Dissertations / Theses on the topic 'Young people in residential care'
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Johansson, Jan. "Residential care for young people in Sweden : homes, staff, and residents /." Göteborg : Göteborg University, Department of Psychology, 2007. http://www.loc.gov/catdir/toc/fy0712/2007413997.html.
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Islam, Md Tuhinul. "Residential childcare : the experiences of young people in Bangladesh." Thesis, University of Edinburgh, 2013. http://hdl.handle.net/1842/8262.
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Residential childcare has had an image which, at the very least, is not a positive one. It has been blamed for weakening family links and leading to poor educational and health outcomes for children (Biehal et al. 1995; Mendes and Moslehuddin 2004; Stein 2002). However, children and young people enter residential care institutions for a variety of reasons, and by examining the experiences of children and young people in Bangladesh, we can see that residential childcare has the potential to offer a positive option for many disadvantaged children and young people. UNICEF estimates that there are more than 49,000 children in residential care in Bangladesh (UNICEF 2008), but this figure fails to include thousands of children who live in madrasahs. There is neither a uniform childcare policy nor formal aftercare support provision in Bangladesh; instead, the government, Non-Governmental Organisations (NGOs) and madrasahs all have their own approaches and methods and there has been no research conducted on young people in and after care. The aim of this study was to explore the experiences of residential care from the perspectives of a group of young people who had lived in residential childcare institutions in Bangladesh with a view to making improvements in residential childcare in the future. Qualitative methods were employed for data collection, using in-depth semi-structured interviews with 33 young people (aged between 12 and 26) who had left the care system and observation of the four institutions where they had lived: one run by an NGO, two run by the government and one madrasah run by the religious community. All of the fieldwork was conducted and transcribed in Bangla. The findings of this study show that young people had mixed feelings about their lives in care, preparation for leaving care, and aftercare support; moreover, their experiences were diverse. Overall, most said that they had benefited from being in care and the institution had had a largely positive impact on their lives. However, the experience for those who had been evicted was much less favourable; these young people suffered a range of hardships after leaving care. The findings also show that there was a connection between the in-care experience and the success of a young person in the outside world. The type of institution, its culture, systems and practices, the amount of care received and socio-cultural-religious influences all played a part. The research further indicated that although some young people developed a measure of resilience to face the problems of their everyday lives, they were not fully able to overcome them due to societal discrimination. Those who did best where those who had developed positive attachments with at least one trusted adult, who acted as a mentor and strengthened their commitment and self-motivation. The findings demonstrate that aftercare support varied from institution to institution, but overall, was informal in nature. The study concludes by setting out implications for building better residential childcare policy and practice in Bangladesh. It identifies a number of avenues for further research, suggesting that lessons for the minority world may be learned from this study, namely the notion that the whole community should take responsibility for its children; and attention should be paid to faith and religious beliefs in children’s upbringing. The study has also demonstrated that improving financial resources may not necessarily lead to better outcomes from children and young people. Instead, building relationships with adults, peer groups, parents, and community offer the best chance for good outcomes.
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Carver, Hannah. "Substance use communication between looked after young people and formal carers : a qualitative study." Thesis, Edinburgh Napier University, 2017. http://researchrepository.napier.ac.uk/Output/978712.
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Background: Good parent-child connectedness, general and substance use specific communication are protective against alcohol, tobacco and drug use during adolescence. Previous research also suggests that general communication with foster and other statutory carers is associated with more positive outcomes, including relationships with caregivers and siblings. However, no studies have examined substance use specific communication between looked after young people and their carers. Aims: The aim of this study was to gain an understanding of how carers and looked after young people communicate about alcohol, tobacco and drug use and the factors that shape communication, including the use of digital media. Methods: A qualitative study was conducted, using in-depth interviews with 13 looked after young people in foster and residential care; two social workers; six foster carers and eight residential care workers. Interviews were audio-recorded, transcribed verbatim and the data were analysed thematically. Findings: Relationships between carers and young people were crucial and acted as the antecedent to communication. Carers' role identity influenced their relationships with young people and their approach to and communication about substance use. Shared doing provided a way in which communication about substances could be facilitated in an environment which feels natural. The context in which communication occurred was important, with differences between foster and residential care. Digital media were viewed with caution, as something used to gain information about substances but not as a way of communicating with young people. Conclusions: The findings have implications for foster carers and residential care staff working with looked after young people, in terms of relationships and communication about substance use. Carers should continue to develop positive relationships with young people, whilst considering the potentially negative effects of conflicts in professional role identity. Techniques such as shared doing and encouraging natural conversations about substance use may help.
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Francis, Joe. "Failing children? : a study of the educational experiences of young people in residential care." Thesis, University of Edinburgh, 2005. http://hdl.handle.net/1842/24581.
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This study has investigated the educational experiences and circumstances of twenty-eight young people in seven residential care homes in a large local authority in Scotland. All of the young people were secondary school aged. Research indicates that children looked after away from home are at a particular educational disadvantage. In comparison with their peers they tend to be behind in their attainments, leave school with fewer qualifications and be more at risk of being excluded from school (HMI/SWSI, 2001). This study therefore sought to consider how the young people in the sample were faring educationally and whether the Looking After Children (LAC) materials made a positive contribution to the educational progress of a sub-set. The degree to which these aims were met during the investigation is mixed, reflecting variations in the quality of available information across the study sample and highlighting a general concern about the standard of record keeping in both social work and education departments in the study authority. The data obtained in the study provide a rich picture of the experiences and backgrounds of the young people together with important insights into their in-care experience so far as it relates to their education. These data concern the backgrounds and home circumstances of the young people, their reasons for coming into contact with social work services, their school experiences before and after coming into care, issues relating to their care placements and details of the interplay between their school and care careers. A range of research methods were used in the study, including the examination of documentary sources of data, semi-structured qualitative interviews and a quasi-experiment design. Data obtained through interviews suggest that one of the major strengths of the LAC materials is their potential capacity to facilitate a sense of agreement about shared responsibilities. However, a major area of concern raised in the study is the disproportionate level of school exclusion experienced by looked after young people and from the views expressed by residential workers it is doubtful if the potential of the materials can be realised without the issue of exclusion being addressed on a broader strategic policy level.
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Bonnett, David Christopher Sturgess. "The design effectiveness of residential care homes for independent living of young physically disabled people." Thesis, Oxford Brookes University, 1994. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.282640.
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Albar, Ahmed. "A triangulated multi-sites case study of abandoned young people in residential care and care leavers in Saudi Arabia." Thesis, University of York, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.559012.
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Emond, H. Ruth. "Survival of the skilful : an ethnographic study of two groups of young people in residential care." Thesis, University of Stirling, 2000. http://hdl.handle.net/1893/2397.
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This thesis is a study of the experiences of young people living together in groups. It uses two children's homes in the north east of Scotland as its research sites. The ways in which data were collected were devised in consultation with the young people involved and required the researcher to 'live-in' th units for a year long period. This thesis concentrates on the ways in which the young people structured their resident groups and gained status and position within them. It argues that fixed roles or positions were not in play; rather there was constant change and fluidity. Young people, it is argued, gained position through a complex set of negotiations which required them to consider their skills and abilities as well as the social context in which they were operating. This inter-relationship supports some of the ideas put forward by Pierre Bourdieu and the conceptual analysis developed during the course of this thesis draws upon his work. The thesis as a whole contributes to the debates both within the study and practice of residential child care and broader sociological debates around children and young people. It illustrates the wide range of skills and knowledge used by the young people thus challenging bully/victim stereotypes and beliefs about the solely 'negative' influence of peers. Furthermore this thesis demonstrates the ways in which young people use their social agency to negotiate around 'adult' influences and controls.
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Schlosser, Annette Brigitte Maria. "Self-reported sources of social support : comparing young people with foster and residential care experiences to their non-care peers." Thesis, Oxford Brookes University, 1996. http://radar.brookes.ac.uk/radar/items/8b527a7a-2e3b-5921-280a-edda5bd4416d/1.
