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All research records related prevention examples and research

Results 271 - 280 of 328

Evidence review: loneliness in later life

DAVIDSON Susan, ROSSALL Phil
2014

A summary of available evidence from research on loneliness in the community in later life. Loneliness can be understood as an individual’s personal, subjective sense of lacking desired affection, closeness, and social interaction with others. Over 1 million older people say they are always or often feel lonely and nearly half of them say that television or pets are their main form of company. The report reviews the literature on measuring and quantifying loneliness and on factors associated with loneliness in later life, including age, ethnicity and language, sex, living arrangements and marital status, geography, housing, health, income, informal care and sexual orientation. The review considers the evidence on the impact of loneliness on older people and the most common social interaction interventions for older people. These include: specialised groups targeting older people, community engagement, befriending, gatekeeping, and the internet. The review includes an appendix on social support and its sources.

Supporting commissioners of assisted living services: stage 1: research report

CONSILIUM
2014

This report presents the findings of research to examine the skills and knowledge that are unique to those commissioning assisted living technologies (ALT). These technologies include : telecare; digital participation services which educate, entertain and encourage social interaction to enrich the lives of people in need of social support; and wellness services which encourage people to adopt and maintain healthy lifestyles. They are referred to collectively as assistive living services (ALS). The research methodology included desk based review of the evidence and consultation with a range of local authority commissioners in England. The report presents a summary of different commissioning models used, provides examples of good practice and what is working well, areas that need improvement and challenges facing commissioners. It also discusses workforce development issues and measuring impact.

Combatting loneliness: a guide for local authorities

LOCAL GOVERNMENT ASSOCIATION
2012

Loneliness is a significant and growing issue for many older people.  Research over decades has found that acute loneliness has been consistently estimated to affect around 10-13% of the population of older people. Over the same time period, there has been a growing percentage of older people who sometimes feel lonely. Loneliness makes older people vulnerable to developing chronic health problems, depression and increases the need for social care services or residential care. This guide offers a brief summary of key research on the issue of loneliness, and some practical steps every local authority, working in partnership with other statutory bodies and their partners, can take to tackle loneliness, setting them in the context of an overall framework for action. The described framework comprises 3 tiers of actions: at the strategic level across the local authority; at the level of the community; and at the level of the individual. Suggested practical steps are illustrated by case studies drawn from around the country.

Can online innovations enhance social care? Exploring the challenges of using digital technology to develop new models of support for older people

AYRES Shirley
2013

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.

Can a neighbourhood approach to loneliness contribute to people's well-being?: report

COLLINS Angela B., WRIGLEY Julie
2014

This report evaluates the overall impact of the Joseph Rowntree Foundation Neighbourhood approaches to loneliness programme. The main principles of the Neighbourhood approaches to loneliness programme are that community activities can contribute to the well-being of people at risk of, or experiencing, loneliness; that such people can play a central role in these activities; and that this involvement can also enhance community well-being. This report is based on consultation with community researchers, professional stakeholders, programme staff and community members. The report highlights that good practice requires skilled staff who are able to communicate effectively and provide pastoral support to volunteers; reveals changes in community researchers resulting from their involvement in the programme; demonstrates where there has been community impact; and shares wider lessons which can be learnt from taking a neighbourhood approach.

Building dementia-friendly communities: a priority for everyone

GREEN Geraldine, LAKEY Louise, ALZHEIMER'S SOCIETY
2013

The National Dementia Declaration for England (2010) identified that people with dementia want to live in communities that give them choice and control over their lives, provide services and support designed around their needs, and to feel valued and understood, and part of family, community and civic life. This report provides evidence of dementia-friendly communities in England, Wales and Northern Ireland from the perspective of people affected by dementia. It uses the results of a survey of people with dementia (510 respondents) distributed by Alzheimer’s Society staff and other networks in Autumn 2012 (referred to as the DFCsurvey) to explore the barriers that people face in their community, how they would like to be engaged in their local area, and the support they need to enable them to do so. Overall, the report aims to provide guidance to areas that are looking to become dementia-friendly, and to provide extra evidence for those already committed to becoming dementia-friendly. Evidence from people with dementia and their carers is collated alongside examples of projects that are making a difference for people with dementia. This information is used both to provide a definition of a dementia-friendly community, and to suggest 10 key areas of focus for communities to consider in working to become dementia friendly. These 10 key areas are: challenge stigma and build understanding; accessible community activities; acknowledge potential; ensure an early diagnosis; practical support to enable engagement in community life; community-based solutions; consistent and reliable travel options; easy to navigate environments; and respectful and responsive businesses and services. While there are some excellent examples of communities that are adapting themselves to the needs required by dementia, many people with dementia do not feel supported and a part of their local area; and are not able to take part in activities that they enjoyed before they developed the condition. Loneliness, feeling isolated and lack of confidence were identified as major barriers.

