ABSTRACT

First published in 1964, The Last Refuge originated from the author’s visit to a Victorian workhouse which had become an Institution for old people. A visit that was to show frightful overcrowding in sparsely furnished dormitories. Day-rooms bleak and uninviting in which sat watery-eyed and feeble men, their spirit and pride drained away by the hopelessness of the surroundings. The many unexpected conditions Professor Townsend found led him to undertake this major enquiry into the question "Are communal homes for the aged necessary in our community and if so, what form should they take?" Visits were paid to a random sample of 173 residential institutions and homes, and welfare officers, matrons and elderly residents were interviewed. The general conclusion was that communal homes of the kind that existed in England and Wales did not adequately meet the physical, psychological and social needs of the old people living in them and required immediate alternative services and living arrangements. This book will be of interest to students of sociology, social care, public policy and gerontology.

part One|25 pages

Introductory

chapter 1|9 pages

Objects and Methods of Study

part Two|96 pages

Life in an Institution

chapter 3|31 pages

The Old Workhouse

chapter 4|27 pages

The Local Authority Post-War Home

chapter 5|18 pages

The Voluntary Home

chapter 6|18 pages

The Private Home

part Three|108 pages

The Need for Institutional Care

chapter 7|13 pages

Entering an Old People's Home

chapter 8|13 pages

Incapacity for Self-Care

chapter 9|20 pages

Reasons for Admission

chapter 11|31 pages

Developing Future Policy

chapter 12|9 pages

Conclusion