摘要:

AbstractUnited Kingdom Government guidance emphasizes the importance of service users' choice, dignity and realization of their personal aspirations as essential values underpinning the implementation of its community care policies, including services for people living at home. In response to concerns expressed by senior officers in health and social services, a qualitative study was undertaken to identify gaps and overlaps in domiciliary health and social care services in an impoverished inner‐city area. Thirty‐seven people aged between 52 and 90 years, and identified as in need of domiciliary health or social care services, participated in in‐depth interviews that sought to identify their health and social care needs, and how they wished them to be met. The 37 participants' accounts identified significant gaps within and between the domiciliary services provided, and little evidence of any overlaps. The principal concerns were loneliness and isolation, including bereavement, bathing and personal hygiene, and the scarcity of domiciliary services where only basic physical needs are met. Participants' accounts indicated that their contact with services was often limited so that little more was possible than bare physical maintenance, rather than empowering and supportive social care. The findings suggest that the 1993 community care reforms have had little impact on the daily lives of these frail and disabled people. Unless there are significant changes in resources for domiciliary services and in the way in which services are conceived and delivered, people dependent solely on state services will, as they have for many years, continue to be denied the choice, dignity and aspirations that official policy claims as its

ISSN:0966-0410    

DOI:10.1111/j.1365-2524.1995.tb00029.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

AbstractAdmissions to psychiatric hospital for women have outnumbered those of men throughout most of this century. This paper presents data suggesting that recently there has been a shift in this over‐representation. From the early 1980s there has been a downward trend in the extent to which women outnumber men in admissions to psychiatric in‐patient treatment. This shift towards a greater representation of men in admission data has led to the position where, by 1986, in some age groups ‐ particularly amongst young adults ‐ men now outnumber women in admissions to psychiatric hospital. Possible explanations for this trend include a reduction in the availability of psychiatric beds together with an increasing emphasis on community care during the 1980s. Community care may be used more often in response to the treatment needs of women rather than men, or psychiatric beds may be seen as a scarce resource and more frequently reserved for men rather than for women. The paper explores changing patterns of both total admissions and first admissions from the 1960s. The rates of admission by sex and diagnostic group suggest possible explanations. In particular differences in the trend in admissions for each sex for schizophrenia require further analysis. The conclusion is that figures that indicate an increased tendency to hospitalize young men for psychotic illness in comparison with earlier years and in comparison with female risks of admission, may reflect changing patterns of disease, changes in patterns of treatment which are sex‐specific, or more widespread changes in the lives of young men. However, the picture is complex and further research

ISSN:0966-0410    

DOI:10.1111/j.1365-2524.1995.tb00030.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

AbstractSocial workers in hospitals necessarily work alongside other healthcare professionals, and the perspectives on social work held by doctors and senior nurses are relevant both to their relationship with social workers and to the smooth running of the hospital.An exploratory investigation in the East Anglian Region has produced profiles of perceived social work practice in six different patient‐care categories: surgical and orthopaedic, accident and emergency, medicine for the elderly, psychogeriatric medicine, psychiatry and paediatrics. The social worker's functions are recognized as including statutory responsibilities in child protection and mental health, and there are some secondary roles that often reflect a social worker's personal interest or sphere of expertise. The social worker's primary role, however, is deemed to be that of discharge planning ‐ a task which has been given statutory force under the National Health Service (NHS) and Community Care Act 1990.The nurses and doctors interviewed rated the quality of social work practice predominantly by the extent to which the social worker was seen to identify unambiguously with the hospital and its ethos; but they also set great store by the presence and easy accessibility of a social worker, and they preferred regular contact with the same person. They saw the social worker as a key agent within the health care framework, and acknowledged that the social care role and the social worker's link with the community were crucial components of good hospital pract

ISSN:0966-0410    

DOI:10.1111/j.1365-2524.1995.tb00031.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Within the last 6 years there has been increasing recognition of the problem of elder abuse and neglect in the United Kingdom (UK). However, defining elder abuse and neglect remains problematic. Identification of those people who are abused, and their abusers, is also fraught with difficulties. Interventions with victims and perpetrators of elder abuse and neglect are in the formative stages of development. The purpose of this paper is to give a brief overview of elder abuse and neglect, and to consider some of the difficulties in both the detection of, and intervention in, abusive situations. The dynamics of abuse will be considered, as will the need for multi‐disciplinary approaches to identification, assessment and interventio

ISSN:0966-0410    

DOI:10.1111/j.1365-2524.1995.tb00032.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

ISSN:0966-0410    

DOI:10.1111/j.1365-2524.1995.tb00033.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Malcolm Millar BA PhD MA Soc Work CQSW, by Rosamund Bryar Lecturer in Applied Social Studies, Department of Sociology, Social Policy and Social Work Studies, The University of Liverpool, Eleanor Rathbone Building, Myrtle Street, PO Box 147, Liverpool L69 3BXThe Essential Social Worker (3rd Edition), by Martin Davies. Arena, Ashgate Publishing Ltd, Aldershot. 1994, £12.95, 227pp. ISBN 1‐85742‐101‐9.Response to review article: social work in society, by Martin Davies BA PhDProfessor of Social Work, University of East Anglia, NorwichEffective Group Practice in Midwifery: Working with Women, by Lesley Page. Blackwell Science Ltd, Oxford. 1995, £12.99, 202pp. ISBN 0‐632‐03825‐X. by Rosemary Currell MPhil BA SRN SCMSpecial Projects Nurse, Institute for Health Informatics, University of Wales, AberystwythHealth Promotion—Foundations for Practice, by Jennie Naidoo, by Jane Wills Bailliere Tindall Ltd, London. 1994, £12.95, 304pp. ISBN 0‐7020‐1680‐2. by Cindy Johnson MA(Ed) BN RGNAssistant Director, Institute for Health Promotion, University of Wales College of Medicine, CardiffEvaluating Community Care—Services for People with Learning Difficulties, by Ken Wright, by Alan Haycox and Ian Leedham. Open University Press, Buckingham. 1994, £14.99, 191 pp. ISBN 0‐355‐09496‐1. by Jenny Secker RMN CQSW PhDDevelopment and Evaluation Officer, Mental Health and Special Needs, Hea

ISSN:0966-0410    

DOI:10.1111/j.1365-2524.1995.tb00034.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY