COVID-19 resources on Infection control

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#LeftInLockdown – parent carers’ experiences of lockdown

Disabled Children’s Partnership

Findings from an online survey to assess the impact of the coronavirus pandemic and lockdown on families with disabled children across the UK. The survey was promoted between 1 -17 May 2020 via social channels, direct emails to supporters of DCP charities, parent carer groups and networks. The survey covers the following areas: caring in lockdown, information and support, health and social care, education and learning; money and work; and what the government could do to help now and with the transition from lockdown. Parents report an increased caring load, both for themselves and for their disabled children's siblings; they feel exhausted, stressed, anxious and abandoned by society – in many cases, the support families previously received has now stopped. Many families are seeing declines in both mental and physical health – parents are particularly concerned about the pressure of children's behaviour and mental wellbeing; managing home-schooling; and what will happen to their children if they contract Covid-19. The little support that had previously been provided for families has often stopped altogether. Children's friendships, learning and communications, mental and physical health, and emotions and behaviour have all been negatively impacted. In addition, the lockdown is increasing financial pressures on families. Parents call for action now, including: acknowledgement and respect for their situation and the challenges they face; increased support – both financial and services; information and guidance more specifically at families with disabled children; flexibility – including from employers, schools, and around lockdown rules to enable family and friends to provide support.

Last updated on hub: 09 December 2020

12 lessons for children’s social work from practising under Covid

Community Care

The Covid-19 pandemic is presenting governments, social work leaders, managers and frontline practitioners with unique challenges. This article summarises finding of a research study exploring its impact on children, families and child protection social work. Since April 2020, 48 social workers, family support workers and managers from four anonymous research sites have been interviewed, many on a monthly basis. Researchers also spoke with 22 family members and analysed a small number of digital interactions between social workers and parents. The emerging findings contain 12 key lessons for practice now and for the future: social workers have creatively improvised to remain close to children and families; social workers and organisations should trust the digital more, particularly as part of a hybrid practice that combines in-person and digital interactions; digital interactions should be seen as differently, not always less, valuable; existing research and guidance should be developed to maximise the benefits of digital social work and the hybrid practices it generates; social workers have chosen to take risks to support children and families, even when they have been afraid; social workers don’t always maintain a physical distance from children and families; Covid-19 related risk-taking is not just an individual choice but systemic; there is a particular need to develop guidance and share best practice on the use of face masks; social workers and family support workers are providing increased levels of material help and support for families; social workers miss the support of the office; social workers should not be expected to operate alone when supporting and safeguarding children; social workers deserve greater public recognition for their contribution during the pandemic.

Last updated on hub: 16 February 2021

4 reasons housing providers must revise their telecare needs post COVID-19

Appello

This guide highlights the changing landscape for the delivery of technology enabled care services (TECS). It draws on findings from interviews and independent research undertaken with the Housing Learning and Improvement Network (LIN) of 120 senior executives from providers of supported, sheltered and retirement housing. The analysis indicates that 85% housing providers report their perceptions on the use of technology have changed as a result of COVID-19 while 74% feel that their requirements for telecare and wellbeing technologies have changed as a result of the pandemic. The document sets out four key reasons that support the strengthening and consolidation of the telecare offer within housing settings and makes recommendations on how to achieve this. The four reasons are: vulnerable communities need support to maintain their social connections – there is huge potential for housing providers to harness communication technologies to help connect older people and promote digital inclusion; remote working will be here to stay – 80% of housing providers believe video communication between residents and staff is becoming more important to their organisation because of COVID-19; how we access healthcare services will change – for instance, it is likely that the pandemic will be the catalyst for greater use of video appointments within the health sector; more services are being accessed online – in an uncertain world, with shielding and social distancing it is becoming even more vital to help older and vulnerable people to access support, and services from paying bills online to accessing pensions and shopping from home while keeping safe.

Last updated on hub: 04 August 2020

A country report: impact of COVID-19 and inequity of health on South Korea’s disabled community during a pandemic

Disability and Society

The South Korean media boasts of its leading success–during the escalation of the coronavirus outbreak–in flattening of the curve thereby mitigating the grave outcomes of the public health crisis. Much of the success is reportedly attributed to the rapid and advanced development of test kits, essential equipment and implementation of protocols in precautionary measures. However, it has been an arduous task to stay afloat for one particular vulnerable community. The disabled citizens of Korea were confronted by the realities of health inequity during this disastrous period. Pre-existing the pandemic onset, the disabled community have faced stigmatization and under many circumstances de-prioritization by their own society. Through the lens of a visiting physician, my hope is to poignantly and respectfully share personal experiences and thoughts on these realties impacted by the COVID-19 pandemic in South Korea.

