Results for 'social exclusion'
Results 1 - 7 of 7
HASSAN Shaima M., et al
Background: People live socially complex lives and have different health care needs influenced by socio-economic factors such as deprivation, unemployment, and poor housing. Lack of access to community based social care results in people seeking social support from health care services. This study explores the Life Rooms as a social prescribing model addressing the social determinants of mental health by providing support and access to resources in a local community setting. With an aim to identify key elements that contribute toward enhancing the effectiveness of the Life Rooms social prescribing approach. Methods: Data were obtained through six semi-structured focus groups with mental health service users from two locations in the North West of the UK. Postcode data was collected to generate an Index for Multiple Deprivation (IMD) score, to understand their socio-economic background. Data were analysed using thematic analysis. Results: A total of 18 participants took part in the study. The majority of participants came from disadvantaged backgrounds; 14 participants measuring 3 and below in terms of overall IMD scores and 9 participants belonged to the poorest decile (IMD score = 1). Participants reported on different elements of the Life Rooms which they found as an effective approach to care. Four main themes emerged from the data: 1) social belonging: being able to just ‘be’ 2) resourceful and accessible; 3) social inclusion and connectedness; and 4) moving forward: self-development and independence. Conclusion: Findings support the need and benefit social prescribing to improve mental health wellbeing and reduce the burden of mental illness.
CATTAN Mima, KIME Nicola, BAGNALL Anne-Marie
Telephone befriending schemes have long been considered an effective method to reduce loneliness among older people. This study investigated the impact of a national scheme for 40 isolated and lonely older people, involving 8 project sites in the UK. It assessed the impact of different models of telephone-based befriending services on older people's health and well-being. Findings revealed that the service helped older people to gain confidence, re-engage with the community and become socially active again. Overall, three main topics were identified: why older people valued the service; what impact it had made on their health and well-being; and what they wanted from the service. Also, nine subtopics emerged: life is worth living; gaining a sense of belonging; knowing they had a friend; a healthy mind is a healthy body; the alleviation of loneliness and anxiety; increased self-confidence; ordinary conversation; a trusted and reliable service; the future - giving something back. In conclusion, telephone befriending schemes for older people provide low-cost means for socially isolated older people to become more confident and independent and develop a sense of self-respect.
AMBITION FOR AGEING
Asset-based approaches can make significant and positive changes to people’s lives. However, if implemented without an understanding of marginalisation, asset-based approaches risk contributing to existing inequalities, excluding those who are the most socially isolated. Using learning from the Ambition for Ageing programme, this briefing highlights the need for recognition of the barriers faced by marginalised groups as a key part of asset-based work. It puts forward a number of solutions, such as supporting marginalised groups to be involved in genuine co-production and asset mapping, using targeted approaches to identify marginalised and social isolated groups, and well-planned processes for enhancing community capacity. It also includes case studies and key findings from the Ambition for Ageing programme in Greater Manchester.
This briefing reviews recent research on social care support provision for certain people with protected characteristics under the Equality Act 2010, who are often seldom heard in mainstream services. It draws out messages for social care micro-providers and social care commissioners, focusing on two areas: the marginalising dynamics in mainstream, statutory social care support provision for certain people with protected characteristics; and how local community, specialist or small-scale services are responding to unmet need for support and advice among marginalised groups. The majority of research identified looked at issues and experiences of black and minority ethnic (BME) communities, with a large number of studies dedicated to understanding the role of family carers, particularly from South Asian backgrounds. A smaller body of work on lesbian, gay and bisexual (LGB) older people and carers was found. Similarly, a number of research studies on support for and by refugees and asylum seekers were identified. Some research on the role of faith was also found. By comparing research findings across several groups, common issues about engagement with mainstream services and the function of community based and specialist support became apparent. The main themes and messages coming from the research for commissioners and providers focus on: strategies for responding to marginalisation from the mainstream, including assets and community mobilisation, reciprocity and social inclusion, informal networks and self-organisation; accessing and engaging with mainstream provision, highlighting issues of fear of discrimination, uniformity and homogenisation, language and communication; relationship dynamics between large, traditional mainstream and small, specialist community, including capacity building and partnerships, advocacy and accessing mainstream support, choice and voice; understanding informal support in diverse communities, in which a key role is played by culture, stigma and shame, well-being, identity and resilience, and faith; and effective approaches, including emotional and social support, and non-conventional, networked and holistic support.
GOODMAN Anna, SWIFT Hannah J., ADAMS Adrian
This report summarises the findings from the Hidden Citizens project, providing insights regarding the pathways into and out of loneliness and examples of how interventions and services identify the loneliest older adults. The project was conducted in two parts. First, a meta-review was conducted to explore the features of loneliness, its underlying mechanisms and how intervention programs identify and recruit their participants. The findings of the meta-review informed the second part of the project in which a number of interviews and focus groups with older people, service commissioners, service organisation CEO’s, managers and practitioners were conducted. This report also contains specific recommendations for policy makers, service providers and service commissioners on how to improve services and service provision, and identifies avenues for future research to explore. It shows that the experience of loneliness is likely to be a culmination of one or more factors, or set of circumstances, which include: membership of different social groups; personality; psychological response; environmental factors; life events, traumas and transitions; and personal circumstances. The report sets out recommendations considering ways to identify people experiencing loneliness across three different levels: the population, organisational and individual level.
HATAMIAN Areenay, PEARMAIN Daniel, GOLDEN Sarah
The Active at 60 Community Agents programme was a Department for Work and Pensions fund to encourage community groups and their volunteers to help people approaching and post retirement (particularly those at risk of social isolation and loneliness in later life) to stay or become active and positively engaged with society. It was launched in March 2011 and ran until December 2011. This evaluation of the programme included surveys and interviews with local funders, group leaders, community agents (volunteers whose role aimed to empower and support older people to become and/or stay active) and older people. The report describes the background and methodology of the study and presents the findings, covering the role of Community Agents, reaching and engaging older people, what groups did with the funding, what difference the programme made to older people who took part and wider benefits, the legacy of the programme, and the role of local funders and programme management. It also discusses how far the programme achieved its aims and sets out key lessons learned.
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.
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