carers

Aims  Cognitive therapies are increasingly being offered by clinical psychologists to people with intellectual disabilities. This paper reviews some of the factors that influence people's readiness to engage in cognitive therapy.

The National Alliance for Caregiving (NAC) and the American Association of Retired Persons (AARP) have reported that 21% of the U.S. population provides family caregiving services to someone over 18 years old. Seventy-nine percent (79%) of these caregivers provide care for someone aged 50 or older. The majority of caregivers work full or part-time, and nearly two-thirds of employed caregivers make work-related adjustments in order to provide care (NAC & AARP, 2004).

May carers are isolated and GP surgeries are often their first point of contact for support and resources. This article describes the role of a carer support and development worker, whose aim is to provide the support carers need. Cites 19 references. [Journal abstract]

Carers of patients with psychiatric disorders show high levels of anxiety and depression, possibly mediated through disruption of the hypothalamo–pituitary–adrenal (HPA) axis. Among carers of patients with treatment-resistant depression (TRD), we set out to determine the psychological and physiological (HPA axis) consequences of caring, and the association of these consequences with long-term outcome in patients.

In the past 20 years there has been considerable growth in the provision of palliative care services. The shift in emphasis from hospice and hospital care to the development of community services has been significant. This enables people to be cared for at home and is in keeping with Government agenda. While this may be beneficial for the patient and fit in with the wishes of the family, it is likely to put heavy demands on the coping resources of individual carers.

Demographic trends have created a situation in which relationships between family members endure over long periods of time, sometimes in ways that are as yet undefined by psychological theories. Clinical social workers are called upon to help these families. This paper examines how these relationships are affected in middle-class families when elders become frail and need care, and families become “stuck.” Current literature about adult and later life development as well as clinical examples will be cited to illuminate this discussion.

Summary of the conclusions of a government consultation programme to develop a strategy to support informal carers. [(BNI unique abstract)] 0 references

A recent study commissioned by the NHS Service Delivery and Organisation research and development programme (SDO) aimed to identify gaps in existing knowledge about the need for services to support mental health carers and what was meant by effectiveness and efficiency in these services. Consultation with key stakeholders was a major part of the study. This article focuses on the main findings of the consultation. Flexibility and responsive were identified as key characteristics of the ideal support service.

Attempts to address the nursing shortage must consider the aging nursing supply and the decreased labour participation among nurses at age 55 and older. Efforts to retain older, experienced nurses have been meagre, and little attention is paid to the role of eldercare in decisions to leave the profession. This pilot study examines current workplace practices that may contribute to early withdrawal of older nurses from the hospital workforce. Interviews with 28 elder caregiving registered nurses and assistive nursing personnel at a New York hospital were conducted.