Ageing alone: loneliness and the 'oldest old'

KEMPTON James, TOMLIN Sam
2014

Loneliness occurs at all stages of life but little attention has been paid to its incidence and impact in the oldest old (85+), the fourth generation. This report begins by exploring: loneliness and why it matters; the incidence of loneliness in older people; and what is known about loneliness in the oldest old (85+). It then looks six contextual criteria that should be considered when initiating or commissioning interventions to tackle loneliness: rural and urban living; gender; health; living alone; community resilience; intergenerational interaction and ageism. Using case study analysis of projects that are tackling loneliness effectively, the report then explores practical steps that can be taken to reduce levels of loneliness among the oldest old. The case studies include one-to-one interventions, group services and building social networks; and encouraging wider community engagement. The case studies also illustrate the continued willingness of individuals of all ages to get involved in their local community. Whereas people might once have volunteered informally to help people they knew, ‘permission’ to initiate contact, through formalised and structured opportunities, is important. This is an important pointer as to how our modern society can organise itself to help address loneliness.

Investing in recovery: making the business case for effective interventions for people with schizophrenia and psychosis

KNAPP Martin, et al
2014

This study provides economic evidence to support the case for investing in effective, recovery-focused services for people with schizophrenia and psychosis. Drawing on a wide range of data, it sets out the evidence for the cost-effectiveness for a range of interventions and service. Those discussed are: Early Detection (ED) services; Early Intervention (EI) teams; Individual Placement and Support (IPS); Family therapy; Criminal justice liaison and diversion; Physical health promotion, including health behaviours; Supported housing; Crisis Resolution and Home Treatment (CRHT) teams; Crisis houses; Peer support; Self-management; Cognitive Behavioural Therapy (CBT); Anti-stigma and discrimination campaigns; Personal Budgets (PBs); and Welfare advice. For each intervention the report provides information on the context, the nature of the intervention, the evidence on effectiveness and cost-effectiveness, and the policy and practice implications. The report finds evidence to suggest that all of the interventions contribute to recovery outcomes, reduced costs and/or better value for money. Examples of the savings incurred through particular interventions are also included. The study was undertaken by a team from the Personal Social Services Research Unit (PSSRU), at the London School of Economics and Political Science (LSE), the Centre for Mental Health, and the Centre for the Economics of Mental and Physical Health (CEMPH) at King’s College London.

Guidance for commissioners of community specialist mental health services

JOINT COMMISSIONING PANEL FOR MENTAL HEALTH
2013

The Joint Commissioning Panel for Mental Health (JCP-MH) is a new collaboration co-chaired by the Royal College of General Practitioners and the Royal College of Psychiatrists, which brings together leading organisations and individuals with an interest in commissioning for mental health and learning disabilities. This guide is about the commissioning of specialist community mental health services. It explores the role of Community Mental Health Teams (CMHTs), Assertive Outreach Teams and Early Intervention Teams among others. It has been written by a group of specialist community mental health care experts in consultation with patients and carers. Much is evidence-based, but ideas that are felt to be best practice by expert consensus are included.

Evaluating integrated and community-based care: how do we know it works?

BARDSLEY Martin, et al
2013

Over the last five years the Nuffield Trust has undertaken evaluations of over 30 different community-based interventions. In many cases the authors have been tasked with identifying whether service changes have led to a reduction in emergency admissions and the associated cost to the NHS. Using these indicators, the results have been almost overwhelmingly negative. The one exception was Marie Curie Nursing Services for terminally ill patients. In this paper the authors outline the main community-based interventions they have evaluated and their impact, and identify nine points that may help those designing, implementing and evaluating such interventions in future. The paper could provide useful learning for the new health and social care integration ‘pioneer’ sites that will be appointed by the Department of Health by September 2013.

Results 271 - 280 of 328

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