Journal•ISSN: 1460-8790
Housing, Care and Support
Emerald Publishing Limited
About: Housing, Care and Support is an academic journal published by Emerald Publishing Limited. The journal publishes majorly in the area(s): Mental health & Service (business). It has an ISSN identifier of 1460-8790. Over the lifetime, 376 publications have been published receiving 1638 citations.
Papers published on a yearly basis
Papers
More filters
TL;DR: In this article, the authors describe the origins of the concept of a psychologically informed environment (PIE), as now adopted and applied in homelessness resettlement, placing this in the context of work recently carried out under the aegis of the Royal College of Psychiatrists' Centre for Quality Improvement to recognise and promote "enabling environments" in all areas of social practice.
Abstract: Purpose – This paper aims to describe the origins of the concept of a psychologically informed environment (PIE), as now adopted and applied in homelessness resettlement, placing this in the context of work recently carried out under the aegis of the Royal College of Psychiatrists' Centre for Quality Improvement to recognise and promote “enabling environments” in all areas of social practice.Design/methodology/approach – This paper gives an historical account of the contemporary development of new thinking and practical applications for enhancing community mental health and well‐being.Findings – The concept of an enabling environment (EE) arose out of efforts to up‐date for the twenty‐first century the post‐war concept of a therapeutic community, for all services working with the same basic core values and psycho‐social awareness. The EE approach now applies this framework more flexibly, yet with a clear operational focus in each sector, to a wider range of organisational contexts, social practice and age...
55 citations
TL;DR: Entrants to extra care were much less physically and cognitively impaired, on average, than entrants to care homes, although residents in several schemes had high levels of physical disability.
Abstract: Purpose – This paper describes an evaluation of 19 extra care schemes allocated funding from the Extra Care Housing Fund.Design/methodology/approach – Interviewers collected information about the expectations and experiences of 1,182 new residents, and demographic and care needs information for those who received a care assessment (817 individuals) to correspond to previous surveys of care homes. Follow‐up information was collected at six, 18 and 30 months. Comprehensive costs were estimated for individuals based on capital costs, care and support costs and living expenses.Findings – Entrants to extra care were much less physically and cognitively impaired, on average, than entrants to care homes, although residents in several schemes had high levels of physical disability. Overall, residents appeared to have made a positive choice to live in a more supportive and social environment (“pull” factors) rather than responding to a crisis (“push” factors). Outcomes, in terms of physical and cognitive functioni...
38 citations
TL;DR: A trial of automatic fall detectors provided indicated that they may reduce fear of falling for certain users and so should be considered in falls management, but more evidence and understanding are required to appreciate both the benefits and shortfalls of providing equipment of this sort.
Abstract: The fear of falling in older people can affect health, well‐being, care needs and quality of life. Fall‐monitoring equipment that can automatically raise a call for assistance is increasingly being developed, and may reduce the fear of falling. This study sought to discover the views of users and providers on technology of this type of and to quantify the impact fall detectors have on the fear of falling. The results of the study suggest that fall‐monitoring equipment is not considered routinely as part of a care package, and knowledge of devices is poor. A trial of automatic fall detectors provided indicated that they may reduce fear of falling for certain users and so should be considered in falls management, but more evidence and understanding are required to appreciate both the benefits and shortfalls of providing equipment of this sort.
37 citations
TL;DR: The Outcomes Star approach as discussed by the authors is a suite of tools designed to simultaneously measure and support change when working with vulnerable people as service users, and is based on Action Research and Participatory Action Research.
Abstract: – This paper seeks to describe the development process for the Outcomes Stars as a suite of tools which are designed to simultaneously measure and support change when working with vulnerable people as service users. It describes the original process of development of the first Star, in homelessness services in the UK, and subsequent roll out to other client groups and in other countries. The paper indicates the theoretical and philosophical under‐pinning of an approach which aims to embody both research and values‐based practice in empowerment and respect for the individual., – As a case study of development by the development team, the paper is based on first‐hand knowledge but builds upon extensive consultations with practitioners and users and relates these to the needs and strengths of service users, the contemporary policy framework, and wider research in the field., – The Outcomes Star draws on the core principles of Action Research and Participatory Action Research and extends them beyond research into assessment and outcome measurement. As yet there has been no formal research on the usefulness of the Star approach; but, there is a rapid take up of this approach within the UK and further afield. The paper argues that the approach has proved popular, because the Outcomes Star is rooted in a philosophy that is more in tune with that of people delivering services and more closely reflects the reality of those receiving services, compared to traditional measurement techniques., – The paper aims to stimulate further thought and effective practice in measuring outcomes for vulnerable people, and on the most useful means to engage and support people in the co‐production of their own futures., – Although the development and take‐up of the Outcomes Star approach has been rapid in practice, this is the first paper in which these more theoretical and philosophical roots have been outlined and explored in such depth. It will be of use to service providers, to deepen their awareness, and to commissioners, policy makers and regulatory bodies wishing to promote practical approaches to quality assurance of evidence‐based and evidence‐generating practice. It will also be of interest to moral philosophers and others wishing to understand the translation of values into social practice.
35 citations
TL;DR: In this paper, a strategy for promoting the well-being and inclusion of people with complex needs is presented, which includes mental health problems, combined with substance misuse and/or disability, including learning disability, as well as social exclusion.
Abstract: Too many health and social care services are failing to meet people's complex needs. In this paper, ‘complex needs’ is presented as a framework to help understand multiple interlocking needs that span health and social issues. The concept encompasses mental health problems, combined with substance misuse and/or disability, including learning disability, as well as social exclusion. The paper outlines a strategy for promoting the well‐being and inclusion of people with complex needs. At the heart of this strategy is a new kind of delivery model: connected care centres, a type of bespoke social care service, a model which has been endorsed by the Social Exclusion Unit (SEU). In addition, the paper describes how new responses from existing services can promote better support for people with complex needs, such as a reformed commissioning process and a new ‘navigational’ role for the social care worker.
34 citations