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Centre for Policy on Ageing | |
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Good practice in social care for disabled adults and older people with severe and complex needs
— evidence from a scoping review | | Author(s) | Kate Gridley, Jenni Brooks, Caroline Glendinning |
| Journal title | Health and Social Care in the Community, vol 22, no 3, May 2014 |
| Publisher | Wiley Blackwell, May 2014 |
| Pages | pp 234-248 |
| Source | wileyonlinelibrary.com/journal/hsc |
| Keywords | Mental disorder ; Dementia ; Services ; Needs [elderly] ; Standards of provision ; Literature reviews. |
| Annotation | The population of those with severe and complex needs is growing. This article reports findings from a scoping review of the literature on good practice in social care for disabled adults and older people with severe and complex needs. Scoping reviews differ from systematic reviews in that they aim to map relevant literature across an area of interest. This review formed part of a larger study, to identify social care service models with characteristics desired by people with severe and complex needs and scope the evidence of effectiveness. Systematic database searches were conducted for literature published between January 1997 and February 2011 on good practice in UK social care services for three groups: young adults with life-limiting conditions; adults who had suffered a brain injury or spinal injury and had severe or complex needs; and older people with dementia and complex needs. 5098 potentially relevant records were identified through electronic searching and 51 by hand. 86 papers were selected for inclusion, from which 29 studies of specific services were identified. However, only four of these evaluated a service model against a comparison group. and only six reported any evidence of costs. 35 papers advocated person-centred support for people with complex needs, but no well-supported evaluation evidence was found in favour of any particular approach to delivering this. The strongest evaluation evidence indicated the effectiveness of a multidisciplinary specialist team for young adults; intensive case management for older people with advanced dementia; a specialist social worker with a budget for domiciliary care working with psycho-geriatric inpatients; and interprofessional training for community mental health professionals. The dearth of robust evaluation evidence identified through this review points to an urgent need for more rigorous evaluation of models of social care for disabled adults and older people with severe and complex needs. (RH). |
| Accession Number | CPA-150522243 A |
| Classmark | E: EA: I: IK: 583: 64A |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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