Met and unmet needs for medical and social services

1975 ◽  
Vol 9 (11-12) ◽  
pp. 681-682
Author(s):  
Richard W. Dodds
Keyword(s):  
Social Services ◽  
Unmet Needs

scholarly journals 301 Identifying Unmet Needs for Social Services Among Older Emergency Department Patients

2019 ◽  
Vol 74 (4) ◽  
pp. S119
Author(s):  
T. Platts-Mills ◽  
A. Morris ◽  
J. Engelberg ◽  
B. Schmitthenner ◽  
A. Aylward ◽  
...  
Keyword(s):  
Emergency Department ◽  
Social Services ◽  
Unmet Needs ◽  
Emergency Department Patients

The Portuguese Participation in the Actifcare (Access to Timely Formal Care in Dementia) European Study: Preliminary Results of Systematic Reviews, Qualitative and Quantitative Data

2017 ◽  
Vol 41 (S1) ◽  
pp. S652-S652
Author(s):  
M. Gonçalves-Pereira ◽  
M.J. Marques ◽  
C. Balsinha ◽  
T. Reis ◽  
A. Machado ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Social Services ◽  
Systematic Reviews ◽  
Unmet Needs ◽  
Community Support ◽  
Community Services ◽  
Formal Care ◽  
Care Hospital ◽  
Primary Care Hospital

IntroductionIn the context of untimely access to community formal services, unmet needs of persons with dementia (PwD) and their carers may compromise their quality of life.Objectives/aimsThe Actifcare EU-JPND project (www.actifcare.eu) focuses on access to and (non) utilization of dementia formal care in eight countries (The Netherlands, Germany, United Kingdom, Sweden, Norway, Ireland, Italy, Portugal), as related to unmet needs and quality of life. Evaluations included systematic reviews, qualitative explorations, and a European cohort study (PwD in early/intermediate phases and their primary carers; n = 453 days; 1 year follow-up). Preliminary Portuguese results are presented here (FCT-JPND-HC/0001/2012).Methods(1) extensive systematic searches on access to/utilization of services; (2) focus groups of PwD, carers and health/social professionals; (3) prospective study (n = 66 days from e.g., primary care, hospital outpatient services, Alzheimer Portugal).ResultsIn Portugal, nationally representative data is scarce regarding health/social services utilization in dementia. There are important barriers to access to community services, according to users, carers and professionals, whose views not always coincide. The Portuguese cohort participants were 66 PwD (62.1% female, 77.3 ± 6.2 years, 55.5% Alzheimer's/mixed subtypes, MMSE 17.8 ± 4.8, CDR1 89.4%) and 66 carers (66.7% female, 64.9 ± 15.0 years, 56.1% spouses), with considerable unmet needs in some domains.ConclusionsAll Actifcare milestones are being reached. The consortium is now analyzing international differences in (un) timely access to services and its impact on quality of life and needs for care (e.g., formal community support is weaker in Portugal than in many European countries). National best-practice recommendations in dementia are also in preparation.Abstract submitted on behalf of the Actifcare Eu-JPND consortium.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals The NHS and Community Care Act, 1990

1994 ◽  
Vol 18 (1) ◽  
pp. 13-17 ◽  
Author(s):  
Graham Thornicroft
Keyword(s):  
Social Services ◽  
Unmet Needs ◽  
Community Care ◽  
International Perspective ◽  
Care Programme ◽  
Lead Agency ◽  
Needs Assessments ◽  
Care Plans ◽  
The Uk ◽  
Recent Government

This is the first in a series of articles to be published serially in the Psychiatric Bulletin on recent government policy and legislation. Each article will describe a different piece of legislation and place it in its international perspective, highlighting how it will affect individual psychiatric practice, users of mental health services and the working relationship with purchasers and managers. The articles are aimed at all practising psychiatrists and those in training who wish to familiarise themselves with the important recent legislation that is having a profound effect on the practice of psychiatry in the UK. The legislation that will be covered includes the NHS and Community Care Act, The Health of the Nation community care plans and mental illness specific grant, the care programme approach, discharge and aftercare planning procedures, NHS trusts, fundholding and commissioning general practitioners and the purchaser provider split. There will be a summarising article to reflect common themes and trends. The series was commissioned by Dr Sara Davies and Dr Jeanette Smith, Trainee Editors at the Psychiatric Bulletin.The National Health Service and Community Care Act, 1990, enacts some provisions contained in the Working for Patients and Caring for People White Papers. The former measures were introduced immediately in 1990 and contain, for example, the legal basis for NHS trusts and fund-holding GPs. Most of the community care sections of the Act were delayed in their implementation until April 1993. The key element is allocating the main coordinating responsibility as ‘lead agency’ to local social service authorities; they are charged with conducting ‘needs assessments’ on clients presenting with problems. Whether, however, there is a legal obligation upon social services departments to provide care for people with unmet needs to not yet dear.

