scholarly journals Interrogating the Relevance of Home and Community-Based Services in Addressing Old Age Challenges in Lagos State, Nigeria

2014 ◽  
Vol 12 (1) ◽  
Author(s):  
Bola Amaike
Keyword(s):  
Older People ◽  
Old Age ◽  
Informal Care ◽  
Institutional Care ◽  
Well Being ◽  
Subjective Assessment ◽  
Community Based ◽  
Care Recipients ◽  
Lagos State ◽  
Community Based Services

The article examines the relevance of informal care in addressing old age challenges in Lagos State. Although informal care is an integral aspect of caregiving in Nigeria, it has received little or no attention because of dearth of policy thrust and framework. Older people in Nigeria receive informal care which helps to promote optimal ageing and socio-economic well-being. A total of 1,321 retired older men and women in Lagos State, who were care recipients, were asked to assess the nature and sources of old age care as well as their preferences for old age care. The findings indicate that older people preferred informal care to institutional care because the former promotes autonomy, independence and respect from caregivers. This article is based on older people’s subjective assessment of home and community-based services which serves as a useful guide to researchers and social gerontologists in addressing old age challenges in Lagos State, Nigeria.

Older People with Learning Difficulties Leaving Institutional Care—A Case of Double Jeopardy

1996 ◽  
Vol 16 (2) ◽  
pp. 125-150 ◽  
Author(s):  
Alan Walker ◽  
Carol Walker ◽  
Tony Ryan
Keyword(s):  
Older People ◽  
Old Age ◽  
Service Providers ◽  
Institutional Care ◽  
Learning Difficulties ◽  
Field Research ◽  
Community Based ◽  
Official Definitions ◽  
The Impact ◽  
Community Based Services

AbstractPeople with learning difficulties are now surviving into old age and more and more of them are being resettled from long-stay hospitals. The main purpose of this article is to examine some of the key barriers facing, and dilemmas involved in, the provision of community-based services to this newly emerging user group. The findings of some recent field research on older people with learning difficulties who have been resettled into the community are used to illustrate the challenges facing service providers. Particular reference is made to the impact of age discrimination and traditional differences between service specialisms. The article shows that both official definitions of need in old age and the aspirations of the service responses to those needs have been artificially constructed in very narrow terms, especially when compared with the principled approach to service provision for younger people with learning difficulties. In conclusion, therefore, it is argued that the principles underpinning services for people with learning difficulties, such as normalisation, should be applied to older people as well.

State provision down, offspring's up: the reverse substitution of old-age care in Sweden

2003 ◽  
Vol 23 (3) ◽  
pp. 269-280 ◽  
Author(s):  
LENNARTH JOHANSSON ◽  
GERDT SUNDSTRÖM ◽  
LINDA B. HASSING
Keyword(s):  
Older People ◽  
Old Age ◽  
Informal Care ◽  
Public Services ◽  
Institutional Care ◽  
The State ◽  
Patterns Of Care ◽  
Home Help ◽  
Nationally Representative ◽  
Provision Of Care

Substitution among the providers of old-age care has usually meant a process whereby the state ‘takes over’ what families used to do, but during the 1980s and 1990s, both home help and institutional care were cut back substantially in Sweden as elsewhere. Comparable, nationally representative surveys in Sweden of the provision of care for older people living in the community enable analysis of the effects of these cutbacks on the sources and patterns of care. It emerges that increased inputs from families match the decline of public services, that is, a ‘reverse’ substitution has recently been taking place. Local studies, of older people who have been followed over time as the provision of home help has changed, support these conclusions. Of the increased informal care, most has been provided by daughters, but sons have also contributed. A problematic aspect of these shifting patterns of care is that an increasing number of family carers with increasingly heavy care commitments are now without formal or informal support, whereas in the recent past many could expect their responsibilities to be shared with the state. The evidence from this study also calls into question common metaphors and assumptions about the assumed interdependence between informal care and public services for older people, and challenges the so-called substitution thesis.

scholarly journals Profile of Long-Term Care Recipients Receiving Home and Community-Based Services and the Factors That Influence Utilization in Taiwan

2020 ◽  
Vol 17 (8) ◽  
pp. 2649
Author(s):  
Chia-Mei Shih ◽  
Yu-Hua Wang ◽  
Li-Fan Liu ◽  
Jung-Hua Wu
Keyword(s):  
Low Income ◽  
Long Term Care ◽  
Common Factor ◽  
Behavioral Model ◽  
Care Needs ◽  
Community Based ◽  
Term Care ◽  
Care Recipients ◽  
Community Based Services

