Good practice outside the care homes

Claire Goodman and Sue L. Davies

in Mental Health and Care Homes

Published on behalf of Oxford University Press

Published in print May 2011 | ISBN: 9780199593637
Published online February 2013 | e-ISBN: 9780191754722 | DOI:
Good practice outside the care homes

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How health services work with care homes and provide support to residents lies at the heart of ‘good healthcare’ for this frail population. This chapter provides an overview of how healthcare services can, and do, work with care homes and what models of integrated working achieve positive outcomes. Research demonstrates a long history of erratic and inequitable approaches to healthcare delivery by both primary and secondary healthcare agencies and practitioners. Although there are examples of innovation and good practice, these tend to be time-limited, discretionary, and locally determined; often they depend on an individual practitioner’s interest. The majority of interventions are reactive, problem specific, narrowly defined, and do not consider the priorities of the older person or how the culture of the home should influence approaches to care. There is an overarching need to involve older residents in healthcare decision-making and to develop strategies that allow care homes to be equal partners in setting priorities. Only then can healthcare providers work with them effectively to improve the well-being and health of residents, however complex the needs.

Chapter.  7256 words. 

Subjects: Psychiatry

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