Role and principles of reablement | SCIE Published February 2020 This briefing is an overview of the role and principles of reablement in the social care sector. It is designed for those working in reablement or commissioning it, but may also be useful to carers and people receiving reablement. As well as describing what the roles and principles of reablement are and the different models used to deliver it, the briefing illustrates the shift from traditional home care towards personalised, outcome-focused care and describes the principles of effective reablement. Reablement is a strengths-based, person-centred approach that promotes and maximises independence and wellbeing. It aims to ensure positive change using user-defined goals and is designed to enable people to gain, or regain, their confidence, ability, and necessary skills to live as independently as possible, especially after an illness, deterioration in health or injury. Key messages Reablement: What is reablement? Home care and reablement The reablement service SCIE Support
Effectiveness of Reablement: A Systematic Review Evidence-based interventions involving occupational therapists are needed in re-ablement for older community-living people: a systematic review - Social Care Online Authors: PETTERSSON Cecilia, IWARSSON Susanne Journal article citation: British Journal of Occupational Therapy, 80(5), 2017, pp.273-285. Publisher: Sage Introduction: Re-ablement services are in a period of strong development, but the terms and definitions used remain unclear, and the scientific evidence is still weak. Subject terms: evidence-based practice, intervention, occupational therapists, occupational therapy, reablement, older people, community care, systematic reviews; Content type: systematic review Link: Journal home page ISSN online: ISSN print: Search again for: Authors: PETTERSSON Cecilia, IWARSSON Susanne Publisher: Sage evidence-based practice, intervention, occupational therapists, occupational therapy, reablement, older people, community care, systematic reviews Share:
Reablement services for people at risk of needing social care: the MoRe mixed-methods evaluation - NCBI Bookshelf Reablement services in health and social care: a guide to practice for students and support workers - Social Care Online Authors: EBRAHIMI Valerie A., CHAPMAN Hazel M. Publisher: Red Globe Press Publication year: Pagination: Text book introducing the theoretical basis and practical considerations of reablement. Subject terms: reablement, models, service provision, support workers, rehabilitation, health care, social care provision; Content type: practice guidance ISBN print: Search again for: Authors: EBRAHIMI Valerie A., CHAPMAN Hazel M. Publisher: Red Globe Press reablement, models, service provision, support workers, rehabilitation, health care, social care provision Share:
New horizons: Reablement - supporting older people towards independence | Age and Ageing We use cookies to enhance your experience on our website.By continuing to use our website, you are agreeing to our use of cookies. You can change your cookie settings at any time. <a href=" Find out more</a> Skip to Main Content Search Close Advanced Search Search Menu Article Navigation Volume 45 Issue 5 September 2016 Article Contents Comments (0) Editor's Choice New horizons: Reablement - supporting older people towards independence Fiona Aspinal, Fiona Aspinal Social Policy Research Unit University of York Heslington, York YO10 5DD *Address correspondence to: F. Search for other works by this author on: Oxford Academic PubMed Google Scholar Jon Glasby, Jon Glasby School of Social Policy, Muirhead Tower, Room 829 University of Birmingham Edgbaston, Birmingham B15 2TT Oxford Academic PubMed Google Scholar Tine Rostgaard, Tine Rostgaard KORA – Danish Institute for Local and Regional Government Research 1150 København K Denmark Oxford Academic PubMed Google Scholar Hanne Tuntland, Norway
Error - Cookies Turned Off Challenges experienced with study set‐up and recruitment – predominantly due to the lack of research support structures within English social care services and slower than anticipated service throughput – meant the study was closed prior to achieving its desired sample size. Consequently, it was not possible to fulfil one of the main objectives – to evaluate and compare different models of delivering reablement. However, a descriptive analysis of outcomes and resource use was possible. The study offers a number of further contributions. It used outcome measures and a follow‐up time point not previously (or infrequently) used. 4.1 Findings on reablement outcomes and implications for future research To our knowledge, this study evaluated the widest range of outcome domains including quality of life, functioning and mental health. In terms of observed changes in outcomes at discharge (T0 to T1) and at 6 months follow‐up (T2), a number of points are highlighted.
How to make an eligibility determination for the Care Act 2014 There are a number of key elements to consider when making an eligibility determination following assessment: Use the knowledge and information gathered during the assessment Apply the national eligibility criteria (The Care and Support (Eligibility Criteria) Regulations 2014; see the sections in this guide entitled ‘Eligibility outcomes for adults with care and support needs’ and ‘Eligibility outcomes for carers with support needs’) Consider principles of risk in relation to wellbeing Enable effective decision-making Be transparent and collaborative Ensure that decisions are evidenced appropriately Use the knowledge and information gathered during the assessment Making an eligibility determination requires: The eligibility determination cannot be made until after the assessment when the full extent of the person’s needs has been identified, except when urgent need is being met – see SCIE’s Assessment guides. There are two types of outcomes to be considered: Repetition Adjustment Credibility
Carrying Out an Assessment Differences under Easements of the Coronavirus Act 2020 Who should Carry Out the Assessment Under the easements, the local authority will not be penalised if the practitioner carrying out an assessment does not have all the necessary skills, knowledge and competence to carry out the assessment in question. Note: This does not mean that anyone at all can complete an assessment. It means that a practitioner who has a particular area of expertise in one area can carry out an assessment in another where their knowledge may be more limited (e.g. a transition worker can assess an older adult). The local authority is still required to make reasonable adjustments under the Equality Act 2010, so wherever possible should ensure that assessments are carried out by a practitioner who has specific training and expertise when a person is deafblind or has Autism. Preparing the Person or Carer for the Assessment The Timeframe for Assessment Involving Others in the Assessment NHS Continuing Healthcare 1. 2. 3.