In response to the irreversible aging trend, the Taiwan government has promoted the Long-Term Care (LTC) policy 1.0 launched in 2007 and the LTC policy 2.0 reform since 2016. This study aimed to explore the utilization of formal home and community-based care under LTC policy 1.0 to add scientific support for the on-going LTC policy 2.0 reform. Methods: By using Andersen and Aday’s behavioral model of healthcare utilization, the long-term care dataset was analyzed from 2013 to 2016. A total of 101,457 care recipients were identified after data cleaning. Results: The results revealed that about 40.7% of the care recipients stayed in the care system for more than two years. A common factor influencing the length of home and community-based services (HCBS) utilization period included need factors, where more dependent recipients leave the LTC system regardless of their socio-economic status. However, the utilization period of non-low-income households is significantly affected by the level of service resources. Conclusion: For long-term care needs, the phenomenon of a short utilization period was concerning. This study adds information which suggests policy should reconsider care capacity and quality, especially for moderate to severely dependent recipients. This will allow for better understanding to help maintain care recipients in their own communities to achieve the goal of having an aging in place policy.

scholarly journals EFFECTIVENESS OF HOME- AND COMMUNITY-BASED SERVICES IN DECREASING HEALTH CARE EXPENDITURE IN TAIWAN

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S159-S159
Author(s):  
Ya-Mei Chen ◽  
Hsiao-Wei Yu ◽  
Ying-Chieh Wang
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Long Term Care ◽  
Community Based ◽  
Term Care ◽  
Care Recipients ◽  
Home Based ◽  
Number Of Visits ◽  
Community Based Services

Abstract Ideally, continuum of care involves wide-ranging health and long-term care (LTC) services. Taiwan’s National Health Insurance scheme and 10-Year Long-term Care Plan attempts to provide universal and fundamental services of continuum care. However, the accessibility of these services for care recipients remains unclear. This study aims to examine the effectiveness of continuum care in decreasing the healthcare expenditure of LTC recipients using home- and community-based services (HCBS). Data collated from the 2010–2013 Long-Term Care Service Management System (N = 77,251) were subjected to latent class analysis to identify subgroups of recipients using HCBS. Subsequently, the 1-year primary care expenditure after receiving HCBS was compared through generalized linear modeling. Three discrete HCBS subgroups were found: home-based personal care (HP), home-based health care (HH), and community-based care (CC). No difference in the number of visits to doctors and the average primary care expenses was observed between the HP and HH subgroups. However, considering physical and psychosocial confounders, care recipients in the CC subgroup recorded a higher number of visits to doctors (β = 3.05, SD = 0.25, p < 0.05) and lower primary care expenditure (β = -98.15, SD = 43.17, p = 0.02) than the other two subgroups. These findings suggest that LTC recipients in Taiwan may obtain better continuum care only for CC service recipients. Additionally, community-based LTC services may lower the cost of health expenditure after 1 year.

DEINSTITUTIONALIZATION OF THE CHILD CARE SYSTEM IN LITHUANIA

2020 ◽  
Vol 11 (4.1) ◽  
pp. 121-131
Author(s):  
Jolanta Pivoriene
Keyword(s):  
Child Care ◽  
Necessary Conditions ◽  
Institutional Care ◽  
Secondary Data ◽  
Community Based ◽  
Political Discourses ◽  
Qualitative Evidence ◽  
To Receive ◽  
Community Based Services ◽  
Care System

The reform of the child care system in Lithuania started with the Ministry of Social Security and Labor approving the Strategic Guidelines for Deinstitutionalization in 2012, followed by the Transition from Institutional Care to Community-Based Services in 2014. The strategic aim of the reform was to create a system including a comprehensive range of services that would enable every child and their family or guardians to receive individual services as well as community assistance according to their needs. The process of transformation of institutional care was designed in two steps: creation of the necessary conditions for the transformation, which took place in 2014 to 2017, and development of infrastructure in the regions, planned for 2017 to 2020, but now extended to 2023. The goal of this article is to discuss the deinstitutionalization process by presenting legal regulations, information about the conceptualization and scope of the project, and evidence based on documents and statistical and secondary data analysis. I will also discuss possible contradictions between analytical and political discourses, and quantitative and qualitative evidence.

Long-Term Services and Supports for Older Adults: A Review of Home and Community-Based Services Versus Institutional Care

2015 ◽  
pp. 150527102958001 ◽  
Author(s):  
Andrea Wysocki ◽  
Mary Butler ◽  
Robert L. Kane ◽  
Rosalie A. Kane ◽  
Tetyana Shippee ◽  
...  
Keyword(s):  
Older Adults ◽  
Institutional Care ◽  
Community Based ◽  
Services And Supports ◽  
Community Based Services

Participation in daily life of people with schizophrenia in comparison to the general population

