Transforming Adult Social Care by Gray Ann Marie Birrell Derek

Author:Gray, Ann Marie, Birrell, Derek [Gray, Ann Marie, Birrell, Derek]
Language: eng
Format: epub
Tags: Social Science, Social Work
ISBN: 9781847427991
Google: p0UbAgAAQBAJ
Publisher: Policy Press
Published: 2013-04-10T03:31:25+00:00

Innovative schemes and coverage have continued to evolve, with a more specialist focus on dementia and stroke rehabilitation, extending hours of access and involving more professional groups such as pharmacies. However, research and evaluation studies have produced criticisms concerning fragmentation, poor integration with other services and risks of isolation (Parker et al, 2011). There have also been criticisms of approaches being too selective and applying strict time limits. Public perceptions may also see the process as just waiting for social services assessment. A study by Moore et al (2007, p 157) found evidence that intermediate care is not a series of partnership arrangements but a more distinct phenomenon, manifested in the operational relationships between services perhaps best described as an integrated service network. Intermediate care with its emphasis on enabling rehabilitation and treatments in community and residential settings has developed as a major area for collaborative and integrated working.

Reablement

Reablement overlaps with intermediate care but its focus on assisting people to regain their abilities is distinctive. Reablement is about helping people learn or re-learn skills they need for daily living, which they have lost through deterioration of their health, ageing or institutionalisation. Reablement is offered mainly to those recovering from illness, frail people and people with disabilities. The focus is on helping people maximise their independence and function better rather than resolving healthcare issues. Reablement is a short, intensive service, from six to 12 weeks, usually delivered in the home with a focus on washing, preparing meals and using stairs. It is seen as a move from traditional home or domiciliary care, which has been task-driven and involves doing things for people. Reablement functions through integrated approaches. In some areas only people who are about to be discharged are referred for reablement, but in other areas people may be referred by a GP or community social services (SCIE, 2012a). No single leading model of delivery exists. Normally reablement workers will visit the person’s home, assess abilities and then a multidisciplinary team will activate a reablement plan to support the person to regain functions and activities for independent living. This combines health and social care inputs, with care workers as the bedrock and occupational therapy being important. It is necessary to have a care package in place in some cases after the reablement ends. Research and evaluation is limited to date but Glendinning et al (2010) found reablement to be associated with better home-related quality of life and social care outcomes, compared with traditional home care. A flexible and integrated input from health and social care has to be a key feature of reablement.

Joint working between health and social care has been accepted as particularly important for delivering services to older people as both major consumers of services and as people whose needs and care benefit from a collaborative approach. The UK government has put joined-up provision at the forefront of its policies (Glasby and Littlechild, 2004). The Partnerships for Older People Projects (POPPs) was a government initiative in 2006 aimed at

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