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The aim of this thesis is to compare sources of social support reported by young people in care with those reported by young people in the general population. The stressor specific model of social support (Wilcox and Vernberg 1985) is used in this explorative and descriptive study. The Social Support Measure for Adolescents was devised to examine young people's reported sources of support to particular stressors. The measure was examined for validity and reliability, using cluster analysis on 100 young people in the general population, and the test-retest method on a sample of 62 students. Fifty young people in care were interviewed using the SSMA, while 100 young people in the comparison group filled in the questionnaire. Furthermore, a subset of 15 young people with care experiences were followed up three to six months after the first interview. Demographical data was obtained from both samples relating to living arrangements, education, employment and social relationships. In addition, young people in care were asked about their care histories and reasons for entry into care. Statistical analyses revealed marked differences in reported sources of support, with young people in care mentioning more numerous, and more different sources, while the young people in the comparison group consistently mentioned members of their affiliative network: parents and friends. The findings suggest that only the young people in care report using particular support sources for specific stressors, supporting the stressor specific model. Furthermore, friendships are viewed differently in the two groups, with the in-care group reporting fewer sharing and reciprocal friendships. Conclusions are presented, highlighting that relationship development in the in-care group differed from the comparison group, as the young people in the comparison group embedded their support needs within their emotional relationships, while the in-care group relied on less intimate, more pragmatic sources. Gaps in the research on social support and on adolescence are discussed. Finally, some policy and practice implications of the findings are presented.
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Connor, Cath. "The influence of attachment experiences and mental health issues on offending behaviour of young people in residential care." Thesis, University of Salford, 2011. http://usir.salford.ac.uk/26623/.
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As a youth offending officer working with looked after children in residential care it became increasingly difficult for me to reconcile my professional responsibility to compile pre-sentence reports with my personal sense of injustice on behalf of the young people that I was working with. The tension between balancing the welfare needs of young people with the requirement for justice within an adversarial youth justice system led to the development of this practitioner research study. Semi-structured interviews were recorded with young people in residential care who had been convicted of a criminal offence. Over a period of twelve months, twenty young people agreed to participate and spoke about the triggers for their offending behaviour, family relationships, self esteem, people who were important to them and their feelings about care. Documentary evidence was analysed from statutory reports and minutes of reviews for looked after children. From this, a picture was formed of conflicting pressures and mismatches between evidence, perception, responses and outcomes. This study found that there is a gap between what is known about looked after children and application of this knowledge to practice in an integrated multi-agency way. There was also a gap between the perceptions of young people and professionals about their experiences and needs. Some elements of the care system exacerbated the emotional wellbeing of participants and opportunities for change were missed. Already vulnerable following experiences of neglect abuse and rejection, the mental health and well being of looked after children is significantly impaired by the time they enter residential care. Initially taken into care for their own safety and wellbeing, many participants in this study, by the time they reached adolescence, were perceived by professionals to be challenging, difficult to control and a risk to others rather than a victim of the system.
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Sirbu, Irina. "Going home from residential care : an exploratory study of the separation and reunification experiences of young people and their families in Moldova." Thesis, University of East Anglia, 2017. https://ueaeprints.uea.ac.uk/67788/.
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Abundant reunification research in Western contexts has accumulated a wealth of evidence on various groups of children in out-of-home care. Yet, such research takes a predominantly quantitative angle, looking at reunion odds rather than illuminating families’ in-depth qualitative experiences. Research on children in out-of-home care in Moldova remains an even more under-researched area. The present study aims to fill this gap. Based on retrospective accounts of 20 mothers, 20 children and 5 focus groups with child care professionals, it connects families’ separation and reunification experiences, creating a more holistic understanding of their journey. The study uses a rigorous Grounded Theory methodology to create theoretical models and frameworks deeply grounded in the data. Advanced participatory research methods were employed to engage children in the research process as co-constructors of knowledge. The findings demonstrated how families adapted to life in separation, preserving their sense of family membership and continuity. Being predominantly migrant workers, mothers continued ‘part-time’ parenting within restricted time frames and having scarce resources. In spite of a limited physical presence in their children’s lives, mothers kept their children psychologically present. Extended family played an important role in children’s lives, helping them retain a sense of family identity and membership. Most mothers and children highly praised residential care as providing children with safety, comfort and education they could not enjoy in their families and communities. Analysis of reunification processes revealed drastic differences between two groups of families — surviving and struggling — demonstrating how family continuity expressed by commitment to family membership, ongoing positive contact, willingness to reunite and determination to make reunion work cemented the stability of reunion. Where families lacked family continuity and coherence, they were struggling to adjust to life together. Finally, the study scrutinised mothers’ views on post-reunion support, revealing multiple gaps and barriers in accessing social services’ support. Most importantly, it revealed a disparity in views between mothers and professionals on family support needs. While mothers were increasingly speaking about their vulnerability and the need for ongoing and consistent support, professionals focussed on the need to cultivate families’ independence from the state. Multiple gaps in the work of the social assistance system were revealed, the most significant being a lack of community-based family services and systemic organisational deficits. The thesis concludes by discussing the study findings in the context of deinstitutionalisation reforms and previous reunification research in Moldova. Implications for practice and policy are made, highlighting the need for family involvement and family-focused work at all stages of planning and decision-making, the importance of supporting family continuity and the urgent need to reconsider the role of residential care in the child care system of Moldova.
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Davey, Dolores. "Achievement and outcomes in education : a case study of the experiences of young people looked after in residential and foster care in South Wales." Thesis, Cardiff University, 2006. http://orca.cf.ac.uk/55630/.
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This thesis presents a longitudinal qualitative case study of the educational experiences and outcomes of a sample of looked after young people. The majority of these young people are in foster care and a smaller number are in residential care. They cannot live at home for a variety of reasons including: inadequate parenting, neglect, abuse, or because some are beyond parental control. Children and young people who are 'looked after' by the state are vulnerable to a range of disadvantage including poor educational achievement. The study concentrates on a group of fourteen young people in one authority in South Wales whose educational achievements and experiences were tracked over three school years, from Year 9 to Year 11. The study explores links between a number of issues that appear to impact on their educational outcomes including: young people's background, type of care placement, stability and continuity of care and school placement and educational experiences. A number of the young people were interviewed over a three year period while aged between fourteen and sixteen. This was a significant time for the young people as it straddled two important assessment stages in their schooling. Some of the young people achieved well in their education during this period, whilst for others their schooling deteriorated as their lives became disrupted by care placement and school changes. Another group had particular challenging needs and there was little evidence that any sustained progress was achieved during mis three year period. The thesis focuses on multiple in-depth interviews with young people and includes carer and professional perspectives. It identifies individual, operational, policy and strategic features that help account for poor educational outcomes and also suggests ways to improve their attainment in school.
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Johansson, Sandra, and Linda Eriksson. "Jag & min framtid : En kvalitativ studie om HVB-hemplacerade ungdomars syn på sig själva och sin framtid." Thesis, Högskolan Kristianstad, Sektionen för hälsa och samhälle, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-9482.
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Studies have shown that young people in residential care homes tend to be low achievers in school and are at high risk of entering adulthood with a low level of education. This group has also shown tendency to adverse psychosocial outcomes. The aim with this study is to reach an understanding of how teenagers and young adults view themselves and their future, what ambitions they have in life and how they see their opportunities to realize their goals. The study is based on a qualitative method and was conducted with semi structured personal interviews with five youngsters 15-21 years old in two different residential care homes. The theoretical viewpoints have been based on E.H Erikson’s theory about identity as well as the theory about resilience.The result of this study indicates that the persons we have interviewed have expressed difficulties in describing themselves. They also express a wish to finish their primary school with complete grades. All of them described what professions they would like to work with. It also came clear that they do not like to plan too far ahead, instead they take one day at a time.The young people that we interviewed expressed a positive view about their future, most of them knew what they want in life, but they find it difficult to describe the way to get there.
