Maintenance of family ties of long-term care patients : theory and guide to practice /

Mode of access: Internet.

Recent medicaid cutbacks : shocking impact on the elderly : hearing before the Subcommittee on Health and Long-Term Care of the Select Committee on Aging, House of Representatives, Ninety-fifth Congress, first session, April 22, 1977.

Cover title.

Choices for Care in Illinois : a program that helps families discover their options for long term care.

Cover title.

Elder Abuse and Neglect Program : comparison of paid vs. volunteer multi-disciplinary teams in providing community-based care to elder abuse victims.

At head of cover title: Elder abuse awareness.

Growing older in Illinois : needs, challenges, opportunities.

"This report was written by the Heartland Center on Aging, Disability and Long Term Care, School of Public and Environmental Affairs, Indiana University and the National Center for Senior Living, South Bend, Indiana. May, 1991." Acknowledgements.

Licensing standards : day and night care homes.

"February 20, 1977."

Medicare and other health care choices : a guide for Illinois seniors.

"The Governor's Office, the Illinois Department on Aging, and the Illinois Retired Teachers Association have produced this guide ... "-- Letter of transmittal.

Plan to restructure the state of Illinois service delivery system for older adults /

Such restructuring shall encompass the provision of housing, health, financial and supportive older adult services. It is envisioned that this restructuring will promote the development, availability, and accessibility of a comprehensive, affordable, and sustainable service delivery system that places a high priority on home-based and community-based services. Such restructuring will encompass all aspects of the delivery system regardless of the setting in which the service is provided." (PA 093-1081 Section 5).

Report to the Illinois General Assembly on board and health care homes /

"March 1993."

The long term care constellation : recommendations of the Community-Based Long Term Care Reform Task Force to Governor Jim Edgar.

January 1996.

Policy choices for long-term care.

Shipping list no.: 91-503-P.

Facilities and services for long-term chronic illness and convalescent care in the metropolitan St. Louis area; a study of present bed availabilities and future requirements for long-term care in chronic hospitals, chronic care units of general hospitals and skilled nursing homes.

Includes bibliography.

Handbook of elder care resources for the federal workplace.

"OWR-29"--P. 4 of cover.

Randomised controlled trial of health assessments for older Australian veterans and war widows

Objective: To assess the effect of home-based health assessments for older Australians on health-related quality of life, hospital and nursing home admissions, and death. Design: Randomised controlled trial of the effect of health assessments over 3 years. Participants and setting: 1569 community-living veterans and war widows receiving full benefits from the Department of Veterans' Affairs and aged 70 years or over were randomly selected in 1997 from 10 regions of New South Wales and Queensland and randomly allocated to receive either usual care (n = 627) or health assessments (n = 942). Intervention: Annual or 6-monthly home-based health assessments by health professionals, with telephone follow-up, and written report to a nominated general practitioner. Main outcome measures: Differences in health-related quality of life, admission to hospital and nursing home, and death over 3 years of follow-up. Results: 3-year follow-up interviews were conducted for 1031 participants. Intervention-group participants who remained in the study reported higher quality of life than control-group participants (difference in Physical Component Summary score, 0.90; 95% CI, 0.05-1.76; difference in Mental Component Summary score, 1.36; 95% CI, 0.40-2.32). There was no significant difference in the probability of hospital admission or death between intervention and control groups over the study period. Significantly more participants in the intervention group were admitted to nursing homes compared with the control group (30 v 7; P < 0.01). Conclusions: Health assessments for older people may have small positive effects on quality of life for those who remain resident in the community, but do not prevent deaths. Assessments may increase the probability of nursing-home placement.

Personalised social care for adults with disabilities: A problematic concept for frontline practice

This paper explores the complexities and contradictions of frontline practice that pose problems for personalised social care through enhanced choice. It draws on semi-structured interviews with community care workers, social workers, occupational therapists and care managers in a social service department. Practitioners interviewed were asked about their current assessment and documentation system, including the assessment documents currently used; how they approached information gathering and the topics they explored with service users; and their experience of documenting assessment and care management. The paper argues that the validity and sustainability of personalised social care in frontline practice relies on developing a thorough understanding of the complex and implicit assessment processes operating at the service user/practitioner interface and the inevitable tensions that arise for practitioners associated with the organisational context and broader service environment. The findings demonstrate the variability among practitioners in how they collect information and more importantly, the critical role practitioners occupy in determining the kinds of topics to be explored during the assessment process. In so doing, it shows how practitioners can exert control over the decision-making process. More importantly, it provides some insight into how such processes are shaped by the constraints of the organisational context and broader service environment. Complexities and contradictions may be an inherent part of frontline practice. The issues discussed in this paper, however, highlight potential areas that might be targeted in conjunction with implementing personalised social care through enhanced choice for people with disabilities.