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Title: A study of the older mentally handicapped person in residential care
Author: Hisada, N.
Awarding Body: University College of Swansea
Current Institution: Swansea University
Date of Award: 1991
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This thesis is concerned with living arrangements for older people with a mental handicap and their statutory carers as well as their informal carers. The study was conducted in seven different types of living arrangements in South Wales from March 1989 to February 1990. In most of the settings, care and facilities as well as social activities offered to older people with a mental handicap are poor. They are also socially isolated from the community, despite the fact that some settings are situated within it. In the case of those living in old people's homes, they are not only isolated from the community, but also isolated from 'normal' elderly residents, since the former are placed in a different unit or share a room with the same handicap or those with dementia. These facts overshadow the notion of social integration for those who are transferred from large hospitals. The failure to provide optimum environments seems to be linked to the way in which they are transferred to the current settings. The relocation programmes in the past demonstrated a lack of involvement of both movers and their informal carers. The current relocation programmes in hospitals and a hostel advocate that priority is given to individual movers' wishes with the full involvement of informal carers. However, this seems to be undermined by the fact that those living in hospitals have rarely been encouraged or trained to make a decision by themselves and that informal carers sometimes distance themselves from the relocation procedure, when their wishes differ from their relatives. Considering the current policy of de-institutionalisation, it appears important to establish a means to ensure the full involvement of informal carers, staff-training for staff transferred from hospitals to community residential settings and the quality of care in residential arrangements.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available