Originally published in 1981, this book describes day services for adults, a relatively recent development in health and social services at the time. Most people assume immediately that day care is only provided for young children: Day Services for Adults will make it clear that a growing number of services exist by day for adults, and in a diversity and variety which have enormous potential both for those who use them and for those who work in them.
Day Services for Adults reports the results of a five-year national survey. The broad terms of reference of the research were to review the present provision of day centres for adults. To consider the policy questions of staffing and accommodation and to suggest which groups in the community might benefit most from day centres and to advise on how these centres might contribute to the integration and development of local services for those in need.
The result was the first comprehensive investigation of day services in the world. Jan Carter analyses services for the elderly, the mentally handicapped, the mentally ill, the physically handicapped, offenders, drug addicts and those in family care centres sponsored by health, social services, probation and voluntary agencies. By a full coverage of all these groups and their sponsors, unique comparisons between services for the various groups can be made.
Day Services for Adults was intended for those who made decisions about day units and particularly for local authority policy-makers and executive civil servants in local authority health authorities and central government. It was also addressed to those senior professionals practising inside and outside day services: psychiatrists, geriatricians, those practising rehabilitation medicine, senior nursing officers, psychologists, senior social workers and social work administrators.
Table of Contents
Foreword. Prologue. Introduction. Author’s Notes. Acknowledgements. Permissions. Members of the National Day Service Project Advisory Committee. Part 1 1. Introducing Adult Day Services 2. The Context 3. The Anatomy of Day Services: The Elderly; The Mentally Handicapped; The Physically Handicapped; The Mentally Ill; The Elderly Confused; The Family; The Offenders; The Mixed Centres Part 2 4. Aims of Staff 5. ‘Meeting Other People, Having Cups of Tea’: Practical Services 6. ‘Bringing People Forward’: Aiming at Training 7. ‘Preventing Institutionalism’: Keeping Users Out of Hospital 8. ‘Back to Life’: Aiming at Clinical Assessment and Treatment 9. ‘A Normal Life’: Aiming at Rehabilitation 10. ‘I’m Just a Nuisance’: Aiming to Relieve Relatives 11. ‘A Useful Life’: Offering Practical Services for Therapeutic Improvement 12. ‘Pushing for Production’: Aiming at Industrial Production 13. ‘We All Help Each Other’: Aiming at Therapeutic Settings 14. ‘Listening to Users’: Aiming at Relationships 15. ‘Life in a Home’: Preparing Users for Institutions Part 3 16. Questions of Satisfaction 17. Room for Improvement 18. Getting it Together Part 4 Appendix I: Method and Procedures. Appendix II: Tables. Glossary. Index.