Voluntary sector activity and public sector support in care in the community for people with long term care needs

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Care in the Community: Challenge and Demonstration

In 1983 the Department of Health and Social Security commissioned the PSSRU to monitor and evaluate the Care in the Community demonstration programme of 28 pilot projects, which moved over 900 people with long-term needs from hospital to community settings. An earlier book, Care in the Community: The First Steps, described and analysed the origins and development of the programme, and traced the early developments of projects, in addition to documenting the policy background to community care. The second book fully describes the evaluation programme and seeks to answer pressing questions of policy and practice. Who moved to the community from hospital under the programme? Did their lives change for the better or worse, and how? What were the costs? Were the objectives set by the projects met? How did the projects differ, what are the pitfalls new projects must avoid, and how can they maximise their chances of success? What were the local and national backgrounds to the programme and what can we learn for the future? Link to Ashgate Publishing</a

Residential Care as an Alternative to Long-Stay Hospital - a Cost-Effectiveness Evaluation of 2 Pilot Projects

Two projects were established to help elderly people with mental health problems move from continuing care hospital wards to local authority residential care homes. The projects were part of a larger programme established in the 1980s to test new policy and practice options. Each hospital resident was interviewed and assessed prior to commencing any programme of activities designed to prepare them for resettlement in the community. Data came from hospital patients themselves, from staff and from interviewer observations. Most of the people who moved from hospital were reinterviewed and reassessed approximately 9 months after discharge. The evaluation revealed that quality of life in residential homes was certainly not inferior to hospital but was less expensive. The residential homes offered more lively and psychologically pleasing environments than hospital. Residents' levels of participation were higher according to staff, and residents had more social contacts. The quality of social contacts also appeared to improve. The two projects thus provided a cost-effective alternative to hospital for elderly people with mental health problems

Autophagic Cell Death in Dictyostelium Requires the Receptor Histidine Kinase DhkM

Through random mutagenesis, the receptor histidine kinase DhkM was found essential for autophagic cell death (ACD) in Dictyostelium. DhkM is the most downstream known molecule required for this model ACD. Different DhkM mutants showed distinct non-vacuolizing ACD phenotypes and genetically separated previously undissociated late cell death events