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11 – 20 of over 148000Sheltered housing schemes for older people took a new turn in the UK with the community care policy of the early 1990s giving care provision for people living in such schemes…
Abstract
Sheltered housing schemes for older people took a new turn in the UK with the community care policy of the early 1990s giving care provision for people living in such schemes. There is relatively little research on what sheltered housing schemes provide and what makes them work well. Data was gathered in relation to sheltered housing provision for older people in the north Antrim area of Northern Ireland through 10 focus groups with tenants and 16 questionnaires administered with managers of schemes. Tenants valued the independence and choice of sheltered housing in comparison with institutional care. They also highly valued the social interaction with other tenants, fostered by activities such as coffee mornings, regular lunches and social events. Tenants often helped each other with transport and when sick. Tenants of schemes in small towns were generally satisfied, because of access to shops, churches and other services. Transport was an issue for many, particularly in more rural areas and in relation to attending hospital appointments. Scheme managers were often available to tenants for long and anti‐social hours. The home care arrangements were generally regarded as satisfactory although there were criticisms of the limited hours for tasks and the skills of some care workers. Some scheme managers thought that the publicly‐funded homecare service would be more efficient if the staff were managed from the housing scheme. Appropriate social activities and effective care arrangements are an important aspect of supported housing, as well as the independence it offers. Consideration needs to be given to access to services in locating new schemes.
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Teresa Atkinson and Rebecca Oatley
The purpose of this paper is to present the views of people living with dementia in extra care housing (ECH). This is a model of housing with care and support aiming to support…
Abstract
Purpose
The purpose of this paper is to present the views of people living with dementia in extra care housing (ECH). This is a model of housing with care and support aiming to support older people, including those with dementia, to live independently. Previous research identifies benefits but is predominantly derived from third-party accounts, with the voices of those living with dementia in ECH significantly absent.
Design/methodology/approach
This study adopted a qualitative approach conducting 100 interviews across 8 ECH schemes in England. Over half of the interviews were conducted with people living with dementia and their families with the remainder involving staff and commissioners.
Findings
Findings suggest there are a range of benefits including owning your own home, having a safe, age friendly location with flexible support, social interaction and continuing to live as a couple. Challenges included availability of staff, flexible resourcing, loneliness and the advancing symptoms of dementia.
Research limitations/implications
Despite efforts to create an inclusive, diverse sample, the participants were all White British. Participants involved were identified by gatekeepers, which may present some bias in the selection.
Practical implications
Whilst ECH offers benefits to people living with dementia, addressing the challenges is essential for effective dementia care. Improving staff training, promoting person-centred care and fostering an inclusive community are critical for enhancing residents’ well-being and quality of life.
Originality/value
This paper explored the lived experiences of residents and family members, providing new insight into the advantages and disadvantages of ECH for people living with dementia.
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Hao Huang, Hong Liu, Xingguang Zhao, Hanrong He and Yusen Ding
The purpose of this research study is to explore the influence of perceived organizational support (POS) on organizational embeddedness and organizational identification in the…
Abstract
Purpose
The purpose of this research study is to explore the influence of perceived organizational support (POS) on organizational embeddedness and organizational identification in the simulated home environment. Another objective of this study is to provide an effective cross-cultural adjustment model adopted by many Chinese enterprises operating overseas. Furthermore, it examines the mediating effects of organizational embeddedness and organizational identification on POS and expatriate adjustment.
Design/methodology/approach
The data of this quantitative research study was acquired from a questionnaire survey completed by 326 expatriates from Chinese enterprises in a power station in Bangladesh, and regression analyses were conducted using SPSS software.
Findings
The study found that POS of expatriates is positively correlated with their organizational embeddedness and organizational identification, and it positively impacts expatriate adjustment. Moreover, the study also evaluated that organizational embeddedness and organizational identification positively influence expatriate adjustment. Finally, it was demonstrated that organizational embeddedness mediates the relationship among living POS, emotional POS and expatriate adjustment. Organizational identification mediates the relationships among work POS, emotional POS and work adjustment. Organizational identification mediates the relationships between work POS and interaction adjustment.
Practical implications
The research results demonstrate that the living, work and emotional support to the expatriates from the projects department of Chinese enterprises is of particular importance for their better adjustment in overseas engineering projects. Furthermore, these results are particularly conducive to the successful management of employees accommodated in fully-closed and semi-closed simulated homes.
Originality/value
In the setting of a simulated home in the overseas engineering projects, this research study has demonstrated for the first time that the living, work and emotional support provided by an organization can effectively help its expatriate workers acclimatize during their overseas placement.
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Washiraporn Wannachot, Pimporn Phukrongpet, Kanokporn Rattanasuteerakul and Hanvedes Daovisan
This study aims to explore how social support has reshaped the care of older adults living alone in northeast Thailand during the COVID-19 pandemic.
Abstract
Purpose
This study aims to explore how social support has reshaped the care of older adults living alone in northeast Thailand during the COVID-19 pandemic.
Design/methodology/approach
This study used a qualitative method using a narrative gerontological perspective with a descriptive design. Purposive sampling was conducted from 20 in-depth narrative interviews between November 2021 and February 2022 in Maha Sarakham province, northeast Thailand. Data transcriptions were performed using a narrative analytical process.
