scholarly journals Contextualising English generalist day centres for older people: operational characteristics and typical days. Findings from case study research

2021 ◽  
Author(s):  
Katharine Orellana ◽  
Jill Manthorpe ◽  
Anthea Tinker
Keyword(s):  
Older People ◽  
Recovery Period ◽  
Case Study Research ◽  
Evidence Base ◽  
Community Resources ◽  
Community Assets ◽  
Health And Wellbeing ◽  
Operational Characteristics ◽  
Using Data ◽  
Day Services

Abstract Reports of Covid-19 pandemic related day centre closures impacting negatively on their attenders and family carers have fuelled a resurgence of interest in these services. The absence of detailed descriptions of this common, but often ‘invisible’, preventive service from the literature limits the evidence base since outcomes data without context are less meaningful. This descriptive article aims to demystify these diverse and multi-faceted settings by painting a rich, contemporary, pre-Covid pandemic picture of four purposively selected English day centres for older people using data from diary notes made during 56 full-day visits, documentation provided by centre managers, and interviews with 23 centre managers, staff and volunteers. The article aims to further understanding of these settings for potential collaborators and social care and health professionals, particularly in the context of rising social prescribing initiatives in England with their focus on linking older people to asset-based community resources. We provide baseline data for conversations concerning optimisation of such services in the post-pandemic recovery period and beyond: how buildings may be regarded as valuable community assets with potential, and how other parts of the health and care system may better interact with day services to improve older people’s, carers’ and others’ health and wellbeing, and to benefit of staff working elsewhere in health and care.

scholarly journals Contextualising English generalist day centres for older people: operational characteristics and typical days. Findings from case study research

2021 ◽  
Author(s):  
Katharine Orellana ◽  
Jill Manthorpe ◽  
Anthea Tinker
Keyword(s):  
Older People ◽  
Recovery Period ◽  
Case Study Research ◽  
Evidence Base ◽  
Community Resources ◽  
Community Assets ◽  
Health And Wellbeing ◽  
Operational Characteristics ◽  
Using Data ◽  
Day Services

Abstract Reports of Covid-19 pandemic related day centre closures impacting negatively on their attenders and family carers have fuelled a resurgence of interest in day centres, a common, but often ‘invisible’, preventive service. The absence of detailed descriptions of these services from the literature limits the evidence base since outcomes data without context are less meaningful. This descriptive article aims to further understanding of these diverse and multi-faceted settings for potential collaborators and social care and health professionals, particularly in the context of rising social prescribing initiatives in England with their focus on linking older people to asset-based community resources. Using data from documentation provided by managers of four purposively selected English day centres for older people, interviews with 23 centre managers, staff and volunteers, and notes made during 56 full-day visits, this article presents a rich, contemporary, non-interpretative, pre-Covid pandemic picture of four purposively selected English day centres for older people.This baseline data will support conversations concerning optimisation of such services in the post-pandemic recovery period and beyond: how buildings may be regarded as valuable community assets with potential, and how other parts of the health and care system may better interact with day services to improve older people’s, carers’ and others’ health and wellbeing, and to benefit of staff working elsewhere in health and care.

Driving and psychiatric illness in later life

2020 ◽  
pp. 893-906
Author(s):  
Desmond O’Neill ◽  
Mark J. Rapoport
Keyword(s):  
Cognitive Function ◽  
Older People ◽  
Psychiatric Illness ◽  
Research Evidence ◽  
Later Life ◽  
Evidence Base ◽  
Functional Approach ◽  
Health And Wellbeing ◽  
Low Threshold ◽  
Road Testing

Access to transportation, and in particular to driving, is possibly more important in later life for the maintenance of health and wellbeing than at earlier stages of life. Those involved with the care of older people with psychiatric illness need to routinely inquire about driving and transportation, and to develop routines of assessment and care that appropriately balance transportation needs and public safety. The increasing research evidence base favours a functional approach with emphasis on behaviour and judgment, collateral history, a broad view of cognitive function, and a low-threshold for on-road testing for those with the early stages of dementia. In addition, initiating planning for transportation for when driving is no longer possible is recommended.

