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Promoting choices through restorative services: international innovations
Promoting choices through restorative services: international innovations
- Collection:
- Health Policy and Services Research
- Series Title(s):
- LTSS choices
- Author(s):
- Reinhard, Susan C., author
Tilly, Jane A., author - Contributor(s):
- AARP (Organization), issuing body.
Public Policy Institute (AARP (Organization)), issuing body. - Publication:
- Washington, DC : AARP Public Policy Institute, December 2021
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Home Care Services
Internationality
Long-Term Care
Rehabilitation Research
Health Policy
United States - Genre(s):
- Technical Report
- Abstract:
- As the LTSS Choices series emphasizes, people who need long-term services and supports (LTSS) have four basic requirements: a place to live, services and supports, a workforce to provide those services and supports, and connection to others in the community. People require LTSS when they have difficulty performing daily living activities. Evidence-based services that improve functional independence can help people choose to live in their own homes and stay engaged with their families and friends in their own communities. This Spotlight highlights a multidisciplinary intervention that strengthens a person's ability to function. This intervention, which is available in many countries, is known as reablement, restorative care, or restorative services. These services are backed by evidence and cost-effective. They can be incorporated into many current delivery systems in the United States and other countries. Scaling them will require transformation of existing models, creation of new models, or both. Integrating restorative services into health and LTSS systems is important for at least two reasons. One is that 30 percent to 60 percent of hospitalized older adults develop a new dependency in daily activities and only 68 percent recover to their previous level of functioning six months after discharge. Another reason is that home care often does not focus enough on promoting a healthy lifestyle, daily routines, social support, exercise, autonomy, and control. As a result, older adults can become mired in an avoidable dependent role. Innovators have developed and tested restorative services in many countries to promote health and independence, generally in the context of home care. These services provide short-term rehabilitation, occupational therapy, and other assistance to help people carry out the daily activities that are important to them. In the United States, Australia, and New Zealand, restorative services interventions started around 2000. Sweden, Denmark, and Norway also began using this approach in the early 2000s. Several countries, including Denmark, New Zealand, Australia, and the United Kingdom, have integrated restorative services into their national health care policy. Other countries, like the Netherlands and Norway, are still studying these services. This Spotlight explores the evidence of the impact of restorative services. First, we define restorative services. Then, we review roughly 20 years of evidence related to the efficacy of these services by summarizing international and country-specific studies. Finally, we make recommendations for policy makers.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY-NC-ND license. (More information)
- Extent:
- 1 online resource (1 PDF file (23 pages))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 9918317485406676 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/9918317485406676