COVID-19: Implications for the Support of People with Social Care Needs in England

Comas-Herrera, Adelina; Fernández, José Luís; Hancock, Ruth; Hatton, Chris; Knapp, Martin; McDaid, David; Malley, Juliette; Wistow, Gerald; Wittenberg, Raphael

doi:10.1080/08959420.2020.1759759

Cited by 46 publications

(40 citation statements)

References 4 publications

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“…Evidence on impact of COVID-19 on long-term care in the community is still scarce, even though this represents a group that is potentially highly vulnerable to infection (as they rely on care from others) and at risk of severe outcomes. 69 Third, a substantial proportion of people with COVID-19 detected during systematic screening of residents (as many as 75%) and staff (up to 100%, although case numbers were very low) of long-term care facilities were asymptomatic at the time of testing, casting doubts over the appropriateness of symptoms-based strategies in this setting. Finally, reporting standards of included studies were variable and often poor, highlighting the need to harmonise research practices and reporting standards in this body of fast-evolving literature.…”

Section: Discussionmentioning

confidence: 99%

COVID-19 related mortality and spread of disease in long-term care: a living systematic review of emerging evidence

Salcher‐Konrad

Jhass

Naci

et al. 2020

Preprint

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Background: Policy responses to mitigate the impact of the COVID-19 pandemic on long-term care (LTC) require robust and timely evidence on mortality and spread of the disease in these settings. The aim of this living systematic review is to synthesise early international evidence on mortality rates and incidence of COVID-19 among people who use and provide LTC. Methods: We report findings of a living systematic review (CRD42020183557), including studies identified through database searches up to 5 June 2020. We searched seven databases (MEDLINE; Embase; CINAHL Plus; Web of Science; Global Health; WHO COVID-19 Research Database; medRxiv) to identify all studies reporting primary data on COVID-19 related mortality and incidence of disease among LTC users and staff. We excluded studies not focusing on LTC. Included primary studies were critically appraised and results on number of deaths and COVID-19 related mortality rates, case fatality rates, and excess deaths (co-primary outcomes), as well as incidence of disease, hospitalisations, and ICU admissions were synthesised narratively. We further included official figures on number of deaths in LTC. Findings: A total of 33 study reports for 30 unique primary studies or outbreak reports were included. Outbreak investigations in LTC facilities found COVID-19 incidence rates of between 0.0% and 71.7% among residents and between 1.5% and 64.0% among staff. Mortality rates varied from 0.0% to 9.5% of all residents at outbreak facilities, with case fatality rates between 0.0% and 33.7%. In included studies, no LTC staff members had died. LTC residents accounted for between 0% (Hong Kong) and 85% (Canada) of COVID-related deaths, according to official figures. Interpretation: Long-term care users have been particularly vulnerable to the COVID-19 pandemic. However, we found wide variation in spread of disease and mortality rates between outbreaks at individual LTC facilities. Further research into the factors determining successful prevention and containment of COVID-19 outbreaks is needed to protect long-term care users and staff.

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Section: Discussionmentioning

confidence: 99%

COVID-19 related mortality and spread of disease in long-term care: a living systematic review of emerging evidence

Salcher‐Konrad

Jhass

Naci

et al. 2020

Preprint

Self Cite

View full text Add to dashboard Cite

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“…Volunteers and civil society associations have supported social workers´tasks. In England, the government achieved an excellent response from volunteers to work in social care helping to solve staff shortages, demonstrating also the need to work together between different levels of intervention and sectors [37]. Resonating with this approach, at the regional level in Spain, there are examples of collaboration between administrations and other organizations, for example, the agreement between the Catalan government and the Social Work Professional Association of Catalonia for the intervention in contexts of crisis [38].…”

Section: Organizational Responses Of Social Workers In the Frontlinementioning

confidence: 99%

Social Work during the COVID-19 Crisis: Responding to Urgent Social Needs

et al. 2020

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Social work during the COVID-19 crisis has faced one of the most challenging times to cover urgent social needs in an uncertain scenario. This study analyzes the immediate responses in social work to vulnerable groups in the first 15 days of the pandemic in Barcelona, one of the most affected areas worldwide by COVID-19. The sample for this qualitative study includes 23 semi-structured interviews with social workers from different fields of intervention, from general approaches (primary care) to specific ones (health, ageing, homeless, and justice). The data analysis followed the communicative methodology, including transformative and exclusionary dimensions, and the analytical categories focused on the impact of the COVID-19 pandemic on social services users, the organizational responses of social workers, and the impact of the interventions to cover urgent social needs of attendees. The interventions have been accompanied by an improvement in communication channels with vulnerable groups, ensuring an understanding of the situation of families and individuals, and covering the most urgent social needs. The study shows the key role of social workers from diverse social attention tools and their contribution to the sustainability of social services with a long-term impact.

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“…Furthermore, nursing home residents often have limited macro-level social support. This is evidenced by harmful social norms (e.g., age-related discrimination) [43][44][45] and inadequate policy support that facilitates healthy aging and quality of life (e.g., insu cient regulatory oversight to ensure quality care in nursing homes) [4,20,46,47]. These factors combined, could result in severe health consequences in nursing home residents, such as wide viral spread [1].…”

Section: Systematic Review Registrations: Prospero Crd 42020191880mentioning

confidence: 99%

Technology-Based Interventions for Nursing Home Residents: Implications for Nursing Home Practice Amid and Beyond the Influence of COVID-19: A Systematic Review Protocol

Meyer

et al. 2020

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Background: A growing number of technology-based interventions are used to support the health and quality of life of nursing home residents. The onset of COVID-19 and recommended social distancing policies that followed led to an increased interest in technology-based solutions to provide healthcare and promote health. Yet, there are no comprehensive resources on technology-based healthcare solutions that describe their efficacy for nursing home residents. This systematic review will identify technology-based interventions designed for nursing home residents and describe the characteristics and effects of these interventions concerning the distinctive traits of nursing home residents and nursing facilities. Additionally, this paper will present practical insights into the varying intervention approaches that can assist in the delivery of broad digital health solutions for nursing home residents amid and beyond the impact of COVID-19. Methods: Databases including PubMed, PsycINFO, CINAHL, and Scopus will be used to identify articles related to technology-based interventions for nursing home residents published between January 1st, 2010 to December 4th, 2020. Titles, abstracts, and full-texts papers will be reviewed against the eligibility criteria. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses procedures will be followed for the reporting process, and implications for existing interventions and research evaluated by a multidisciplinary research team. Results: NA—protocol study Conclusions: Our study will fill critical gaps in the literature by providing a review of technology-based interventions tested in the nursing home setting. As the older adult population grows, there is an urgent need to identify effective technology-based interventions that can address the distinctive characteristics and preferences of nursing home residents. Clear and comprehensive understanding of how available technology-based health solutions facilitate healthcare for nursing home residents will shed light on the approaches open to residents to fend off the negative health consequences amid and beyond the influence of COVID-19. Systematic Review Registrations: PROSPERO CRD 42020191880

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COVID-19: Implications for the Support of People with Social Care Needs in England

Cited by 46 publications

References 4 publications

COVID-19 related mortality and spread of disease in long-term care: a living systematic review of emerging evidence

COVID-19 related mortality and spread of disease in long-term care: a living systematic review of emerging evidence

Social Work during the COVID-19 Crisis: Responding to Urgent Social Needs

Technology-Based Interventions for Nursing Home Residents: Implications for Nursing Home Practice Amid and Beyond the Influence of COVID-19: A Systematic Review Protocol

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