沈阳市居家养老服务问题研究

沈阳市老年人口逐年增多，老年人失能风险随年龄增大不断加重，受家庭养老思想影响，很多老人把居家养老作为养老最好的选择，老年人对居家养老服务的需求扩大。因此，为了满足老年人的养老服务需求，需要研究沈阳市居家养老服务问题。目前，沈阳市居家养老服务还存在生活服务中适老服务资源少、居家养老服务内容与服务对象需求不匹配等问题。对此，本研究对沈阳市居家养老服务提出相应对策建议。     

失能老人居家养老初探

在居家养老成为基本养老方式的当前。很多地方对居家养老服务中的失能老人给予了特殊的优惠照顾。一些地方也开始全面探索居家失能老人的照护模式。     

福建晋江：提高养老服务补贴标准

从7月29日起，福建省晋江市将在居家养老服务站运营补贴、非营利性民办养老服务机构一次性开办补助、养老机构床位运营补贴、贫困家庭失能老年人护理补贴等方面提高补助标准。在城乡社区居家养老服务站运营补贴上，每个服务站运营补贴由之前的1万-2万元统一提高至2万元。在非     

政府购买居家养老服务的探索与发展——以济南市历下区为例

基于济南市历下区购买居家养老服务的实践,探讨了社区居家养老服务的时代背景,重点分析了历下区政府购买居家养老服务的运作模式,研究结果表明,在我国养老压力日益严峻的情况下,要完善政府购买居家养老服务模式,必须积极推进社区居家养老服务产业的发展;加大政策扶持力度,加强资金引导;培育社会组织,提高养老服务品质;实现政府购买居家养老服务的标准化运作,只有这样才能缓解养老压力,提高老年人生活质量,推动养老服务事业的发展。     

日间照料中心能走多沅

社区老年人日间照料中心,又称托老所,是指社区内为老年人,尤其是生活不能完全自理、日常生活需要一定照料的半失能老年人提供膳食供应、个人照顾、保健康复、娱乐和交通接送等日间服务的场所。这种介于机构养老和居家养老之间的照料方式,既解决了老人日常照料的难题,又能缓解养老机构床位紧张的压力,     

推行居家养老需政府“归位”

加快推进居家养老工作，需从制度、政策和队伍建设方面入手,从资金筹措、资源整合方西加以配套，为加快构建完备的养老服务钵系夯实基础2011年底，江苏省盐城市盐都区老年人口达到13．9万人，占总人口的18．2％，空巢率也逐年上升至老年人口的57％。加之高龄老人、失能和半失能老人所占比例也越来越高，大大增强了社会的养老难度。即便盐都区近年来强力推进居家养老工作，年底实现阵地建设全覆盖，投入运转的站点过半数，但在实践过程中，仍需从制度、政策和队伍建设方面入手，从资金筹措、资源整合方面加以配套，为加快构建完备的养老服务体系夯实基础。     

烟台市社区居家养老服务发展现状及对策研究

建立符合烟台实际的社区居家养老服务体系,逐步提升社区居家养老服务的质量和水平,是烟台市应对老龄化进程的一项重要任务。近年来,烟台市高度重视社区居家养老服务工作,社区居家养老服务建设取得了一定成效。但同时烟台市社区居家养老服务也存在一些问题,需要从加大宣传力度、制定行业标准、提高服务专业水平等几个方面采取措施,以推动社区居家养老服务的进一步完善。     

“互联网+”城市社区居家养老服务体系建构研究

大数据理念下的"互联网+"城市社区居家养老服务体系建设将有助于解决传统城市社区居家养老服务由于信息不通畅导致的养老服务供需矛盾、养老服务资源整合程度低的问题。构建"互联网+"社区居家养老服务体系的路径,一是建设社区居家养老服务横向及纵向的基础数据库系统;二是建设社区居家养老服务的服务信息系统;三是建设社区居家养老服务的功能操作系统和软件开发系统。     

