Care of the impaired elderly: Co-existence of formal and informal care systems in the Israeli Kibbutz

1990 ◽  
Vol 11 (2) ◽  
pp. 51-66 ◽  
Author(s):  
Shimon Bergman ◽  
Yaron King ◽  
Netta Bentur ◽  
Douglas Holmes ◽  
Monica Holmes ◽  
...  
Keyword(s):  
Informal Care ◽  
Care Systems ◽  
Israeli Kibbutz

“In our community, a friend is a psychologist”: An ethnographic study of informal care in two Bhutanese refugee communities

2017 ◽  
Vol 54 (3) ◽  
pp. 400-422 ◽  
Author(s):  
Liana Chase ◽  
Ram P. Sapkota
Keyword(s):  
Mental Health ◽  
Social Networks ◽  
Informal Care ◽  
Help Seeking ◽  
Participant Observation ◽  
Health Resources ◽  
Ethnographic Study ◽  
Care Systems ◽  
And Behavior ◽  
Bhutanese Refugee

The recent rise in suicide among Bhutanese refugees has been linked to the erosion of social networks and community supports in the ongoing resettlement process. This paper presents ethnographic findings on the role of informal care practiced by relatives, friends, and neighbors in the prevention and alleviation of mental distress in two Bhutanese refugee communities: the refugee camps of eastern Nepal and the resettled community of Burlington, Vermont, US. Data gathered through interviews ( n = 40, camp community; n = 22, resettled community), focus groups (four, camp community), and participant observation (both sites) suggest that family members, friends, and neighbors were intimately involved in the recognition and management of individual distress, often responding proactively to perceived vulnerability rather than reactively to help-seeking. They engaged practices of care that attended to the root causes of distress, including pragmatic, social, and spiritual interventions, alongside those which targeted feelings in the “heart-mind” and behavior. In line with other studies, we found that the possibilities for care in this domain had been substantially constrained by resettlement. Initiatives that create opportunities for strengthening or extending social networks or provide direct support in meeting perceived needs may represent fruitful starting points for suicide prevention and mental health promotion in this population. We close by offering some reflections on how to better understand and account for informal care systems in the growing area of research concerned with identifying and addressing disparities in mental health resources across diverse contexts.

Successful Linkage Between Formal and Informal Care Systems

2012 ◽  
Vol 22 (10) ◽  
pp. 1330-1344 ◽  
Author(s):  
Normand Carpentier ◽  
Amanda Grenier
Keyword(s):  
Informal Care ◽  
Care Systems

scholarly journals Mapping the Future of Family Care: Receipt of Informal Care by Older People with Disabilities in England to 2032

2012 ◽  
Vol 11 (4) ◽  
pp. 533-545 ◽  
Author(s):  
Linda Pickard ◽  
Raphael Wittenberg ◽  
Adelina Comas-Herrera ◽  
Derek King ◽  
Juliette Malley
Keyword(s):  
Older People ◽  
Informal Care ◽  
Family Care ◽  
People With Disabilities ◽  
Developed Countries ◽  
Policy Implications ◽  
Term Care ◽  
The Future ◽  
Future Supply ◽  
Care Systems

Many long-term care systems in economically developed countries are reliant on informal care. However, in the context of population ageing, there are concerns about the future supply of informal care. This article reports on projections of informal care receipt by older people with disabilities from spouses and (adult) children to 2032 in England. The projections show that the proportions of older people with disabilities who have a child will fall by 2032 and that the extent of informal care in future may be lower than previously estimated. The policy implications, in the context of the Dilnot Commission's report, are explored.

Preconceptions about institutionalisation at public nursing homes in Spain: views of residents and family members

2012 ◽  
Vol 34 (4) ◽  
pp. 547-568 ◽  
Author(s):  
BEATRIZ RODRÍGUEZ-MARTÍN ◽  
MARÍA MARTÍNEZ-ANDRÉS ◽  
BEATRIZ CERVERA-MONTEAGUDO ◽  
BLANCA NOTARIO-PACHECO ◽  
VICENTE MARTÍNEZ-VIZCAÍNO
Keyword(s):  
Nursing Home ◽  
Cognitive Impairment ◽  
Nursing Homes ◽  
Informal Care ◽  
Nursing Home Residents ◽  
Care Systems ◽  
Points Of View ◽  
Home Placement ◽  
Social Causes ◽  
Depth Interviews

ABSTRACTThe aim of this article was to ascertain nursing home residents' preconceptions about institutionalisation and analyse the causes and circumstances of and the justification for their admission. Grounded theory was used to design and analyse a qualitative study based on in-depth interviews in a theoretical sampling of 20 persons aged over 65 years with no cognitive impairment, and eight proxy informants of residents with cognitive impairment, institutionalised at a public nursing home in Spain. Our analysis revealed that preconceptions about nursing homes differ between residents and relatives, and are strongly influenced by the views held by society about such centres and by previous experiences. Regarding the causes and circumstances underlying nursing home placement, while the principal cause of institutionalisation among residents with cognitive impairment was the ineffectiveness of informal care systems, in the case of residents without cognitive impairment reasons tended to revolve around two main themes: social causes (loneliness, not be a burden to the others, household-related, comfort and absence of relatives in the vicinity), and limitations in physical functioning, with the former predominating. This study shows society's perception of such centres and the circumstances surrounding admission. These points of view are useful for analysing why informal care systems prove inadequate, and are crucial for designing programmes targeted at acceptance and successful adaptation to institutionalisation when this becomes necessary.

scholarly journals The IN-CARE Project: Socioeconomic Inequalities in Care Use and Provision Across Countries and Over Time

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 724-724
Author(s):  
Marjolein Broese van Groenou
Keyword(s):  
Informal Care ◽  
Social Disparities ◽  
Care Needs ◽  
Term Care ◽  
Care Project ◽  
German Research ◽  
Care Systems ◽  
The Uk ◽  
Over Time

Abstract Ageing societies and recent reforms to long-term care (LTC) in many European countries are likely to make informal care by kin and nonkin increasingly critical for fulfilling the care needs of older people. To date, it is unknown whether informal care falls disproportionately on disadvantaged populations. The IN-CARE project (a collaboration of Dutch, UK and German research teams; http://in-care.fk12.tu-dortmund.de/) examines if and how LTC reforms exacerbate existing social disparities in care use and provision in older age. To this end, this project compares the socioeconomic status (SES) gradient in formal and informal care across Europe and over time. A particular effort is made to include macro-level indicators of LTC systems in cross-level analyses across countries. The first paper presented in this symposium by the UK team studied SES-inequality in care receipt across European nations with different care systems; the second paper presented by the German team studied the same question but now among caregivers, the third paper provides the analyses for caregivers in Japan, and the fourth paper by the Dutch team studies SES-inequalities in care use within the Netherlands over time (1995-2015). The symposium will start off with a short description of the IN-CARE project (2019-2022). Tine Rostgaard agreed to be our discussant.

160: Cost-Effectiveness of Medical Management Strategies of Nephrolithiasis in Different Health Care Systems

2004 ◽  
Vol 171 (4S) ◽  
pp. 42-43 ◽  
Author(s):  
Yair Latan ◽  
David M. Wilhelm ◽  
David A. Duchene ◽  
Margaret S. Pearle
Keyword(s):  
Health Care ◽  
Cost Effectiveness ◽  
Medical Management ◽  
Health Care Systems ◽  
Management Strategies ◽  
Care Systems
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