Do Faith-Based Residential Care Services Affect the Religious Faith and Clinical Outcomes of Homeless Veterans?

2011 ◽  
Vol 48 (6) ◽  
pp. 682-691 ◽  
Author(s):  
Jack Tsai ◽  
Robert A. Rosenheck ◽  
Wesley J. Kasprow ◽  
James F. McGuire
Keyword(s):  
Clinical Outcomes ◽  
Residential Care ◽  
Religious Faith ◽  
Faith Based ◽  
Care Services ◽  
Homeless Veterans

scholarly journals Outcomes of Victorian Prevention and Recovery Care Services: A matched pairs comparison

2021 ◽  
pp. 000486742098347
Author(s):  
John Farhall ◽  
Lisa Brophy ◽  
John Reece ◽  
Holly Tibble ◽  
Long Khanh-Dao Le ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Service Use ◽  
Inpatient Unit ◽  
Index Admission ◽  
Personal Recovery ◽  
Short Term ◽  
Care Services ◽  
Routinely Collected Data ◽  
Treatment Order ◽  
Do So

Objective: In Victoria, Prevention and Recovery Care Services have been established to provide a partial alternative to inpatient admissions through short-term residential mental health care in the community. This study set out to determine whether Prevention and Recovery Care Services are achieving their objectives in relation to reducing service use and costs, fostering least restrictive care and leading to positive clinical outcomes. Methods: We matched 621 consumers whose index admission in 2014 was to a Prevention and Recovery Care (‘PARCS consumers’) with 621 similar consumers whose index admission in the same year was to an acute inpatient unit and who had no Prevention and Recovery Care stays for the study period (‘inpatient-only consumers’). We used routinely collected data to compare them on a range of outcomes. Results: Prevention and Recovery Care Services consumers made less subsequent use of acute inpatient services and, on balance, incurred costs that were similar to or lower than inpatient-only consumers. They were also less likely to spend time on an involuntary treatment order following their index admission. Prevention and Recovery Care Services consumers also experienced positive clinical outcomes over the course of their index admission, but the magnitude of this improvement was not as great as for inpatient-only consumers. This type of clinical improvement is important for Prevention and Recovery Care Services, but they may place greater emphasis on personal recovery as an outcome. Conclusion: Prevention and Recovery Care Services can provide an alternative, less restrictive care option for eligible consumers who might otherwise be admitted to an acute inpatient unit and do so at no greater cost.

scholarly journals Age is not the only risk factor in COVID-19: the role of comorbidities and of long staying in residential care homes

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
M. D’ascanio ◽  
M. Innammorato ◽  
L. Pasquariello ◽  
D. Pizzirusso ◽  
G. Guerrieri ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Elderly Patients ◽  
Clinical Outcomes ◽  
Residential Care ◽  
Pneumonia Severity Index ◽  
Care Homes ◽  
Categorical Variables ◽  
Rank Test ◽  
Very Elderly ◽  
Arterial Blood

Abstract Background The actual SARS-CoV-2 outbreak caused a highly transmissible disease with a tremendous impact on elderly people. So far, few studies focused on very elderly patients (over 80 years old). In this study we examined the clinical presentation and the outcome of the disease in this group of patients, admitted to our Hospital in Rome. Methods This is a single-center, retrospective study performed in the Sant’Andrea University Hospital of Rome. We included patients older than 65 years of age with a diagnosis of COVID-19, from March 2020 to May 2020, divided in two groups according to their age (Elderly: 65–80 years old; Very Elderly > 80 years old). Data extracted from the each patient record included age, sex, comorbidities, symptoms at onset, the Pneumonia Severity Index (PSI), the ratio of the partial pressure of oxygen in arterial blood (PaO2) to the inspired oxygen fraction (FiO2) (P/F) on admission, laboratory tests, radiological findings on computer tomography (CT), length of hospital stay (LOS), mortality rate and the viral shedding. The differences between the two groups were analyzed by the Fisher’s exact test or the Wilcoxon signed-rank test for categorical variables and the Mann-Whitney U test for continuous variables. To assess significance among multiple groups of factors, we used the Bonferroni correction. The survival time was estimated by Kaplan-Meier method and Log Rank Test. Univariate and Multivariate logistic regression were performed to estimate associations between age, comorbidities, provenance from long-stay residential care homes (LSRCH) s and clinical outcomes. Results We found that Very Elderly patients had an increased mortality rate, also due to the frequent occurrence of multiple comorbidities. Moreover, we found that patients coming from LSRCHs appeared to be highly susceptible and vulnerable to develop severe manifestations of the disease. Conclusion We demonstrate that there were considerable differences between Elderly and Very Elderly patients in terms of inflammatory activity, severity of disease, adverse clinical outcomes. To establish a correct risk stratification, comorbidities and information about provenience from LSRCHs should be considered.

