The costs of care prior to institutionalisation among people living with Alzheimer’s disease

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The past few decades have seen a gradual shift of provision of services for older people from residential care to community-based care in the UK and other high-income countries. ‘Ageing in place’ is a widely accepted and supported discourse. In practice, receiving care at home enables older people to stay in a familiar environment, and [read the full story…]

Direct funding and older people: why are we still talking about choice?

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Francesca Pozzoli considers a qualitative metasynthesis of directly funded home-care programmes for older people and the concept of ‘choice’.

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Finding the right care in a crisis

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Derek Tracy writes his debut Mental Elf blog on a recent study that explored the clinical factors that impacted on outcomes in crisis resolution services across two large mental health Trusts in London.

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Mental health crisis care: clinical and cost effectiveness of models of care

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Caroline Leah publishes her debut blog on crisis care for people with mental health issues, which concludes that better quality evidence is needed to support the overall effectiveness of crisis care interventions.

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Do house calls benefit older adults with dementia?

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Clarissa Giebel looks at a US study on the impact of ‘house calls’ on health and social service use by people with dementia, and asks some critical questions of the research.

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Supporting choice? Older people and personal budgets

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Martin Stevens examines research into how councils are implementing personal budgets for older people and has important questions about supporting choice.

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Policy impacts on home care services for older people

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Mike Clark provides a timely commentary on research into the impact of personalisation on home care services for older people and finds inherent tensions between choice, competition and the desire for improving the relational aspects of direct care.

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