Development and consequences of group living in Sweden
Abstract
The process of developing a new mode of care for the demented elderly, group living (GL), is evaluated and the consequences discussed. The increasing proportion of very old persons in Sweden means a higher prevalence of dementia. The majority of patients in traditional institutional long term care show cognitive deterioration. An insufficient caring situation, both in quantity and quality has long been observed. This, and a better knowledge and understanding of dementing diseases, their symptoms and consequences, has been the impetus to develop an alternative care model, group living (GL), for well defined groups of demented elderly. The concept of GL discussed here means a setting strictly adapted to the abilities and psychosocial needs of moderately diseased Alzheimer and vascular demented patients. Security, integrity promoting therapy and activation are specially stressed. The importance of informing and educating different kinds of actors simultaneously to structural changes in social and physical patterns within the implementation of the new concept is illustrated.
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The majority of studies showed no differences over time in ADL between SCUs and n-SCUs, SCUs and small-scale SCUs, or n-SCU and small-scale, homelike SCUs.
“Although the majority of the studies showed no differences over time in ADL between SCUs and n-SCUs [20,35,45,46], SCUs and small-scale SCUs [12] or n-SCU and small-scale, homelike SCUs [15], a greater decline in ADL was observed in the SCU group compared to the n-SCU group [25].”
From Special Care Units and Traditional Care in Dementia: Relationship with Behavior, Cognition, Functional Status and Quality of Life - A Review (2013) · cites this paper as [45]
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Kok, J. S., Berg, I. J., & Scherder, E. J. A. (2013) · Dementia and Geriatric Cognitive Disorders Extra · doi:10.1159/000353441 · Cited by 20,589 · see citing works
Livingston, G., Johnston, K., Katona, C., Paton, J., Lyketsos, C. G., & Old Age Task Force of the World Federation of Biological Psychiatry (2005) · American Journal of Psychiatry · doi:10.1176/appi.ajp.162.11.1996 · Cited by 591 · see citing works
Verbeek, H., Zwakhalen, S. M. G., van Rossum, E., Ambergen, T., Kempen, G. I. J. M., & Hamers, J. P. H. (2010) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2010.08.001 · Cited by 140 · see citing works
An analysis of the caregiver’s burden and the" breaking-point" when home care becomes inadequate
Annerstedt, L., ElmstÅhl, S., Ingvad, B., & Samuelsson, S.-M. (2000) · Scandinavian Journal of Public Health · doi:10.1177/140349480002800106 · Cited by 119 · see citing works
Self-citationte Boekhorst, S., Depla, M. F. I. A., de Lange, J., Pot, A. M., & Eefsting, J. A. (2009) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.2205 · Cited by 104 · see citing works
Verbeek, H., Zwakhalen, S. M., van Rossum, E., Ambergen, T., Kempen, G. I., & Hamers, J. P. (2010) · BMC Health Services Research · doi:10.1186/1472-6963-10-30 · Cited by 52 · see citing works
- Authors
- Annerstedt, L.
- Affiliations
- Lund University (SE)
- Corresponding author
- Annerstedt, Lena
- Venue
- Social Science & Medicine
- Publisher
- Elsevier BV
- Published
- 1993-12
- Volume
- 37
- Issue
- 12
- Pages
- 1529-1538
- ISSN
- 0277-9536 (ISSN-L)
- OpenAlex
- W1506516887
- Cited by
- 57
- References
- 0
- Citations by year
- 2025: 1 · 2024: 6 · 2023: 1 · 2021: 1 · 2019: 3 · 2018: 2 · 2017: 2 · 2015: 3 · 2014: 2 · 2013: 2 · 2012: 3
- FWCI
- 4.62
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Social Science & Medicine (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Health Professions › General Health Professions › Aging, Elder Care, and Social Issues
- Keywords
- group living, dementia care, older adults, Alzheimer's disease, vascular dementia, long-term care, care model development, psychosocial needs, activation, quality of care, stakeholder education
- MeSH terms
- Aged, Aged, 80 and over, Dementia, Evaluation Studies as Topic, Female, Homes for the Aged, Humans, Male, Sweden, Program Evaluation, Group Homes
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