Elder Sexual Abuse and Sexual Freedom in Faith-based Residential Care Facilities: Ethical Dilemmas, and Institutional Integrity

2021 ◽  
Vol 15 (2) ◽  
pp. 253-273
Author(s):  
Virginia Miller ◽  
Seumas Miller ◽  
Bruce Stevens
Keyword(s):  
Sexual Abuse ◽  
Residential Care ◽  
Aged Care ◽  
Sexual Freedom ◽  
Residential Care Facilities ◽  
Faith Based ◽  
Care Facilities ◽  
Aged Care Facilities ◽  
Marital Sex

Abstract The issues of elder sexual abuse and sexual freedom in residential care facilities are complicated by the existence of many residents with cognitive impairments of a kind that compromise their ability to make decisions based on informed consent. The issues of elder sexual abuse and sexual freedom in faith-based residential care facilities, in particular, are further complicated by restrictive, theologically based, ethical principles pertaining to sexual activity – for instance, prohibitions on extra-marital sex and the use of prostitutes by residents. The tension that arises must necessarily deal with the integrity of faith-based aged-care facilities and current legislation that promotes the rights of age-care residents to sexual freedoms. In the midst of much public concern about the level and quality of institutional age care this particular aspect seldom attracts notice. It nevertheless exposes a quandary to do with how ought public theology and ethics respond.

“The Minor Would Hinder the Mother in Finding Employment:” Child Protection and Women’s Paid Work in Early State Socialist Hungary

2017 ◽  
Vol 31 (4) ◽  
pp. 818-839 ◽  
Author(s):  
Eszter Varsa
Keyword(s):  
Child Care ◽  
Residential Care ◽  
Child Protection ◽  
Paid Work ◽  
Control Approach ◽  
Early State ◽  
Care Services ◽  
Residential Care Institutions ◽  
State Socialist

This article discusses the role of child protection and residential care institutions in mediating the tension between women’s productive and reproductive responsibilities in early state socialist Hungary. At a time when increasing numbers of women entered paid work in the framework of catch-up industrialization but the socialization of care work was inadequate, these institutions substituted for missing public child care services. Relying on not only policy documents but more than six hundred children’s case files, including Romani children’s files, from three different locations in Hungary as well as interviews with former children’s home residents and personnel, the article examines the regulatory framework in which child protection institutions and caseworkers operated. It points to the differentiated forms of pressure these institutions exercised on Romani and non-Romani mothers to enter paid work between the late 1940s and the early 1950s from the intersectional perspective of gender and ethnicity. Showing that prejudice against “Gypsies” as work-shy persisted in child protection work across the systemic divide of the late 1940s, the article contributes to scholarship on state socialism and Stalinism that emphasizes the role of historical continuities. At the same time, reflecting on parental invention in using child protection as a form of child care, the article also complicates a simplistic social control approach to residential care institutions in Stalinist Hungary.

scholarly journals Church Networks and Localisation Practice in the Pacific

2019 ◽  
Author(s):  
Belinda Lauria ◽  
Aloysius Canete ◽  
Rebekah Cochrane
Keyword(s):  
International Development ◽  
Religious Faith ◽  
Evidence Base ◽  
Local Staff ◽  
The Road ◽  
Humanitarian Action ◽  
Faith Based ◽  
Humanitarian Response ◽  
Faith Leaders ◽  
The Pacific

The localisation agenda is the largest humanitarian reform in decades. Global research, advocacy and adaptations of localised approaches continue to mature following the World Humanitarian Summit in 2016. The Summit produced The Charter for Faith-based Humanitarian Action, recognising the unique position and comparative advantage of local faith actors (LFAs) in humanitarian settings, owing to their presence in communities before, during, and after crises. More than 80% of the world’s population professes a religious faith, and international development and humanitarian work takes place within communities deeply influenced by faith, with local staff often themselves people of faith (cited in Fletcher 2018, p. 4). LFAs have consistently been among the top implementing partners of UN Agencies in undertaking humanitarian response (UNHCR Partnership Note on faith-based organizations, local faith communities and faith leaders 2014, p.8). Despite this recognition, little has promulgated on the role of LFAs in the localisation agenda and the primacy of LFAs' voices in contextualising the agenda for their communities. Accordingly, CAN DO (Church Agencies Network Disaster Operations) a network of Australian churchbased agencies with established relationships in the Pacific, is building an evidence base to inform international actors and affirm the significance of LFAs in localised humanitarian response within the Pacific region, thereby contributing towards the Charter for Faith-Based Humanitarian Action commitments. This paper is a critical reflection of the 2017-2018 localised response to the Monaro Volcano eruption in Vanuatu. Key learnings frame future collaborations with Pacific churches and pave the road ahead in shifting power differentials, including the advancement of LFAs' role within policy and decision-making at all levels of humanitarian response (Charter for Faith-Based Humanitarian Action 2016, p.2).

