Hostname: page-component-848d4c4894-8bljj Total loading time: 0 Render date: 2024-06-22T12:33:52.458Z Has data issue: false hasContentIssue false
  • English
  • Français

Care in the Community

Changes in Dependency and use of Domiciliary Services: a longitudinal perspective

Published online by Cambridge University Press:  14 November 2008

G. Clare Wenger
G. Clare Wenger
Affiliation:
Department of Social Theory & Institutions, University College of North Wales, Bangor, Gwynedd, United Kingdom.
Get access Rights & Permissions [Opens in a new window]

Abstract

This paper reports on a longitudinal study of old people over the age of sixty-five living in rural Wales. Particular attention is paid to those who were over eighty in 1983, compared with the 1979 over-eighties. Whilst the findings demonstrate increased inputs of statutory domiciliary support with increased dependency, such support is clearly supplementary to the role of informal services. The paper shows that despite increased levels of dependency amongst the old elderly, levels of domiciliary services have not kept pace. Rationing mechanisms appear to focus services on the over-eighty-fives so that levels of support to younger age groups are essentially reduced.

Type
Research Article
Information
Ageing & Society , Volume 5 , Issue 2 , June 1985 , pp. 143 - 159
Copyright
Copyright © Cambridge University Press 1985

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

NOTES

1 Department of Health and Social Security, Growing Older. Government White Paper, London, H.M.S.O., 1981.Google Scholar

2 National Institute of Social Work, Social workers: their role and tasks (The Barclay Report). Bedford Square Press, London, 1982.Google Scholar

3 Office of Population, Censuses and Surveys, Social Trends, no. 10: London, H.M.S.O., 1980.Google Scholar

4 Walker, A. ‘Community care and the elderly in Great Britain: theory and practice’, International Journal of Health Services, 11, 4 (1981), 541–557.CrossRefGoogle ScholarPubMed

5 Wenger, G. C., The Supportive Network: coping with old age. George Allen and Unwin, London, 1984.Google Scholar

6 Havighurst, R., ‘Ageing in Western Society’ in Hobman, , (ed.), The Social Challenge of Ageing, Croom Helm, London, 1978.Google Scholar

7 Britton, J. H., Mather, W. G. and Lansing, A. K., ‘Expectations for older persons in a rural community: living arrangements and family relationships’, Journal of Gerontology, 16 (1961), 165–162.CrossRefGoogle Scholar

8 Shanas, E., ‘The family as a social support system in old age’, The Gerontologist, 19, 2 (1979) 169–174.CrossRefGoogle ScholarPubMed

9 Equal Opportunities Commission, ‘Who cares for the carers: opportunities for those caring for the elderly and handicapped’, Manchester, E.O.C., 1982a.

10 Hobman, D., ‘Caring for the caregivers of the elderly’, paper presented to the International Congress of Gerontology, 11–17 07, Hamburg, 1981.Google Scholar

11 Wenger, G. C., The Supportive Network, op. cit.Google Scholar

12 Shanas, E. ‘Old parents: middle-aged children’, paper presented to the International Congress of Gerontology, Hamburg, 11–17 07, 1981.Google Scholar

13 Fengler, A. P. and Goodrich, N., ‘Wives of elderly disabled men: the hidden patients’, The Gerontologist, 19, 2 (1979), 175–183.CrossRefGoogle ScholarPubMed

14 Equal Opportunities Commission, ‘Caring for the elderly and handicapped: community care policies and women&s lives’. Manchester, E.O.C., 1982b.

15 Finch, J. and Groves, D. ‘Community Care and the family: a case for equal opportunities?’ Journal of Social Policy, 9, 4 (1980), 487–511.CrossRefGoogle Scholar

16 Walker, A., ‘Care for elderly people: a conflict between women and the state’ in Finch, J. and Groves, D. (ed.), A Labour of Love: Women, Work and Caring, Routledge and Kegan Paul, London, 1983, pp. 106–128.Google Scholar

17 Moroney, R., The family and the State. Longmans, London, 1976.Google Scholar

18 Palmore, E., ‘Total chance of institutionalization among the aged’, The Gerontologist, 16, 6 (1976), 504–507.CrossRefGoogle ScholarPubMed

19 Pope, J., ‘Emergency admissions into old people&s homes’, version 2, Mid- Glamorgan County Council, Social Services Department, 1978.Google Scholar