Health and Quality of Life Among Older People in Rural England: Exploring the Impact and Efficacy of Policy

2007 ◽  
Vol 36 (3) ◽  
pp. 477-495 ◽  
Author(s):  
ALISOUN MILNE ◽  
ELENI HATZIDIMITRIADOU ◽  
JANET WISEMAN
Keyword(s):  
Quality Of Life ◽  
Community Development ◽  
Older People ◽  
Community Resources ◽  
Health And Wellbeing ◽  
The Impact ◽  
Rural England ◽  
Rural Elders ◽  
Policy Arenas

There is increasing evidence that characteristics of place influence health and that the dimensions of rurality interlock with the process of ageing to produce a number of distinctive patterns. For the rising number of older people living in rural England, it is clear that, overall, the countryside promotes the health and wellbeing of the newly retired, fitter cohort who have access to financial and community resources. However, it carries a number of risks for elders who are frail, deprived or isolated; inequalities combine to undermine health and deepen exclusion. The efficacy of policy in taking account of the needs of rural elders is uneven. Analysis of the three most pivotal policy arenas – rurality, ageing and health, and community development – suggests that while some initiatives do promote quality of life, significant limitations remain. Further, the overarching policy response is incoherent and fragmented. Key deficits relate to resource allocation, limited recognition of rural disadvantage, and minimal incorporation of the perspectives of rural elders. That the majority of policy is rurally blind is a fundamental challenge; for rural elders to benefit from policy investment, a systemic shift is required in the mechanisms that steer its development, funding and implementation.

AKTUALISASI PEDIDIKAN KARAKTER DALAM PENGEMBANGAN REVOLUSI MENTAL BERBASIS ADIWIYATA DAN MULTIKULTURAL

2018 ◽  
Vol 2 (2) ◽  
Author(s):  
Suhardi Suhardi
Keyword(s):  
Data Analysis ◽  
Character Education ◽  
Achievement Motivation ◽  
Case Study Research ◽  
Individual Development ◽  
Human Beings ◽  
Soft Skill ◽  
Design Data ◽  
Strategic Role ◽  
Using Data

Mental revolution of education requires efforts to print educated human beings by having the motivation to meet the standards of achievement excellence, such as ethos of progress, ethics, achievement motivation, discipline, optimistic, productive, innovative and active views. This can be implemented with character education. Character education is one of the soft skill tools that can be integrated in learning in each subject. Learning activities using an active learning approach have a strategic role in instilling national character values so that students are able to behave and act on values that have become their personality. The purpose of this study was to find and analyze about: 1) Implementation of Character Education to Build Adiwiyata-Based Mental Revolution and Multiculturalism; 2) Implementation of Character Education to Build Mental Revolution in Organizational Culture. This study uses a qualitative approach with phenomenological naturatistics (phenomenology approach), with a descriptive type of case study research design. Data were analyzed using data analysis techniques: data reduction, data analysis and conclusions. The results of the study are: The application of character education to develop a mental revolution can be started from the character of building the environment. Environmental character is very important for individual development. The implementation of character education in building a mental revolution can emphasize the internalization of multicultural values and Adiwiyata which in the end will form a loving environmental awareness and foster a spirit of tolerance.

scholarly journals Health and Housing Energy Expenditures: A Two-Part Model Approach

Processes ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 943
Author(s):  
Fátima Lima ◽  
Paula Ferreira ◽  
Vítor Leal
Keyword(s):  
Low Income ◽  
Health Expenditures ◽  
Household Level ◽  
Energy Expenditures ◽  
Health And Wellbeing ◽  
Health Gains ◽  
Key Factor ◽  
Using Data ◽  
Part Model ◽  
Model Approach

Interest in the interaction between energy and health within the built environment has been increasing in recent years, in the context of sustainable development. However, in order to promote health and wellbeing across all ages it is necessary to have a better understanding of the association between health and energy at household level. This study contributes to this debate by addressing the case of Portugal using data from the Household Budget Survey (HBS) microdata database. A two-part model is applied to estimate health expenditures based on energy-related expenditures, as well as socioeconomic variables. Additional statistical methods are used to enhance the perception of relevant predictors for health expenditures. Our findings suggest that given the high significance and coefficient value, energy expenditure is a relevant explanatory variable for health expenditures. This result is further validated by a dominance analysis ranking. Moreover, the results show that health gains and medical cost reductions can be a key factor to consider on the assessment of the economic viability of energy efficiency projects in buildings. This is particularly relevant for the older and low-income segments of the population.

scholarly journals Developing a whole-school mental health and wellbeing intervention through pragmatic formative process evaluation: a case-study of innovative local practice within The School Health Research network

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nina Gobat ◽  
Hannah Littlecott ◽  
Andy Williams ◽  
Kirsten McEwan ◽  
Helen Stanton ◽  
...  
Keyword(s):  
Mental Health ◽  
Process Evaluation ◽  
Evidence Base ◽  
Outcome Evaluation ◽  
Research Network ◽  
Programme Theory ◽  
Student Mental Health ◽  
Local Practice ◽  
Health And Wellbeing ◽  
Whole School

