1 Brian and Sylvia's experiences Brian and Sylvia, a married couple in their early sixties, were both bikers until Brian was diagnosed as having Parkinson's Disease. Sylvia became his designated carer, but her own health was deteriorating. Brian had an initial assessment by the social services department, followed by annual review assessments for home care. There were also assessments related to Brian's attendance at a day centre. Sylvia had assessments as a carer, but was looking at having an assessment as a service user.
2.1.3 Angela Yih Angela Yih was working for Age Concern Scotland, based in Edinburgh. She had been heavily involved in a campaign, with other vol
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8 Comment on the audio clips In the cases of John and Danny, few, if any, of needs were being satisfied. Both were unemployed and, despite some assistance from Social Security, neither was economically secure. Neither of them had protective housing. Both were reliant on public toilets for clean water and, by and large, on charity to obtain nutritious food. Neither had ready access to appropriate health care, and both relied on the Accident and Emergency department at the hospital for medical treatment. John certainly did
2 Schemes run by Swansea Cyrenians in 1999 A hostel, which provided accommodation for 13 people, predominantly men, in individual rooms and an overflow shed. It was run in partnership with the Family Housing Association. Three-quarters of its funding came from the Welsh Assembly, and a quarter from the local authority. Another important source of revenue was Housing Benefit, through which residents were able to pay their accommodation charges. This varied enormously. Residents classified as ‘vulnerable’, like those with ment
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1 The Chinese Welfare Association's Carer Support Project, Belfast This audio unit features a project that was set up in Northern Ireland specifically to support Chinese carers. It is one of several projects being run by the Chinese Welfare Association in Belfast at that time. The Chinese Welfare Association is a voluntary orga 4.3 Understanding lay knowledge Popay et al. (1998) are also concerned that lay knowledge be taken seriously to help us understand the causes of variations in health status found in different social groupings. It has been suggested that we need a ‘lay epidemiology’ which would study the experiences of individuals and their biographies within specific social situations. They argue that people express their views on health in narrative form which is, as they say, ‘antithetical to traditional models of cause and effect, 3.5 People's views on health Health accounts, as well as being based in the experience of health, also relate to health behaviour. People's accounts of health are likely to be different at different stages in their lives. Two health promotion researchers, Backett and Davison (1992), have investigated the perceptions of health at different stages of life. Their work is based on two qualitative studies conducted in Edinburgh and South Wales. In these studies, health was also linked to health behaviours. The stage of life w 3.1 Health and low income Health is a very personal matter, but people's health is very much situated in their life experiences and so their perceptions of health are likely to reflect their social situation. Bostock (1998), a health researcher, interviewed mothers who were managing on low incomes to find out about their perceptions of their health. She was struck by the difference between her respondents' self-assessed health status compared to that found by the British Household Panel Survey (BHPS) which relat 2 Accounting for health Until relatively recently most of the information available to us about how people think about health and illness was concerned with non-Western societies. There was a time when a search in a good anthropological library in Britain would reveal more about the everyday health beliefs of the peoples of, say, African, Asian or South American countries than could be discovered about the everyday health beliefs of the people of the British Isles. Good (1994), in his book Medicine, Rationality a Introduction The unit begins by exploring the notion implied in the title that health pervades all parts of our public and private lives. It will become clear that although health is everywhere, it takes different forms and has different meanings for different people and in different contexts. We all have our own versions of health and you will be able to check yours against a range of other views, including the views of the team who were responsible for producing this unit. We think this is important bec Activity 5 This activity is an opportunity to reflect on how you might adapt and use the ideas introduced in Activity 4. Imagine you are running a summer holiday Introduction The aim of this learning guide is to help you develop a critical understanding of the values, skills and methods associated with children’s participation. You will be encouraged to reflect upon and creatively apply the experiences of children and practitioners to new participatory contexts. There are six activities in this unit: 1.3 Models of understanding in mental health Because mental health is such a complex area, it is important that the models of understanding which are applied to it are broader than the ‘biomedical’ one alone, which focuses simply on professional activity and on diagnoses and treatment. The box below provides a quick summary of the biomedical model. 1.6.2 Treating alcohol-related liver disorders Although considerable progress has been made in the treatment of many other chronic medical conditions, scant progress has been made in the treatment of cirrhosis. In over 8000 people admitted to hospitals in the Oxford region of the UK with liver cirrhosis during a 30-year observation period, 34 per cent had died one year after their admission and this death rate remained more or less constant (Roberts et al., 2005). The largely pessimistic view of the failure of treatment of liver dam 1.1 The biological effects of ethanol This section investigates some of the harmful effects that a high level of blood-ethanol can have on the body: both short-term problems such as ‘hangover’, and long-term health problems that are associated with regular heavy drinking. Whilst this section is primarily about the biological effects that ethanol has on various organs of the body, it is important to remember that the socioeconomic effects of heavy drinking are also very serious (Paton, 2005). 7.4.1 Employers and employees As a student on a professional social work qualification programme, you would need to sign up to the codes of practice as part of registration with your nation's care council. Codes of practice have been devised for all the nations of the UK. In principle they have much in common, providing a clear guide for all those who work in social care, social work or social services generally. They set out the standards of practice that both workers and their employers should meet. While there is much 4.5 Vulnerability and rights One of the assumptions that is made in order to justify social workers making such life-changing judgements is that some people are vulnerable and therefore need decisions made on their behalf. This assumption is not held by everyone and is often challenged by groups and individuals representing service users and by service users themselves. 3.3 Case study 1 For much of the last century, many children who would today be regarded as being in need were caught up in the long-running child migration scheme. This scheme had been running throughout the 19th century and into the 20th century and its role was to export children to the outposts of the Empire. In all, it is estimated that 150,000 children were exported in this way (Bean and Melville, 1989). The scheme continued to run throughout the post-war years, which saw a rapid expansion of children's
The Chinese Welfare Association
Adapting participatory methods
The biomedical model
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