How Patient Power and Client Participation affects Relations between Professions

Author(s):  
John Øvretveit
Keyword(s):  
Proceedings ◽  
2021 ◽  
Vol 77 (1) ◽  
pp. 20
Author(s):  
Adrian Cherney

In recent years, there has been a proliferation of programs aimed at preventing radicalization and disengaging known violent extremists. Some programs have targeted individuals through the use of case management approaches and the development of individual intervention plans (e.g., the Desistance and Disengagement Program and the Channel program in the UK; the Australian New South Wales Corrections Proactive Integrated Support Model—PRISM—and state-based division initiatives in Australia). There is a broad consensus in the literature that the evaluation of such initiatives has been neglected. However, the evaluation of case-managed interventions to counter violent extremism (CVE) is challenging. They can have small caseloads which makes it difficult to have any comparison or control group. Client participation can vary over time, with no single intervention plan being alike. This can make it hard to untangle the relative influence of different components of the intervention on indicators of radicalization and disengagement. In this presentation, results from primary research that set out to evaluate case-managed CVE interventions in Australia and develop evaluation metrics are presented. This research involves the examination of interventions implemented by New South Wales corrections and state police. The effectiveness of these interventions was assessed against a five-point metric of client change. Client change overtime was analyzed using case note information collected by the various interventions on client participation. Results show that client change is not a linear process and that the longer an individual is engaged in a case-managed intervention, the more likely they are to demonstrate change relating to disengagement. Specific case studies are used to illustrate trajectories and turning points related to radicalization and to highlight the role of case-managed interventions in facilitating disengagement. Key elements of effective interventions include the provision of ongoing informal support. Investment in capturing case note information should be a priority of intervention providers. Different challenges confronted by case-managed CVE interventions are highlighted.


2002 ◽  
Vol 29 (2) ◽  
pp. 92-99 ◽  
Author(s):  
MICHAEL HENNESSY ◽  
SAMANTHA P. WILLIAMS ◽  
MICHELE M. MERCIER ◽  
C. KEVIN MALOTTE

1999 ◽  
Vol 16 (3) ◽  
pp. 253-267 ◽  
Author(s):  
Phelan A. Wyrick ◽  
Mark A. Costanzo
Keyword(s):  

Author(s):  
Jenny Paananen ◽  
Camilla Lindholm ◽  
Melisa Stevanovic ◽  
Taina Valkeapää ◽  
Elina Weiste

Author(s):  
Dr. Ranjana Pandey Mishra ◽  
Dr. Ajay Kumar Mishra

The movement to include patient/client evaluations of care is growing as more providers/organizations realize that patient/client satisfaction measurement is a cost effective, noninvasive indicator of quality of care. Giving the patient/client an opportunity to voice their opinions about the care they receive can be seen as part of a broader commitment to public and patient/client participation in healthcare service planning and delivery. Purpose of the study is to analyze various factors which influence patient satisfaction or dissatisfaction with hospital services or care. Based on the feedback given by the patients or their attendants and to identify specific areas for improvement as well. Study is empirical in nature and data is collected through primary as well as secondary sources. Data is analyzed with the help of MS excel and statistical tools used are pie charts, tables etc. in present study it was concluded that room service and cleanliness corrections need to be made to enhance the comfort and satisfaction of the patients. There is a need to channelize the patients through the hierarchical levels of health care to prevent undue burden on the tertiary health facilities. Certain improvements are also needed in the waiting area by making it informative and comfortable.


2018 ◽  
Vol 32 (2) ◽  
pp. 74-85
Author(s):  
Stuart Wood ◽  
Fiona Crow

This article presents a small Participatory Action Research project involving music therapists working in a care home company, creating a documentation tool (The Music Matrix) that is fit for purpose. The project emerged out of a commonly held dissatisfaction with existing documentation among the Music Therapists in the care home company’s national team. The Music Matrix tool uses graphic notation to record observations of client participation, systematised into 10 dimensions of activity. The tool was developed in a cycle of practice and reflection between members of the music therapy team and stakeholders in the wider organisation. This was systematised in a three-stage trial process of profiling, peer review and thematic synthesis of feedback. Findings suggest that the tool was viewed to be useful in a number of aspects. First, it enabled insights for Music Therapists, in seeing patterns and recognising unacknowledged habits in their own practice. It helped show complex experience in an immediate graphic way. This was useful for reporting to stakeholders and was flexible in applying to numerous formats of practice. However, this flexibility also created a level of uncertainty for some research respondents, as the tool’s wide applicability does not have the appearance of objectivity afforded by other methods. Stakeholders saw applications beyond music therapy, particularly for non-musical care work and activities. Insights emerged regarding how Music Therapists can usefully meet the many demands that care documentation serves.


The Family ◽  
1936 ◽  
Vol 17 (2) ◽  
pp. 43-48
Author(s):  
Helen Prescott Churchward
Keyword(s):  

1994 ◽  
Vol 24 (1) ◽  
pp. 33-47 ◽  
Author(s):  
Mark Peyrot ◽  
Sherman Yen ◽  
Carole A. Baldassano

This article describes a cognitive-behavioral program for substance abusers which was first implemented in the Baltimore City Jail in 1987. Similar but separate programs are provided for male and female inmates, consisting of twelve to sixteen contact hours over three to four weeks. In addition to conventional drug and alcohol information (physiologic and psychological effects, treatment options), the program emphasizes cognitive and behavioral skills which can prevent substance abuse, including training in consequential thinking, and stress and anger management. Over a two-year period, 607 males and 131 females were served, of whom 429 (59%) completed the entire program. Both males and females showed statistically significant improvement from pretest to posttest in all knowledge areas. Inmates gave high ratings to the program and group leaders reported substantial change in client attitudes toward drug and alcohol use. Knowledge scores at the end of the program were highest for those who scored higher at pretest, rated their group leader higher, and were rated by their group leader as more active participants. Client participation was the strongest predictor of program outcome.


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