Morale and quality of life among frail older users of community care: Key issues for the success of community care

Abstract

Many social services departments have successfully developed services which meet older people's physical survival needs so that they can continue living in their own homes despite serious disabilities. An emerging priority is to support the morale and quality of life of the same individuals.Assisted by the Social Policy Research Unit (SPRU), a team of social services managers conducted a programme of interviews designed to obtain the views of very old, frail home care clients about their services and their lives in general. A few interviewees expressed very low morale and this seemed to reduce substantially their ratings of satisfaction with the help they received. While it is well established that disability and isolation are linked to depression in older people, it is rare that service providers systematically address these problems. Some practical strategies for this purpose are proposed as a result of this survey.