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Social inclusion through ageing-in-place with care?

Published online by Cambridge University Press:  04 May 2011

PATRICK BARRETT ,
BEATRICE HALE  and
ROBIN GAULD
PATRICK BARRETT*
Affiliation:
Public Policy Programme, School of Social Sciences, The University of Waikato, New Zealand.
BEATRICE HALE
Affiliation:
Department of Preventive and Social Medicine, The University of Otago, New Zealand.
ROBIN GAULD
Affiliation:
Department of Preventive and Social Medicine, The University of Otago, New Zealand.
*
Address for correspondence: Patrick Barrett, Political Science and Public Policy Programmes, The School of Social Science, The University of Waikato, Private Bag 3105, Hamilton, New Zealand. E-mail: pbarrett@waikato.ac.nz
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Abstract

The onset of ill-health and frailty in later life, within the context of the policy of ageing-in-place, is increasingly being responded to through the provision of home care. In the philosophy of ageing-in-place, the home provides for continuity of living environment, maintenance of independence in the community and social inclusion. The provision of assistance to remain at home assumes continuity in the living environment and independence in the organisation of daily life and social contact. This paper explores the changes that occur as a result of becoming a care recipient within the home and concludes that the transition into receiving care is characterised by discontinuity and upheaval which tends to reinforce social exclusion. We draw on the rites of passage framework, which highlights social processes of separation, liminality and reconnection, in analysing this transition to enhance understanding of the experience and gain insights to improve the policy and practice of home care. Separation from independent living leads to a state of liminality. The final stage in the rites of passage framework draws attention to reconnections, but reconnection is not inevitable. Reconnection is, however, an appropriate goal for the care sector when supporting frail or disabled older people through the transition into becoming a home-care recipient.

Keywords

ageing-in-placeformal careliminalitysocial inclusionreconnective care work
Type
Articles
Information
Ageing & Society , Volume 32 , Issue 3 , April 2012 , pp. 361 - 378
Copyright
Copyright © Cambridge University Press 2011

