Centre for Policy on Ageing
 

 

Useful services for families
 — research findings and directions
Author(s)Steven H Zarit, Joseph E Gaugler, Shannon E Jarrott
Corporate Author"What Works in Dementia Care" Symposium, Stirling, 1998
Journal titleInternational Journal of Geriatric Psychiatry, vol 14, no 3 [Proceedings of the symposium held in Scotland, June 1998, Part 2], March 1999
Pagespp 165-177
KeywordsFamily care ; Stress ; Dementia ; Services ; Day services ; Boarding out schemes ; Evaluation ; Research Reviews.
AnnotationA major tenet of gerontological practice and policy has been that community-based services relieve stress on family caregivers and delay or prevent institutionalisation of frail older people. Evidence for benefits of community-based services is examined from four perspectives: relief for family caregivers; benefits to older clients; delay or prevention of institutionalisation; and cost-effectiveness or cost-benefits of a service. Studies are grouped according to the type of service (in-home respite, adult day care, overnight respite, case management and multi-component programmes) and type of client (dementia only or mixed). There are surprisingly few empirical studies overall, and the reported benefits typically are modest. Methodological problems as well as providing relatively small amounts of service, may have accounted for these findings. Studies in which clients and/or their families received adequate amounts of help showed consistently positive outcomes. There is little evidence, however, to suggest that community services delay placement. More needs to be done to examine the benefits of innovative programmes, and particularly to incorporate the dementia patient's perspective into these evaluations. (RH).
Accession NumberCPA-990825237 A
ClassmarkP6:SJ: QNH: EA: I: NM: KTB: 4C: 3A:6KC

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