20/70 Self-neglect in the community

To be within remit for the call, research must focus on any or all the following:

  • a person-centred approach to self-neglect
  • understanding barriers to the implementation of tools, framework and standard assessment approaches
  • the impacts of interventions used
  • effective and cost-effective models of multi-agency working to achieve positive outcomes for individuals who experience self-neglect.

The following issues are of interest, though other issues may be proposed. All applications should align with the existing and ongoing evidence base and should provide a careful justification of the importance of the proposed research and the potential impact it will have on health and social care services and a broad range of public health services such as fire and environmental services.

  1. Service user perspectives: How are the assessment process and the interventions to address self-neglect seen by individuals who experience self-neglect and how does this affect their short and longer-term outcomes and change their perspective?
  2. Empowerment and Dignity: What are the most effective approaches to building respectful and trusting relationships with individuals who self-neglect whilst maintaining their rights, dignity and confidentiality? How can these approaches be used to empower individuals as much as possible, considering the varying degrees of capacity that might exist in cases of self-neglect?
  3. Assessment Tools: What are the barriers and factors that facilitate the implementation of assessment in self-neglect? What are the most effective tools, frameworks and standard assessment approaches to detect and identify individuals with self-neglect or identify those at risk from slipping into problems? Which of these are the most reliable, valid, culturally sensitive, appropriate to the individual’s circumstances, and help them feel empowered throughout the process?
  4. Effective Interventions and Outcomes: How effective are the different interventions in self-neglect being utilised in health and social care, and the wider interagency network, including cost analysis? How do these interventions impact on individual’s, their carers’ and families’, health and social care outcomes (short and long term) and safety? What is the impact of these interventions on neighbours and wider communities?
  5. Multi-Agency Models: What is the evidence for different multi-agency models that enhance role clarity and a coordinated way of working towards a shared goal with positive outcomes? Which organisational models and care pathways facilitate multisector responses and effective outcomes?
  6. Workforce Capacity: How can local, regional and national organisations and professional bodies improve tools and strategies to strengthen workforce capacity within their own remit and to ensure a joined up multidisciplinary person-centred approach for community delivery of responses to address self-neglect?

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