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References

Aronson, J. 1999. Conflicting images of older people receiving care: challenges for reflexive practice and research. In Neysmith, S. M. (ed.), Critical Issues for Future Social Work Practice with Aging Persons. Columbia University Press, New York, 47–70.Google Scholar
Barrett, P., with Kletchko, S., Twitchin, S., Ryan, F. and Fowler, V. 2005. Transitions in Later Life: A Qualitative Inquiry into the Experience of Resilience and Frailty. University of Waikato at Tauranga, Tauranga, New Zealand.Google Scholar
Bernard, M. 1991. Vision for the future. Nursing the Elderly, January/February, 10–12.Google ScholarPubMed
Burns, J., Dwyer, M., Lambie, H. and Lynch, J. 1999. Homecare Workers: A Case Study of a Female Occupation. Ministry of Women's Affairs, Wellington.Google Scholar
Clough, R. 2007. Older People Research Social Issues (OPRSI), ARVAC. Available online at www.arvac.org.uk/docs/info_bull95e.html [Accessed 1 May 2009].Google Scholar
Davey, J., Nana, G., de Joux, V. and Arcus, M. 2004. Accommodation Options for Older People in Aotearoa/New Zealand. Centre for Housing Policy Aotearoa, Wellington.Google Scholar
Diamond, T. 1992. Making Gray Gold: Narratives of Nursing Home Care. University of Chicago Press, Chicago.CrossRefGoogle Scholar
Efraimsson, E., Hoglund, I. and Sandman, P. 2001. The everlasting trial of strength and patience: transitions in home care nursing as narrated by patients and family members. Journal of Clinical Nursing, 10, 813–9.Google ScholarPubMed
Eustis, N. N. and Fischer, L. R. 1991. Relationships between home care clients and their workers: implications for the quality of care. The Gerontologist, 31, 4, 447–56.CrossRefGoogle Scholar
Francis, J. and Netten, A. 2004. Raising the quality of home care: a study of service users’ views. Social Policy and Administration, 38, 3, 290–305.CrossRefGoogle Scholar
Frank, J. B. 2002. The Paradox of Aging in Place in Assisted Living. Bergin and Garvey, Westport, Connecticut.Google Scholar
Gubrium, J. and Sankar, A. 1990. The Home Care Experience. Sage, Newbury Park, California.Google Scholar
Haggblom-Kronlof, G., Hultberg, J., Eriksson, B. and Sonn, U. 2007. Experiences of daily occupations at 99 years of age. Scandinavian Journal of Occupational Therapy, 14, 3, 192–200.CrossRefGoogle ScholarPubMed
Hague, S. and Kirkevold, M. 2010. Older Norwegians’ understanding of loneliness. International Journal of Qualitative Studies on Health and Well-being, 5, 4654. Available online at www.ijqhw.net/index.php/qhw/article/view/4654/5381 [Accessed 13 March 2011].CrossRefGoogle Scholar
Hale, B. 2006. The meaning of home as it becomes a place for care: a study in the dynamics of home care for older people. Unpublished PhD thesis, University of Otago, Dunedin, New Zealand.Google Scholar
Hale, B., Barrett, P. and Gauld, R. 2010. The Age of Supported Independence: Voices of Home Care. Springer, Dordrecht.CrossRefGoogle Scholar
Hallman, B. 1999. The transition into eldercare – an uncelebrated passage. In Teather, E. K. (ed.), Embodied Geographies: Space, Bodies and Rites of Passage. Routledge, London, 208–23.Google Scholar
Hazan, H. 1984. Continuity and transformation among the aged: a study in the anthropology of time. Current Anthropology, 25, 5, 567–78.CrossRefGoogle Scholar
Health Workforce Advisory Committee 2006. Care and Support in the Community Setting. Ministry of Health, Wellington.Google Scholar
Hirst, M. 2002. Transitions to informal care in Great Britain during the 1990s. Journal of Epidemiological Community Health, 56, 8, 579–87.CrossRefGoogle ScholarPubMed
Hirst, M. 2004. Health Inequalities and Informal Care. End of Project Report. Social Policy Research Unit, University of York, York, UK.Google Scholar
Hockey, J. and James, A. 1993. Growing Up and Growing Old. Sage, London.Google Scholar
Hockey, J. and James, A. 2003. Social Identities Across the Life Course. Palgrave Macmillan, Basingstoke, UK.CrossRefGoogle Scholar
Hugman, R. 1999. Embodying old age. In Teather, E. K. (ed.), Embodied Geographies: Space, Bodies and Rites of Passage. Routledge, London, 193–207.Google Scholar
Hugo, G. 2007. Contextualising the ‘crisis in aged care’ in Australia: a demographic perspective. Australian Journal of Social Issues, 42, 2, 169–82.CrossRefGoogle Scholar
Hyde, M. and Higgs, P. 2004. The shifting sands of time: results from the English Longitudinal Study of Ageing on multiple transitions in later life. Ageing International, 29, 4, 317–32.CrossRefGoogle Scholar
Janlov, A., Hallberg, I. and Petersson, K. 2006. Older persons’ experience of being assessed for and receiving public home help: do they have any influence over it? Health and Social Care in the Community, 14, 1, 26–36.CrossRefGoogle Scholar
Kaufman, S. 1984. The social construction of frailty: an anthropological perspective. Journal of Aging Studies, 8, 1, 45–58.CrossRefGoogle Scholar
Lachs, M. and Pillemer, K. 2004. Elder abuse. The Lancet, 364, 9441, 1263–72.CrossRefGoogle ScholarPubMed
