Good practices

The needs of young carers and their families are a multi-agency responsibility that crosses both adults’ and children and families’ services. This practice guide is therefore aimed at all agencies that have contact with young carers and the people for whom they care. It brings together much of the thinking and experience behind the good practice developed so far and will provide a useful starting point for those new to this area of work and serve as a development resource for the more experienced.

This chapter explores working partnerships with carers of older people and particularly carers in full or part-time employment who may have many stresses and conflicting demands in their lives. The legal and social context of caring is traced from The NHS and Community Care Act (DH, 1990) and subsequent care in the community initiatives. Another milestone was The National Strategy for Carers (DH, 1999a), though there has only recently been a government commitment to partnership with carers against very patchy previous provision.

This article reviews literature on the experiences of family carers when a relative goes into long-term care, with the aim of informing nurses on providing support. Experiences before and after the care placement are explored. The study found nurses fail to recognise carers' expert knowledge and skills about their cared for relatives. Families perceive their loved one's values, beliefs and life history are ignored. Nurses need to challenge barriers to communication, and move away from paternalistic and ritualised care practice. 

This paper looks at the work of 18 local authorities to create systems and support to help families with young carers. It explores some of the positive outcomes from taking a family-focused approach and showcases good practice in this field.

Adults with severe and enduring mental health problems are amongst the most marginalised and vulnerable people in our society. In providing care for these individuals, mental health professionals may potentially overlook the fact that many of these people are also parents: • There are an estimated 50,000 – 200,000 young people in the UK caring for a parent with mental health problems. • Many of these young people will provide help and support for a parent. • Some of these young people will be providing care beyond a level that is appropriate for their age. They will be ‘young carers’.

This literature review on choice in mental health was commissioned by the Department of Health in July 2005 and submitted to the Department in January 2006. The main part of the review looked at the English language literature on choice in mental health over the past five years. It aimed to identify in particular what tools there are to help people make meaningful choices; what media are effective in facilitating decision-making; and to what extent methods such as advance directives might be used.

There are many different organisations working with and supporting carers. This guide can be used by a wide range of professionals in different ways. Whilst the case studies provide examples of the partnership work promoted by Carers Centres, the methodologies given can be used in other partnership work across carers’ services, as well as within health and social work services.

This report is based on findings from a large national survey of carers’ views carried out between November 2002 and February 2003. Under Pressure focuses on two principle questions: how has the mechanism introduced to provide carers with a gateway to statutory support, the carers’ assessment, been received?; and what helps carers to support their own health and well being?