Findings
The in-depth narrative interviews indicated that older adults living alone during the coronavirus pandemic valued a comfortable life, a sense of place, favourable living arrangements, self-reliance, life goals and meaningful life. The gerontological analysis showed that social support for older adults living alone included a social safety net, networking, supporting needs, physical care and mental health responses to the COVID-19 pandemic.
Originality/value
To the best of the authors’ knowledge, this is the first qualitative narrative gerontological study to explore how social support reshaped the care of older adults living alone during the COVID-19 pandemic in northeast Thailand.
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This paper introduces some of the research that has been conducted into staff stress in learning disability services. It also examines how some individual characteristics of…
Abstract
This paper introduces some of the research that has been conducted into staff stress in learning disability services. It also examines how some individual characteristics of service users, particularly challenging behaviour and mental health problems, may influence the levels of staff stress reported. Service changes as a result of the development of supported living are also considered briefly. Some suggestions are made as to how these changes might influence staff. The importance of new research investigating these developments from a staff perspective is highlighted.
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Dave Hingsburger, Eileen Flavelle, Julian Yates, Kelly King‐Muir, Manuela Nora and Shassha Loftman
This article sets out to explore three differing approaches from three agencies to supporting and treating people with a learning/intellectual disability who have sexually…
Abstract
This article sets out to explore three differing approaches from three agencies to supporting and treating people with a learning/intellectual disability who have sexually offended. The three agencies are: Waymarks in the United Kingdom, York Central Hospital Behaviour Management Services and Vita Community Living Services both in Ontario, Canada. Each agency provides services to a similar population of offenders with disabilities. Though each client engaged in vastly different behaviour, all clients have been identified as having sex offending history and as having a high likelihood of offending again in the future. As the organisations evolved, differing approaches to the provision of service developed. For the three agencies, it can be argued that there was a very limited range of theoretical models available when each organisation developed. Consequently each agency developed their service according to the needs and ‘best fit’ of the people they were supporting with the available resources at that time. This meant that services developed as a direct response to the need and were designed to best fit the need with the resources to hand at the time. As a result, three different models of service arose, all of which have had real success with meeting the needs of people with learning/intellectual disabilities who have sexually offended, while providing support and treatment in differing ways. This article will examine some of those differences.
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Teresa June Atkinson, Rebecca Oatley and Simon Evans
The purpose of this paper is to report on a scoping review of the advantages and challenges of extra care housing (ECH) provision in the UK for people living with dementia. Access…
Abstract
Purpose
The purpose of this paper is to report on a scoping review of the advantages and challenges of extra care housing (ECH) provision in the UK for people living with dementia. Access to suitable housing is a fundamental right for people living with dementia and can enable people to live as well as possible (Twyford and Porteus, 2021). Understanding the advantages and disadvantages of different models of housing with care has been identified as a research priority by people living with dementia (Barrett et al., 2016) but “there is no current consensus on the best model of specialist housing for people with dementia” (Twyford and Porteus, 2021, p. 29).
Design/methodology/approach
This scoping review identifies the advantages and disadvantages of living in ECH for people with dementia. It is the preliminary stage of a study that seeks to develop knowledge about different models of ECH for people living with dementia (Atkinson et al., 2021).
Findings
Advantages include the promotion of independence, flexible staffing, safety and security, social inclusion, physical design and integrated service provision. Disadvantages include barriers to entry, tensions between independence and support, managing advanced dementia, resourcing flexible care, managing social exclusion, loneliness and stigma and a disabling environment.
Research limitations/implications
The scoping review reinforces the need for further research into different models of ECH provision in the UK for people living with dementia. The review provides insight that is of benefit to all stakeholders involved in ECH and contributes to the development of evidence-based provision called for in the recent All Party Parliamentary Group inquiry (Twyford and Porteus, 2021).
Originality/value
This scoping review summarises the current position for people living with dementia in ECH.
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Relatively few people with learning disabilities have their own homes. To achieve a wider range of housing and support options, we have to ensure that there are consistent…
Abstract
Relatively few people with learning disabilities have their own homes. To achieve a wider range of housing and support options, we have to ensure that there are consistent financial incentives. For strategies to be successful in introducing significant change, some of the financial and administrative inconsistencies in benefits, ILF, out of area placements and Supporting People will have to be addressed.
This article describes the findings of research on the housing support needs of people with challenging behaviour, undertaken between 1998 and 2001 and completed in Aberdeen as…
Abstract
This article describes the findings of research on the housing support needs of people with challenging behaviour, undertaken between 1998 and 2001 and completed in Aberdeen as part of the closure of long‐term hospitals for people with learning disabilities. The problem faced at the beginning of the research was the failure of the traditional models of supported housing to meet more complex and challenging needs. Solutions were required that allowed for choice and which are cost‐effective, provide high levels of support and have flexibility. Key to this was the housing and support model. The findings have enabled Aberdeen to develop flexible solutions offering a range of support options, including the use of assistive technology to enhance support.
This article starts with a brief overview of the history of housing for people with intellectual disability in Austria. The system of care and Austrian disability policy are also…
Abstract
This article starts with a brief overview of the history of housing for people with intellectual disability in Austria. The system of care and Austrian disability policy are also examined, focusing on implementation of deinstitutionalisation and community living. The following analysis of services provided in the field of housing for people with intellectual disabilities shows that support is provided in undistinguished, generalised service packages based on a competency model. Academic research on community living is quite rare in Austria, and fails to take into account the subjective perspective of people with intellectual disabilities.
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