2016 ◽  
Vol 83 (5) ◽  
pp. 297-305 ◽  
Author(s):  
Lena Lipskaya-Velikovsky ◽  
Tal Jarus ◽  
Adam Easterbrook ◽  
Moshe Kotler
Keyword(s):  
General Population ◽  
Subjective Assessment ◽  
Control Group ◽  
Human Right ◽  
Community Based ◽  
Related Data ◽  
Health Related ◽  
Community Based Services ◽  
Similar Intensity ◽  
Age And Sex

Background. Participation in occupations is a basic human right. Although people with schizophrenia commonly experience restrictions in participation, there is a paucity of research in this area. Purpose. This study aimed to compare the participation patterns of people with schizophrenia to people without mental illness (control group). Method. A total of 140 people of similar age and sex completed the Adults Subjective Assessment of Participation and provided demographic and health-related data. Findings. People with schizophrenia tend to participate in fewer activities and to participate alone. However, they participate with similar intensity as those in the control group. Implications. The participation patterns of people with schizophrenia are both unique and similar to those of the general population. The differences in participation raise concerns due to signs of restriction and social exclusion. However, it appears that people with schizophrenia benefit from occupation and community-based services that promote and support participation with others in diverse activities.

scholarly journals Informal and formal care infrastructure and perceived need for caregiver training for frail US veterans referred to home and community-based services

2010 ◽  
Vol 6 (1) ◽  
pp. 57-66 ◽  
Author(s):  
Courtney Harold Van Houtven ◽  
Eugene Z. Oddone ◽  
Morris Weinberger
Keyword(s):  
Primary Care ◽  
Informal Care ◽  
Medical Center ◽  
Caregiver Training ◽  
Community Based ◽  
Home Health Services ◽  
Home Based ◽  
Chi Squared ◽  
Us Veterans ◽  
Community Based Services

Objectives: To describe the informal care network of US veterans referred to home and community-based services (Homemaker Home Health services, H/HHA, or Home-Based Primary Care, HBPC) at the Durham Veterans Affairs Medical Center (VAMC), including: quantity and types of tasks provided and desired content for caregiver training programs. Methods: All primary care patients referred to H/HHA or HBPC during the preceding 3 months were sent questionnaires in May 2007. Additionally, caregivers were sent questionnaires if a patient gave permission. Descriptive statistics and chi-squared tests were performed. Results: On average, patients received 5.6 hours of VA care and 47 hours of informal care per week. 26% of patients (38% of patients with caregiver proxy respondents) and 59% of caregivers indicated the caregiver would be interested in participating in a training program by phone or on-site. Significant barriers to participation existed. The most common barriers were: transportation; no time due to caregiving or work demands; caregiver’s own health limitations; and no need. Conclusions: Caregiver training needs to be tailored to overcome barriers to participate. Overcoming these barriers may be possible through in-home phone or internet training outside traditional business hours, and by tailoring training to accommodate limiting health problems among caregivers.

scholarly journals Perceptions of effective relationships in an institutional care setting for older people

2014 ◽  
Vol 40 (1) ◽  
Author(s):  
Vera Roos ◽  
Frans Du Toit
Keyword(s):  
Older People ◽  
Group Dynamics ◽  
Institutional Care ◽  
Well Being ◽  
Interpersonal Contact ◽  
Care Managers ◽  
Effective Relationships ◽  
Managerial Implications ◽  
Value Add ◽  
Relational Qualities

Orientation: The relocation of older people to residential facilities has implications for their relationships.Research purpose: This article reports older residents’ perceptions of effective relationships.Motivation for the study: Effective relationships protect against loneliness and depression and contribute to well-being. The facility was identified by a social worker as a showcase for effective relationships, but it was not clear what these consist of.Research approach, design and method: The World Café, a qualitative, participatory action research method, was applied to an economically deprived, urban facility caring for older people in Gauteng, South Africa. Three positively framed questions elicited perceptions from participants (nine men, ten women, aged 65–89). Visual and textual data were obtained and thematically analysed until saturation had been achieved. Themes were then subjected to deductive direct content analysis in terms of Self-Interactional Group Theory (SIGT).Main findings: Older residents perceive care managers as friendly and trustworthy and co-residents as caring. Care managers were seen as flexible, empathetic and congruent leaders and they confirmed residents. Relationships between residents were parallel-defined with relational qualities such as empathy and unconditional acceptance. Residents’ needs for privacy were honoured and they felt confirmed. Group dynamics were underpinned by caring and a stimulating environment provided opportunities for engagement.Practical/managerial implications: Relationships between managers and consumers are facilitated by flexibility, empathy, congruence and unconditional acceptance. Supportive group dynamics develop when people confirm and accept one another. A stimulating environment that encourages continuous and close interpersonal contact contributes to effective relationships.Contribution/value-add: Effective relationships should be understood on different levels.

Sign in / Sign up

Export Citation Format

Share Document