title: [Social day care for the elderly. A new link in the chain of provisions in Arnhem?].
abstract: In the Netherlands semi-mural provisions for the elderly have a relatively short history. Best developed are day-hospitals and day-revalidation centres, managed by nursing homes. Recently, attempts have been made to introduce more differentiation in semi-mural care facilities, primarily used by the elderly. There is a growing number of daycare projects, meant for the frail elderly. This paper discusses some provisional results, gained by an evaluation of two daycare centres in Arnhem. In this study daycare visitors are compared to elderly, who live independently at home and chronic attendants of geriatric and psychogeriatric day-hospitals, who were considered to have similar problems. It appears that the daycare centres are visited by aged persons with a depressive mood, who are socially handicapped and lacking in initiatives. One important finding is, that - unlike our presuppositions - the characteristics of the daycare visitors do not overlap with those of the 'home group' and the chronic attendants of the day-hospitals. The clinical picture of the psychogeriatric day-hospital group is dominated primarily by dementia. The geriatric day-hospital group and the 'home group' are characterised by fewer behavioral deviations and a less depressive mood. One of the conclusions is, that the daycare centres in Arnhem attract a new client group and contribute to a more differentiated care for the elderly.
authors.affiliation: Intervakgroep Sociale Gerontologie, Katholieke Universiteit van Nijmegen.
authors.forename: M J
authors.initials: MJ
authors.lastname: Nuijens
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D003072:Cognition Disorders / Q000534:rehabilitation; D003631:Day Care, Medical; D005260:Female; D006299:Health Services for the Aged / Q000458:organization & administration*; D006801:Humans; D008297:Male; D009426:Netherlands; D012947:Social Work / Q000458:organization & administration
vernacular_title: Sociale dagopvang voor ouderen. Een nieuwe schakel in het stelsel van voorzieningen in Arnhem?