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Social inclusion through ageing-in-place with care?

Published online by Cambridge University Press:  04 May 2011

PATRICK BARRETT ,
BEATRICE HALE  and
ROBIN GAULD
PATRICK BARRETT*
Affiliation:
Public Policy Programme, School of Social Sciences, The University of Waikato, New Zealand.
BEATRICE HALE
Affiliation:
Department of Preventive and Social Medicine, The University of Otago, New Zealand.
ROBIN GAULD
Affiliation:
Department of Preventive and Social Medicine, The University of Otago, New Zealand.
*
Address for correspondence: Patrick Barrett, Political Science and Public Policy Programmes, The School of Social Science, The University of Waikato, Private Bag 3105, Hamilton, New Zealand. E-mail: pbarrett@waikato.ac.nz
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Abstract

The onset of ill-health and frailty in later life, within the context of the policy of ageing-in-place, is increasingly being responded to through the provision of home care. In the philosophy of ageing-in-place, the home provides for continuity of living environment, maintenance of independence in the community and social inclusion. The provision of assistance to remain at home assumes continuity in the living environment and independence in the organisation of daily life and social contact. This paper explores the changes that occur as a result of becoming a care recipient within the home and concludes that the transition into receiving care is characterised by discontinuity and upheaval which tends to reinforce social exclusion. We draw on the rites of passage framework, which highlights social processes of separation, liminality and reconnection, in analysing this transition to enhance understanding of the experience and gain insights to improve the policy and practice of home care. Separation from independent living leads to a state of liminality. The final stage in the rites of passage framework draws attention to reconnections, but reconnection is not inevitable. Reconnection is, however, an appropriate goal for the care sector when supporting frail or disabled older people through the transition into becoming a home-care recipient.

Keywords

ageing-in-placeformal careliminalitysocial inclusionreconnective care work
Type
Articles
Information
Ageing & Society , Volume 32 , Issue 3 , April 2012 , pp. 361 - 378
Copyright
Copyright © Cambridge University Press 2011

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