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Williams, Helen. "An exploration of the interpersonal perceptions of care staff working in residential childrens' homes about the children and young people whose behaviour they experience as challenging." Thesis, University of Southampton, 2016. https://eprints.soton.ac.uk/402566/.
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Nazir, Maryam. ""It's just how I am … it's just the way I am" : the educational experience of young people looked after living in residential care : an Interpretive Phenomenological Analysis." Thesis, University of Sheffield, 2017. http://etheses.whiterose.ac.uk/17702/.
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This study set out to explore the educational experiences of young people looked after living in residential care. Current research in this area identified that the data concerning the educational placements and outcomes for young people looked after had improved. However, there is a need for further research to explore the process of engagement with learning and the impact of relationship based learning on young people looked after living in residential homes (Brodie, 2009). The present study used a qualitative methodology, encapsulating a case study method to hone in on the experiences of five young people living in a residential children’s home. The young people were interviewed using a semi-structured interview method and their responses analysed utilising an interpretive phenomenological method. The findings illustrated five superordinate themes. The first being that the young people valued their voice to be heard and acted upon; and they also needed a sense of social justice, space and privacy. The young people placed value on relationships in schools through having some sense of connectedness and intimacy which supported them reaching their potential and achieving their aspirations. In light of the findings I have also considered the role of Educational Psychology and how best to support young people looked after achieve better outcomes at a systems and an individual level. Throughout the research I was interested in the experiences of individuals that are on the periphery of mainstream systems and experiences of social injustice that exist for young people at the margins. My post submission reflections made me come to the realisation that despite my best efforts I have not always been able to represent the true voice of the young people within this research.
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Pereira, Beatriz Varão. "As expectativas em relação ao futuro de jovens em acolhimento residencial." Master's thesis, Universidade de Évora, 2021. http://hdl.handle.net/10174/29284.
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Apesar de a família ser o elemento fundamental e primordial do desenvolvimento do ser humano, existem diversos motivos que podem levar à rutura familiar, criando-se, assim, a necessidade de colocar crianças e jovens em instituições de acolhimento. É de salientar que jovens colocados em instituições de acolhimento podem sofrer psiquicamente quanto à orientação através das normas sociais e familiares, o que advém em dificuldades criação e construção de expectativas de futuro. Foram realizadas dez entrevistas semiestruturadas a onze jovens do sexo feminino da CARE Porta Mágica (Casa de Acolhimento Residencial Especializado), sendo estas analisadas através de metodologias de análise qualitativa; Abstract:
Although the family is the fundamental and primordial element in the development of human beings, there are several reasons that can lead to a family breakdown, thus creating the need to place children and young people in foster care institutions. It should be noted that young people placed in foster care institutions may suffer psychically regarding orientation through social and family norms, which results in difficulties in creating and building future expectations. Eleven semi-structured interviews were carried out with eleven young women from CARE Porta Mágica (Casa de Acolhimento Residencial Especializado), which were analyzed using qualitative analysis methodologies
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Fernandes, Joana. "Os comportamentos de fuga das crianças e jovens em acolhimento residencial." Bachelor's thesis, [s. n.], 2017. http://hdl.handle.net/10284/6148.
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Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de licenciada em CriminologiaAs fugas colocam as crianças e os jovens em situações de elevado perigo, cujos efeitos negativos se refletem nos próprios jovens, no contexto de acolhimento, no sistema de promoção e proteção e na sociedade em geral. Compreender os comportamentos de fuga é o primeiro passo para reduzir as taxas de fuga das crianças e jovens em situação de acolhimento. Existindo, no entanto, o desconhecimento concreto da incidência do fenómeno em Portugal. O presente projeto de graduação pretende propor um estudo que visa recolher informação que permita conhecer a real dimensão do fenómeno das fugas em acolhimento residencial, a nível nacional. Assim, o projeto organiza-se em duas partes, uma primeira parte onde é apresentado o enquadramento teórico, onde se abordará os conceitos necessários para uma melhor compreensão da temática em estudo e a legislação que a estes se refere. Na segunda parte será então apresentado o projeto de investigação de carácter descritivo e exploratório baseado num questionário.
The escapes put children and young people in high level danger situations which negative effects reflect themselves, on residential care, in promotional and protective system and society in general. Understanding the absconding behavior it´s the first step to reduce the rates of children and young people escapes in residential care. However, there´s no concrete knowledge of the incidence of this phenomena in Portugal. This graduation project intents to propose a study to collect information that to know the real phenomena in residential care at national level. To sum up, this project is organized in two parts. The first part is presented in a theorical perspective where there will be approached the necessary concepts for a better understand of the theme in study and the applicable legislation. The second part will present the investigation project with a descriptive and exploratory nature based on a questionnaire.
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Pacheco, Paulo Jorge Carvalho. "Lares de Infância e Juventude: contributos para um modelo de acolhimento e integração social." Master's thesis, [s.n.], 2010. http://hdl.handle.net/10284/1946.
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Dissertação de Mestrado apresentada à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Mestre em Serviço Social.O presente estudo intitulado “Lares de Infância e Juventude: Contributos para um modelo de acolhimento e integração social” tem como principal objectivo conhecer, analisar e compreender as estratégias que os lares de infância e juventude têm no processo de acolhimento e integração social das crianças e jovens que lhes foram confiadas. Para atingir este objectivo foi construído um questionário, enviado aos lares de Portugal continental e analisadas quantitativamente as 41 respostas que corresponderam à amostra desta investigação. Metodologicamente este é um estudo descritivo de natureza quantitativa que permite uma análise das diferentes variáveis presentes no acolhimento em lar de infância e juventude. Desta forma não é um estudo probabilístico, mas sim um retrato da realidade do acolhimento institucional em lar. A actualidade desta problemática, bem como a ausência de estudos de fundo sobre a mesma, num momento de redefinição paradigmática que ocorre no acolhimento institucional, são as principais razões que justificam a relevância deste trabalho. Com a construção de uma proposta de modelo de intervenção no acolhimento e a explicitação do modelo de integração social que se defende, atingimos o nosso principal objectivo e contribuímos de forma activa para a construção de um acolhimento de qualidade e uma plena inserção social e comunitária das crianças que vivem nos lares. Sintetizando, podemos caracterizar os lares de infância e juventude, dizendo que são na sua maioria de natureza religiosa, instituições particulares de solidariedade social, financiados pelo Instituto da Segurança Social e têm nos seus quadros variados profissionais técnicos e educativos. As crianças acolhidas têm essencialmente entre 11 e 18 anos, estão há mais de 4 anos em acolhimento por causas essencialmente atribuíveis às suas famílias e, na sua maioria, regressam às famílias, sendo que, um número não tão considerável, autonomiza-se. Apresentamos ainda uma hipótese de modelo de intervenção no acolhimento e os pressupostos de uma adequada integração social. De tudo isto podemos concluir que este tema ainda carece de muito estudo e reflexão. As mudanças de paradigma de acolhimento institucional e a adopção de um novo paradigma, que se verifica, não tendo sido acompanhado da devida regulamentação, criou um problema de intervenção desconexa, inconsistente e muitas vezes, apesar do esforço que as instituições põem nos casos, sem resultados. The present study is titled “Residential Institutions for children and young people: contributions for a model of residential institutionalization and social integration”; its main goal is to know, analyze and understand the strategies used by residential institutions for minors in their care and integration policies pursued by them. To this end, a questionnaire was developed and sent to residential institutions across continental Portugal and the 41 replies received were quantitatively analyzed, compounding the sample that composes this research work. In terms of the methodology used, this a descriptive study that is quantitative in nature, allowing us to analyze the different variables that come into play. Thus, it is not a statistical study, but rather a sweeping portrait of institutional care. The reasons behind the choice of this subject matter and its relevance include its actuality and the lack of in-depth studies in the field; more so at a time when institutional care faces great challenges and deep changes. Our main goal is to contribute actively towards a quality residential institutionalization and the full integration of children therein in the social and community fabric, by putting forward a proposal for a model of institutionalization and intervention therein, as well as by explicating the model for social integration proposed. In short, we may characterize residential institutions for children and young people by saying they are mostly religious in nature, defined legally as private social solidarity institutions, financed by the Social Security Institute and employing professional technicians and educators from a variety of fields. The average child in residential institutions is between 11 and 18 years of age and has been institutionalized for more than 4 years, for reasons associated with their respective families; the majority returns to their family and a small number pursues an autonomous path. In the scope of this study we will put forward a proposal towards a model of residential institutionalization and the pre-requisites deemed essential to proper social integration. Undoubtedly, this is a subject matter that requires much study and reflection. The changes undergone by residential institutions and the introduction of new parameters in face of new realities are already a reality on the field, but this effort has not been complemented by due regulation; this has created situations whereby intervention if oft heterogenic, inconsistent and, very often and in spite of the institutions’ best efforts, yields no results.
