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The day program multiple: Noncoherence and ontological politics
Holly Symonds-Brown1, Christine Ceci1
1University of Alberta, Canada.
Health (London, England : 1997)
|July 29, 2022
Summary
Day programs offer community care for people with dementia, but research often overlooks their complexity. Understanding the "day program multiple" is crucial for effective dementia support and planning.
Area of Science:
- Gerontology
- Sociology of Health and Illness
- Organizational Studies
Background:
- Day programs are increasingly proposed globally to support individuals with dementia living at home.
- These programs aim to meet diverse needs and ideologies surrounding in-home dementia care.
- Existing research often views day programs as simple locations, leading to unclear outcomes.
Purpose of the Study:
- To analyze the ontological status of day programs in dementia care research.
- To explore the multiplicity and "ontological politics" of day programs as community care.
- To identify factors influencing the effectiveness of day program design and delivery.
Main Methods:
- Ethnographic study of a community-based day program for people with dementia.
- Analysis drawing on organizational theory (Cooper) and ontological politics (Mol).
- Examination of different "enactments" and coordination modes within the program.
Main Results:
- Day programs are complex entities with multiple, sometimes conflicting, versions.
- The "potentialities for care" emerge through ontological politics within the program.
- Managerial logics and administrative interests can displace and undermine effective care versions.
Conclusions:
- Research and planning must acknowledge the "day program multiple" and the precarious nature of care.
- Moving beyond a "simple location" view is essential for improving day program effectiveness.
- Understanding the interplay of different program enactments is key to optimizing dementia support.
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