Picture of Louise

32. Overcoming barriers to engagement

Dr Louise Newbould on how best to support people with cognitive impairments or mental health needs to engage with care and support provided in their own homes.

Many older people with cognitive impairments or mental health needs do not always fully engage with social care. This may appear as actively resisting care or not engaging fully with carers. Limited research has been conducted about how best to support people in their own homes, so this episode focuses on a scoping review of existing knowledge on this topic which has informed training and best practice guidance. Importantly, it focuses on positive strategies to use rather than pathologising stigmatised conditions.

The review was conducted by Dr Louise Newbould and colleagues as part of the HOPES project, which has created a free learning resource to assist workers. Full information about the HOPES project can be found on the project website.

Louise is a Research Fellow in the Social Policy Research Unit at the University of York. She has broad-ranging interests that include the development and evaluation of complex interventions, social care, and mental health.

The full paper can be accessed here:

Newbould, L., Tucker, S., Wilberforce, M. (2022) Enabling older people with mental health needs to engage with community social care: A scoping review to inform a theory of change, Health and Social Care in the Community, 30 (4), 1286-1306

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‘Positive Energy’ by Scott Holmes Music is licensed under a Attribution-Non Commercial 4.0 International License.

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