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Carmo, Raquel Azaruja Batista Neves do. "Relações entre Crianças e Jovens em Instituições de Acolhimento." Master's thesis, Instituto Politécnico de Portalegre - Escola Superior de Educação, 2013. http://hdl.handle.net/10400.26/6550.
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O presente estudo teve como principais objetivos: conhecer a frequência e os tipos de condutas de agressão e vitimação manifestados numa amostra de adolescentes acolhidos em lar; saber qual a relação entre a integração social no grupo de pares e vários padrões de comportamento social em contexto institucional de acolhimento permanente; e por fim, conhecer as representações das crianças e jovens acolhidas em lar sobre a instituição que os acolhe, a escola, e os adultos e pares mais significativos na sua vida.
Participaram 56 crianças/jovens em risco, do sexo masculino e feminino, com idades compreendidas entre os 4 e os 21 anos de idade. Paralelamente, e para que fosse possível comparar os resultados obtidos neste estudo com uma amostra de adolescentes não institucionalizados, baseámo-nos nos resultados obtidos por Martins (2009a), no seu estudo com uma amostra de adolescentes em contexto escolar normativo.
Foi elaborada uma adaptação do Questionário de exclusão social e violência escolar (Martins, 2009a). Foi também aplicado uma adaptação da versão portuguesa do Questionário de nomeação de pares (Martins, 2009a), e por fim, aplicou-se uma adaptação da Entrevista de frases incompletas para crianças e adolescentes (Díaz-Aguado, Segura & Garcia, 1995).
Foi efetuada a análise estatística dos resultados relativos a todos os instrumentos de medida utilizados neste estudo, bem como a análise de conteúdo às respostas dadas por cada criança/ jovem à entrevista de frases incompletas.
A presente investigação colocou em evidência que os problemas de agressão e vitimação entre crianças e jovens estão presentes nos lares de acolhimento da região do Alentejo, e são superiores às frequências obtidas em escolas regulares, embora as crianças e adolescentes institucionalizados recorram mais aos diretores, aos técnicos e educadores dos lares, do que os adolescentes recorrem aos diretores e professores das escolas, quando se verificam este tipo de fenómenos.The present study had as main goals: to know how frequently and which kind of aggression and victimization behaviors could be saw in a sample of adolescents in residential care homes for children and young people; to know the relationship between social integration in the group of pairs and patterns of social behavior in the context of long term shelter, and finally to know the representations of children and adolescents in residential care homes about the their institution, their school, and about their significant adults and pairs. 56 children/youngsters participated, from both sexs, with age between 4 and 21 years old. At the same time, and so that it was possible to compare the results obtain in this study with a sample of non-institutionalized teenagers, we relied on the results obtained by Martins (2009a) in her study with a sample of teenagers in a normative school context. It was elaborated an adaptation of a Questionnaire about social exclusion and scholar violence (Martins, 2009a). Was also applied an adaptation of the Portuguese version of the questionnaire about the nomination of pairs (Martins, 2009a), and, finally, applied an adaptation of a incomplete sentences’ Interview for children and teenagers (Díaz-Aguado, Segura & Garcia, 1995). Was made statistical analysis of the results related to all measuring instruments used in this study, as well as the analysis of the content of the answers given by each child / youngster to the incomplete sentences’ Interview. This research made evident that the problems of aggression and victimation among children and youngsters are present in children's residential care homes in Alentejo region, and are higher than the frequencies obtained in regular schools, although the institutionalized children and teenagers appeal more to the directors, technicians and residential care home’s educators, than teenagers appeals to directors or teachers in regular schools, when take place this kind of incidents.
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Higham, Patricia. "Relationships of elderly people in residential care." Thesis, Cranfield University, 1995. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.309590.
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Bell, Nancy M. "Young people at residential school : rights, communications and 'complaints'." Thesis, University of Glasgow, 2008. http://theses.gla.ac.uk/473/.
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Children and young people at residential schools are among the most vulnerable and marginalized of societal groups. While increasingly research has focused upon the everyday worlds of these children and young people, there has been an absence of research in Scotland that has examined the complex matrix of children’s human rights, complaints processes and advocacy, exploring children and young people’s understandings about those key themes and the institutional relations affecting their daily lives. Situated within a theoretical and contextual framework informed by institutional ethnography and children’s human rights, this thesis provides an account of young people’s understandings about rights, ‘complaints’ and advocacy, illustrating key textual constituents of adult dominated institutional relations influencing those understandings. The thesis begins from the standpoint of young people at residential school, acknowledging young people as expert knowers of their own experiences and claiming that these experiences are located within multifarious intersections of social, generational and institutional relations. Young people revealed in the research that they had little or no knowledge about their rights and that they preferred to discuss their concerns - their ‘complaints’ - with people they know and trust. Young people also disclosed that they had little contact with formal advocates and a poor understanding about advocacy services and the residential school’s internal complaint process. By mapping institutional factors affecting young people’s knowledge and understanding, this research has illuminated the multifaceted complaints process environments located within social care, health, education and legal contexts, explicating the systemic barriers to hearing the concerns of young people about possible rights violations. As researcher, I argue that it is essential for young people at residential school to understand their rights to claim rights violations and seek resolutions to possible rights infringements. Secondly, complaints process definitions need to be informed from a rights-based perspective and coordinate with young people’s own understandings about what constitutes a ‘complaint’. Defining complaints and implementing complaints processes from a human rights perspective, together with ensuring young people have trusting relationships with known advocates in their everyday worlds, is imperative for determining young people’s access to complaint processes and ensuring young people fully realize their entitlements. This research shows how institutional texts – unseen and unknown to young people – exist in ways that may actually interfere with this objective and prohibit the implementation of young people’s participation, protection and provisions rights. By extending our knowledge of young people’s everyday worlds beyond the scope of what is readily apparent in the ordinary ways in which we live our lives, this research has identified sites of potential change within the system of institutional texts, making it possible to effect change that will facilitate, rather than obfuscate, the implementation of young people’s human rights.
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Bell, Nancy Marie. "Young people at residential school rights, communications and 'complaints' /." Connect to e-thesis, 2008. http://theses.gla.ac.uk/473/.
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Thesis (Ph.D.) - University of Glasgow, 2008.Ph.D. thesis submitted to the Department of Sociology, Anthropology and Applied Social Studies, University of Glasgow, 2008. Includes bibliographical references. Print version also available.
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Jörgensen, Diane Mary. "Factors influencing entry to residential care among older people." Thesis, University of Auckland, 2006. http://hdl.handle.net/2292/1762.