Abstract WP424: Challenges of Participation in Life Activities Post-Stroke: A Qualitative Study

Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Janita P Chau ◽  
Suzanne Hoi Shan Lo
Keyword(s):  
Qualitative Study ◽  
Residential Care ◽  
Real Life ◽  
Care Facility ◽  
Stroke Survivors ◽  
Residential Care Facility ◽  
Residential Care Facilities ◽  
Care Services ◽  
Cognitive Limitations ◽  
Care Facilities

Background and Purpose: Our previous study of 265 stroke survivors recruited immediately before discharge from two regional rehabilitation hospitals found state self-esteem, social support satisfaction, discharge location (home, residential care facility), and gender significantly accounted for 49% of the variance in depressive symptoms. The purpose of this study is to explore the challenges of promoting participation in life activities for stroke survivors. Methods: A qualitative study with individual face-to-face semi-structured interviews were conducted. Adult managerial persons who were responsible for the development of community, rehabilitation or residential care services for stroke survivors were recruited. All participants were asked to share the mission of their institutions, types of care services for stroke survivors, perceived importance of, barriers to and facilitators of promoting participation in life activities, and opportunities for enhancing stroke care services. All interviews were audio recorded and transcribed verbatim for thematic analysis. Results: A total of 11 participants were interviewed. Five were in-charge persons of stroke support groups, two were legislators, two from residential care facilities, and two from community-based organisations. Four key themes were generated: (1) Being institutionalized was found associated with lower levels of psychosocial health, (2) Stroke survivors’ physical and cognitive limitations were perceived as key challenges in promoting participation in life activities, (3) Healthcare providers placed more emphasis on promoting physical rehabilitation than social participation, and (4) Physical environment particularly in residential care facilities posed greater challenges to promoting participation in real life activities. Conclusions: This highlights major challenges for healthcare professionals who care for stroke survivors in residential care facilities. Further studies that investigate the associations between environmental barriers, psychological morbidity and participation restriction is needed.

Faith - Based Teacher Emotional Experiences: A Case Study of a Veteran English Lecturer in China

2018 ◽  
Vol 41 (4) ◽  
pp. 532-551 ◽  
Author(s):  
Xiaowei Ding ◽  
Peter I. De Costa
Keyword(s):  
Identity Development ◽  
English Language ◽  
Religious Faith ◽  
Language Teachers ◽  
Central Position ◽  
Emotional Experiences ◽  
Faith Based ◽  
Multiple Data ◽  
Second Language Pedagogy

Abstract The exploration of links between faith and second language pedagogy has been underexplored, and the emotional experiences of English language teachers of religious faith are even less studied in applied linguistics circles. This qualitative case study is an effort to address this gap in the research by investigating the faith-based emotional experiences of May, a veteran English lecturer practicing Buddhism in China, by drawing on multiple data sources that include interviews, classroom observations, WeChat conversations, student evaluations, and researcher journals. Our findings revealed that (1) May’s emotional experiences were strongly driven by and deeply derived from her Buddhist faith and other aspects of identity in the classroom; (2) her faith-based emotional experiences were dynamic and fluid; (3) her faith-based identity occupied a central position alongside her professional identities and had a transformative influence on both her emotional experiences and her identity development; and (4) the interactions among her emotional experiences, multiple identities, and pedagogical praxis were complex and reciprocal. The research implications, limitations and future directions are also discussed.

Residential care in Australia, Part II: A review of recent literature and emerging themes to inform service development

2008 ◽  
Vol 33 (2) ◽  
pp. 18-36 ◽  
Author(s):  
Howard Bath
Keyword(s):  
Residential Care ◽  
Recent Literature ◽  
Service Development ◽  
Care Services ◽  
The Usa ◽  
Emerging Themes ◽  
The Uk

This is the second of a two-part discussion about the development of residential care services in Australia. It contains a review of some of the recent literature on residential care from Australia, the UK, Canada and the USA. It concludes with a look at the major themes and issues that emerge from this literature as well as the service trends and developments canvassed in Part I.

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