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Designing residential aged care for people at risk of, or experiencing, homelessness: an exploratory Australian study
Citation
Rowlands, A and Poulos, R and Agaliotis, M and Faux, S and Raguz, A and Poulos, C, Designing residential aged care for people at risk of, or experiencing, homelessness: an exploratory Australian study, Health and Social Care in the Community, 28, (5) pp. 1743-1753. ISSN 0966-0410 (2020) [Refereed Article]
Copyright Statement
Copyright 2020 John Wiley & Sons Ltd
Abstract
The number of older people experiencing or at risk of homelessness, both long-term
and first-time homelessness, is increasing. The proportion of women facing homelessness within that cohort is also increasing. When combined with complex health
needs, appropriate long-term care options remain limited. This qualitative study conducted in Sydney, Australia, aimed to explore the care needs of older people with comorbid health issues who are facing homelessness and, from this assessment, derive
a preferred model of residential aged care. Interviews and focus groups were conducted with 29 participants from providers in the aged care and homelessness sectors. Data were analysed using a grounded theory approach. Causal and contextual
factors, and consequences surrounding the experience of homelessness, informed
the wide range of care needs of this group (model of care), and the organisational
resources required to deliver them (management issues and staff). A trauma-informed
approach to care consistently applied by all staff to all processes throughout the care
home was recommended. Such an approach would further strengthen existing models of care and take into account both health needs (such as mental health, substance
dependence and acquired brain injury) and significant losses through the life course
of this vulnerable population.
Item Details
Item Type: | Refereed Article |
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Keywords: | long-term care, model of care, older age homelessness, trauma-informed care |
Research Division: | Health Sciences |
Research Group: | Health services and systems |
Research Field: | Aged health care |
Objective Division: | Health |
Objective Group: | Specific population health (excl. Indigenous health) |
Objective Field: | Health related to ageing |
UTAS Author: | Agaliotis, M (Dr Maria Agaliotis) |
ID Code: | 140653 |
Year Published: | 2020 |
Deposited By: | Australian Institute of Health Service Management |
Deposited On: | 2020-09-01 |
Last Modified: | 2020-10-19 |
Downloads: | 0 |
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