The Admission of Older People Into Residential Care Homes in Argentina: Coercion and Human Rights Abuse

Lloyd‐Sherlock, Peter; Penhale, Bridget; Redondo, Nélida

doi:10.1093/geront/gny014

Cited by 16 publications

(18 citation statements)

References 14 publications

(13 reference statements)

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“…This would appear to be a universal experience (UN Women, 2017). Likewise, the rapid growth of weakly regulated formal LTC services, offering services of uneven quality and excluding people with more complex care needs has been reported for several other LMICs, including China, Argentina, Egypt and Thailand (Cheung Wong and Leung, 2012;Lloyd-Sherlock, Penhale and Redondo, 2018;Sinunu, Yount, and El Afify, 2009;Sasat et al, 2012). However, patterns of LTC provision in South Africa also have several distinctive features.…”

Section: Discussionmentioning

confidence: 93%

“…This may reflect South Africa's particular political environment rather than an absence of similar experiences. The very limited evidence for other countries points to wider experiences of substandard care and human rights abuses (Lloyd-Sherlock, Penhale and Redondo, 2018). As with demand for LTC and patterns of provision, there are indirect indications that outcomes vary substantially across racial groups, with older Africans disproportionately experiencing the negative consequences of inadequate care, and African women the consequences of unsupported caregiving.…”

Section: Discussionmentioning

confidence: 99%

“…There is also evidence of a very rapid and largely ad hoc extension of formal services (Sasat et al, 2013;Camarano et al, 2010). For example, in Argentina there were fewer than 200 residential care homes operating in the 1980s, but by 2015 there were over 6,000 (Lloyd-Sherlock, Penhale and Redondo, 2018).…”

mentioning

confidence: 99%

“…Systematic data comparing the effects of LTC systems on these outcomes are not available for OECD countries, and even less for LMICs. However, there is fragmentary evidence from some LMICs that LTC systems expose significant numbers of dependent older people to different forms of neglect and abuse (Lloyd-Sherlock, Penhale and Redondo, 2018;Giraldo-Rodríguez et al, 2015). LTC systems can generate a range of other important outcomes, most notably for people engaged as care-givers, both on a paid or unpaid basis.…”

mentioning

confidence: 99%

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Long-term Care for Older People in South Africa: The Enduring Legacies of Apartheid and HIV/AIDS

Lloyd‐Sherlock

2018

J. Soc. Pol.

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This paper sets out a general framework for analysing long-term care (LTC) systems for older people in different countries and then applies this framework to a specific national setting. The paper considers the extent to which South Africa's emerging LTC system conforms to broader patterns observed across low- and middle-income countries and how far it has been shaped by more local effects. It finds that patterns of demand for LTC vary across different racial categories. Despite having lower rates of ageing that the white population, Africans account for the majority of LTC demand. Residential services cater primarily for older whites and there is a widespread perception that LTC for Africans should be a family responsibility. Across the sector there is evidence of gaps in service availability, limited state oversight and uneven service quality. In 2016 this led to a high-profile political scandal which may prompt more effective state responses to this growing societal challenge.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Long-term Care for Older People in South Africa: The Enduring Legacies of Apartheid and HIV/AIDS

Lloyd‐Sherlock

2018

J. Soc. Pol.

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“…For example, in Argentina, a significant number of residential care facility residents have neither moderate nor high levels of care dependency. Older people rarely express a preference for moving to a care home and admissions are often coercive, sometimes constituting an unjustifiable deprivation of liberty 34,35 .…”

Section: Comparing Preliminary Adh Components Across Different Contextsmentioning

confidence: 99%

Meeting the complex challenge of health and social care provision for rapidly-ageing populations: introducing the concept of “avoidable displacement from home”

et al. 2020

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The increasing numbers of people at very old ages pose specific policy challenges for health and social care and highlight the need to rethink established models of service provision. The main objective of this paper is to introduce the concept of “avoidable displacement from home” (ADH). The study argues that ADH builds on and adds value to existing concepts, offering a holistic, person-centered framework for integrated health and social care provision for older people. It also demonstrates that this framework can be applied across different levels, ranging from macro policymaking to organizational and individual decision-making. The paper pays attention to the Brazilian context but argues that ADH is a universally applicable concept.

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Professionals' views on the “optimal time” for people living with dementia to move to a care home

Cole

Samsi

Manthorpe

2020

Int J Geriat Psychiatry

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The decision about the best time for a person living with dementia to move to a care home involves the individual and others, particularly family. However, little is known about care professionals' views on the best time to move, particularly those with decision-making authority. This study investigated social workers' and care home managers' views on whether there is an "optimal time" for a move. Methods: A qualitative, phenomenological approach was employed, using semistructured interviews with 20 social workers and 20 care home managers in England; all with experience of advising people living with dementia about a care home move and making decisions about funding or acceptance. Interviews were audio-recorded, transcribed, and analyzed thematically. Results: Four overarching themes emerged from the data: (1) staying at home for as long as possible but avoiding crisis, (2) balancing risks proactively and anticipating triggers, (3) desires for the person living with dementia to be involved in the decision, and (4) the significance of funding in enabling choices about a care home move. Conclusions: Deciding on the timing of a care home move is context and person specific. Two professional groups with substantial experience of this among their client group both recommended proactive deliberation but funding was overall the deciding factor in the extent to which they considered choice was possible. Future research should avoid seeing all care home moves as negative and explore how practitioners can best encourage discussions prior to crisis point about care home options.

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The Admission of Older People Into Residential Care Homes in Argentina: Coercion and Human Rights Abuse

Abstract: The study indicates the widespread abuse of the fundamental human rights of tens of thousands of older people in Argentina. There is a need for researchers, policy-makers, and civil society to acknowledge the scale of abuse and develop safeguards.

Cited by 16 publications

References 14 publications

Long-term Care for Older People in South Africa: The Enduring Legacies of Apartheid and HIV/AIDS

Long-term Care for Older People in South Africa: The Enduring Legacies of Apartheid and HIV/AIDS

Meeting the complex challenge of health and social care provision for rapidly-ageing populations: introducing the concept of “avoidable displacement from home”

Professionals' views on the “optimal time” for people living with dementia to move to a care home

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