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With the population increasing, and the occupancy and dependency levels of older people in residential care rising, it is essential to examine the factors surrounding admission. The reasons for an older person choosing to move to residential care in New Zealand are not well documented, and little evidence surrounds the process. Clearly there is interplay of many factors, such as risk mitigation by health professionals, co-morbid disease, and concerns of the family. Objective: To seek out the significant factors and influences which persuade an older person to enter residential care, and the subsequent satisfaction. Design: Longitudinal mixed methods design (N = 31), using interviews with older people who were referred by the Needs Assessment Services Co-ordination (NASC). Also interviewed were caregivers, NASC managers, and the Multidisciplinary team. This research, called Older People Entering Residential Accommodation (OPERA) was a sub-study of the Assessment of Services Promoting Independence and Recovery in Elders (ASPIRE) trial (N=569). The data from ASPIRE was also available for use in the analysis. Face-to-face or telephone interviews were held with older people in three cities who needed substantial levels of support. Findings: The most significant factors for increasing the likelihood of residential care entry were: to have the potential care-giving child living far away, and needing a lot of support with the higher level daily living tasks. Also significant was the older person being home alone for long periods. It was clearly shown that while the doctor had the most influence over the person’s entry into residential care, the older person had the most influence with the decision to stay at home. The vast majority of the older people staying at home were happy with their decision to stay there, but unfortunately the vast majority of older people who entered residential care were unhappy with their decision to move there. Conclusions: This study demonstrated who was at risk of residential care entry, who had the controlling influence, and the subsequent older person satisfaction. Also highlighted was the need for improved communication to the older person, with improved community support and more customer-focused residential care.
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Prytherch, H. "Residential suicide crisis care : stopping people from dying or supporting people to live." Thesis, Canterbury Christ Church University, 2018. http://create.canterbury.ac.uk/17733/.
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Background and aims: Improving care for people in suicidal crisis remains high on the UK government agenda. Trauma-informed approaches (TIAs) have been advocated to address the concerns raised by service-users with psychiatric hospital services. This study explores service-users’ accounts of staying at a women’s trauma-informed crisis house and in hospital whilst experiencing suicidal distress. Methods: Eight women were interviewed using a semi-structured interview schedule. Interviews were transcribed and analysed using thematic analysis within a critical realist framework. Results and discussion: Seven themes were developed: the power of talking, the limitations of medication, managing emotional safety through trusting relationships, managing physical safety through coercion, a home rather than a hospital, fostering compassion and the benefits of gender sensitivity. Participants described hospital as being dominated by a medical and custodial approach, which they said could undermine therapeutic engagement and exacerbate distress. By reframing suicidal feelings as a reasonable response to events in people’s lives, the TIA was described as enabling participants to safely work through their suicidal feelings, whilst maintaining freedom and control. This research was carried out with a small sample and both recruitment and context likely privileged positive accounts of TIAs. Clinical implications and areas for further research are discussed.
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Cowell, David James. "A social definition of young people in care." Thesis, Middlesex University, 1993. http://eprints.mdx.ac.uk/9781/.
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The research study described by this thesis was designed to identify the process whereby young people in local authority residential 'care' come to be socially defined and to analyse the nature and validity of this definition and its effect on their employment prospects. It is an undertaking which entails a critical reading into the territories in and between several of the social sciences (e.g. sociology, social administration, social policy, social psychology, applied social studies and economics) to identify the interlocking themes which combine to form the social definition of these young people which casts them as an undeserving group set apart from their 'non-care' peers. To test the validity of this definition matched samples of young people in, and not in 'care' from two London Boroughs were followed through their first year on the labour market. In this period they were interviewed on three occasions. An essentially qualitative approach was taken towards this task, using as the main source of material respondents' subjective reports to identify their personal problems, histories of offending, hopes and aspirations for the future, family relationships, school performance, assiduousness of job search and rates of unemployment. In so doing the study compensated for the lack of a similar comparative analysis in the literature and demonstrated that, contrary to the social definition of young people in 'care', they and their 'non-care' counterparts were much alike. Yet, interviews also held with 'care' respondents' teachers, prospective employers and members of the public revealed that nearly all of them clung to the distorted and exaggerated stereotype of these young people produced by the stigmatic social definition of them. The study attributes this to a profound historical process which stigmatizes all who are dependent on the largess of society. It is a process so deeply rooted that policies directed at changing the way in which they are defined are not likely to succeed. However the study concludes by making a series of recommendations intended to help young people in 'care' overcome the effects of this definition. In doing so it goes beyond providing a long-overdue analysis of the underlying social and historical forces which influence events and moves on to begin to provide solutions, based on analysis of the study's findings, to the problems these young people confront as a result of the social definition imposed on them.
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Hung, I. Y. "The internal conversations of young people leaving care." Thesis, University of Essex, 2012. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.549279.
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Lamond, Catherine. "Young people leaving care : plans, challenges and discourses." Thesis, University of Wolverhampton, 2016. http://hdl.handle.net/2436/621224.
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This small-scale study explored plans for four young people leaving care and the perspectives of twelve key adults supporting them. Using Fairclough’s model of critical discourse analysis, the rationale for this research was concern about the difference in outcomes between care leavers and young people in general. Aims were to explore if contradictions in plans and ideas contributed to problems for the young people, and to examine explanations and justifications made by the adult participants. Data were collected by semi-structured interviews from an opportunistic sample. Findings indicated that the established problem of young people having to leave care too early persists in spite of initiatives to prevent this happening. Theories drawn from the psychology of child development influence the professionals’ constructions of the young people, thereby limiting the responses which adults can offer. It is proposed that neoliberal discourses of individual responsibility and continuous self-improvement constrain systems which encourage young people to leave care before they are ready. Two concepts of chop (abrupt change, such as end of school phase) and churn (disruption, such as staff turnover) are used to examine how frequent disturbance in the life of a looked after child is exacerbated by points of rupture which are caused by the structures of children’s services. This study adds to calls for increased stability for young people, and recommends earlier planning for the future of young people in care. Implications for educational practice are presented, including the need to ensure that leaving mainstream education for segregated provision is not an irreversible decision. It is suggested that educators should consider critically the labelling of looked after children as having Special Educational Needs, as this can lead to practices which encourage compliance by young people, and pathologise resistance which could instead be re-framed as self-reliance.
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Mullins, Ralph. "Residential care for elderly people : a positive or pragmatic choice." Thesis, University of East Anglia, 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.358600.
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Littbrand, Håkan. "Physical exercise for older people : focusing on people living in residential care facilities and people with dementia." Doctoral thesis, Umeå universitet, Geriatrik, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-39784.
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The main purposes of this thesis were to evaluate a high-intensity functional weight-bearing exercise programme, regarding its applicability (attendance, achieved intensity, adverse events) as well as its effect on physical functions and activities of daily living (ADL) among older people living in residential care facilities, with a special focus on people with dementia. Furthermore, a main purpose was to systematically review the applicability and effects of physical exercise on physical functions, cognitive functions, and ADL among people with dementia. A high-intensity functional weight-bearing exercise programme that includes lower-limb strength and balance exercises in standing and walking, was evaluated in a randomised controlled trial among 191 older people, dependent in ADL, living in residential care facilities, and with a Mini-Mental State Examination (MMSE) score of ten or more. One hundred (52.4%) of the participants had dementia. Participants were randomised to an exercise programme or a control activity, consisting of 29 supervised sessions over 3 months, as well as to an intake of a protein-enriched energy supplement or a placebo drink immediately after each session. The effect on physical functions was evaluated using the Berg Balance Scale, usual and maximum gait speed, and one-repetition maximum in a leg press machine measuring lower-limb strength. The effect on ADL was evaluated using the Barthel Index. These outcome measures were followed up at 3 and 6 months by blinded assessors and analysed using the intention-to-treat principle. The evaluation of the applicability of the high-intensity functional weight-bearing exercise programme showed that there was a high rate of attendance, a relatively high achieved intensity in the exercises, and all except two adverse events were assessed as minor or temporary and none led to manifest injury or disease. No statistically significant differences were observed in applicability when comparing participants with dementia and participants without dementia. In addition, the applicability of the programme was not associated with the participants’ cognitive function. Significant long-term effects of the exercise programme were seen regarding functional balance, gait ability and lower-limb strength in comparison with the control activity. The intake of the protein-enriched energy supplement did not increase the effect of the training. Age, sex, depression, dementia disorder, nutritional status, and level of functional balance capacity did not influence the effect on functional balance of the high-intensity functional weight-bearing exercise programme. There were no significant differences between the groups regarding overall ADL performance. Analyses for each item revealed that a significantly smaller proportion of participants in the exercise group had deteriorated regarding indoor mobility at 3 and 6 months. For people with dementia, there was a significant difference in overall ADL performance in favour of the exercise group at 3 months, but not at 6 months. In a systematic review, randomised controlled trials, evaluating the effects of physical exercise among people with dementia, were identified according to pre-defined inclusion criteria. Two reviewers independently extracted predetermined data and assessed methodological quality. Ten studies were included in the review and the majority of the participants were older people with Alzheimer’s disease living in residential care facilities. Four studies reached “moderate” methodological quality and six “low”. The results showed that among older people with Alzheimer’s disease in residential care facilities, combined functional weight-bearing exercise over 12 months at an intended moderate intensity seems applicable for use regarding attendance and adverse events and there is some evidence that the exercise improves walking performance and reduces ADL decline. Furthermore, there is some evidence that walking exercise over 16 weeks performed individually, where the participant walks as far as possible during the session, reduces decline in walking performance, but adverse events need to be evaluated. In conclusion, among older people who are dependent in ADL, living in residential care facilities, and have an MMSE score of 10 or more, a high-intensity functional weight-bearing exercise programme is applicable for use and has positive long-term effects on functional balance, gait ability, and lower-limb strength and seems to reduce ADL decline related to indoor mobility. An intake of a protein-enriched energy supplement immediately after the exercise does not appear to increase the effect of the training. In people with dementia, the exercise programme may prevent decline in overall ADL performance, but continuous training may be needed to maintain that effect. The positive results regarding applicability and effects of combined functional weight-bearing exercise among people with dementia is confirmed when the scientific literature is systematically reviewed. It seems to be important that exercise interventions among people with dementia last for at least a few months and that the exercises are task-specific and intended to challenge the individual’s physical capacity. Whether physical exercise can improve cognitive functions among people with dementia remains unclear. There is a need for more exercise studies of high methodological quality among people with dementia disorders.
