We identified two overarching classifications of integrated geriatric and palliative care to maximize older people's quality of life at the end of life. Both are oriented to person‐centered care, but with differing emphasis on either function or symptoms and concerns. Policymakers should both improve access to palliative care beyond just the last months of life and increase geriatric care provision to maintain and optimize function. This would ensure that continuity and coordination for potentially complex care needs across the continuum of late life would be maintained, where the demarcation of boundaries between healthy aging and healthy dying become increasingly blurred. Our findings highlight the urgent need for health system change to improve end‐of‐life care as part of universal health coverage. The use of health services should be informed by the likelihood of benefits and intended outcomes rather than on prognosis. Context In an era of unprecedented global aging, a key priority is to align health and social services for older populations in order to support the dual priorities of living well while adapting to a gradual decline in function. We aimed to provide a comprehensive synthesis of evidence regarding service delivery models that optimize the quality of life (QoL) for older people at the end of life across health, social, and welfare services worldwide. Methods We conducted a rapid scoping review of systematic reviews. We searched MEDLINE, CINAHL, EMBASE, and CDSR databases from 2000 to 2017 for reviews reporting the effectiveness of service models aimed at optimizing QoL for older people, more than 50% of whom were older than 60 and in the last one or two years of life. We assessed the quality of these included reviews using AMSTAR and synthesized the findings narratively. Results Of the 2,238 reviews identified, we included 72, with 20 reporting meta‐analysis. Although all the World Health Organization (WHO) regions were represented, most of the reviews reported data from the Americas (52 of 72), Europe (46 of 72), and/or the Western Pacific (28 of 72). We identified two overarching classifications of service models but with different target outcomes: Integrated Geriatric Care, emphasizing physical function, and Integrated Palliative Care, focusing mainly on symptoms and concerns. Areas of synergy across the overarching classifications included person‐centered care, education, and a multiprofessional workforce. The reviews assessed 117 separate outcomes. A meta‐analysis demonstrated effectiveness for both classifications on QoL, including symptoms such as pain, depression, and psychological well‐being. Economic analysis and its implications were poorly considered. Conclusions Despite their different target outcomes, those service models classified as Integrated Geriatric Care or Integrated Palliative Care were effective in improving QoL for older people nearing the end of life. Both approaches highlight the imperative for integrating services across the care continuum, with service involvement tr...

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Results The cause of death for the vast majority of families was accident or illness. Death of a father was experienced by 41% of CYP. Six months after the end of support, improvements were shown for the following areas: peer relationship difficulties, emotional difficulties, behavioural difficulties, overall stress and impact of difficulties on the child's life. Conclusions CYP with multiple needs who were supported through this programme experienced fewer mental health difficulties in the medium-term. Tailored psychosocial support can promote adaptive developmental outcomes after bereavement and it can be particularly helpful for CYP who face school or social adjustment difficulties.

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