Learn More
OBJECTIVE This paper seeks to address whether integrated structures are associated with more integrated forms of service. Northern Ireland has one of the most structurally integrated and comprehensive models of health and personal social services in Europe. Social and health services are jointly administered and this arrangement should, in theory, promote(More)
BACKGROUND People with dementia often move into care homes as their needs become too complex or expensive for them to remain in their own homes. Little is known about how well their needs are met within care homes. METHOD The aim of this study was to identify the unmet needs of people with dementia in care and the characteristics associated with high(More)
OBJECTIVE To elucidate the extent to which elderly people with cognitive impairment are able to answer questions about their quality of life.Design and setting308 elderly residents were interviewed within 2 weeks of admission to one of 30 residential or nursing homes in north-west England. MEASURES The Mini-Mental State Examination (MMSE), the Lancashire(More)
The objective was to develop a new short-form Geriatric Depression Scale (GDS-12R) suitable for older people living in nursing and residential care settings, including those persons with significant cognitive impairment. A total of 308 newly admitted residents of 30 nursing and residential homes in northwest England were interviewed using the Geriatric(More)
PSSRU The Personal Social Services Research Unit undertakes social and health care research, focusing particularly on policy research and analysis of equity and efficiency in community care and long term care and related areas, including services for elderly people, people with mental health problems and children in care. The Unit's work is funded mainly by(More)
BACKGROUND People with dementia in care homes are at risk of having their views ignored and decisions are often made on their behalf by care home staff and family carers. The aim of this study was to compare the ratings of needs of older people with dementia living in care homes, as assessed by the older person themselves, a family caregiver, and the staff(More)
BACKGROUND Older people with dementia living in residential care have complex unmet needs and decreased quality of life. AIM To reduce unmet needs in older people with dementia in residential care compared to a 'care as usual' control group. METHOD A single blind, multicentre, cluster randomised controlled trial recruited 238 people aged 60+ with(More)
BACKGROUND Assessment was identified as one of the 'cornerstones' of community care. This study presents findings from the first nationally representative analysis of assessment documents used by social services agencies in the UK. METHOD In this paper analysis is made of 50 assessment documents used for the 'comprehensive' assessment of older people. The(More)
OBJECTIVE To evaluate a model of intensive case management for people with dementia based in a community-based mental health service for older people. METHOD Quasi-experimental design. Individuals in one community team setting received case management and were compared with those in a similar team without such a service. Forty-three matched pairs were(More)
BACKGROUND Over 35 million people are estimated to be living with dementia in the world and the societal costs are very high. Case management is a widely used and strongly promoted complex intervention for organising and co-ordinating care at the level of the individual, with the aim of providing long-term care for people with dementia in the community as(More)