‘We Need the Bed’ — Continuing Care and Community Care

1998 ◽  
pp. 140-153
Author(s):  
Kathleen Jones
Keyword(s):  
Community Care ◽  
Continuing Care

scholarly journals Care needs of elderly people with schizophrenia

2003 ◽  
Vol 182 (3) ◽  
pp. 241-247 ◽  
Author(s):  
Seamus V. Mcnulty ◽  
Laing Duncan ◽  
Margaret Semple ◽  
Graham A. Jackson ◽  
Anthony J. Pelosi
Keyword(s):  
Elderly Patients ◽  
Social Care ◽  
Community Care ◽  
Unmet Need ◽  
Continuing Care ◽  
Local Health ◽  
Psychotic Illness ◽  
Care Needs ◽  
Health And Social Care ◽  
The Uk

BackgroundLittle is known of the needs of elderly patients with psychotic illnesses.AimsTo measure the care needs of an epidemiologically based group of patients over the age of 65 years suffering from psychotic illness, using a standardised assessment.MethodAll patients aged 65 years and over with a diagnosis of schizophrenia and related disorders from a defined catchment area were identified. Their health and social care needs were investigated using the Cardinal Needs Schedule.ResultsThe 1-year prevalence of schizophrenia and related disorders was 4.44 per 1000 of the population at risk. There were high levels of unmet need for many patients, including those in National Health Service (NHS) continuing-care beds.ConclusionsMany needs were identified, all of which could be addressed using the existing skills of local health and social care professionals. The investigation raises serious concerns about standards of hospital and community care for elderly patients with schizophrenia. The findings may be unique, reflecting long-standing problems within a particularly hard-pressed part of the NHS. However, it is not known whether a similar situation exists in other parts of the UK.

Empowerment, quality of life and service satisfaction: comparisons between a hospital and community placement group

2008 ◽  
Vol 25 (2) ◽  
pp. 40-45
Author(s):  
Keith Kerrigan ◽  
Gavin Davidson ◽  
Ciaran Shannon
Keyword(s):  
Quality Of Life ◽  
Life Satisfaction ◽  
Research Design ◽  
Living Arrangements ◽  
Community Care ◽  
Service Satisfaction ◽  
Care Group ◽  
Continuing Care ◽  
Community Placement

AbstractObjectives: Recent advances in mental healthcare policy and service delivery have lead to the development of community care initiatives which have enabled those individuals traditionally cared for in hospital environments to be resettled successfully in community living arrangements that foster an ethos of empowerment and recovery. This study sought to identify differences between a hospital continuing care group (n = 16) and a community placement group (n = 20) in relation to quality of life, satisfaction and levels of empowerment.Method: The study was a cross-sectional design. It follows up a cohort of individuals identified as the ‘hospital continuing care group’ (365+ consecutive days in psychiatric hospital care) by Homefirst Community Trust in Northern Ireland. A proportion of this population has been resettled into community care environments and some continue to reside in hospital. Patients both in the hospital continuing care group and the community placement group completed two standard questionnaires that covered a number of variables including empowerment, quality of life and service satisfaction.Results: There were significant differences between the hospital continuing care and community placement groups across scores on service satisfaction, quality of life, and empowerment in the current study. Hypotheses relating to service satisfaction (z = −4.117; p < 0.01 ), quality of life (z = −3.944; p < 0.01) and empowerment (z = −4.645; p < 0.01) were supported with higher levels of each evidenced by the community placement group.Conclusions: The results are supportive of continued resettlement from continuing care in traditional psychiatric hospitals and suggests that such resettlement increases quality of life, satisfaction with services and levels of empowerment. The limitations of the research design are empowerment. The limitations of the research design are also discussed.

scholarly journals Toward greater integration of the health system

2002 ◽  
Vol 25 (5) ◽  
pp. 88 ◽  
Author(s):  
Hal Swerissen
Keyword(s):  
Emergency Services ◽  
Community Care ◽  
Significant Proportion ◽  
Continuing Care ◽  
Services Research ◽  
Australian Health ◽  
Care Services ◽  
Primary Health ◽  
Funding Programs ◽  
Capitation Payments

As demand for hospital and emergency services grows there will be pressure to improve the integration of primary, acute and continuing care services. Research on ambulatory sensitive care conditions suggests that a significant proportion of hospital use is potentially preventable by primary health and community care services. The desire for better health outcomes and reduced use of acute care suggests a greater focus on primary health and community care. Reforms have generally emphasised planning, funding and regulatory mechanisms including brokered management of services for an enrolled population, capitation payments and pooled funding across primary,acute and continuing care, the development of coordinated service pathways and the consolidation of responsibility for costs and outcomes. Australia's division of funding, regulatory and planning responsibilities across jurisdictions introduces a unique set of challenges to address these issues. Nevertheless, there are a number of options better aligning Commonwealth and State initiatives through the Australian Health Agreements and funding for range of primary health and community care funding programs.

Continuing care not community care

1994 ◽  
Vol 9 (1) ◽  
pp. 44-44
Author(s):  
Jane Slack
Keyword(s):  
Community Care ◽  
Continuing Care

Review of Continuing Care for the Dying Patient, Family, and Staff.

1987 ◽  
Vol 32 (3) ◽  
pp. 286-287
Author(s):  
No authorship indicated
Keyword(s):  
Continuing Care ◽  
Dying Patient
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