Last updated on hub: 07 November 2020

A COVID-19 guide for care staff supporting an adult with learning disabilities/autism

Social Care Institute for Excellence

A guide to help care staff and personal assistants supporting adults with learning disabilities and autistic adults through the COVID-19 crisis.

Last updated on hub: 17 April 2020

A COVID-19 guide for carers and family supporting an adult with learning disabilities/autism

Social Care Institute for Excellence

A guide to help family members and carers supporting adults and children with learning disabilities and autistic adults through the COVID-19 crisis.

Last updated on hub: 17 April 2020

A COVID-19 guide for social workers supporting an adult with learning disabilities/autism

Social Care Institute for Excellence

A guide to help social workers and occupational therapists supporting autistic adults and adults with learning disabilities through the COVID-19 crisis.

Last updated on hub: 17 April 2020

A national Covid-19 resilience programme: improving the health and wellbeing of older people during the pandemic

This report makes the case for a National Covid-19 Resilience Programme to support older people in preparing themselves for the continuation of the pandemic and to keep them healthy over the winter. With the pandemic showing no sign of abating, it is important to ensure that older people are able to feel more control over their lives, and that they receive clearer guidance about how best to protect themselves physiologically. Covid-19 disease severity rises with age and is also associated with comorbidities, such as obesity, diabetes and coronary vascular disease, that can accompany chronological age. Home confinement in older people may cause (i) cardiorespiratory and metabolic deconditioning, (ii) insulin resistance, (iii) muscle loss and (iv) increased fat mass. In addition, social isolation may be worsened. In the absence of vaccines and treatments, physical activity (with tailored exercise or physical activity goals) represents the single most impactful way in which older people can reduce the risk of developing severe Covid-19, improve recovery, and limit deconditioning and frailty from home confinement. The report argues that a resilience programme should: encourage appropriate exercise and physical activity; support optimal nutrition; enhance mental health and wellbeing; support behaviour change to embed these behaviours. This programme might be supported by a digital platform and by national broadcasters, e.g. regular televised activity classes.

Last updated on hub: 10 November 2020

A rapid review of the impact of quarantine and restricted environments on children's play and the role of play in children's health

Child: Care, Health and Development

Amidst the coronavirus disease 2019 (COVID‐19) pandemic, there is uncertainty regarding potential lasting impacts on children's health and educational outcomes. Play, a fundamental part of childhood, may be integral to children's health during crises. We undertook a rapid review of the impact of quarantine, isolation and other restrictive environments on play and whether play mitigates adverse effects of such restrictions. Fifteen peer‐reviewed studies were identified, spanning hospitals, juvenile and immigration detention and refugee camps. We found evidence of changes in children's access to play in crises and quarantine. These studies indicated how play might support children enduring isolation but lacked robust investigations of play as an intervention in mitigating impacts of restriction. Studies pertaining to children in isolation due to infectious disease outbreaks were notably absent. It is important that the potential effects of changes to such a crucial aspect of childhood are better understood to support children in this and future crises.

Last updated on hub: 11 February 2021

A rapid systematic review of measures to protect older people in long term care facilities from COVID-19

medRxiv

The global COVID-19 pandemic produced large-scale health and economic complications. Older people and those with comorbidities are particularly vulnerable to this virus, with nursing homes and long term care facilities experiencing significant morbidity and mortality associated with COVID-19 outbreaks. The aim of this rapid systematic review was to investigate measures implemented in long term care facilities to reduce transmission of COVID-19 and their effect on morbidity and mortality of residents, staff, and visitors. Databases (including MedRXiv pre-published repository) were systematically searched to identify studies reporting assessment of interventions to reduce transmission of COVID-19 in nursing homes among residents, staff, or visitors. Outcome measures include facility characteristics, morbidity data, case fatalities, and transmission rates. Due to study quality and heterogeneity, no meta-analysis was conducted. The search yielded 1414 articles, with 38 studies included. Reported interventions include mass testing, use of personal protective equipment, symptom screening, visitor restrictions, hand hygiene and droplet/contact precautions, and resident cohorting. Prevalence rates ranged from 1.2-85.4% in residents and 0.6-62.6% in staff. Mortality rates ranged from 5.3-55.3% in residents. Novel evidence in this review details the impact of facility size, availability of staff and practices of operating between multiple facilities, and for-profit status of facilities as factors contributing to the size and number of COVID-19 outbreaks. No causative relationships can be determined; however, this review provides evidence of interventions that reduce transmission of COVID-19 in long term care facilities.

Last updated on hub: 17 November 2020

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