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This title was first published in 2003: This book provides an
evaluation of the Gateshead Community Care Scheme which was devised
as an alternative to residential and hospital care for frail
elderly people. An important feature of the scheme was the
decentralization of control of resources to individual social
workers acting as care managers, with defined caseloads and
expenditure limits to ensure accountability. The initial social
social care scheme was subsequently extended to provide both health
and social care to clients from a large general practice based in a
health centre. The social care team was enlarged to include a nurse
care manager and part-time doctor and physiotherapist. The study
examines the operation of care management in both settings, the use
of devolved budgets and services developed, the outcomes for
clients and carers and the costs of care. Admissions to residential
care were reduced and the elderly people who received the scheme's
support experienced a better quality of care and greater well-being
when compared with elderly people receiving the usual range of
services. This was achieved at no greater cost. The characteristics
of those for whom the scheme was most appropriate are described. In
addition, the pattern of development of the scheme as it was
incorporated into the mainstream of the Social Services and after
the implementation of the NHS and Community Care Act are examined.
Final, the implications for the development of care management are
considered.
Supporting People with Dementia at Home details a groundbreaking
study of an intensive care management scheme designed for older
people with dementia that are at risk of entry into residential
care. The authors use a quasi-experimental approach to compare how
the individuals on the mental health team in one community were
matched to a similar community without the service. They analyze
the evidence focusing on the eventual placement of the individual
suffering, the quality of care they receive, and also the needs of
their carers. This book offers valuable evidence about the factors
which can maximize the independence and well being of older people
with dementia, from the perspective of older people and their
carers. For those who commission services, it is highly relevant to
service models for the National Dementia Strategy in England.
This title was first published in 2000: Caring for Older People
provides a unique insight into the world of community care in the
1990's. It presents findings from a national study of social care
from the perspectives of older service users, their carers and care
managers. Descriptive findings from this longitudinal study -
conducted by the PSSRU from 1994 and funded by the Department of
Health - are set in the context of the history of community care
and developments since the passage of the 1990 NHS and Community
Care Act. The study's findings highlight important challenges for
policy and practice development in the new millennium.
This title was first published in 2003: This book provides an
evaluation of the Gateshead Community Care Scheme which was devised
as an alternative to residential and hospital care for frail
elderly people. An important feature of the scheme was the
decentralization of control of resources to individual social
workers acting as care managers, with defined caseloads and
expenditure limits to ensure accountability. The initial social
social care scheme was subsequently extended to provide both health
and social care to clients from a large general practice based in a
health centre. The social care team was enlarged to include a nurse
care manager and part-time doctor and physiotherapist. The study
examines the operation of care management in both settings, the use
of devolved budgets and services developed, the outcomes for
clients and carers and the costs of care. Admissions to residential
care were reduced and the elderly people who received the scheme's
support experienced a better quality of care and greater well-being
when compared with elderly people receiving the usual range of
services. This was achieved at no greater cost. The characteristics
of those for whom the scheme was most appropriate are described. In
addition, the pattern of development of the scheme as it was
incorporated into the mainstream of the Social Services and after
the implementation of the NHS and Community Care Act are examined.
Final, the implications for the development of care management are
considered.
This title was first published in 2000: Caring for Older People
provides a unique insight into the world of community care in the
1990's. It presents findings from a national study of social care
from the perspectives of older service users, their carers and care
managers. Descriptive findings from this longitudinal study -
conducted by the PSSRU from 1994 and funded by the Department of
Health - are set in the context of the history of community care
and developments since the passage of the 1990 NHS and Community
Care Act. The study's findings highlight important challenges for
policy and practice development in the new millennium.
Supporting People with Dementia at Home details a groundbreaking
study of an intensive care management scheme designed for older
people with dementia that are at risk of entry into residential
care. The authors use a quasi-experimental approach to compare how
the individuals on the mental health team in one community were
matched to a similar community without the service. They analyze
the evidence focusing on the eventual placement of the individual
suffering, the quality of care they receive, and also the needs of
their carers. This book offers valuable evidence about the factors
which can maximize the independence and well being of older people
with dementia, from the perspective of older people and their
carers. For those who commission services, it is highly relevant to
service models for the National Dementia Strategy in England.
This is the first comprehensive study of the ways in which Aborigines and Torres Strait Islanders have been excluded from the rights of Australian citizenship over the past 100 years. Drawing extensively on archival material, the authors look at how the colonies initiated a policy of exclusion that was then replicated by the Commonwealth and State governments following federation. The book includes careful examination of government policies and practice from the 1880s to the 1990s. It argues that there was never any constitutional reason why Aborigines could not be granted full citizenship.
This is the first comprehensive study of the ways in which Aborigines and Torres Strait Islanders have been excluded from the rights of Australian citizenship over the past 100 years. Drawing extensively on archival material, the authors look at how the colonies initiated a policy of exclusion that was then replicated by the Commonwealth and State governments following federation. The book includes careful examination of government policies and practice from the 1880s to the 1990s. It argues that there was never any constitutional reason why Aborigines could not be granted full citizenship.
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