An evaluation of rehabilitation in the home : client, carer and staff perspectives
- Authors: Dow, Briony
- Date: 1999
- Type: Text , Thesis , Masters
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- Description: "This study is a process evaluation of the Ballarat Health Services Rehabilitation in the Home Program (RHP)"
- Description: Master of Arts
Social support or structural change? Social work theory and research on care-giving
- Authors: McDonald, John , Dow, Briony
- Date: 2003
- Type: Text , Journal article
- Relation: Australian Social Work Vol. 56, no. 3 (2003), p. 197-208
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- Reviewed:
- Description: Since 1980, national and international research knowledge on carers and care-giving has been accumulating. However, the theoretical bases of this research are usually unstated and implicit. Theory is vital in shaping social work research programs and types of social work intervention. This paper examines and critiques the social work theories influencing published social work research on care-giving. A search of key social work journals from 1980 to 2001 identified a total of 102 research articles about care-giving. The perspectives informing these articles fall into four groupings: positivist; interpretivist; systems; and feminist/radical. Building on the model developed by Howe (1987), which differentiates theories of radical change from those concerned with social regulation, each perspective is critically analysed for its underlying assumptions, level of analysis, research methodology and implications for policy and practice. Our review indicated that research on care-giving is dominated by a positivist approach that focuses on stress-coping and social support theories. These approaches are essentially individualistic, focus on the burden of care and prescribe interventions that assist carers to adjust to or cope with the care-giving role. Future social work research on care-giving should be informed by critical social work theories offering deeper structural analysis. This would be more consistent with our discipline's concern for social change and social justice.
- Description: C1
- Description: 2003000461
The invisible contract : care-giving in home-based rehabilitation
- Authors: Dow, Briony
- Date: 2003
- Type: Text , Thesis , PhD
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- Description: This study took a critical feminist approach to the analysis of family care-giving in home-based rehabilitation in Victoria, Australia.
- Description: Doctor of Philosophy
The invisible contract: Shifting care from the hospital to the home
- Authors: Dow, Briony , McDonald, John
- Date: 2007
- Type: Text , Journal article
- Relation: Australian Health Review Vol. 31, no. 2 (May 2007), p. 193-202
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- Description: The ageing population and associated burgeoning health care costs have resulted in a shift of care from institutional settings to home and community-based care. As one example, rehabilitation-in-the-home (RITH) programs are becoming increasingly prevalent. These programs either substitute or supplement in-hospital treatment by providing multidisciplinary rehabilitation and support services in the client's own home. This paper investigates the impact of RITH programs on informal carers. Semi-structured interviews carried out with caregivers and staff revealed a complex and contradictory interpretation of informal caring. Analysis of carers' interviews revealed: an assumption by themselves and others (including RITH staff) that they would provide care; the intimate, arduous and relentless work of caring; lack of consultation about discharge; lack of recognition and reimbursement; and low levels of program support for them as carers. Carers are integral to the successful rehabilitation of the client, but they occupy a marginal status within the program. An invisible contract consigns to them substantial care-work that was previously provided by the hospital. Informal carers in RITH programs can be seen as disenfranchised care contractors. This has implications for policy makers, program managers and researchers.
- Description: C1
- Description: 2003005828
What price early discharge? Informal caregiving in home-based rehabilitation
- Authors: Dow, Briony
- Date: 2003
- Type: Text , Conference paper
- Relation: Paper presented at the 7th National Rural Health Conference, Canberra : 1st - 4th March, 2003
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- Reviewed:
- Description: Over recent years there has been an international trend towards shorter hospital stays, and the provision of alternative health services in the home (Philp, 1996). This paper focuses on one example of this trend, home-based rehabilitation. Other examples are hospital in the home programs (Gunnel, Coast, Richards, Peters, Pounsford & Darlow, 2000) and domiciliary midwife services offered to women discharged early from maternity hospital (Thompson, Roberts, Currie & Ellwood, 2000). In Victoria, homebased rehabilitation has been available as an alternative to hospital-based care since 1995 when the first home-based rehabilitation program was established at the Greenvale campus of the North-West Hospital. Since then another ten programs have been established in Victoria as alternatives to in-patient care. Similar programs have also been established in other Australian states and overseas (for example, in Western Australia, Bairstow, Asche, Heavens & Lithgo, 1997; and in Sweden, Widén Holmqvist, de Pedro Cuesta, Holm & Kostulas, 1995).
- Description: E1
- Description: 2003000513