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All research records related prevention examples and research

Results 361 - 370 of 390

Prevention matters: delivering a prevention-focused model for adult services in Buckinghamshire County Council

BUCKINGHAMSHIRE COUNTY COUNCIL
2012

Sets out a prevention-focused model of adult health and social care services which place emphasis on maintaining people’s independence and resilience; preventing deterioration into substantial or critical categories of need. The document outlines the current system challenges, the existing lack of joint working between sectors and services, a reactive approach to creating support services and networks and a lack of confidence or capacity to innovate and invest in prevention without an evidence base or business case. It then presents a framework for building the evidence for investment in prevention, proposing a measurement methodology and a definition of the target user group and of outcomes and impact. The document puts forward a new prevention-orientated service model, identifying the high‐level functions, which are shared by different agents and delivery mechanisms, on which the model rests. These are: intelligence and knowledge about the effectiveness of prevention‐related activities, bridging and building networks between formal and informal service delivery, connecting people, maximising existing resources and motivating and enabling. The document examines the core components of the model, which include an intelligence hub, a volunteer hub, community links officers, and community prevention officers. Funding and implementation considerations are also included.

Preventive home visits for mortality, morbidity, and institutionalization in older adults: a systematic review and meta-analysis

MAYO-WILSON Evan, et al
2014

Background: Home visits for older adults aim to prevent cognitive and functional impairment, thus reducing institutionalisation and mortality. Visitors may provide information, investigate untreated problems, encourage medication compliance, and provide referrals to services. Methods and Findings: Data Sources: Ten databases including CENTRAL and Medline searched through December 2012. Study Selection: Randomised controlled trials enrolling community-dwelling persons without dementia aged over 65 years. Interventions included visits at home by a health or social care professional that were not related to hospital discharge. Two authors independently extracted data. Outcomes were pooled using random effects. Main Outcomes and Measures used were mortality, institutionalisation, hospitalisation, falls, injuries, physical functioning, cognitive functioning, quality of life, and psychiatric illness. Results: Sixty-four studies with 28642 participants were included. Home visits were not associated with absolute reductions in mortality at longest follow-up, but some programmes may have small relative effects. There was moderate quality evidence of no overall effect on the number of people institutionalised. There was high quality evidence for number of people who fell, which is consistent with no effect or a small effect, but there was no evidence that these interventions increased independent living. There was low and very low quality evidence of effects for quality of life and physical functioning respectively, but these may not be clinically important. Conclusions: Home visiting is not consistently associated with differences in mortality or independent living, and investigations of heterogeneity did not identify any programmes that are associated with consistent benefits. Due to poor reporting of intervention components and delivery, the authors cannot exclude the possibility that some programmes may be effective.

Ending the other care crisis: making the case for investment in preventative care and support for disabled adults

AIDEN Hardeep, BUSH Marc
2013

A third of all people using care services are disabled adults of working age. This pamphlet builds on the analysis in 'The other care crisis', which provided evidence that exposed the £1.2 billion gap in social care spending for disabled adults. Based on new research undertaken by Deloitte, this pamphlet quantifies the long-term savings to individuals and the Government of closing this gap in social care expenditure. It recommends that the Government's Spending Review should commit to establishing a national minimum threshold for eligibility that encourages councils to provide social care to people with ‘moderate’ or equivalent level needs The Government should encourage councils and the NHS to jointly invest in preventative care and support through Health and Wellbeing Boards. The Care Bill should contain a duty on Health and Wellbeing Boards to identify, plan for and commission preventative services that maximise the independence of disabled people. This should be a statutory part of their Joint Strategic Needs Assessments and Health and Wellbeing strategies. The pamphlet has been jointly produced by the National Autistic Society, Mencap, the Lenard Cheshire Disability, Sense, and Scope.

Singing from the same hymn sheet? commissioning of preventative services from the third sector

MILLER Robin, et al
2013

Purpose: The purpose of this paper is to explore the delivery of preventative services for older people from third sector organisations (TSOs) and the extent to which current commissioning arrangements enables the aspirations of policy to be achieved. Design/methodology/approach: Semi-structured interviews with key-contacts within a sample of TSOs which had been identified by directors of Adult Social Services as delivering one of the top three preventative interventions in their local authority area. Findings: There was evidence of considerable trust between local authorities and TSOs and as a consequence TSOs were given autonomy to develop holistic and integrated models of delivery that supported rather than diverted the TSOs’ core missions. Both sectors found it difficult to set target outcomes and connected performance frameworks for preventative services. As a consequence a major element of the commissioning cycle is not being completed and TSOs cannot be confident that they are using their resources as effectively as possible. Research limitations/implications: This study was based in one English region, and would benefit from being extended to other English regions and home nations. Practical implications: Universities, policy makers, commissioners and the third sector need to work together to develop common outcome frameworks for preventative services and to gather consistent data sets that can be more easily synthesised to give a “realistic” understanding of the impact of different interventions and delivery models. Originality value: The paper contributes to the limited evidence bases of commissioning of TSOs and preventative services.

Exploring the contribution of self-assessment to preventative services in social care

ABENDSTERN Michele, et al
2014

Prevention, comprising services that seek to delay deterioration of existing conditions and circumstances or prevent their occurrence by early access to support, is recognised as having an important role in adult social care. The gateway to social care services has traditionally been via needs-led assessments undertaken with professionals. In England, self-assessment, promoted as a means of accessing services more independently, has come to the fore in recent years. This article explores the relationship between prevention and self-assessment in practice. Data are derived from interviews with social services managers of five self-assessment projects situated within the adult social care sector that were described as providing a preventative approach, as well as project development documentation. A number of issues are highlighted including for whom self-assessment might be most optimal, the potential of self-assessment to widen access and the role it can play in promoting self-determination. It is argued that a natural relationship exists between self-assessment and prevention and that both concepts are at the core of the personalisation agenda. However, in order to achieve its potential in practice, self-assessment must be offered in conjunction with support and as an additional rather than alternative means of accessing preventative services.

