Identifying Psychosocial Variables for Home Care Services and How to Measure Them

Delli-Colli, Nathalie; Dubuc, Nicole; Hébert, Réjean; Lestage, Catherine; Dubois, Marie‐France

doi:10.1080/01621424.2013.851048

Cited by 2 publications

(1 citation statement)

References 27 publications

(29 reference statements)

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“…To our knowledge, this is the first study to demonstrate the benefits of equipping community care staff with social engagement and well-being instruments. While Delli-Colli, Dubuc, Hébert, Lestage, and Dubois (2013) found that identifying older adults' psychosocial needs can influence a social worker's decision to tailor services accordingly, adoption of psychosocial assessments has not yet been integrated into standard practice within community care. This is rather surprising given how social engagement and community participation is recognised as an indicator of successful ageing (Douglas, Georgiou, & Westbrook, 2016).…”

Section: Discussionmentioning

confidence: 99%

Integrating social engagement instruments into Australian community aged care assessments to enhance service provision

Siette

Georgiou

Jorgensen

et al. 2018

Health Soc Care Community

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Rich social relationships contribute to improved well-being and health outcomes, yet aged care client assessments tend to focus almost exclusively on physical issues. We aim to explore the experiences of aged care staff following their use of social engagement and well-being instruments as part of routine assessments for home-care clients. The social engagement (Australian Community Participation Questionnaire, ACPQ) and well-being (ICEpop CAPability Measure for Older Adults, ICECAP-O) instruments were embedded into the centralised information system of an Australian aged care provider. Staff administered these instruments during routine client assessments across a 9-month period involving 289 assessments. Semistructured interviews with 12 staff members were conducted and themes explored using qualitative content analysis. Key factors related to the acceptability of instrument adoption were found. Staff reported the instruments were convenient to use and were valuable in eliciting information for care plan development. Staff found that the instruments complemented their standard assessment procedures and did not disrupt their routine workload. They emphasised that the information gained greatly assisted their discussions with clients, identified social needs, and enhanced client involvement in decisions about desired services. There were also some challenging elements, including staff concerns regarding their ability to deal with emotional responses from clients evoked by the survey questions. ACPQ and ICECAP-O are useful tools for identifying psychosocial client needs, are feasible for use by large-scale aged care organisations and provide valuable information to guide decision-making about services. Future research should identify the long-term effects on improving social participation and client outcomes.

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Section: Discussionmentioning

confidence: 99%

Integrating social engagement instruments into Australian community aged care assessments to enhance service provision

Siette

Georgiou

Jorgensen

et al. 2018

Health Soc Care Community

View full text Add to dashboard Cite

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Do Assessment Tools Shape Policy Preferences? Analysing Policy Framing Effects on Older Adults’ Conceptualisation of Autonomy

Dickson¹,

Marier²,

Dubé

2021

J. Soc. Pol.

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The concept of autonomy is essential in the practice and study of gerontology and in long-term care policies. For older adults with expanding care needs, scores from tightly specified assessment instruments, which aim to measure the autonomy of service users, usually determine access to social services. These instruments emphasise functional independence in the performance of activities of daily living. In an effort to broaden the understanding of autonomy into needs assessment practice, the province of Québec (Canada) added social and relational elements into the assessment tool. In the wake of these changes, this article studies the interaction between the use of assessment instruments and the extent to which they alter how older adults define their autonomy as service users. This matters since the conceptualisation of autonomy shapes the formulation of long-term care policy problems, influencing both the demand and supply of services and the types of services that ought to be prioritised by governments. Relying on focus groups, this study shows that the functional autonomy frame dominates problem definitions, while social/relational framings are marginal. This reflects the more authoritative weight of functional autonomy within the assessment tool and contributes to the biomedicalisation of aging.

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Identifying Psychosocial Variables for Home Care Services and How to Measure Them

Cited by 2 publications

References 27 publications

Integrating social engagement instruments into Australian community aged care assessments to enhance service provision

Integrating social engagement instruments into Australian community aged care assessments to enhance service provision

Do Assessment Tools Shape Policy Preferences? Analysing Policy Framing Effects on Older Adults’ Conceptualisation of Autonomy

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