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Lambeth, Ufoo-Vicky. "Care experiences of looked-after, dual heritage young people." Thesis, University of Southampton, 2009. https://eprints.soton.ac.uk/72366/.
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This thesis explores the care experiences of looked-after, dual heritage young people with one white and one black African Caribbean parent. These young people have a history of spending longer periods in care than others and the assumption is that they experience identity confusion because they are neither white nor black. Given that very little is actually known in this domain, it has been necessary to examine their care experiences in order to unpack the myths and assumptions surrounding them. Perspectives from their carers, practitioners and, in some cases, the young people’s files informed this thesis. The term dual heritage has been used throughout to refer to this group except when making reference to other people’s work. When considering placements for all children and young people, Section 22 (5) (c) of the Children Act 1989 stresses the importance of taking into account their religion, race, language and cultural background. In addition to these factors, I found that practitioners also took into account the placement family’s ability to support dual heritage young people in coping with racism. In most cases, this resulted in the young people being placed in black families. Thus, the implementation of Section 22 (5) (c) can result in the neglect of dual heritage young people’s ‘white heritage’. This qualitative study used in-depth, semi-structured interviews involving sixteen young people, carers, practitioners, and case files. The stories told by the young people highlighted respect as the most important factor in placement and the need to be seen as individuals with different personalities rather than labelled purely on the basis of their skin colour. Like all looked-after individuals, these young people need to be listened to, loved and cared for at all times. This thesis found that looked-after, dual heritage young people are a heterogeneous group with diverse needs and for them; the ethnicity of their practitioners or carers is irrelevant. Although they used different terms to identify themselves, these young people were all comfortable with their dual heritage identity. They reported experiences of racism from black and white people, institutional racism, as well as racism within the family. Perhaps, given the diverse groups of vulnerable children and young people in Britain today, the time has come to re-examine practitioners’ interpretation of the ‘best interest’ of the dual heritage young person or child under Section 22 (5) (c) of the Children Act 1989.
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Glynn, Carole. "Voice and young people in State care in Ireland." Thesis, University of South Wales, 2016. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.702439.
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Human rights progressed significantly during the latter half of the 20th century; however their development is challenged in the early 21st century as issues of global economic, political and financial concern dominate international agendas. In Ireland, children's rights have been particularly slow to progress, experiencing a 20 year delay between the ratification of the United Nations Convention on the Rights of the Child in 1992 and the referendum to enable its Articles in 2012. This research is motivated by that referendum, in examining how the child's right to voice has been implemented for those in State care as of 2016. The study evaluates the extent of voice for those young people and identifies what voice means in this context. The research contributes to an expansion of existing knowledge regarding participation through voice, by considering the experience of vulnerable service users who need support in a service prescribed by statute. It also highlights the current gaps in realising the right to voice for those in care, which is of social and cultural significance. Lastly the study is of value to the service provider, who is responsible for ensuring that all the young people in care are afforded opportunities to exercise their right to voice.
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Liu, Ning. "Contracting-out residential care for the elderly in Hong Kong." Click to view the E-thesis via HKUTO, 2006. http://sunzi.lib.hku.hk/hkuto/record/B3625583X.
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Leung, Man-fuk Edward. "An analysis of policy on residential nursing care for the elderly in Hong Kong." [Hong Kong : University of Hong Kong], 1992. http://sunzi.lib.hku.hk/hkuto/record.jsp?B13236222.
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Kiss, Vincent. "Facilitating access for older adults in residential care to computers and the internet." Australasian Digital Theses Program, 2008. http://hdl.handle.net/1959.3/39614.
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Thesis (PhD) - Swinburne University of Technology, 2008.Submitted for the degree of Doctor of Philosophy, Swinburne University of Technology - 2008. Typescript. Includes bibliographical references (p. 194-228).
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Wilkinson, Samantha. "Young people, alcohol and urban life." Thesis, University of Manchester, 2015. https://www.research.manchester.ac.uk/portal/en/theses/young-people-alcohol-and-urban-life(27c2c5d1-ef4c-4dbb-bcda-b4279b537463).html.
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This thesis explores the alcohol consumption practices and experiences of 40 young people, aged 15-24, living in the suburban case study locations of Wythenshawe and Chorlton, Manchester, UK. By paying attention to how young people's drinking practices and experiences are bound up with relationships with friends, family, and diverse spaces, this research enhances understandings of the relational nature of young people's alcohol-related transitions to adulthood. Theoretically, I work at the intersection of multiple more-than-representational conceptual apparatus: 'doing' friendship; mobilities; and atmospheres. I conducted this research with young people, using a flexible suite of methods, which they could 'opt into', including: interviews; peer interviews; drawing elicitation interviews; diaries; mobile phone methods; and participant observation. Young people detail how alcohol assists with the formation of friendships, tensions between friends and strangers, and the development of 'more-than-friendships'. I thus contribute to the children's geographies literature by affording the role of friendship to many young people's everynight lives greater prominence. Second, by engaging with young people's emotional and embodied walking and vehicular mobilities, I show that young people consume alcohol on the move because it is both economically beneficial, and emotionally important. In doing so, I move beyond the typical academic and policy treatment of drinking spaces as bounded terrains. Third, I engage with young people's atmospheric experiences of darkness and lightness. I argue that atmospheres have the ability to shape drinking practices and experiences; young people are not passive to these atmospheres, they actively co-construct them. Whilst traditional harm-reduction messages focus on the individual drinker, I urge policymakers to turn their attention to intra and intergenerational relationships. For instance, by encouraging the practice of being a 'good friend' on nights in/out involving alcohol; and by providing families with advice on how to construct positive affective drinking atmospheres.
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Lundin-Olsson, Lillemor. "Prediction and prevention of falls among elderly people in residential care." Doctoral thesis, Umeå universitet, Geriatrik, 2000. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-100576.
