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Results for 'intervention'

Results 91 - 100 of 106

Preventing loneliness and social isolation in older people

COLLINS Emma
2014

This Insight looks specifically at the prevention of isolation and loneliness amongst older people, with a particular focus on what practitioners in the fields of health and social care should bear in mind when working to tackle this important and growing issue. It highlights the findings from past research and and evidence about what works, summarises the key characteristics of successful interventions, looks at how they relate to the prevention agenda, and the particular role health and social care professionals can play.

'When I get off the phone I feel like I belong to the human race': evaluation of the Silver Line Helpline pilots

CENTRE FOR SOCIAL JUSTICE
2013

An evaluation of the Silver Line helpline and befriending service which was set up in response to loneliness and isolation of older people in the UK. The service has been piloted in the North West of the UK, and in the Isle of Man since the end of November 2012 and provides a helpline offering information, referrals to other organisations and someone to talk to 24 hours a day. The evaluation included a literature review, interviews by phone and in person, and fieldwork in the three call centres. The results found that the service was fulfilling its three key objectives of providing a referral service, delivering a befriending service to combat loneliness, and to help identify those who are vulnerable and may be suffering abuse or neglect. The evalution also highlights the skills and values that staff and volunteers considered to be essential when operating the service. Key recommendations for the future included extending the pilot across the country through partnership.

Preventing loneliness and social isolation among older people

SOCIAL CARE INSTITUTE FOR EXCELLENCE, CONTACT THE ELDERLY
2012

This At a glance briefing explains the importance of tackling social isolation and loneliness, particularly among older people. It highlights the adverse effects of feeling isolated and describes a number of services that have been found to help reduce the problem. It draws on research evidence from SCIE's 'Research briefing 39: preventing loneliness and isolation: interventions and outcomes'. It also includes case study examples of two services - a befriending scheme and social group - that help to help mitigate loneliness and isolation and improve the wellbeing of older people.

Loneliness and isolation: evidence review

AGE UK
2012

Loneliness and isolation are not the same. The causes of loneliness are not just physical isolation and lack of companionship, but also sometimes the lack of a useful role in society. Estimates of prevalence of loneliness tend to concentrate on the older population and they vary widely, with reputable research coming up with figures of 6%-13% of the UK population being described as often or always lonely. This evidence review has been produced in order to provide evidence to underpin decision-making for people involved in commissioning, service development, fundraising and influencing. It discusses: the policy context; what is known about loneliness and isolation in older people; and what has been done (including one-to-one services, group services, and community involvement) and how effective they were. The key messages from the evidence are listed.

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.

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.

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.

Promising returns: a commissioners guide to investing in mentoring and befriending programmes

MENTORING AND BEFRIENDING FOUNDATION
2012

This guide aims to give an overview of the range, diversity and positive impact of mentoring and befriending activity. Using case studies and programme examples, it outlines a range of mentoring and befriending approaches and identifies the key potential outcomes, including reduced offending, improved community cohesion, improved access to employment, reduced social isolation, higher aspirations and increased independence. The document also explains how the Mentoring and Befriending Foundation can support commissioners identify effective programmes.

‘The Billion Dollar Question’: embedding prevention in older people's services—Ten ‘High-Impact’ changes

ALLEN Kerry, GLASBY Jon
2013

With ageing populations, social changes and rising public expectations, many countries are exploring ways of developing a more preventative approach within their health and social care services. In England, this has become a growing priority over time—made even more significant by recent economic change and by the urgent need to reduce public sector spending. However, a key dilemma for policy makers and managers is the patchy nature of the evidence base—with a lack of certainty over how to reform services or prioritise spending in order to develop a more genuinely preventative approach. Against this background, this commentary reviews national and international evidence around ten policy measures and interventions, highlighting some of the most promising approaches as well as the fragmented and contested nature of the evidence base.

Results 91 - 100 of 106

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