Social Network Assessment: A Critical Component in Case Management for Functionally Impaired Older Persons

1990 ◽  
Vol 30 (1) ◽  
pp. 63-75 ◽  
Author(s):  
Allan V. Kaufman
Keyword(s):  
Social Network ◽  
Older Persons ◽  
Service Providers ◽  
Care Service ◽  
Case Managers ◽  
Elderly Persons ◽  
Term Care ◽  
Formal Service ◽  
Functionally Impaired ◽  
Service Strategies

Case managers who develop long-term care service plans for functionally impaired elderly persons must integrate the supportive efforts of the client's social network into the overall service approach. The ultimate goal is to develop a plan whereby the formal service providers supplement rather than supplant the care and assistance available from the older person's network. This article presents a framework that identifies those variables associated with the relationship dynamics that exist between older persons and their social network members. The framework can be used by case managers to help them assess the characteristics and functioning of their clients' social network relations and develop service strategies that maximize the helping efforts of those networks.

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.

scholarly journals Carer experience of end-of-life service provision: a social network analysis

2018 ◽  
Vol 10 (2) ◽  
pp. e20-e20 ◽  
Author(s):  
Rosemary Leonard ◽  
Debbie Horsfall ◽  
John Rosenberg ◽  
Kerrie Noonan
Keyword(s):  
Social Network ◽  
Social Network Analysis ◽  
Network Analysis ◽  
End Of Life ◽  
Service Provision ◽  
End Of Life Care ◽  
Service Providers ◽  
Informal Networks ◽  
Formal Service ◽  
Similar Density

ObjectiveTo identify the position of formal service providers in the networks of those providing end-of-life care in the home from the perspective of the informal network.MethodsUsing third-generation social network analysis, this study examined the nature and strength of relationships of informal caring networks with formal service providers through individual carer interviews, focus groups of caring networks and outer network interviews.ResultsService providers were usually highly valued for providing services, equipment, pain management and personalised care for the dying person plus support and advice to the principal carer about both caring tasks and negotiating the health system. However, formal service providers were positioned as marginal in the caring network. Analysis of the relative density of relationships within networks showed that whereas relationships among family and friends had similar density, relationships between service providers and family or friends were significantly lower.ConclusionThe results supported the Circles of Care model and mirror the perspective of formal service providers identified in previous research. The research raises questions about how formal and informal networks might be better integrated to increase their effectiveness for supporting in-home care.

scholarly journals Problem ponoszenia kosztów związanych ze starzeniem się społeczeństwa – analiza na przykładzie domów pomocy społecznej w gminie miejskiej Szczecin

2018 ◽  
Vol 64 (4) ◽  
Author(s):  
Marta Giezek ◽  
Rafał Iwański ◽  
Marta Kożybska ◽  
Paulina Zabielska ◽  
Monika Paszkiewicz ◽  
...  
Keyword(s):  
Nursing Homes ◽  
Long Term Care ◽  
Care Service ◽  
Social Assistance ◽  
Service Needs ◽  
Elderly Persons ◽  
Full Time ◽  
Term Care ◽  
Dependent Elderly

ABSTRACTIntroduction: Selected aspects of securing the needs of dependent elderly persons by the social assistance sector from the perspective of law, society and economics, are presented in the article.The purpose of the article is to evaluate the sources of funding full-time long-term care services for the benefit of dependent elderly persons in Szczecin.Materials and methods: The analysis was based on statistical and financial data concerning the costs of maintenance in nursing homes in Szczecin provided for the benefit of dependent persons aged over 65.Results: Currently, the main costs of securing full-time care service needs fulfilled by social assistance institutions are borne by the city, which covers more than half of the expenses connected with care. One third of the cost is covered by the seniors themselves, while the involvement of families in payments does not exceed 5%.Conclusions: A reduction in the number of working age persons, increases in the number of elderly persons, an increasing demand for long-term care facilities, rising average annual costs of maintenance in nursing homes and the very low participation of families in those costs all result in the need to allocate greater amounts of funds in city budgets for providing care for dependent persons aged over 65.

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.

Utility of the Regina Risk Indicator Tool among Case Managed Elderly Clients

2005 ◽  
Vol 18 (2) ◽  
pp. 22-26 ◽  
Author(s):  
Heather Hadjistavropoulos ◽  
Cecily Bierlein ◽  
Sue Neville ◽  
Tandy Tuttosi-White ◽  
Allisson Quine ◽  
...  
Keyword(s):  
Case Management ◽  
Home Care ◽  
Care Service ◽  
Case Managers ◽  
Community Dwelling ◽  
Risk Indicator ◽  
Term Care ◽  
Potential Use ◽  
Support Decision Making

The Regina Risk Indicator Tool (RRIT) is used to identify how at risk clients are for requiring admission to long-term care. This study examined the potential use of this tool by case managers of older community dwelling clients receiving home care. The RRIT exhibited moderate to good inter-rater reliability, and good predictive validity as clients of varying degrees of risk differed in amount of case management and services used. Healthcare managers may wish to consider using the tool to support decision-making related to case management and home care service.

scholarly journals Between Migrant Care Work and New Occupational Welfare Tools: Changing Home Care Arrangements in Italy

