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Supportive care for the person with dementia$
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Julian Hughes, Mari Lloyd-Williams, and Greg Sachs

Print publication date: 2009

Print ISBN-13: 9780199554133

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780199554133.001.0001

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Supportive care: social care and social work approaches

Supportive care: social care and social work approaches

(p.171) Chapter 18 Supportive care: social care and social work approaches
Supportive care for the person with dementia

Jil Manthorpe

Oxford University Press

In England, the Department of Health White Paper, Our Health, Our Care, Our Say declared that personalized services would be the way forward for social care. Indeed, policy in England speaks of the need to transform adult social care. Everyone who receives health and social care support, whether from statutory services or through funding support for themselves, will in theory have choice and control over how that support is delivered. The goal is that they will be confident that services are of high quality, are safe, and promote individuals' independence, wellbeing, and dignity. Central to these aspirations are people with dementia. The National Dementia Strategy reflects this same approach, being produced as part of the Putting People First policy, which is the cross-departmental commitment to this move to personalizing social care. If supportive care is to be at the heart of mainstream social care for people with dementia in England, then its proponents will need to understand this ethos of personalization and to decide whether its value base fits with an orientation to supportive care. Dementia care practitioners have an important role in shaping personalization and responding to its ambiguities. This chapter explores these relationships, and, in doing so, takes a critical look at ideas of ‘supportive care’. Social work and social care have long experience of terminology being used rather indiscriminately and as cloaks to cover substantial changes. Previous policy documents and discussions have used the term ‘community’ to mean a number of things for example. Likewise, ‘care’ too is a term that conveys political and gendered undercurrents and values. Thus the current fashion for the replacement of ‘care’ by ‘support’ may signal shifts in values, responsibilities, and roles of great depth or superficiality.

Keywords:   supportive care, social work, social care, dementia

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