Impact and economic assessment of assistive technology in care homes in Norfolk, UK

AL-ORAIBI Saleh, FORDHAM Ric, LAMBERT Rod
2012

This study looked at whether new assistive technology (AT) systems in care homes for elderly residents, reduced the number of falls and demands for formal health services. The project collected retrospective data about the incidence of falls before and after AT systems were installed in two care homes in Norfolk, UK. These homes were selected purposefully because a recent assessment identified the need for upgrading their call system. They had different resident profiles regarding the prevalence of dementia. Standard incident report forms were examined for a period starting ten months before the upgrades to ten months after in Care Home 1 and from six months before to six months afterwards in Care Home 2. Overall there were 314 falls reported during the course of the study; the number reduced from 202 to 112 after the introduction of AT. The mean health care costs associated with falls in Care Home 1 were significantly reduced (more than 50%). In Care Home 2 there was no significant difference in the mean cost. The results suggest that installing an AT system in residential care homes can reduce the number of falls and health care cost in homes with a lower proportion of residents with advanced dementia compared to those with more residents with advanced dementia.

AT and telecare to manage fire risks in the homes of older and vulnerable people

DOUGHTY Kevin, ORTON Mike
2014

Purpose: The purpose of this paper is to identify opportunities where technology interventions could help manage the risks associated with fire and explosions in homes of people who are older or who are vulnerable through other causes such as mental health problems or a history of substance abuse. Design/methodology/approach: The approach focused on reviewing the latest available statistics in order to identify the major causes and rooms in which fire accidents occurred. Findings: The authors found that the number of incidents and fatalities continues to decrease as a result of preventive measures such as a greater use of smoke detectors, but that there remained issues with cooking safety. New products for limiting damage and managing risks are available which could have a positive impact. Research limitations/implications: The paper concludes that the challenges are making both professionals and the public aware of the available technologies and of introducing them following appropriate assessment of needs and risks. Practical implications: Greater resources need to be offered for training of the public and of health and safety professionals. Further funding may be needed to implement the introduction of new technology. Originality/value: This is the most up-to-date review of fire control measures employing assistive technology and telecare for domestic properties and will be of value to community health teams, adults care organisations, housing associations and other public bodies.

Transforming integrated care – using telecare as a catalyst for change

THOMPSON Frances
2012

This article discusses how to successfully mainstream telecare to transform service delivery and provide more preventative and personalised care for people of all ages and abilities. Based on experiences from the city of Wakefield, a metropolitan district of West Yorkshire, England, the article explores the use of technology and support systems, such as door sensors, smoke detectors or flood sensors, to assist vulnerable people by improving and improving well-being and maintaining independence, enabling individuals to live safely and securely at home for as long as possible. Alongside the management of adults and older people, telecare has also had a positive impact on the support of people with learning disabilities. The article concludes that to successfully integrate and mainstream telecare, there needs to be adequate training and assessment for all staff involved in the implementation in order to deliver a sustainable and deliverable telecare service. Overall, the cost efficiencies were crucial when considering the future of telecare and, with significant cost savings made over a relatively short period, the potential for future investments was a significant factor for the continuing delivery of services.

Art in recovery: from participation to independence

ASTON Tracy
2013

Purpose: This paper aims to describe a partnership visual arts project between Richmond Fellowship (a national mental health charity) and the Bluecoat arts centre in Liverpool involving participants with mental health problems. Design/methodology/approach: The paper details the development of the project since September 2010 and, most importantly, the artistic development of the individuals who are still taking part and the improvements in their mental health and wellbeing. It also describes the development of the group in becoming an independent organisation. Findings: Evaluation was undertaken at regular intervals through wellbeing questionnaires, one-to-one interviews and observation, which led to the following findings: with support, individuals with mental health problems experience significant benefit in engaging with the arts, to their mental health, their personal development and development as artists. Given time, they require less support and are willing to take on responsibilities, which has enabled them to become an independent organisation. Social implications: This paper makes the case for the effectiveness of partnership working between mental health and arts organisations to improve mental health and social inclusion. Originality/value: The paper adds to the body of evidence concerning the use of arts in recovery and of use to mental health organisations who are interested in using the arts in the process of support.

Creating a recovery focused workforce: supporting staff well-being and valuing the expertise of lived experience

WALKER Liz, PERKINS Rachel, REPPER Julie
2014

Purpose: The purpose of this paper is to argue that if mental health services are to genuinely support the recovery of those who they serve then recovery principles must permeate all facets of the organisation, in particular human resources and workforce development. Design/methodology/approach: This paper draws on the principles of recovery-focused approaches to people who use services and explores how these might guide a recovery-focused approaches to human resources and workforce issues. Findings: The recovery principles like recognising and utilising the expertise of lived experience, co-production and shared decision making, peer support, focusing on strengths and becoming an expert in your own self-care all have as much relevance for creating a recovery-focused workforce as they do in the recovery journeys of those who use services. Everyone who uses services is “more than a mental patient” and everyone who provides services is “more than a mental health practitioner” – we need to use all the assets that everyone brings. Originality/value: Although there has been a great deal of discussion about the features of recovery-focused services, there has been little, if any, consideration of extending the principles of recovery to human resources. The aim of this paper is not to offer a blue print but to begin an exploration of what a recovery-focused approach to workforce issues might look like.

Results 361 - 370 of 390

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