Informal care in social context: A social psychological analysis of participation, impact and intervention in care of the elderly

Concern about the provision and effects of care to elderly people by unpaid family, relatives and friends has arisen in the contexts of changing demographic structures of populations and, in Britain at least, explicit policy by Government which seeks to promote familial responsibility for the financial, physical and emotional needs of elderly populations. The present review examines the extent and nature of informal care to elderly people, assesses the evidence to support sociological models of care work participation and the extent to which such models are reflected in beliefs concerning care of elderly people and intentions to cease direct provision of care. Studies of the psychological impacts of care work and of interventions to modify carer wellbeing are critically reviewed. It is suggested that future psychological research should focus on modeling the modifiable psychological processes which explain variance in care work participation, impact and uptake of services, and on the impacts of changing social policy on social perception and wellbeing of elderly people.