喜忧参半的居家养老

随着家庭结构少子高龄化程度的加深和社会养老成本的不断攀升，居家养老方式将逐渐成为养老市场的主流。而考察近年来居家养老的发展状况，用“喜忧参半”这个词来形容比较恰如其分。在人口老龄化形势越发严峻的现实背景下，如何完善居家养老体制、解决居民养老问题，是社会发展的当务之急。     

用信息化完善充实居家养老服务

居家养老服务是指政府和社会力量依托社区,为居家的老人提供生活照料、康复护理和精神慰藉等方面的服务形式。老年人在家中就能享受到便捷、周到的社会化的各种为老服务,这是符合我国现实国情和传统文化的养老方式,也是国家应对人口老龄化的重要举措。我们在建设居家为基础、社区为依托、机构为支撑的新型社会养老服务体系中,居家养老服务蕴含着巨大的发展潜能和商机。苏州市沧浪区虚拟养老院于20007年在全国率先将现代信息技术引入居家养老服务,通过公共呼叫平台加社会化养老服务方式创新了居家养老服务的手段,扩大了居家养老服务的范畴,提升了居家养老服务的水平。     

Diversity training for the community aged care workers: A conceptual framework for evaluation

Older Australians are an increasingly diverse population, with variable characteristics such as culture, sexual orientation, socioeconomic status, and physical capabilities potentially influencing their participation in healthcare. In response, community aged care workers may need to increase skills and uptake of knowledge into practice regarding diversity through appropriate training interventions. Diversity training (DT) programs have traditionally existed in the realm of business, with little research attention devoted to scientifically evaluating the outcomes of training directed at community aged care workers. A DT workshop has been developed for community aged care workers, and this paper focuses on the construction of a formative evaluative framework for the workshop. Key evaluation concepts and measures relating to DT have been identified in the literature and integrated into the framework, focusing on five categories: Training needs analysis; Reactions; Learning outcomes, Behavioural outcomes and Results The use of a mixed methods approach in the framework provides an additional strength, by evaluating long-term behavioural change and improvements in service delivery. As little is known about the effectiveness of DT programs for community aged care workers, the proposed framework will provide an empirical and consistent method of evaluation, to assess their impact on enhancing older people’s experience of healthcare.     

Foreign Domestic Workers and Home-Based Care for Elders in Singapore

As with other developed nations where rapid population aging has led to increasing health care and social care burdens, Singapore has searched for ways of paying for and providing long-term care for its increasing numbers of elders. The Singapore state, faced with the prospect of one-fifth of the population aged 65 or older by 2030, has reinforced its basic principle of rendering the family the “primary caregiving unit” and home-based care as the highly preferred option for eldercare. Our paper demonstrates why, despite the range of alternative care arrangements available or emerging on Singapore's eldercare landscape, the employment of live-in foreign domestic workers as care workers for the elderly has become one of the more common de facto modes of providing care for the elderly. In this context, we discuss the politics of eldercare in the privatized sphere of homespace and conclude with policy implications relating to the employment of foreign domestic workers as caregivers for the elderly.     

推行子女照护责任货币化,促进老年照护社会化

随着我国人口老龄化和高龄化速度加快,在完善社会养老保险制度的同时,迫切需要进行制度创新,从我国实际出发着力发展居家养老,开拓居家养老服务所需的资金来源,促进居家养老服务的可持续发展。     

