Delayed Hospital Discharge and Mental Health: The Policy Implications of Recent Research

In 2003, the Community Care (Delayed Discharges etc.) Act introduced charges for social services departments unable to discharge patients from hospital within agreed timescales. As details of this reimbursement policy have begun to emerge, it has become apparent that the new system may also be extended to mental health services. In response, this narrative review of the literature on delayed hospital discharges and mental health reports findings from 12 studies, which raise important and timely concerns about the feasibility of reimbursement. Although a significant number of people experience delayed discharges from acute psychiatric services, the task of defining delayed discharges is complex and subjective, dependent on the professional background and seniority of the person making the judgement. Reasons behind delayed discharges are also multi‐factorial in nature and cannot be attributed to social services departments alone.     

Ageism and Ageist Language Across the Life Span: Intimate Relationships and Non-intimate Interactions

The possible effects of ageist language and ageism on the structure and function of intimate and non-intimate relationships have received significant attention from social scientists. Recent research grounded in communication accommodation theory ( Giles, Mulac, Bradac, & Johnson, 1987 ), the communication predicament model of ageing ( Ryan, Giles, Bartolucci, & Henwood, 1986 ), the communication enhancement model of ageing ( Ryan, Meredith, MacLean, & Orange, 1995 ), and ageing and stereotype research by Hummert (1994) and colleagues ( Hummert & Mazloff, 2001 ; Hummert, Shaner, & Garstka, 1995 ) point toward the numerous consequences of both negative and positive attitudes toward ageing. Focusing specifically on health care settings, this article reviews recent theoretical positions and empirical findings that link ageist language and ageism to these positive and negative social consequences, and offers pragmatic suggestions and directions for future research .     

Tropophilia: A Study of People,Place and Lifestyle Travel

This paper explores the changing relations between people and place that are set in motion through mobility. Examining the mobilities of lifestyle travellers, it argues that new relations are sought by this group that undermines traditional assumptions of stability and preservation in the person–place relation. In their stead, lifestyle travellers seek dynamism, change and instability in their engagements with place. This situation suggests that the traditional recognition of the need for a rooted, static and stable set of relations with place – i.e. topophilia – can be supplemented by the love of mobility, change and transformation in the person–place relation – coined tropophilia. The paper raises the important point that a desired connection between ‘people’on one hand and ‘place’ on the other may only occur when their respective paces and trajectories positively coincide.     

Creating elder-friendly communities: preparations for an aging society

Because many communities where older people live were not designed for their needs, older residents may require support to remain in the least restrictive environment. "Age-prepared communities" utilize community planning and advocacy to foster aging in place. "Elder-friendly communities" are places that actively involve, value, and support older adults, both active and frail, with infrastructure and services that effectively accommodate their changing needs. This paper presents an analysis of the literature and results of a Delphi study identifying the most important characteristics of an elder-friendly community: accessible and affordable transportation, housing, health care, safety, and community involvement opportunities. We also highlight innovative programs and identify how social workers can be instrumental in developing elder-friendly communities.