Good practice in social care for disabled adults and older people with severe and complex needs: evidence from a scoping review

This article reports findings from a scoping review of the literature on good practice in social care for disabled adults and older people with severe and complex needs. Scoping reviews differ from systematic reviews, in that they aim to rapidly map relevant literature across an area of interest. This review formed part of a larger study to identify social care service models with characteristics desired by people with severe and complex needs and scope the evidence of effectiveness. Systematic database searches were conducted for literature published between January 1997 and February 2011 on good practice in UK social care services for three exemplar groups: young adults with life-limiting conditions, adults who had suffered a brain injury or spinal injury and had severe or complex needs, and older people with dementia and complex needs. Five thousand and ninety-eight potentially relevant records were identified through electronic searching and 51 by hand. Eighty-six papers were selected for inclusion, from which 29 studies of specific services were identified. However, only four of these evaluated a service model against a comparison group and only six reported any evidence of costs. Thirty-five papers advocated person-centred support for people with complex needs, but no well-supported evaluation evidence was found in favour of any particular approach to delivering this. The strongest evaluation evidence indicated the effectiveness of a multidisciplinary specialist team for young adults, intensive case management for older people with advanced dementia, a specialist social worker with a budget for domiciliary care working with psycho-geriatric inpatients, and interprofessional training for community mental health professionals. The dearth of robust evaluation evidence identified through this review points to an urgent need for more rigorous evaluation of models of social care for disabled adults and older people with severe and complex needs. Keywords : comorbidity, dementia, disabled people, evidence, multidisciplinary teams, social care

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Mode of access: Internet

Creación de una página web dedicada a la venta de productos de diseñadores independientes peruanos

Creación de primera tienda virtual de productos de diseño independiente en el Perú, llamada “OTROGATO.PE”. dedicada a la comercialización de dichos productos a nivel nacional, promoviendo el comercio no solo desde la capital, sino entre provincias de todo el país. En el país viene creciendo un gran movimiento “independiente”: cada vez existen más personas que buscan diferenciarse de las demás, que buscan revalorar lo nuestro, darle más importancia a nuestra nacionalidad, a nuestros diseñadores, a nuestros productos. Según una conversación con Omar Calderón, promotor de la feria de diseño independiente “Feria en el Parque” que se realiza en el distrito de Barranco, cada año, la demanda tanto de consumidores como de proveedores es mayor. Por este motivo, pasaron de realizar dos eventos al año, a tres: Fiestas Patrias en julio, Edición Primaveral en octubre, y Edición Navideña en diciembre. Así mismo, en visitas a estas ferias, muchos de los diseñadores manifestaron que querían seguir creciendo como empresa, y expandirse al mercado de compras por internet, pero que lamentablemente, las empresas virtuales que existen actualmente en el mercado tienen comisiones muy altas, y no reflejan el estilo que ellos quieren proyectar.Trabajo de investigació