Good practice in social care for disabled adults and older people with severe and complex needs: evidence from a scoping review

GRIDLEY, Kate, BROOKS, Jennifer and GLENDINNING, Caroline (2013). Good practice in social care for disabled adults and older people with severe and complex needs: evidence from a scoping review. Health & Social Care In The Community, 22 (3), 234-248.

Preview

PDF Brooks - Good practice in social care for disabled adults and older people with severe and complex needs - evidence from a scoping review..pdf - Accepted Version All rights reserved. Download (467kB) | Preview

Abstract

This article reports findings from a scoping review of the literature on good practice in social care for disabled adults and older people with severe and complex needs. Scoping reviews differ from systematic reviews, in that they aim to rapidly map relevant literature across an area of interest. This review formed part of a larger study to identify social care service models with characteristics desired by people with severe and complex needs and scope the evidence of effectiveness. Systematic database searches were conducted for literature published between January 1997 and February 2011 on good practice in UK social care services for three exemplar groups: young adults with life-limiting conditions, adults who had suffered a brain injury or spinal injury and had severe or complex needs, and older people with dementia and complex needs. Five thousand and ninety-eight potentially relevant records were identified through electronic searching and 51 by hand. Eighty-six papers were selected for inclusion, from which 29 studies of specific services were identified. However, only four of these evaluated a service model against a comparison group and only six reported any evidence of costs. Thirty-five papers advocated person-centred support for people with complex needs, but no well-supported evaluation evidence was found in favour of any particular approach to delivering this. The strongest evaluation evidence indicated the effectiveness of a multidisciplinary specialist team for young adults, intensive case management for older people with advanced dementia, a specialist social worker with a budget for domiciliary care working with psycho-geriatric inpatients, and interprofessional training for community mental health professionals. The dearth of robust evaluation evidence identified through this review points to an urgent need for more rigorous evaluation of models of social care for disabled adults and older people with severe and complex needs. Keywords : comorbidity, dementia, disabled people, evidence, multidisciplinary teams, social care.

Item Type:	Article
Research Institute, Centre or Group - Does NOT include content added after October 2018:	Sociology, Politics and Policy Research Group
Identification Number:	https://doi.org/10.1111/hsc.12063
Page Range:	234-248
Depositing User:	Jenni Brooks
Date Deposited:	17 Feb 2016 16:26
Last Modified:	18 Mar 2021 04:06
URI:	https://shura.shu.ac.uk/id/eprint/11484

Actions (login required)

View Item

Downloads

Publication Metrics