽  
Development Strategy ◽  
Local Community ◽  
Social Assistance ◽  
The Elderly ◽  
Assistance System ◽  
Social Risk ◽  
Research Activity ◽  
Starting Point ◽  
The Social

The article is the result of a complex research activity. The starting point was to make a diagnosis of the Iasi community on the needs of social assistance. The interest of local authorities is to ensure optimal conditions for the provision of quality social services, leading to an improvement in the quality of life of people at social risk. This article makes a complex assessment of the social problems faced by the local community in Iasi, using the analysis of documents, questionnaires and focus groups. The special contribution is given by the development strategy of the resulting local social assistance system, with emphasis on the category of elderly beneficiaries.

Long-Term Care for the Elderly and Persons With Disabilities in Saratov Region, Russia

2006 ◽  
Vol 7 (2) ◽  
pp. 92-99
Author(s):  
Tamara Andreeva ◽  
Alexander Kozyrev ◽  
Stela Bivol
Keyword(s):  
The Elderly ◽  
Welfare System ◽  
Public Welfare ◽  
Term Care ◽  
Persons With Disabilities ◽  
Care For The Elderly ◽  
Peter The Great ◽  
Social Welfare System ◽  
The Social

In Russia, charity started developing into a public welfare system after the transition to Christianity. Peter the Great played an important role in establishing the social welfare system. According to his decree from June 8, 1701, “charity houses for beggars, sick people, and elderly” started their existence. During the reign of Catherine II, also known as Catherine the Great, decrees about public welfare were approved at regional levels.

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