Mapping the “housing with care” concept with stakeholders: insights from a UK case study

Wild, A., Clelland, D., Whitelaw, S. , Fraser, S. and Clark, D. (2018) Mapping the “housing with care” concept with stakeholders: insights from a UK case study. Journal of Integrated Care, 26(4), pp. 257-266. (doi:10.1108/JICA-12-2017-0046) (PMID:30464723) (PMCID:PMC6195168)

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Abstract

Purpose: The purpose of this paper is to present the findings of an early stage, exploratory case study of a proposed housing with care initiative (the Crichton Care Campus (CCC)). This sought the perspectives of a range of key stakeholders on the proposed model and how it might be best realised. The analyses of these findings show their relevance to debates on integrated housing with care, and reflect on the methodology used and its potential relevance to similar projects. Design/methodology/approach: The study used a transactive planning approach, where grounded views are sought from a variety of stakeholders. A purposive sample identified informants from relevant health, social care and housing organisations and nine semi-structured interviews were conducted. These were transcribed and data analysis was undertaken on an “interactive” basis, relating care theory to empirical expressions. Findings: The authors identify two contrasting orientations – inclusive “community-oriented” and professional “service-oriented”. This distinction provides the basis for a rudimentary conceptual map which can continue to be used in the planning process. Two significant variables within the conceptual map were the extent to which CCC should be intergenerational and as such, the degree to which care should come from formalised and self-care/informal sources. The potential to achieve an integrated approach was high with stakeholders across all sectors fully supporting the CCC concept and agreeing on the need for it to have a mixed tenure basis and include a range of non-care amenities. Originality/value: This paper offers originality in two respects. Methodologically, it describes an attempt to undertake early stage care planning using a needs led transactive methodology. In more practical terms, it also offers an innovative environment for considering any approach to care planning that actively seeks integration – based on an acknowledgement of complexity, a variety of perspectives and possible conflicts. The authors propose that the concepts of “community-orientation” and “service-orientation” are used as a helpful basis for planning negotiations, making implicit divergences explicit and thus better delineated.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Clark, Professor David and Wild, Ms Annie and Whitelaw, Dr Alexander and Clelland, Mr David
Authors: Wild, A., Clelland, D., Whitelaw, S., Fraser, S., and Clark, D.
College/School:College of Social Sciences > School of Interdisciplinary Studies
Journal Name:Journal of Integrated Care
Publisher:Emerald
ISSN:1476-9018
ISSN (Online):2042-8685
Copyright Holders:Copyright © 2018 Annie Wild, David Clelland, Sandy Whitelaw, Sandy Fraser and David Clark
First Published:First published in Journal of Integrated Care 26(4): 257-266
Publisher Policy:Reproduced under a Creative Commons License

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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
645151Interventions at the end of life: social, historical and comparative analysis to promote global improvement.David ClarkWellcome Trust (WELLCOTR)103319/Z/13/ZIS - INTERDISCIPLINARY STUDIES

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