Abstract Background The evidence-base for whole school approaches aimed at improving student mental health and wellbeing remains limited. This may be due to a focus on developing and evaluating de-novo, research-led interventions, while neglecting the potential of local, contextually-relevant innovation that has demonstrated acceptability and feasibility. This study reports a novel approach to modelling and refining the programme theory of a whole-school restorative approach, alongside plans to scale up through a national educational infrastructure in order to support robust scientific evaluation. Methods A pragmatic formative process evaluation was conducted of a routinized whole-school restorative approach aimed at improving student mental health and wellbeing in Wales. Results The study reports the six phases of the pragmatic formative process evaluation. These are: 1) identification of innovative local practice; 2) scoping review of evidence-base to identify potential programme theory; outcomes; and contextual characteristics that influence implementation; 3) establishment of a Transdisciplinary Action Research (TDAR) group; 4) co-production and confirmation of an initial programme theory with stakeholders; 5) planning to optimise intervention delivery in local contexts; and 6) planning for feasibility and outcome evaluation. The phases of this model may be iterative and not necessarily sequential. Conclusions Formative, pragmatic process evaluations can support researchers, policy-makers and practitioners in developing robust scientific evidence-bases for acceptable and feasible local innovations that do not already have a clear evidence base. The case of a whole-school restorative approach provides a case example of how such an evaluation may be undertaken.

scholarly journals Penerapan Kurikulum 2013 Revisi 2018 dalam Meningkatkan Prestasi Belajar Siswa

2020 ◽  
Vol 4 (1) ◽  
pp. 86-107
Author(s):  
Machrus Salim ◽  
Nila Mujtahidah
Keyword(s):  
Data Analysis ◽  
Data Reduction ◽  
Case Study Research ◽  
Data Sources ◽  
Data Display ◽  
Case Study Design ◽  
Success Indicators ◽  
Final Score ◽  
Using Data

The study aim at investigating the process of planning, implementing, and evaluating of the Revised 2013 Curriculum year 2018 to improve the students' achievement. The study was case study research with multi case study design as the objects of the study had some similarities. The data sources were the results of conducting interviews, documentations, and observations. The data analysis included data reduction, data display, and conclusion drawing. The data were verified using data sources triangulation.The result showed: 1) The planning at SMP Raden Fatah Batu and MTs Ihyaul Ulum Gresik was initiated by comprehending the existing syllabus, mapping the main and basic competence as well as the success indicators for each subject. The involvement of the teachers in The Teacher Association Forum was maximized to share ideas and conform the planning. 2) In implementing, both schools involved the associated basic competence and current issues, created pleasant and conducive learning, used learning media, and involved the parents which were effective in improving the students' achievement. 3) The evaluation was conducted comprehensively and factually. The students' achievement was identified continually on all of the aspects of learning and it involved teacher-counselor The final score was derived from the averaged total score.

Not that old person: Older people’s responses to ageism revealed through digital storytelling

2021 ◽  
pp. 144078332110401
Author(s):  
Diana Bossio ◽  
Anthony McCosker ◽  
Max Schleser ◽  
Hilary Davis ◽  
Ivana Randjelovic
Keyword(s):  
Older People ◽  
Digital Storytelling ◽  
Social Acceptance ◽  
Elder Abuse ◽  
Evidence Base ◽  
Social Constructionist ◽  
Physical Decline ◽  
Actual Experience ◽  
Social Discourses ◽  
Positive Ageing

One of the issues limiting prevention of elder abuse in Australia is lack of a strong evidence base to target social drivers of abuse, particularly ageism. This evidence gap is exacerbated by social discourses that perpetuate negative representations of older age as a time of vulnerability and physical decline, often in opposition to people’s actual experience of ageing. This article presents findings of the ‘OPERA Project’, which used co-designed digital storytelling to explore how ageing and ageism are perceived by older people. The project findings indicated that preventing elder abuse requires discursive intervention to combat negative social discourses representing older people, and to frame social acceptance of the inherent complexity of experiences of ageing. Using a social constructionist approach, this article puts forward a ‘middle path’ through traditional theories of ageing and associated ‘positive ageing’ discourses, which often problematise ageing itself.

Interpersonal psychotherapy

2020 ◽  
pp. 261-264
Author(s):  
Philip Wilkinson ◽  
Ken Laidlaw
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Older People ◽  
Psychological Treatment ◽  
Interpersonal Psychotherapy ◽  
Evidence Base ◽  
Theory And Practice ◽  
Role Transitions ◽  
Treatment Of Depression

This chapter on interpersonal psychotherapy (IPT) describes the theory and practice of this structured psychological treatment. It discusses the implementation of IPT with older people. Next it reviews the applications of IPT with a main focus on the treatment of depression in older adults and distinguishes between the treatment of depression with and without cognitive impairment. It summarizes the structure of IPT and the use of specific techniques, and it then addresses the main therapeutic foci encountered in treatment (grief, interpersonal role disputes, role transitions, and interpersonal deficits). Finally, it briefly reviews the evidence base for IPT with older people.

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