2Care needs of major client groups Client group nameAge range (years)Babies and children0 – 11Adolescents11 – 18Adults19 – 65Older people65+People of any age who are well, but have special needs because of a physical or mental disabilityDisabled people
3Babies and children Health needs Development needs Social care needs Maternity servicesHealth screening e.g. growing normallyVaccinationImmunisationsSchool health servicesDental servicesSpecialist services such as paediatrician, optician etc.Health screening e.g. hearing and sight testsNursery educationToysBooksPrimary educationFamilyFriendsPlaygroupsNurseriesCrèchesChildmindersBenefitsSchool
4Adolescents Health needs Development needs Social care needs VaccinationImmunisationsSchool health servicesDental servicesSpecialist servicesHealth promotion services and school e.g. dangers of smoking, contraception etc.Secondary educationBooksVisits to new placesNew experiences e.g. work experienceSchoolFriendsFamilyYouth services e.g. youth clubsYouth offending servicesChild protectionTelephone help lines e.g. Childline
5Adults Health needs Development needs Social care needs General medical servicesWider range of specialist care e.g. hysterectomies, strokes etc.Recuperation and rehabilitation servicesMental health servicesMaternity servicesComplementary therapiesFurther educationDay release to collegeCorrespondence coursesNight classesStimulating employmentFamilyFriendsRefugesHomelessness servicesSupport services e.g. SamaritansAdvice services e.g. Citizen’s Advice Bureau
6Older people Health needs Development needs Social care needs Home nursing carePersonal careDomestic helpEquipment e.g. bed railsSpecialist help for specific problemsFoot careDay care facilities e.g. fitness activitiesResidential careSheltered accommodationBooksTelevisionConversationDay care centres e.g. games, creative activitiesResidential careSheltered accommodationFamilyFriendsDay care centres e.g. talking groupsResidential careSheltered accommodation
7Disabled people Health needs Development needs Social care needs As all other age groupsSuitably adapted facilities e.g. toiletsSupported community livingHospital careDay care centresHome careAs all other age groupsDay centres for those with learning disabilitiesSuitably adapted resources e.g. talking books, Braille booksPhysical access to new placesAs all other age groupsFamilyFriendsDomiciliary care
8Types of care services Statutory Private Voluntary Set up because Parliament has passed a law that requires the services to be provided. Includes NHS trusts and local authority servicesHospitals and clinicsCommunity services e.g.GPs, district nurses, health visitors, dentistsSocial services and education e.g.residential and nursing homes, day centre, home care, early years centres, nurseries, schoolsHospitals and clinicsResidential and nursing homesNursing and home care agenciesDomestic help agenciesRun on a profit-making basisHospicesDay centresBefriending servicesLuncheon clubsChild protection agenciesChild care agenciesHelp in the communityRun on a non profit-making basis
9Barriers to care BARRIERS TO CARE Physical barriers Cultural and language barriersPsychological barriersBARRIERS TO CAREGeographical barriersResource barriersFinancial barriers
10Lack of adapted toilet facilities Physical barriersStairsLack of liftsLack of adapted toilet facilitiesNo places to leave equipment, e.g. prams and buggiesCommunication difficulties
11Psychological barriers Fearof hospitalsof losing independenceStigma associated with some servicesNot wanting to be looked afterMental health problems
12Not having enough money to pay for services Financial barriersCharges and feesNot having enough money to pay for servicesServices not available within local area due to lack of resources
13Geographical barriers Location of service or practitionerLack of public transportLong bus or car journeys
14Cultural and language barriers Cultural beliefs about who should provide care and how illness and social problems should be dealt withDifficulties in using EnglishComo?
15Sorry, we are now closed until 9 a.m. tomorrow morning. Resource barriersLack of staffLack of information about servicesLack of money to fund servicesLarge demand for servicesSorry, we are now closed until 9 a.m. tomorrow morning.
16The care value base CARE WORKERS EMPOWER CLIENTS BY Promoting anti-discriminatory practiceMaintaining confidentiality of informationCARE WORKERS EMPOWER CLIENTS BYPromoting and supporting individuals’ rightsAcknowledging individuals’ personal beliefs and identityProtecting individuals from abusePromoting effective communication and relationshipsProviding individualised care