ABSTRACT

This chapter summarises some of the key findings from the Darlington study. One of the special features of the Darlington study was the development of the role of the home care assistant, which integrated the functions of home help, nurse aide and therapy aide into one person. The model of care developed in the Darlington study was a form of intensive care management specifically designed for individuals with complex needs, for whom the level of risk was high and who, if coordinated and intense levels were not provided, would require costly forms of institutional care as an alternative. The benefits in the Darlington Project of close links between care management and the geriatric service were in improved case-finding, and access to a wide range of skills in the assessment of need, not just initially but throughout the involvement with a client, including monitoring wellbeing.