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© British Association of Social Workers

A New Approach to Community Care for the Elderly

DAVID CHALLIS and BLEDDYN DAVIES

David Challis trained in social work at Manchester University and is at present Research Fellow in Social Work at the Personal Social Services Research Unit, University of Kent, Canterbury. He was previously a psychiatric social worker in Salford.

Bleddyn Davies is professor of social policy and director of the Personal Social Services Research Unit at the University of Kent. He has written a number of books on various aspects of social policy and has recently completed a book with Martin Knapp on the promotion of the quality of life in old people's homes.

Summary

Organisations can absorb successfully only a few fundamental innovations within a short period of time. It is therefore important for the designers of innovations to ensure that they directly and substantially contribute to solving important problems, and for agencies to concentrate their innovative activity on those that do so contribute. The first aim of this paper is to analyse the policy context so as to clarify the nature of the problems that make innovation in the care of the elderly imperative and show how features of the Community Care Project contribute to their solution. The second aim is to provide some preliminary evidence of the success of the scheme. The analysis of data for seventy persons in the experimental and control groups shows that the experimental group fared better in a number of important ways; and that the gains appear to have been made at no extra cost to the social services department. Therefore, it is concluded, the adoption of the scheme may contribute to the technical progress needed in the provision of social service to the elderly with needs at or above the margin for residential care.


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