title: Exploration of Choice for Older People with Daily Care Needs: Scottish Professionals' Perspectives on Self-Directed Support.
abstract: This article explores The Social Care (Self-Directed Support [SDS]) (Scotland) Act 2013 developments, influence's on individuals informed choices for care decisions and implications for direct practice situations. The article discusses perspectives from 18 professionals and front-line care workers interviewed in Scotland on SDS policy changes. Barriers included attitudes on dependence, power and control, shortage of direct client contact time, clients becoming "employers," and reductions in the number of qualified social workers. Some recommendations included allowing social workers freedom of creativity, sharing and application of practice experience. Findings revealed an outcome-focused, person-centered approach was utilized to support an independent living environment.
authors.affiliation: a School of Applied Social Science , University of Stirling , Stirling , Scotland , UK.
authors.forename: Kari D
authors.initials: KD
authors.lastname: Velzke
mesh_terms: D000328:Adult; D017028:Caregivers / Q000523:psychology*; D002755:Choice Behavior; D005260:Female; D006291:Health Policy; D006801:Humans; D057187:Independent Living / Q000592:standards*; D008297:Male; D008875:Middle Aged; D026684:Personal Autonomy; D036301:Qualitative Research; D012606:Scotland; D000073278:Self-Management / Q000523:psychology*
keywords: Care; choice; control; dementia; independent living; older people; self-directed support; social policy; social work practice