Darbo tikslas – ištirti senyvo amžiaus asmenų, gyvenančių namuose, integruotų sveikatos priežiūros ir socialinių paslaugų poreikį bei teikimo organizavimą. Tyrimo klausimai: Koks yra integruotų sveikatos priežiūros ir socialinių paslaugų poreikis senyvo amžiaus asmenims namuose? Kaip organizuojamos integruotos sveikatos priežiūros ir socialinės paslaugos senyvo amžiaus asmenims namuose? Su kokiais iššūkiais susiduriama teikiant integruotos sveikatos priežiūros ir socialines paslaugas senyvo amžiaus asmenims namuose? Tyrimo metodika: Tyrimo tikslui pasiekti buvo atliktas kokybinis atvejo analizės tyrimas. Tyrime duomenys rinkti vadovaujantis metodų trianguliacija: duomenų rinkimo, giluminio pusiau struktūruoto interviu, stebėjimo ir dokumentų analizės. Apklausti 12 trijų komandų skirtingus lygmenis ir sritis atstovaujantys specialistai: socialinė darbuotoja – projekto administratorė, kineziterapeutė, 4 socialinio darbuotojo padėjėjos, 4 slaugytojo padėjėjos, 2 bendrosios praktikos slaugytojos. Tyrimo objektas: integruotų sveikatos priežiūros ir socialinių paslaugų poreikis bei teikimo organizavimas senyvo amžiaus asmenų namuose. Rezultatai: Integruotų paslaugų poreikis bei teikimo organizavimas senyvo amžiaus asmenims, gyvenantiems namuose, atsiskleidė per apklaustųjų patirtis ir požiūrį, per socialinių aplinkybių, kuriose gyvena senyvi asmenys, analizę, pastebima su kokiais sunkumais ir iššūkiais susiduria paslaugų gavėjai ir teikėjai. Pažymima, kaip yra identifikuojami ir... [toliau žr. visą tekstą] / Aim of the study – to explore the need and provision of integrated health and social home care services for elderly. Research questions. What is the need for integrated social and health home care services for elderly? How is organised provision of integrated social and health home care services for elderly? What kind of challenges face the provision of integrated social and health home care services for elderly? Methods. Conducted qualitative case study. For validity of findings used data triangulation, semi structured in depth interviews, observation and document analyses. Interviewed 12 mobile team members: project administrator - social worker, direct service providers professionals from all three mobile teams of integrated care: 2 nurses, 4 assistant nurses, physiotherapist, 4 assistant social workers. Research object: the need and organization of integrated social and health home care services for elderly provision. Results: The need for integrated services organization of the provision of elderly people living at home, revealed through the experiences and attitudes of the respondents, through the social circumstances in which they live in elderly subjects, analysis, noted the difficulties and challenges faced by users and providers. It is noted, as is the identification and assessment of the needs of elderly persons and who does it. During the course of the study, an integral - mobile teams, as innovations in the creation process, the way in which communication... [to full text]

South African welfare policies and social problems dictate social service rendering in South Africa. Social workers are involved in various service delivery interventions of which community development (macro focus) and statutory services (micro focus) are two separate specialised interventions. In social work practice there is a need for both interventions, however, there is no clear guidelines for social workers how to integrate these interventions in practice. The aim of this study was to determine how community development and statutory services as two distinctive social work interventions could be integrated in order to render effective, integrated social services within a developmental approach. A qualitative research approach was utilised for the study and data was gathered by means of four focus group interviews. Respondents for the study included social workers and clients who were involved in both statutory and community development interventions. Research findings indicated that statutory and community development interventions are guided by different processes, time frames, and models of implementation, such as the legislative framework in the case of statutory work as opposed to participatory models in community development. The study concluded that there is not only confusion with regard to the role of social workers, but also a high risk of clients loosing trust in the helping relationship when one social worker simultaneously does community work and render statutory services in the same community. The distinctive nature of statutory services and community development calls for other options for the integration of these two intervention levels. This study proposed three options for social workers and NGOs to integrate statutory services and community development. Based on the research findings and conclusions of the study, the researcher proposed guidelines for (1) the development of an integrated model and (2) a policy framework for the integration of statutory services and community development within a developmental approach and finally recommended that such a designed model and policy framework be implemented and the impact thereof on social service delivery be researched. / Dissertation (MSD (Social Development and Policy))--University of Pretoria, 2006. / Social Work / unrestricted