2020 ◽  
Vol 17 (15) ◽  
pp. 5511
Author(s):  
Georgia Casanova ◽  
Mirko Di Rosa ◽  
Oliver Fisher ◽  
Giovanni Lamura
Keyword(s):  
Home Care ◽  
Social Innovation ◽  
Service Providers ◽  
Positive Impact ◽  
Care Service ◽  
Rapid Review ◽  
Term Care ◽  
Italian Case ◽  
Home Based ◽  
Care Workers

Austerity measures on services provision, introduced due to recent economic crises, have stimulated the search for innovative welfare solutions, including options that are not directly or entirely funded by public sources. In Italy, recent legislation has promoted the development of occupational welfare (OW) measures, aimed at strengthening the supply of services to support employees with informal (elder) care responsibilities. This paper aims to describe how the newly introduced OW schemes might innovate existing care arrangements, by identifying their impact on the different actors involved in home care provision (care recipients, family carers, home care service providers and migrant care workers), as well as at a macro level in terms of promoting social innovation. The international relevance of the Italian case comes from the fact that it is one of the more representative familistic care regimes, largely characterized by home care provided by informal carers and migrant care workers (MCW). The importance of Italian OW schemes is increasing, and in 2018 their presence in company-level bargaining agreements grew by more than 15%. A rapid review of the literature and expert interviews allowed us to describe the complex Italian OW schemes system, and to identify the positive implications of their application for the country’s long-term care (LTC) context, underlining what makes these measures a clear example of “social innovation” likely to have a future positive impact on home-based care in Italy.

scholarly journals LGBT OLDER ADULTS IN RURAL SOUTHERN APPALACHIA: PERCEPTIONS OF CURRENT AND FUTURE FORMAL SERVICE NEEDS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S742-S742
Author(s):  
Kelly A Williams ◽  
Emily Dakin
Keyword(s):  
Older Adults ◽  
Long Term Care ◽  
Service Providers ◽  
Provider Education ◽  
Term Care ◽  
Southern Appalachia ◽  
Formal Service ◽  
Care Services ◽  
Formal Services

Abstract Older sexual and gender minority adults in rural communities face challenges in accessing formal health, mental health, and long-term care services (Butler, 2017; Koch & Knutson, 2016; Stein et al., 2010). Formal service providers in rural Southern Appalachia are more likely to have conservative values that are closely linked to their religious beliefs (Keefe, 2005). Some may be opposed to gender non-conformity and same-sex relationships or marriage, making it wise for LGBT older adults in rural contexts to carefully select formal service providers and settings (Willging et al., 2006). Barriers to accessing formal services for LGBT older adults residing in rural contexts include few LGBT-inclusive service providers and facilities, transportation, cost, and health insurance (Butler, 2017). When faced with the prospect of long-term care, older LGBT adults are more likely to conceal their sexual or gender identity due to fears of being mistreated (Brotman et al., 2003). This session will present results of a qualitative study examining experiences, concerns, and recommendations regarding formal services among 11 LGBT older adults residing in rural southern Appalachia. Several of the participants described experiencing discrimination from local service providers. A number of participants were fearful about the perceived lack of LGBT-inclusive services in the area and expressed that they would consider leaving the area if their own or their partner’s health declined. Many participants expressed the need for local provider education about the needs of LGBT older adults. The presenters will discuss the implications for research and for health, social, and long-term care services.

scholarly journals Role of community centers in promoting sustainable regional life of community-dwelling older adults with frailty

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 783-783
Author(s):  
Akiko Nishino ◽  
Ryogo Ogino ◽  
Takahiro Miura ◽  
Ken-ichiro Yabu ◽  
Kanako Tsutsumi ◽  
...  
Keyword(s):  
Older Adults ◽  
Frail Elderly ◽  
Service Providers ◽  
Community Dwelling ◽  
Walking Distance ◽  
Structured Interviews ◽  
Community Centers ◽  
Term Care ◽  
Formal Service

Abstract Japan’s long-term care insurance system, which is a formal service, focuses only on older adults requiring care and support. Therefore, to create supportive communities for frail older adults, appropriate measures have been taken to establish community centers within their walking distance. However, the specific functions of these centers largely remain unknown. Accordingly, this study is aimed at clarifying the role of community centers by analyzing their services and management systems. In February 2020, we conducted a questionnaire survey (36% response rate) and four semi-structured interviews in O city, which has 36 community centers (81.45㎢, 36.4% elderly population). Results from the questionnaires revealed that the most frequent users of the community center were in their 70s (61.5%); such centers tended to provide informal services, such as exercises and cafes. Meanwhile, 57.2% of community centers collaborate with formal service providers. Community centers tend to be operated together with parent facilities, such as hospitals and nursing homes(61.2%). The results of the onsite survey showed that, in three cases, the community centers were situated within 200 meters of the parent facility. The findings show that these community centers facilitated creation of a supportive community that provides informal services to the frail elderly. Furthermore, they are operated in cooperation with formal service providers, hospitals, and nursing care facilities and are located in close proximity to one another. To summarize, the community centers continue to play a role in providing seamless services to the frail elderly even as their physical functions evolve.

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