Redistributing Investment in Health and Social Services—The Evolving Role of Managed Care

JAMA ◽  
2018 ◽  
Vol 320 (21) ◽  
pp. 2197 ◽  
Author(s):  
William H. Shrank ◽  
Donna J. Keyser ◽  
John G. Lovelace
Keyword(s):  
Managed Care ◽  
Social Services ◽  
Health And Social Services

Depression in the Developing World

2017 ◽  
Author(s):  
Harry Minas
Keyword(s):  
Mental Health ◽  
International Development ◽  
Social Services ◽  
Development Programs ◽  
Middle Income ◽  
Health And Social Services ◽  
Middle Income Countries ◽  
Culturally Informed ◽  
Global Understanding

This chapter provides an overview of what is known about prevalence, social determinants, treatment, and course and impact of depression in developing, or low- and middle-income, countries. The importance of culture in depression and in the construction and application of diagnostic classifications and in health and social services is highlighted, with a particular focus on the applicability of ‘Western’ diagnostic constructs and service systems in developing country settings. The role of international organizations, such as WHO, and international development programs, such as the SDGs, in improving our understanding of depression and in developing effective and culturally appropriate responses is briefly examined. There is both a need and increasing opportunities in developing countries for greater commitment to mental health of populations, increased investment in mental health and social services, and culturally informed research that will contribute to improved global understanding of mental disorders in general and depression in particular.

scholarly journals The Integration of Psychosocial Care into National Dementia Strategies Across Europe: Evidence from the Skills in DEmentia Care (SiDECar) Project

2021 ◽  
Vol 18 (7) ◽  
pp. 3422
Author(s):  
Ilaria Chirico ◽  
Rabih Chattat ◽  
Vladimíra Dostálová ◽  
Pavla Povolná ◽  
Iva Holmerová ◽  
...  
Keyword(s):  
Content Analysis ◽  
Clinical Practice ◽  
Social Services ◽  
Psychosocial Care ◽  
Psychosocial Interventions ◽  
System Of Care ◽  
Dementia Care ◽  
Integrated System ◽  
Health And Social Services

There is evidence supporting the use of psychosocial interventions in dementia care. Due to the role of policy in clinical practice, the present study investigates whether and how the issue of psychosocial care and interventions has been addressed in the national dementia plans and strategies across Europe. A total of 26 national documents were found. They were analyzed by content analysis to identify the main pillars associated with the topic of psychosocial care and interventions. Specifically, three categories emerged: (1) Treatment, (2) Education, and (3) Research. The first one was further divided into three subcategories: (1) Person-centred conceptual framework, (2) Psychosocial interventions, and (3) Health and social services networks. Overall, the topic of psychosocial care and interventions has been addressed in all the country policies. However, the amount of information provided differs across the documents, with only the category of ‘Treatment’ covering all of them. Furthermore, on the basis of the existing policies, how the provision of psychosocial care and interventions would be enabled, and how it would be assessed are not fully apparent yet. Findings highlight the importance of policies based on a comprehensive and well-integrated system of care, where the issue of psychosocial care and interventions is fully embedded.

The mothers in me

2018 ◽  
Vol 50 (1) ◽  
pp. 129-140 ◽  
Author(s):  
Saija Katila
Keyword(s):  
Social Services ◽  
Writing Process ◽  
Time And Space ◽  
Public And Private ◽  
Organizational Settings ◽  
Health And Social Services ◽  
Crossing Time ◽  
Embodied Experiences ◽  
Becoming A Mother

Abstraction of the narrative The paper aims to evoke readers’ reflective and affective capacities and thereby facilitate understanding of the multisensorial, affective, and relational nature of knowing and becoming. It highlights the role of embodied knowing in becoming by following the journey of an individual faced with sudden trauma. It describes the affective energies crossing time and space in the continuously changing sociomaterial networks of relationships encountered in different organizational settings, be they in academia, health and social services, family, or otherwise. The paper is based on an auto-ethnographic narrative of becoming a mother that connects individual experiences with cultural understandings. The narrative is an outcome of a diffractive analysis of becoming; knowing emerges during the course of a writing process in which theoretical understandings, emotions, concepts, discourses, embodied experiences, and affects come together. The paper brings out the multiplicity of contradictory discourses involved in knowing and becoming. In so doing, it highlights the entangled coexistence of body and mind, reality and imagination, public and private, reason and emotion, as well as past, present, and future.

scholarly journals Challenges for Management in Implementing Reforms at the Ministry Level and in Health and Social Service Organizations in Finland

2019 ◽  
Vol 9 (3) ◽  
pp. 66
Author(s):  
Vuokko Niiranen ◽  
Joakim Zitting ◽  
Sanna Laulainen
Keyword(s):  
Social Services ◽  
Social Service ◽  
Service Organizations ◽  
Successful Implementation ◽  
Local Health ◽  
Mean Values ◽  
Social Service Organizations ◽  
Health And Social Services ◽  
Health And Social Care

