David Reid

Towards a More Inclusive Vision of Dementia Care Practice and Research

Drawing on recent literature this article explores the development of research with family carers and people with dementia and identifies a number of themes that have emerged over time. It raises fundamental questions about the nature and purpose of research and the balance of power between researchers, family carers and people with dementia. Existing notions of expertise and knowledge are called into question and the article concludes with a call for a more empowering and inclusive model of research and practice based upon a relationship-centred approach to care.

What Does it Mean to Listen to People with Dementia

A total of 19 people with dementia were interviewed as part of a study into unmet respite care need amongst caregivers and day-care attenders in Sheffield. Some important contextual debates associated with conducting social research with people with dementia are considered. These include informed consent, competency, and how the interests of caregivers and people with dementia are bound together. A form of process consent was used in conducting semi-structured interviews with day-care attenders. Day-care attenders spoke about being here in a number of ways. These include their initial experiences, their sources of satisfaction and their sense of being in families. These substantive findings and the associated methodological insights suggest day-care attenders have important things to say as service-users if appropriate strategies for listening are employed. Service-providers can collaborate imaginatively with day-care attenders to actively explore how care might be shaped by the experiences of persons with dementia.

Using the Senses Framework to achieve relationship-centred dementia care services A case example

This article describes the development of a new service for people with dementia and their carers in a large post-industrial city in the north of England, UK. The service arose in response to the perceived inadequacies of existing respite care provision and has proved very successful in meeting the needs of people with dementia and their family carers, and in providing high levels of job satisfaction for staff. The success of the initiative can be understood using the Senses Framework and relationship-centred care as an analytic lens to identify key attributes of the service. The article also discusses implications for the development of support services more generally.

Partnership means protection? Perceptions of the effectiveness of multi‐agency working and the regulatory framework within adult protection in England and Wales

This article examines the effectiveness of the multi‐agency approach in adult protection and draws on findings from research that examined the effectiveness of both partnership working and perceptions of the regulatory framework to protect vulnerable adults. The research findings were collected through the use of a survey of all local councils with social services responsibilities in England and Wales. Examples of good practice in partnership working were found. However, resource pressures, insufficient information sharing and a lack of clarity about roles and responsibilities were reported to hinder a multi‐agency approach.

Voices from the frontline: social work practitioners’ perceptions of multi-agency working in adult protection in England and Wales.

This article reports on the views of 92 social workers about their practice in adult protection in England and Wales as part of a wider study of adult protection working and regulation that took place between 2004‐2007 in 26 sample local authorities. The article explores social workers reported experiences of partnership or multiagency working and how this, along with overarching regulatory frameworks, affected their practice within and across agencies. Among findings from the study were that social workers considered that sharing information and responsibilities led to positive outcomes for service users and that the incorporation of different agency perspectives supplemented sharing of best practice.

Managing relations in adult protection: A qualitative study of the views of social services managers in england and wales

Collaboration or partnership between different agencies is seen as an important part of resolving problematic social issues. This article reports on findings from interviews with 32 managers working in 26 local authority social services departments that were undertaken as part of a larger study of interagency working in adult protection in England and Wales (2004–2007). Themes of managing relations, system development and prioritisation emerged from the analysis of the interviews. These findings are set in the context of developments in adult protection or safeguarding in England and Wales. The article concludes that managers perceive relationships as key in implementing aspirations for adult safeguarding, in the context of a lack of statutory obligations and sets this in the context of policy and practice.

Form and function: views from members of Adult Protection Committees in England and Wales

Little is known about the relationship between organisations charged with the protection of vulnerable adults in England and Wales. This paper investigates adult protection1 inter‐agency relationships in the context of an adult protection framework that gave local authorities the lead role and charged other agencies with working in partnership with them. The data reported are from focus groups undertaken with members of 26 Adult Protection Committees (APCs) from England and Wales during 2005‐2006. The APCs were selected using a stratified sampling frame and 271 professionals participated. Analysis revealed that participation in the local strategic decision‐making setting of the APC was influenced by the local history of partnership working, information‐sharing, affective relationships, understanding of respective roles and a shared acknowledgement of the importance of adult protection. The implications of these findings are discussed in the light of government reviews of local discretion around adult protection systems.