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Article in Journal ()

Extra care: Viable for couples living with dementia?

Citation
Poyner C, Innes A & Dekker F (2017) Extra care: Viable for couples living with dementia?, Housing, Care and Support, 20 (1), pp. 8-18.

Abstract
Purpose 

The perspectives of people with dementia and their care partners regarding “extra care” housing are currently unknown. The purpose of this paper is to report findings of a consultation study exploring the perceived barriers and facilitators of a relocation to extra care housing, from the perspective of people living with dementia, and their care partners. 
Design/methodology/approach 
Fieldwork consisted of paired or 1-1 interviews and small focus groups with potential users of an alternative model of extra care support for people living with dementia in the South of England. The consultation took place between June and August 2013. The interviews and focus groups were audio recorded, transcribed verbatim. The transcripts were analysed thematically. 
Findings 
Benefits of extra care were identified as the opportunity for couples to remain living together for longer, creating a supportive, dementia-friendly community, and a reduction in the strain experienced by the care partners. Barriers centred on a sense of loss, stress and uncertainty. Living and caring at home was perceived as preferable to shared care. 
Research limitations/implications 
The findings presented here have limited generalisability for two reasons. First, the shared care approach consulted on was very specific. Second, the participants form a purposive sample and as such are not representative of a wider population. Despite best intentions, the voice of people with dementia, are underreported in this consultation. Only one person with early on-set dementia was interviewed and the remaining two people with dementia were interviewed alongside their care partner. 
Practical implications 
The findings cast doubt on the viability of extra care facilities, designed for couples living with dementia, if extra care continues to be conceptualised and marketed as a preventative lifestyle choice. The findings indicate the value of consulting with people with dementia, and their care partners, when designing new forms of housing with care specifically for people living with dementia. 
Social implications 
The findings of this consultation exemplify the wish of couples living with dementia to remain together, in what they perceive to be “home”, for as long as possible. Couples living with dementia are therefore unlikely to wish to move into an extra care facility as a lifestyle choice option, early into their journey with dementia. This raises questions about the suitability of extra care, as a form of housing with care, for couples living with dementia. 
Originality/value 
This paper contributes to the body of literature, exploring the feasibility of new and innovative alternative care and housing options, for people with dementia. This paper is one of the first to explore extra care as a housing and social care option for couples with dementia.

Keywords
Consultation; Dementia care; Housing with care; Carer perspectives; Extra care; Shared care

StatusPublished
AuthorsPoyner Christopher, Innes Anthea, Dekker Francesca
Publication date2017
Publication date online20/03/2017
Date accepted by journal14/03/2017
PublisherEmerald
ISSN 1460-8790
LanguageEnglish

Journal
Housing, Care and Support: Volume 20, Issue 1 (2017)

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