The use of community-based social services by elderly people at risk of institutionalization: an evaluation

To examine the use of community-based social services by elderly people at risk of institutionalization, who prefer to remain at home.

A study with a longitudinal design (measurements at two points in time) was conducted.

One hundred and thirty-four elderly people (mean age=82 years) were interviewed twice. At baseline, 81 respondents indicated that they made use of at least one social service (60.4%). After 1 year the use of these services did not increase significantly (64.2%, p=0.53). Only two services (socio-cultural activities and restaurant facility) out of five services were used frequently. The respondents reported more autonomy and fewer feelings of loneliness after 1 year. These positive changes cannot be related to an increased use of services.

Overall, the use of social services remained moderate. This raises questions about the need for these services, the possible barriers and the ability of these social services to contribute to de-institutionalization.