Integrated Discharge Planning & Reablement with social work | Fab NHS Stuff Reducing delayed Discharge and Improving Independence through joint reablement and social work teams The Swindon Integrated Discharge Planning and Reablement programme has transformed the way we care for older people - reducing delays and supporting them to live at home for as long as possible. We have increased people receiving reablement by 163%, reduced DToC days by 69% and saved over £1.9m per year for the health and social care economy. Because of our system-wide leadership towards integrated care, in Q1 and Q 2 2017/18, Swindon was the best performing system for reducing delays in the South West, better than the national average. The programme started with health and social care practitioners reviewing a sample of cases for patients discharged from hospital, asking: “what was the reason for delay?” Results showed too many patients were discharged to residential/nursing care, leading to delays. • Improving discharge planning and daily meetings across H&SC. • 69% reduction in DToC Days
Benefits of home care reablement in the long term | Community Care Reablement is popular with service users and although not the cheapest option, may have longer term benefits. Jill Manthorpe reviews the evidence What is home care reablement? Home care reablement services and staff provide personal care, help with activities of daily living and other practical tasks for a limited period. The Research Key words: Home care | reablement Authors: Caroline Glendinning, Karen Jones, Kate Baxter, Parvaneh Rabiee, Lesley A Curtis, Alison Wilde, Hilary Arksey, and Julien E Forder Title: Home Care Reablement Services: investigating the longer-term impacts, Social Policy Research Unit, University of York (2010) Aim: To provide robust evidence on the immediate and longer-term benefits of home care reablement; to identify any factors that affect the extent of benefits and how long any benefits last for service users; and to investigate the impact and savings arising from reablement services. Practice implications For practitioners: For commissioners: Further Reading
A Wellness and Reablement Approach to Purposeful Ageing Purpose is the difference between existing, and living. Purpose means having clear goals to keep us engaged in our day-to-day lives. Without it, we lack vitality, productivity and risk cognitive and physical decline (Conci 2018). A wellness and reablement approach to ageing sees older adults setting purposeful goals for how they wish to live, to help regain and maintain independence and autonomy, for as long as possible. ‘An important key to ageing successfully is feeling that our lives are meaningful… At every age we need some structure in our lives and a reason to get up in the morning. Without it, sickness and earlier death are more likely.’ The Federal Government announced an increase in funding for aged care in 2018 to focus on promoting greater independence, mobility and autonomy (Australian Government Department of Health 2018). What is Wellness and Reablement? (Nous Group 2018) Wellness and reablement reject the notion that ageing is an irreversible and inevitable decline. References
Models of reablement evaluation (MoRE): a study protocol of a quasi-experimental mixed methods evaluation of reablement services in England The primary aim of this study is to evaluate different models of reablement services, which will generate evidence to support commissioners and practitioners as they make decisions about the organisation, delivery and development of reablement services. The study comprises three work packages using different methods and data collection strategies extending over a period of 34 months. These are: Work package 1 (WP1): Mapping reablement services. Work package 2 (WP2): Evaluation of generic reablement service models. To avoid confusion between the use of the term ‘model’ to describe service configuration (i.e. service model) and statistical techniques (i.e. modelling), the term ‘service type’ has been used instead of ‘service model’ throughout the methods section. Work package 1 (WP1): mapping reablement services Work package 1 (WP1) will generate ‘stand-alone’ evidence on reablement services in England and develop a typology of current types of reablement services. Methods – WP1 Analysis
Looking inside the black box of community rehabilitation and intermediate care teams in the United Kingdom: an audit of service and staffing configuration | Insight Medical Publishing Keywords community rehabilitation, intermediate care, service configuration, staffing, workforce Introduction Community rehabilitation and intermediate care services (CRAICS) in the United Kingdom (UK) are complex. Following the National Service Framework for Older People,[2] the number and type of CRAICS has grown substantially and they are set to expand further as acute care services continue to move to primary and community care settings.[3] An emphasis on patient-centred care, interprofessional working and the push for workforce flexibility,[3,4] coupled with patient choice[5] and new financial arrangements,[3,6] has intro-duced new complexities in the planning and delivery of these services. The healthcare workforce is influenced by several factors. Method Data were collected from two separate sources between late 2005 and early 2006. All data were entered and managed in SPSS Version 12.01. Results Response rates Figure 1: Survey response rates Service characteristics Team organisation