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Reconceptualizing Institutional Abuse: Formulating Problems and Solutions in Residential Care

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Patient-Centred Health Care

Part of the book series: Organizational Behaviour in Health Care ((OBHC))

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Abstract

Institutional abuse in the form of neglect, mistreatment and loss of dignity is a global problem. As populations grow older, it has become an increasingly important issue for governments in over 25 countries (CNPEA 2009). In the United Kingdom alone, there are around 6,000 registered care homes providing care for over 400,000 older people, and demand continues to grow (Laing and Buisson 2009). At the same time, abuse has been a significant problem in UK care homes. During 20092010, 400 regulated adult care services in England were rated as poor, with 34 care homes and 8 staffing agencies being forcibly shut down and 39 care homes closing voluntarily (CQC 2010a). Abuses related to unsafe management of medicine, lack of medical or nursing care, sanitation and insufficient staff training. A fundamental challenge is how to develop practices that enable the provision of residential care that can safely meet the individual needs of residents.

This chapter is a shortened and adapted version of the paper Burns, D., Hyde, P. and Killett. A. (forthcoming) Wicked problems or wicked people? Reconceptualising institutional abuse. Sociology of Health and Illness doi: 10.1111/j.1467-9566.2012.01511.x published by Wiley Blackwell.

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© 2013 Diane Burns, Paula Hyde and Anne Killett

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Burns, D., Hyde, P., Killett, A. (2013). Reconceptualizing Institutional Abuse: Formulating Problems and Solutions in Residential Care. In: Keating, M.A., McDermott, A.M., Montgomery, K. (eds) Patient-Centred Health Care. Organizational Behaviour in Health Care. Palgrave Macmillan, London. https://doi.org/10.1057/9781137308931_4

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