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Experiences of Eldercare Staff Working With Older People With Severe Mental Illness
Linkoping Univ, Dept Culture & Soc, Div Social Work, Norrkoping, Sweden..
Jönköping University, School of Health and Welfare, HHJ, Department of Social Work. Jönköping University, School of Health and Welfare, HHJ. Studies on Integrated Health and Welfare (SIHW).ORCID iD: 0000-0002-3916-2977
Jönköping University, School of Health and Welfare, HHJ, Department of Social Work. Jönköping University, School of Health and Welfare, HHJ. Studies on Integrated Health and Welfare (SIHW). Univ Free State, Dept Social Work, Bloemfontein, South Africa..ORCID iD: 0000-0001-7341-945X
Jönköping University, School of Health and Welfare, HHJ, Department of Social Work. Regional Forensic Psychiatric Hospital, Vadstena, Sweden; Psychiatric Clinic Ryhov County Hospital, Jönköping, Sweden.
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2025 (English)In: Health & Social Care in the Community, ISSN 0966-0410, E-ISSN 1365-2524, Vol. 2025, no 1, article id 2186889Article in journal (Refereed) Published
Abstract [en]

In Sweden, older persons living with severe mental illnesses (SMI) increasingly live independently in the community with support from informal and formal carers and welfare services. A proportion of this group is older people with SMI who, due to age or disability, receive municipal eldercare services such as home care in their ordinary housing, or in residential care. The situation and needs of this group demand that eldercare staff have an understanding for the older person's situation and the tools to provide appropriate care. The aim of this present study is to explore the experiences of eldercare staff working with older people with SMI. Focus group interviews were conducted with staff from three residential care facilities and two home care teams in one mid-sized Swedish municipality. To analyse the interviews, qualitative content analysis was used. The overarching theme from the analysis was "Doing the best they can," which was unpacked in two categories: "Working with fragmentary knowledge" and "Finding the right approach." We could also see differences between the experiences of staff in residential care and in home care. The eldercare staff in our interviews faced lack of formal training, insufficient information and skills concerning mental illness and its treatment. Nevertheless, they tried to make the situation of the older people with SMI as good as possible using experiential and tacit knowledge. Our results also point to system level barriers that hinder effective care for older people with SMI.

Place, publisher, year, edition, pages
John Wiley & Sons, 2025. Vol. 2025, no 1, article id 2186889
Keywords [en]
assisted living, eldercare, mental illness, qualitative methods, social and welfare services
National Category
Nursing Geriatrics
Identifiers
URN: urn:nbn:se:hj:diva-67210DOI: 10.1155/hsc/2186889ISI: 001401209500001Scopus ID: 2-s2.0-86000318744Local ID: HOA;;997937OAI: oai:DiVA.org:hj-67210DiVA, id: diva2:1934160
Funder
Swedish Research CouncilForte, Swedish Research Council for Health, Working Life and Welfare, STYA‐2015/0003Available from: 2025-02-03 Created: 2025-02-03 Last updated: 2025-10-13Bibliographically approved

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Allgurin, MonikaBülow, Pia H.Ernsth-Bravell, Marie

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Allgurin, MonikaBülow, Pia H.Ernsth-Bravell, Marie
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HHJ, Department of Social WorkHHJ. Studies on Integrated Health and Welfare (SIHW)HHJ, Institute of Gerontology
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Health & Social Care in the Community
NursingGeriatrics

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CiteExportLink to record
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Citation style
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