Abstract
With a policy shift towards personalisation of adult social care in England, much attention has focused on individualised support for older people with care needs. This article reports the findings of a scoping review of United Kingdom (UK) and non-UK literature, published in English from 2005-2017, about day centres for older people without dementia and highlights the gaps in evidence. This review, undertaken to inform new empirical research, covered the perceptions, benefits and purposes of day centres. Searches, undertaken in October/November 2014 and updated in August 2017, of electronic databases, libraries, websites, research repositories and journals, identified seventy-seven relevant papers, mostly non-UK. Day centres were found to play a variety of roles for individuals and in care systems. The largest body of evidence concerned social and preventive outcomes. Centre attendance and participation in interventions within them impacted positively on older people's mental health, social contacts, physical function and quality of life. Evidence about outcomes is mainly non-UK. Day centres for older people without dementia are under-researched generally, particularly in the UK. In addition to not being studied as whole services, there are considerable evidence gaps about how day centres are perceived, their outcomes, what they offer, to whom and their wider stakeholders, including family carers, volunteers, staff and professionals who are funding, recommending or referring older people to them.
Highlights
This article presents and discusses the findings of a systematically conducted scoping review of English-language literature, published between 2005 and 2017, about the perceptions, benefits and purposes of day centres for older people.Downloaded from https://www.cambridge.org/core
Concerning the first question, this review has identified that little is known about how day centres are perceived by those who attend them, their carers and other professionals, those who are commonly in contact with older people in need of care and support (e.g. general practitioners (GPs) or family physicians, nurses, social workers and occupational therapists)
No interventions appear to have been tested in English day centres and English literature tends not to be directly focused on day centres, similar to much of the non-United Kingdom (UK) literature
Summary
This article presents and discusses the findings of a systematically conducted scoping review of English-language literature, published between 2005 and 2017, about the perceptions, benefits and purposes of day centres for older people. It describes building-based services that offer a wide variety of programmes and services. Tester, 1989; Tucker et al, 2005; Thane, 2009) report that day centres have been an integral part of social care in England since the National Assistance Act 1948 (HM Government, 1948) This Act permitted local authorities to contribute financially to voluntary organisations that provided recreational facilities, such as day centres, for adults with disabilities. This was extended to include older people by an amendment to the Act in 1962 (HM Government, 1962). Generalist day centres are those that do not specialise in the care of people with dementia or palliative care, for example, and do not target their services solely at a particular demographic sub-group, such as certain ethnic groups or homeless people
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