20 Townsend, P., ‘The effects of family structure on the likelihood of admission to an institution in old age: the application of a general theory’, in Shanas, E. and Streib, E. (ed.), Social Structure and the family: generational relations, Prentice–Hall, Englewood Cliffs, N.J., 1965.Google Scholar

21 Bayley, M., Seyd, R., Tennant, A. and Simons, K., ‘What resources does the informal sector require to fulfill its role?’, in The Barclay Report: Papers from a Consultation Day. NISW Paper no. 15, London, 1982.Google Scholar

22 Moyes, A., ‘Accessibility to general practitioner services on Anglesey: some trip-making implications’. Mimeographed paper, Department of Geography, University College of Wales, Aberystwyth, 1976.Google Scholar

23 National Federation of Women's Institutes, ‘Health Services in rural areas: a survey of the views of a selected sample of W.I. members’, London, NFWI, 1977.

24 Wenger, G. C., ‘Surviving in the community: some demographic and social factors’, Working Paper no. 33, Care Networks Project, Department of Social Theory & Institutions, UCNW, Bangor, (1984), pp. 22.Google Scholar

25 Hunt, A., The Elderly at home, Social Survey Division, OPCS, London, H.M.S.O., 1978.Google Scholar

26 OPCS unpublished figures.

27 Williamson, J. W., Stoke, I. H. et al. , ‘Old people at home: their unexpected needs’, The Lancet 1 (1964), 117–120.Google Scholar

28 Kay, D. W., Beamish, P. and Roth, M., ‘Old age mental disorders in Newcastleon-Tyne: a study of prevalence’, British Journal of Psychiatry 110 (1964), p. 668.CrossRefGoogle ScholarPubMed

29 Lloyd, M., ‘An assessment of the demographic, social and clinical factors affecting geriatric services in Anglesey and Caernarvonshire’. Unpublished M.A. Thesis, Department of Social Theory and Institutions, UCNW, Bangor, 1972.Google Scholar

30 Baldock, P., ‘Social work with the elderly’. Social Work Today, 8 (1977), p. 27.Google Scholar

31 Grant, G. ‘The provision of social services in rural areas’ in Williams, G. (ed.), Social and cultural change in contemporary Wales. Routledge and Kegan Paul, London, 1978.Google Scholar

32 Wenger, G. G., The Supportive Network, op. cit.Google Scholar

33 Wenger, G. C., ‘Change after 75 – four years later’, Working Paper no. 34, Care Networks Project, Department of Social Theory & Institutions, UCNW, Bangor, 1984.Google Scholar

34 Wenger, G. C., Working Paper 33, op. cit.Google Scholar

35 Ibid.

36 Wenger, G. C., Working Paper 34, op. cit.Google Scholar

37 Pfeiffer, E., ‘The Older Americans Resources Scales’, Duke University, North Carolina, 1975.Google Scholar

38 Wenger, G. C., Working Paper 33, op. cit.Google Scholar

39 Wenger, G. C., The Supportive Network, op. cit.Google Scholar

40 Bayley, et al. , 1982, op. cit.Google Scholar

41 Black, J., Bowl, R., Burns, D.Critcher, C., Grant, G. and Stockford, D.Social Work in Context: A Comparatine Study of Three Social Services Teams, Tavistock Publications, London, 1983.Google Scholar

42 Bayley, et al. , 1982, op. cit.Google Scholar

43 Hadley, R. and Hatch, S., Social welfare and the failure of the State. George Allen and Unwin, London, 1981.Google Scholar

44 Black, et al. , op. cit.Google Scholar

45 Gottesman, L. E., Ishizaki, B. and MacBride, S. M. ‘Service management – plan and concept in Pennsylvania’, The Gerontologist, 19, 4 (1979), 379–385.CrossRefGoogle ScholarPubMed

46 Ishizaki, B., Gottesman, L. E. and MacBride, S. M., ‘Determinants of model choice for service management systems’, The Gerontologist, 19, 4, (1979), 385–388.Google Scholar

47 Froland, C., Pancoast, D., Chapman, N. and Kimboko, P., ‘Professional partner ships with informal helpers’, paper presented to the annual convention of the American Psychological Association, New York, 4 09, 1979.Google Scholar

48 Bayley, M., Parker, P., Seyd, R. and Tennant, A., ‘Successes and failures in developing joint management’ Neighbourhood Services Project, Dinnington, Paper no. 4, 02, 1984, University of Sheffield.Google Scholar

49 Hadley, R. and McGrath, M., When social services are local: The Normanton experience. George Allen and Unwin, London, 1984.Google Scholar