Results for 'carers'
This paper focuses on the different types and configurations of formal and informal support in place, alongside telecare, to assist frail older people, and on how having telecare in place affected, and was influenced by, these arrangements. Based on detailed research with older telecare users and people involved in their care, the paper defines and contrasts three ‘ideal types’ identified as: ‘complex’; ‘family- based’; and ‘privatised support’ caring networks. It considers how telecare interacted with each type of caring network and explores differences in the relevance and applicability of each to frail older people in the AKTIVE study. Focusing on older people living at home with different types of frailty, the AKTIVE project aimed both to enhance understanding of how they (and those supporting them) accessed, engaged with and used the telecare equipment supplied to them, and to explore the consequences for them of doing so. In this paper particular reference is made to differences between older people using telecare who lived alone or with others; and between those who had memory problems or were susceptible to falls. The paper shows how telecare enhanced all three types of network, in at least some examples in the study, although no network type was dependent, or solely reliant, upon it. This highlights that telecare is not a panacea, a substitute for human care or an adequate solution in and of itself.
Explores how the care sector can take advantage of the power and potential of digital technology and social networks to develop new models of support for older people. The effective use of digital technologies – based around the internet, computers, mobile phones, social networks, telecare and telehealth – are critical in enabling people to live more independent and fulfilling lives, irrespective of their health and care needs. This is especially true as the demand for care services increases. The paper, using a range of good practice examples, highlights the role of digital technology in alleviating social isolation, enabling access to information and knowledge and in supporting the lives and work of many carers around the UK. The paper calls for a better shared understanding of innovations in this sector, a more co-ordinated and coherent approach to enable carers and care seekers to easily access online information and support, greater shared learning, collaboration and partnerships, and the promotion of events that showcase digital technology innovations in care which could be adopted by local authorities, the NHS and housing providers, as well as being purchased by people funding their own support needs.
UNIVERSITY OF YORK. Social Policy Research Unit
This report provides final findings of a study conducted with ten participating councils to investigate the benefits of homecare re-ablement. The study aimed to identify features of an effective and cost efficient services; maximise outcome and duration of benefits; and to understand and reduce the demands on other formal care, including other social services. The study comprised of three groups of councils: intervention sites which were enablement staff led; intervention sites with mixed staff teams; and comparison sites where service users had not undergone a phase of home care re-ablement. The previous interim study reflected on initial findings from the intervention sites. This report also adds findings from the comparison sites and long term impact from the follow up review stage. Main findings are discussed in the areas of assessment arrangements; discharge and onward referral arrangements; key features of re-ablement services; team skill mix; staff commitment, attitude, knowledge and skill; service users and carer views; and a strong vision of the service.
ORGETA Vasiliki, MIRANDA-CASTILLO Claudia
Objective: Physical exercise has been associated with a range of positive outcomes including improvements in psychological well-being. The aim of the present study was to review current evidence on the effects of physical activity interventions for carers of people with dementia.
Methods: A systematic review using electronic databases and key articles of studies that evaluated the effectiveness of physical activity interventions in improving psychological well-being in carers of people with dementia. Relevant papers were scored according to established criteria set by the Cochrane Review Group. Selection criteria for studies were a randomized controlled trial (RCT) design, and comparing physical activity with a control group receiving no specific physical activity intervention. Two reviewers worked independently to select trials, extract data, and assess risk of bias.
Results: A total of four RCTs met the inclusion criteria. Studies evaluated home-based supervised physical activity of low to moderate intensity, which included either aerobic exercise, or endurance training. Pooled data showed that physical activity reduced subjective caregiver burden in carers.
Conclusions: There is evidence from two RCTs that physical activity reduces subjective caregiver burden for carers of people with dementia. Although statistically significant, the observed benefits should be interpreted with caution as the studies conducted so far have limitations. Further high-quality trials are needed for evaluating the effectiveness of physical activity in improving psychological well-being in carers of people with dementia
CRAWFORD Paul, et al
This article reviews the literature review to examine the value of approaches to mental health based on creative practice in the humanities and arts, and explore these in relation to the potential contribution to mutual recovery. It found recovery can embrace carers and practitioners as well as sufferers from mental health problems. Divisions tend to exist between those with mental health needs, informal carers and health, social care and education personnel. Mutual recovery is therefore a very useful term because it instigates a more fully social understanding of mental health recovery processes, encompassing diverse actors in the field of mental health. Research demonstrates the importance of arts for “recovery orientated mental health services”, how they provide ways of breaking down social barriers, of expressing and understanding experiences and emotions, and of helping to rebuild identities and communities. Similarly, the humanities can advance the recovery of health and well-being. The notion of mutual recovery through creative practice is more than just a set of creative activities which are believed to have benefit. The idea is also a heuristic that can be useful to professionals and family members, as well as individuals with mental health problems themselves. Mutual recovery is perhaps best seen as a relational construct, offering new opportunities to build egalitarian, appreciative and substantively connected communities – resilient communities of mutual hope, compassion and solidarity.