Larsson, A., Haglund, L. and Hagberg, J. 2009. Doing everyday life – experiences of the oldest old. Scandinavian Journal of Occupational Therapy, 16, 2, 99–109.CrossRefGoogle ScholarPubMed
Laws, G. 1997. Spatiality and age relations. In Jamieson, A., Harper, S. and Victor, C. (eds), Critical Approaches to Ageing and Later Life. Open University Press, Buckingham, UK, 90–100.Google Scholar
Lawton, M. P. 1983. Time, space and activity. In Rowles, G. D. and Ohta, R. J. (eds), Aging and Milieu: Environmental Perspectives on Growing Old. Academic Press, New York, 41–61.CrossRefGoogle Scholar
Means, R. 2007. Safe as houses? Ageing in place and vulnerable older people in the UK. Social Policy and Administration, 41, 1, 65–85.CrossRefGoogle Scholar
Moore, S. F. and Myerhoff, B. G. 1977. Introduction: secular ritual: forms and meaning. In Moore, S. F. and Myerhoff, B. (eds), Secular Ritual: Forms and Meanings. Van Gorcum, Assen, The Netherlands, 3–24.Google Scholar
Morris, J. 1993. Independent Lives: Community Care and Disabled People. Palgrave, London.CrossRefGoogle Scholar
New Zealand Department of Labour. 2009. Workforce 2020: The Future Demand for Paid Caregivers in a Rapidly Ageing Society. Department of Labour, Wellington.Google Scholar
Nolan, M., Davies, S., Brown, J., Keady, J. and Nolan, J. 2004. Beyond ‘person-centred’ care: a new vision for gerontological nursing. International Journal of Older People Nursing, 13, 3a, 45–53.Google Scholar
Olaison, A. and Cedersund, E. 2006. Assessment for home care: negotiating solutions for individual needs. Journal of Aging Studies, 20, 4, 367–80.CrossRefGoogle Scholar
Organisation for Economic Co-operation and Development (OECD) 2005. Long-term Care of Older People. OECD, Paris.Google Scholar
Organisation for Economic Co-operation and Development (OECD) 2009. The Long-term Care Workforce: Overview and Strategies to Adapt Supply to a Growing Demand. OECD, Paris.Google Scholar
Parks, J. A. 2003. No Place Like Home. Indiana University Press, Bloomington, Indiana.Google Scholar
Percival, J. 1997. Problems and potentials of sheltered housing; balancing lives in sheltered housing. Ageing & Society, 17, 2, 209–14.Google Scholar
Room, G. 1995. Beyond the Threshold: The Measurement and Analysis of Social Exclusion. The Policy Press, Bristol, UK.Google Scholar
Rowles, G. and Chaudhury, H. 2005. Home and Identity in Later Life. Springer Publishing, New York.Google Scholar
Scharf, T., Phillipson, C. and Smith, A. E. 2005. Multiple Exclusion and Quality of Life Amongst Excluded Older People in Disadvantaged Neighbours. Stationery Office, Social Exclusion Unit, Office of the Deputy Prime Minister, London.Google Scholar
Scharf, T., Phillipson, C., Smith, A. E. and Kingston, P. 2002. Growing Older in Socially Deprived Areas: Social Exclusion in Later Life. Help the Aged, London.Google Scholar
Shield, R. R. 1988. Uneasy Endings: Daily Life in an American Nursing Home. Cornell University Press, Ithaca, New York.CrossRefGoogle Scholar
Shield, R. R. 1997. Liminality in an American nursing home: the endless transition. In Sokolovsky, J. (ed.), The Cultural Context of Aging: Worldwide Perspectives. Second edition, Bergin and Harvey, London, 472–91.Google Scholar
Stone, D. 2005. For love nor money: the commodification of care. In Ertman, M. and Williams, J. (eds), Rethinking Commodification: Cases and Readings in Law and Culture. NYU Press, New York, 271–90.Google Scholar
Swenson, M. M. 1998. The meaning of home to five elderly women. Health Care for Women International, 19, 5, 381–93.Google ScholarPubMed
Szebehely, M. 1995. The organization of everyday life: on home helpers and elderly people in Sweden. Unpublished PhD thesis, Lund University, Lund, Sweden.Google Scholar
Teather, E. K. (ed.) 1999. Embodied Geographies: Space, Bodies and Rites of Passage. Routledge, London.Google Scholar
Timonen, V. 2005. Policy paradigms and long-term care: convergence of continuing difference. In Taylor-Gooby, P. (ed.), Ideas and Welfare State Reform in Western Europe. Palgrave Macmillan, Basingstoke, UK, 30–53.CrossRefGoogle Scholar
Turner, V. 1969. The Ritual Process. Penguin, Harmondsworth, UK.Google Scholar
Twigg, J. 2000. The Body and Community Care. Routledge, London.Google Scholar
Ungerson, C. 2005. Care, work and feeling. Sociological Review, 53, 2, 188–203.CrossRefGoogle Scholar
Van Gennep, A. 1909/1960. The Rites of Passage. Vizedom, M. B. and Caffeen, G. L. (Trans.). University of Chicago Press, Chicago.Google Scholar
Victor, C., Scambler, S. J., Marston, L., Bond, J. and Bowling, A. 2002. Older people's experiences of loneliness in the UK: does gender matter? Social Policy and Society, 5, 1, 27–38.CrossRefGoogle Scholar
Wiles, J. 2005. Home as a new site of care provision and consumption. In Andrews, G. and Phillips, D. (eds), Ageing and Place: Perspectives, Policy, Practice. Routledge, Abingdon, UK, 79–97.Google Scholar
Willner, M. 2000. Towards a stable and experienced caregiving workforce. Generations, 24, Fall, 60–5.Google Scholar