Paul Clarkson

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BACKGROUND This paper provides an initial evaluation of the impact of the Single Assessment Process (SAP) in England upon practice regarding multidisciplinary assessment. OBJECTIVES To investigate changes in recorded health needs of older people and in the number of multidisciplinary assessments undertaken using social care agencies' case files. To(More)
SIR—The needs of older people are often multiple, complex and are at times experienced in combination, which require closely targeted services [1] and necessitate the collaboration of several professional groups. However, care has often been disjointed and compartmentalised [2]. One response to this has been a call for integration, between health and social(More)
OBJECTIVE to ascertain the value of employing a specialist clinician's contribution to the assessment of older people prior to care home entry. DESIGN randomised controlled trial. METHOD 256 older people at risk of care home entry were randomly allocated to either a control group, who received the usual care management assessment, or to an experimental(More)
AIM To review the evidence for home support approaches directed at tertiary prevention; ameliorating difficulties and enhancing well-being. BACKGROUND With population ageing dementia represents a significant care challenge with 60% of people with dementia living at home. However, little is known about existing forms of home support and their relative(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 Effective community-based care for older people requires the integration of assessment approaches by old age psychiatry, geriatric medicine and social services care management. This study examines the value of such collaboration in the assessment of older people at risk of entering care homes. METHOD A randomized controlled trial of integrated(More)
Alongside the development of care management in many countries has emerged a need to monitor the quality of both care management practices, as well as the quality of services provided as a consequence of care planning by care managers. Designing and implementing quality assurance practices in care management present special challenges. This article examines(More)