Pain from the Neck-Shoulder Region and Sick Leave

1980 ◽  
Vol 8 (3) ◽  
pp. 131-136 ◽  
Author(s):  
Dagmar Westerling ◽  
Björn G. Jonsson
Keyword(s):  
Sick Leave ◽  
Epidemiological Study ◽  
Social Services ◽  
Unmet Needs ◽  
Physical Exertion ◽  
Sample Population ◽  
Physical Strain ◽  
Men And Women ◽  
Shoulder Region

A sample population aged 18 to 65 selected at random in a region of the county of Stockholm was examined in an epidemiological study of met and unmet needs for medical and social services—the Rebus study (3). The study, comprising about 2500 men and women, was conducted from 1969 to 1971. The frequency of neck and shoulder problems was found to increase with age and occupational physical exertion. The frequency of symptoms was higher in women than in men. Those individuals who had to lift 40 (♂) 60 (♀) kg to do their job exhibited a significantly lower frequency of neck-shoulder problems than others. Sick leave was more common among persons with neck-shoulder problems also when comparisons were made for age, sex, and physical strain at work.

scholarly journals Met and unmet needs of homeless individuals at different stages of housing reintegration: A mixed-method investigation

PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0245088
Author(s):  
Marie-Josée Fleury ◽  
Guy Grenier ◽  
Judith Sabetti ◽  
Karine Bertrand ◽  
Michèle Clément ◽  
...  
Keyword(s):  
Social Services ◽  
Supported Employment ◽  
Unmet Needs ◽  
Basic Needs ◽  
Self Esteem ◽  
Permanent Housing ◽  
Study Results ◽  
Self Actualization ◽  
Met Needs ◽  
Employment Programs

This study aimed to identify and compare major areas of met and unmet needs reported by 455 homeless or recently housed individuals recruited from emergency shelters, temporary housing, and permanent housing in Quebec (Canada). Mixed methods, guided by the Maslow framework, were used. Basic needs were the strongest needs category identified, followed by health and social services (an emergent category), and safety; very few participants expressed needs in the higher-order categories of love and belonging, self-esteem, and self-actualization. The only significant differences between the three housing groups occurred in basic needs met, which favored permanent housing residents. Safety was the only category where individuals reported more unmet than met needs. The study results suggested that increased overall access to and continuity of care with family physicians, MD or SUD clinicians and community organizations for social integration should be provided to help better these individuals. Case management, stigma prevention, supported employment programs, peer support and day centers should particularly be more widely implemented as interventions that may promote a higher incidence of met needs in specific needs categories.

scholarly journals Unmet Needs of Premature Babies in Health, Education, Rehabilitation and Social Services: A Tertiary Center Experience

2015 ◽  
Author(s):  
E. Bahar BİNGÖLER PEKCİCİ ◽  
Tuğba RAMASLI GÜRSOY ◽  
Özge BALCI ◽  
Pelin ÇELİK ◽  
İclal AYRANCI SUCAKLI ◽  
...  
Keyword(s):  
Health Education ◽  
Social Services ◽  
Unmet Needs ◽  
Premature Babies ◽  
Tertiary Center

scholarly journals Being Pro-Active in Meeting the Needs of Suicide-Bereaved Survivors: results from a systematic audit in Montréal

2020 ◽  
Author(s):  
Fabienne LIGIER ◽  
Jessica Rassy ◽  
Gabrielle Fortin ◽  
Ian van Haaster ◽  
Claude Doyon ◽  
...  
Keyword(s):  
Social Services ◽  
Unmet Needs ◽  
Unmet Need ◽  
Information Support ◽  
Health Concern ◽  
Structured Interviews ◽  
Services Utilization ◽  
Health And Social Services ◽  
Pathological Grief ◽  
Suicide Bereaved

Abstract Background: Suicide is a major public health concern. In 2017, the suicide rate in Canada was 11 per 100 000 inhabitants. According to literature, 1 in 5 people have experienced a death by suicide during their lifetime. The aim of this study was to describe the met and unmet needs of suicide-bereaved survivors and to provide postvention recommendations. Methods: Further to an exploratory mixed-method audit of 39 suicides that occurred in Montreal (Canada) in 2016, suicide-bereaved survivors (n = 29) participated in semi-structured interviews and completed instruments to discuss and assess potential pathological grief, depression (PHQ-9), and anxiety (GAD-7), as well as health and social services utilization. A panel then reviewed each case and provided recommendations. The mean age of participants was 57.7 years and 23 were women.Results: Although help was offered initially, in most cases by a health professional or service provider (16/29), 22 survivors would have liked to be contacted by telephone in the first two months post suicide. Four categories of individual unmet needs (medical/pharmacological, information, support, and outreach) and one collective unmet need (suicide pre/postvention training and delivery) emerged. Conclusions: Although Quebec provincial services have been developed and offered to suicide-bereaved survivors in the past decade, many dwindled over time and none has been applied systematically. Recommendations for different stakeholders (Ministry of Health and Social Services, coroners, NGOs, and representatives of suicide-bereaved survivors) outlined in this study could be an interesting first step to help develop a suicide pre/postvention strategy.

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