广州市社区居家养老问题及对策

随着社会经济不断发展和老龄化问题日趋显著,广州顺应时代要求积极探索社区居家养老新模式。但作为一种新生事物,它难免面临诸多问题,亟需进一步的改进和完善。     

Transitioning youth: Policies and outcomes

The primary policies and outcome studies regarding youth transitioning from foster care and young adults who have aged out of foster care over the past quarter of a century are reviewed. Although several policies have increased services and funding for this population, overall, their outcomes have not significantly improved. In terms of educational achievement, employment, and well-being, many continue to fare poorly in young adulthood. Further policies and practice improvements may need to be implemented. The population of youth transitioning has far outpaced the funding available, state and program eligibility requirements may be eliminating the most vulnerable from services, in many states there is an inadequate provision of basic needs such as housing and healthcare, the expectations of self-sufficiency for this population now exceed societal norms, and the restrictions and placement instability associated with many older adolescents in care may be in contrast to their developmental needs. In order to more fully address the needs of youth transitioning from foster care, child welfare policies and practices may need to focus more attention on the relational and social development of youth while in foster care. Furthermore, during young adulthood, policies and practices may need to provide greater safety nets and resources to this population.     

Extra Care Housing in the UK: Can it be a Home for Life?

Extra care housing is believed to constitute a home for life, precluding the need for institutional accommodations, but currently there is little substantiating evidence. Longitudinal data show that 8.2% of extra care housing residents will move to institutional accommodations after 5 years. Matching analyses suggest that extra care housing residents aged 80 years and older are approximately half as likely to enter institutional care compared with older people in the community in receipt of domiciliary care, albeit with some caveats. Extra care housing may embody a home for life for the majority of residents, although a substantial minority is likely to require institutional care.     

Child Abuse on the Internet: Ending the Silence

The Melbourne Health (MH) Social Work Residential Care Team (RCT) was established in 2002 as a new and innovative approach to aged care. The service employs three full-time social workers and an Allied Health assistant with previous experience in aged care. The RCT works across the MH continuum of care with inpatients recommended for residential care. The service is predominantly patient- and family-focused, but is also consultative to meet the education needs of MH staff and the community. This paper discusses the MH Social Work Residential Care model, reviews data collected since RCT implementation and the benefits shown for patients, their families and interdisciplinary staff. This paper discusses pressures and factors that impinge on the ability to discharge patients to residential care and explores recommendations for ongoing clinical practice as well as recommendations that the RCT has submitted to management for further consideration.     

Readiness for college engagement among students who have aged out of foster care

This study compares self-reported readiness to engage in college between a sample of 81 college freshmen who aged out of foster care prior to or while attending a large four-year public university and the national freshman population. Results indicate that students from foster care are significantly different from their non-foster-care peers in their readiness to engage in college. The results also show that foster youth are less well prepared academically upon entering college and this performance gap persists through the first semester of college. These findings are examined in the context of the current literature on foster youth. Limitations of the study and implications for future research and practice are discussed.     

Establishing a mental health service for young children in out-of-home care: The Gumnut Clinic for 0 to 5 year olds in Western Sydney

Objective

Children aged 0 to 5 years in out-of-home care represent a vulnerable population at high risk of social, emotional and developmental problems, yet there are few services specifically addressing their psychological needs. This paper is the first of two concerning the establishment of The Gumnut Clinic, a specialist mental health assessment clinic in Western Sydney for this population. The current paper provides the rationale for the development of the clinic and detail of the referral and assessment processes.

Method

The paper describes the establishment of The Gumnut Clinic at Redbank House in Sydney, Australia, the approach to assessment of these young children and their carers, and the challenges encountered.

Conclusions

Young children are overrepresented in child protection and out-of-home care services. Their social, emotional and developmental needs are under-recognized. Development of a specialist mental health service is a step towards improving health outcomes for these children.     

An International Review of the Long-Term Care Workforce

Abstract

The developed world's population is aging, due to trends of increased life expectancies and decreased fertility rates. These trends are predicted to increase demand on long-term care services. At the same time, the long-term care workforce is in shortage in most of the developed world. Moreover, such shortages are expected to increase due to parallel socio-demographic factors. The increase in demand for long-term care, coupled with shortage in supply of care workers, has promoted some attention from policymakers. The current paper provides an international review of institutional arrangements for long-term care in different developed countries and in particular explores different strategies used or proposed to resolve the shortage in the long-term care workforce.