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Among elderly people, falls lead to a considerable amount of immobility, morbidity, and mortality. The purpose of this study was to develop and evaluate methods for predicting falls, and to evaluate a fall prevention program among elderly people living in residential care facilities. A fall was defined as any event in which the resident unintentionally came to rest on the floor or the ground regardless of whether or not an injury was sustained. In developing the prediction methods, it was hypothesised that older persons showing difficulties in performing a familiar second task while walking were more likely to fall within six months. For residents who stopped walking when talking, the relative risk of falling was 3.5 (95% CL2.0-6.2) compared to those who continued walking. For residents with a time difference (diffTUG) of at least 4.5 seconds between two performances of the Timed Up&Go test, with and without carrying a glass, the hazard ratio for falls was 4.7 (95% Cl: 1.5-14.2) compared to those with a shorter diffTUG. A screening tool, the Mobility Interaction Fall (MIF) chart, was developed and evaluated, then validated in a new sample. This tool included a mobility rating, ‘Stops walking when talking’, ‘diffTUG’, a test of vision, and a concentration rating. In the first sample, the hazard ratio was 12.1 (95% 0:4.6-31.8) for residents classified as ‘high-risk’ compared to ‘low-risk’. The positive predictive value was 78%, and the negative predictive value, the sensitivity, and the specificity were above 80% for falling in six months. In the second sample the prediction accuracy of the MIF chart was lower (hazard ratio 1.7, 95% Cl: 1.1-2.5) and a 6-month fall history or a global rating of fall risk by staff were at least equally valuable. A combination of any two of the methods - the MIF chart, staff judgement, fall history - was more accurate at identifying high risk residents than any method alone. Half of the residents classified by two methods as ‘high risk’ sustained a fall within 6 months. In a randomised study a prevention program directed to residents, staff, and environment resulted in a significant reduction in the number of residents falling (44% vs. 56%; odds ratio 0.62, 95% CF0.41-0.92), the incidence of falls (incidence rate ratio IRR 0.80, 95% CF0.69-0.94) and of femoral fractures (IRR 0.25, 95% 0:0.08-0.82) in the intervention compared to the control group. In conclusion, a combination of any two of the staff judgement, fall history or MIF chart has the potential to identify a large proportion of residents at particular high fall risk. A multidisciplinary and multifactorial fall prevention program directed to residents, staff, and the environment can reduce the numbnumber of residents falling, of falls and of femoral fractures.Diss. (sammanfattning) Umeå : Umeå universitet, 2000,, härtill 5 uppsatser
digitalisering@umu
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McCarty, Lisa. "Evaluating the quality of care within residential services for older people." Thesis, University of Hull, 2001. http://hydra.hull.ac.uk/resources/hull:8429.
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The quality of care within residential services for older people has been a source of concern within health and social care for some time. Several attempts have been made to develop a means of assessing the quality of care; however, the nature and quality of these varies enormously. The Quest process of evaluation, which was designed as a means of assessing service quality according to the structure and process of care, is presented as a possible means of improving upon current practice. The Quest system incorporates four measures: the Service Profile, the Support Questionnaire, the Observation Profile and the Occupational Stress Indicator. The Service Profile is essentially descriptive in nature, and the Occupational Stress Indicator is a published, standardised measure. The remaining Quest measures, however, were only recently developed and therefore lack evidence in support of their psychometric properties. The present study was designed to assess the validity and reliability of the Quest system within residential services for older people. The exploration of validity and reliability took several forms, incorporating both qualitative and quantitative methodologies. The overall findings of the discussion group and assessment of face validity advocated the credibility of the dimensions of support that underpin the Quest system. With regards to reliability, the findings supported the reliability of the Observation Profile but identified that further work was needed to ascertain the reliability of the Support Questionnaire. Issues relevant to the interpretation of the results were discussed along with the reasons why a number of formal assessments of validity could not be made. Further work to explore the psychometric properties of the Quest system was recommended before it can be confidently applied to residential services for older people.
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Phillips, Judith Eleri. "The process of admission into private residential care for elderly people." Thesis, University of East Anglia, 1989. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.328692.
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Cook, Ailsa. "Understanding the communication of older people with dementia living in residential care." Thesis, University of Stirling, 2003. http://hdl.handle.net/1893/3301.
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This thesis explores the communication of a group of older people with dementia living in a residential care home and specifically, seeks to understand how living with dementia in a care home influences communication. The study draws broadly on a symbolic interactionist perspective and uses an ethnographic, inclusive, video methodology. In so doing, the study grounds the research in the experiences of the older residents with dementia and explores communication as it is interwoven with social life. The empirical data, on which this thesis is based, were gathered over the course of six months in one residential care home in Central Scotland. Analysis of these data, in conjunction with the theoretical literature informing the study, led to the development of a framework and a set of concepts to understand the communication of the older people with dementia living in residential care. This framework was used to examine the ways in which the older residents' experiences of institutionalisation, ageing, and dementia, generally, and of life in the care setting, specifically, influenced their communication. The findings revealed that the older residents made diverse meanings of their experiences in the home, and mat many of the meanings that they made were threatening to their self-identity, self-determinacy and social relationships. The residents engaged in a range of strategies to respond to the impact of these meanings and to negotiate their life in the care home. The research presented in this thesis has many implications for understanding the experiences of older people with dementia in residential care. In particular, the research highlights the need for a new social understanding of dementia, that examines the experience of dementia in relation to broad structural and cultural processes and that seeks to promote the social inclusion and citizenship of older people with dementia.
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Neville, Christine C. "The impact of residential respite care on the behaviour of older people /." [St. Lucia, Qld.], 2004. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe18245.pdf.
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Liu, Lifan. "Nursing home care in Taiwan : some factors influencing demand and supply." Thesis, King's College London (University of London), 2000. https://kclpure.kcl.ac.uk/portal/en/theses/nursing-home-care-in-taiwan--some-factors-influencing-demand-and-supply(57ee0bc3-4c7b-4295-90c6-a990c5ef8d2c).html.
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Lintern, Tracey Carol. "Quality in dementia care : evaluating staff attitudes and behaviour." Thesis, Bangor University, 2001. https://research.bangor.ac.uk/portal/en/theses/quality-in-dementia-care--evaluating-staff-attitudes-and-behaviour(7b098d81-8853-4d24-9e31-5638d348fb29).html.
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Research suggests that for many older people with dementia living in residential care, communication with staff often provides the most significant element of their day. It seems likely that the quality of the interactions provided by staff during their care of people with dementia will be an essential factor in affecting the person's quality of life. Research also suggests that the attitudes of nursing and care staff towards people with dementia is a central component in the quality of care they deliver, however, to date, there has been no empirically established evidence that staff attitudes have a direct effect on the quality of life of the people cared for. This study aims to examine the impact of staff attitudes on both the quality of care delivered and on the quality of life of residents and to examine whether there are any changes in any of these areas as a result of training and development interventions. The research includes a review of existing attitude measurements and the development of a new attitude scale for use with dementia care professionals, offering evidence for its reliability and validity. In order to evaluate quality of care, a new observational technique is developed, which draws on previous observational methodologies, with a focus on the behaviour of staff during their care of people with dementia. Results suggest that staff with more 'hopeful' attitudes about people with dementia are more likely to engage in social interactions and activities with residents and use more quality indicators (such as giving choice and information) during physical care tasks. The study also showed improvements in staff attitudes, the quality of care provided and in resident well-being following a number of training and development inputs. The implications of the results are discussed in relation to the limitations of the research.
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Clarke, Stephen Ronald. "Family contacts of people with learning disability who are in residential care." Thesis, University of Surrey, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.264378.
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Peet, Susan Margaret. "Crossing the threshold : a study of older people moving into residential care." Thesis, University of Leicester, 1994. http://hdl.handle.net/2381/34198.