The Finnish health and social care sector is currently undergoing numerous reforms. These reforms involve novel demands regarding the role of steering, decision-making, and management in health and social services. This article sheds light on some of the critical factors encountered by decision-makers and managers when implementing reforms to change health and social services. The article investigates cooperation between the steering ministries and different dimensions of management in local health and social service organizations. Interview data from the ministries were studied through content analysis, and quantitative survey data were analyzed using mean values guided by the model of multidimensional management. The co-operation between different ministries has intensified while implementing different reforms, but functional and cultural boundaries between them persist. The management dimensions in changing health and social service organizations stress the role of managers as facilitators and enablers, highlighting the significance of caring for the human resource dimension as one of the managers’ core tasks. The successful implementation of change should never be automatic. What emerges prominently is the skill essential to achieve cooperation which transcends the borders of both multiprofessional and traditional professional and administrative work both in ministries and local health and social service organizations.

scholarly journals Social services response to psychiatric emergencies

1993 ◽  
Vol 17 (5) ◽  
pp. 282-285 ◽  
Author(s):  
Peter Huxley ◽  
Michael Kerfoot
Keyword(s):  
Social Services ◽  
Crisis Intervention ◽  
Emergency Service ◽  
Nationwide Survey ◽  
Day Hospital ◽  
Hospital Services ◽  
Emergency Ward ◽  
Psychiatric Emergencies ◽  
Health And Social Services

This paper reports the results of a nationwide survey of social services responses to psychiatric emergencies. The survey is a companion to that by Johnson & Thornicroft (1991) (J&T) who reviewed the emergency service options available in psychiatry, including the emergency clinic, general hospital services, the emergency ward, acute day hospital and crisis intervention and residential services, as well as considering the role of sectorised services, and community mental health centres (CMHCs). For the purposes of our respective surveys of health and social services in England and Wales, we have defined a psychiatric emergency as “occurring when someone (patient, friend, relative or professional) requests urgent intervention on behalf of someone in the community who is suffering from a mental disorder”.

The Role of Clinical Psychologists in Psychogeriatrics

1982 ◽  
Vol 45 (7) ◽  
pp. 237-238 ◽  
Author(s):  
Nicholas Leng
Keyword(s):  
Life Expectancy ◽  
Elderly People ◽  
Social Services ◽  
Birth Rate ◽  
Environmental Changes ◽  
Clinical Psychologists ◽  
Steady Increase ◽  
Health And Social Services ◽  
Physical Conditions

There has been a steady increase in the proportion of elderly people in the population, especially those over the age of 75, and the main reasons are increased life expectancy and a reduced birth rate. Consequently health and social services will be under continuing pressure from the problems which these people present. Estimates of the incidence of dementia, for example, range from 6 to 10%. In addition elderly people are more likely to suffer from disability resulting from physical conditions such as stroke, and psychological problems such as depression are also common, resulting from environmental changes such as physical infirmity, pain, bereavement, hospitalisation, retirement and disengagement, and relocation. Clinical Psychologists are now beginning to make a contribution to the provision of psychogeriatric services, as this article outlines.

scholarly journals Concerns about the Coronavirus Outbreak among Health and Social Service Workers: The Mediating Role of Job Burnout

2020 ◽  
Author(s):  
Marlyn Khouri ◽  
Noga Cohen
Keyword(s):  
Psychological Distress ◽  
Social Services ◽  
Social Service ◽  
Well Being ◽  
Job Burnout ◽  
Service Workers ◽  
Health And Social Services ◽  
Mediating Role ◽  
Social Service Workers

Background: The current worldwide coronavirus (COVID-19) pandemic has elicited widespread concerns and stress. The current research examined the links between tendency to worry, concerns related to COVID-19 and psychological distress (anxiety, depression, stress). We were specifically interested in the mediating role of job burnout. Methods: Ninety-eight health and social service workers participated in the study (including medical and paramedical staff members, therapists and more). Participants completed an online survey that included questionnaires related to COVID-19 concerns, tendency to worry (PSWQ), psychological distress (DASS) and job burnout (SMBM). Results: Significant correlations emerged between COVID-19-related concerns, tendency to worry and psychological distress. Our findings showed that individuals working in health and social services fields who reported a higher tendency to worry experienced more psychological distress and that job burnout mediated this link. Furthermore, the link between worry and concerns related to COVID-19 was mediated by psychological distress.Limitations: In comparison with other countries such as Italy, and China; the cases in Israel haven't exceeded the coping competencies of the health and social service staffs. Conclusions: These findings highlight the role of worry and job burnout in psychological distress among individuals who work in health and social services fields. The results provide further knowledge regarding the risk factors that make health and social service workers vulnerable at times of crisis and emphasize the need for novel interventions for preventing psychological distress and promoting well-being among populations whose ability to function is crucial at times of crisis.

Sign in / Sign up

Export Citation Format

Share Document