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Introduction: The present thesis examined the reasons for and outcomes of admission to local authority residential homes for older people. Method: A randomised controlled trial of applicants to Leicestershire homes was conducted. Applicants were assessed for health and morale, the intervention group was medically examined and all applicants were re-assessed at 6, 12 and 52 weeks using a repeat of baseline measures. A retrospective analysis was also undertaken of admissions, comparing one year mortality with a community population. Finally, walking distances of short-stay users at home and in residential care were compared. Results: High levels of disability (54%), urinary incontmence (38%) and cognitive impairment (47%) indicated that 41% of admissions were inappropriate. Intervention group applicants experienced similar health outcomes to controls at 6 and 12 weeks but significantly more transferred to nursing/hospital care and experienced improvements in morale at the latter follow-up. One quarter had died within a year (twice the expected rate) and 11% were discharged. Baseline disability was predictive of both outcomes. Of those remaining in the homes after one year, deterioration in function necessitated greater assistance from staff. Additionally it was apparent that walking distances in residential homes were much greater than at home and that this may have had implications for the health status of some older residents. Discussion: Leicestershire homes admit older people who are unsuited to residential care and many deteriorate during their first year of residence. Despite the death or discharge of the most frail, more help is needed by the remainder, justifying a review of staffing and admission criteria. The medical intervention redirected inappropriate admissions but no improvements in physical function were detected, despite improvements in morale. This suggested that selective medical screening may be advisable.
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Darwesh, Nizam Muhammad. "Low vision and diabetes in older people living in residential care homes." Thesis, University of Bedfordshire, 2015. http://hdl.handle.net/10547/622491.
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Background: Worldwide one in twelve people are living with diabetes and one in two people do not know they have diabetes. Currently large numbers of the older people live in residential care homes in the UK, and up to one in four older people living in residential care homes present with diabetes. Low vision is one of the complications associated with diabetes in older people. In those aged 75 and over, one in five, and in those aged over 90, one in two people are affected by low vision and they are at an increased risk of developing other eye diseases. Within 20 years of diagnosis nearly all people with Type 1 and almost two thirds of people with Type 2 diabetes (60%) have some degree of diabetic retinopathy. Aims and Objectives: This study aimed to investigate the issues and problems faced by older people living in residential care homes with low vision and diabetes; to evaluate health professionals’ knowledge and understanding of the impact of low vision associated with diabetes in older people living in residential care homes; and to develop an educational toolkit which aimed to educate health care assistants about low vision and diabetes. Methods: This study is an exploratory investigation of older people living in residential care homes with low vision and diabetes. Adopting an open-ended qualitative approach using focus groups, interviews and a health professional’s survey, 116 participants were involved. These included GPs, ophthalmologists, nurses, optometrists, health care assistants and older people with low vision and diabetes. The data was analysed thematically. The educational toolkit was developed in the second part of this study, and 20 healthcare assistants were trained using this toolkit. Their knowledge was tested before the training, immediately after the training and one month after the initial training. Following Kirkpatrick’s model, the skills and practical use of the educational toolkit was assessed using an open-ended qualitative approach. Results: The results found that many older people and the health care assistants had the perception that low vision was a normal ageing process and could not be rectified. The study found that there was evidence to suggest that eye health was not considered to be a priority; instead, it was considered to be a natural part of the ageing process. The results found that 82% of the HCAs had not had any training in the area, and more than half of the nurses and GPs did not have sufficient knowledge of low vision and diabetes. After training, however, their knowledge was increased. This suggested that low vision and diabetes toolkit training could be used to educate healthcare assistants on a regular basis. The study also found that knowledge does decline over time, and therefore regular training for HCAs is required in order to maintain eye health and diabetes in older people, as well as improving their quality of life. Conclusion: In the research findings it was found that 50% to 70% of low vision was preventable or treatable if detected in its early stages and could be avoided by simply wearing appropriate spectacles, or possible surgery. However, in order to identify these 50% to 70% with low vision, everyone concerned should be able to recognise the signs and symptoms of preventable low vision, particularly health care assistants, as according to this study, health care assistants spent large amount of time in the residential care homes compared to the other health professionals.
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Sabelka, Paul C. "Hillside House : communication and community in a residential care facility /." free to MU campus, to others for purchase, 2000. http://wwwlib.umi.com/cr/mo/fullcit?p9999312.
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Liu, Hong. "Development of residential care for older persons in China : a case study of Tianjin /." View the Table of Contents & Abstract, 2006. http://sunzi.lib.hku.hk/hkuto/record/B3640455X.
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Johnson, Eleanor. "The costs of care : an ethnography of care work in two residential homes for older people." Thesis, Cardiff University, 2018. http://orca.cf.ac.uk/115107/.
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This thesis is an ethnography of care work conducted in two differently priced private residential homes for older people in Southern England. Drawing upon around eight hundred hours of participant observation and interviews undertaken with thirty care workers, I examine the everyday interactions, routines, and rituals of care work. I identify how political-economic factors, working conditions, material resources, and workplace cultures produce particular kinds of care and I consider the contribution which social theory can make to sharpening our understanding of the care industry. I begin by exploring how work is divided-up, scheduled, and allocated to care workers and how, by defining what activities are of value, these forms of organising work shape the content and nature of caregiving. I extend this analysis of the everyday rituals and routines of care work by focusing in particular on care workers’ attitudes and practices concerning hygiene and bodily waste, and dying and death. Here, care workers’ ideas about the private and the public, the dirty and the clean, and the profane and the sacred, are established and reaffirmed by marking out boundaries between materials, spaces, and persons. The research shows how the availability of material resources, by facilitating or impeding such symbolic work, shapes care workers’ ability to show respect and moral regard towards the individuals in their care. Whilst it is undeniable that the funding of care is directly linked to the quality of the service provided, this research argues that we also need a cultural and material architecture of care that is sensitive to our need for moral and symbolic treatment.
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Lau, Wai-kwan Dianna. "The utilisation of home care and residential care services by seniors in Canada: critical appraisal." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2011. http://hub.hku.hk/bib/B4693862X.
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Lipscombe, Joanna. "Another side of life : foster care for young people on remand." Thesis, University of Bristol, 2003. http://hdl.handle.net/1983/c7110f52-f03d-46a6-ad3e-bbed7512999a.
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Tak, Min Young. "Transition and choice in residential long-term care for older people in England." Thesis, University of Oxford, 2014. http://ora.ox.ac.uk/objects/uuid:49ce17a1-ba76-4fb8-ae94-a7fd35c2fa5e.
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Care transition, the process of moving from community care to residential care, is one of the biggest changes that older people can experience in their later life. Evidence from the literature suggests that older people's experiences of care transition tend to be negative and traumatic, with most of them being little involved in the process of care transition. How older people exercise choice during the period of care transition is important for understanding their experiences of care transition for the following two reasons: first, choice has been referred to in the literature as the key to less stressful care transition experiences, which can subsequently lead to a better quality of life in residential homes; second, the introduction of choice in public services has been the key plank of British social policy in recent decades and there has been a movement towards extending choice in residential care. This research aims to study older people's care transition experiences and their exercise of choice during the process of care transition, to explore the meaning and the perceived effects of choice and to identify the role of choice in promoting a positive care transition. This thesis presents findings from 48 in-depth interviews with older people who became new residents in one of the ten participating residential homes in London and had their care paid for by the local authority. This research identified four groups of older people who showed marked differences in terms of their needs, their exercise of choice during the care transition process and their adaptation to residential care: Active Planners, Conformists, the Unsettled and Shelter-Seekers. The findings from this research suggest that the older people's care transition experiences varied and that they stretch beyond the prevailing evidence emphasising the stressfulness of the care transition. The cases of Active Planners and Shelter-Seekers show the potential for positive roles for care homes in the case of users with genuine needs for residential care. An overwhelming majority of the older people who were interviewed were great proponents of choice and many of them actively exercised choice in the course of their care transition. This challenges the claim of the passivity of older people which has been argued in the literature. However, the cases of some Conformists who did not want to exercise choice also highlight that having no choice can be a choice for some older people. On the whole, older people’s exercise of choice played an important role in facilitating a positive transition, despite it not being a precondition for such a transition. However, there were administrative issues limiting the level and the extent of choice that were available to the older people and the Unsettled experienced an undesired move into a care home, having their choices denied or rejected. This thesis also questions the working of choice and competition in residential care, as the older people did not seem to enjoy the expected benefits of choice relating to service improvements which have been argued for in the literature.