Adolescents adjusting to a group home environment: A residential care model of re-organizing attachment behavior and building resiliency

2007 ◽  
Vol 29 (9) ◽  
pp. 1131-1141 ◽  
Author(s):  
Yolanda Hawkins-Rodgers
Keyword(s):  
Residential Care ◽  
Home Environment ◽  
Group Home ◽  
Attachment Behavior ◽  
Care Model

scholarly journals Trauma responsive care model: An Aotearoa New Zealand research informed practice model for residential group homes

2021 ◽  
Vol 33 (1) ◽  
Author(s):  
Andrea Greer
Keyword(s):  
New Zealand ◽  
Residential Care ◽  
Positive Impact ◽  
Research Question ◽  
Group Homes ◽  
Care Practice ◽  
Multiple Perspectives ◽  
Care Model ◽  
Staff Members ◽  
Aotearoa New Zealand

INTRODUCTION: This article presents a research-informed model of trauma responsive care for use in residential care practice social work settings with children and young people in Aotearoa New Zealand. The model was developed from a qualitative project which sought to address the research question “Does the quality of relationships with staff members have a positive impact on outcomes for children who reside in group home settings?”METHODS: Using semi-structured, in-depth interviews, eight children were interviewed regarding their experience of relationships while living within supervised group homes (SGHs). In order to gain multiple perspectives on this topic, six biological parents and two legal guardians of children were interviewed and focus group discussions were held with staff members from three SGHs. Thematic analysis was used to identify key themes identified from the findings.FINDINGS: Five dominant themes were identified from the children’s and parent’s interviews. The central theme was the importance of relationships; that relationship is the key when working with children who have experienced trauma. Children who have experienced trauma need to feel safe in the context of relationships and benefit from bottom-up interventions in order to heal from their traumatic experiences.CONCLUSION: A research-informed model of trauma responsive care was constructed from study findings informed by two principal bodies of knowledge: (1) attachment theory; and (2) neuroscience. The resultant trauma responsive care model provides a framework of strategies for anyone working with children in residential care settings who have experienced trauma and/ or attachment difficulties.

scholarly journals Review of twenty-four-hour nursed care

1999 ◽  
Vol 5 (2) ◽  
pp. 146-153 ◽  
Author(s):  
Rob Macpherson ◽  
Bill Jerrom
Keyword(s):  
Nursing Home ◽  
National Health Service ◽  
Health Service ◽  
Residential Care ◽  
Psychiatric Care ◽  
Group Home ◽  
Psychiatric Nursing ◽  
Unit Size ◽  
Model Of Care ◽  
Direct Management

Twenty-four-hour nursed care refers to a model of psychiatric care which in fact varies quite significantly from unit to another. This sort of residential care unit has also been called the “hospital hostel” (Goldberg et al, 1985), “ward in a house” (Wykes & Wing, 1982), “psychiatric nursing home” and in some cases “staffed group home”. Although the unit size, staffing structures and ratios, and the degree of direct management within the National Health Service (NHS) vary, this model of care has some quite specific characteristics, which have been summarised by Shepherd et al (1994) as follows:

scholarly journals Safe Beacon: A Bluetooth Based Solution to Monitor Egress of Dementia Sufferers within a Residential Setting

Proceedings ◽  
2018 ◽  
Vol 2 (19) ◽  
pp. 1218
Author(s):  
Joseph Rafferty ◽  
Jonathan Synnott ◽  
Chris Nugent ◽  
Ian Cleland ◽  
Andrew Ennis ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Residential Care ◽  
Home Environment ◽  
Urban Areas ◽  
Care Home ◽  
Evaluation Process ◽  
Residential Setting ◽  
Life Threatening ◽  
Future Work ◽  
Global Population

The global population is ageing, as a consequence of this there will be a greater incidence of ageing related illnesses which cause cognitive impairment–such as Alzheimer’s disease. Within residential care homes, such cognitive impairment can lead to wandering of individuals beyond the boundaries of safety provided. This wandering, particularly in urban areas can be life threatening. This study introduces a novel solution to detect, and alert caregivers of, egress of at-risk inhabitants of a care home. This solution operates through a combination of wearable Bluetooth beacons and beam-formed listening devices. In an evaluation process involving 275 egress events, this solution proved to offer accurate operation with no incidence of false positives. Notably, this solution has been deployed within a real residential care home environment for over 12 months. Proposed future work discusses improvements to this solution.

scholarly journals 513. Transmission of Carbapenem-Resistant Enterobacteriaceae in a Community-Based, Residential Care Setting: Nevada, 2018

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S248-S248
Author(s):  
Danica Gomes ◽  
Ana Bardossy ◽  
Andrew Gorzalski ◽  
Heather Holmstadt ◽  
Sandra Larson ◽  
...  
Keyword(s):  
Residential Care ◽  
Genetic Relatedness ◽  
Group Home ◽  
Klebsiella Oxytoca ◽  
Healthcare Facility ◽  
Screening Tests ◽  
Infection Prevention And Control ◽  
Community Based ◽  
E Coli ◽  
Daily Care

Abstract Background Klebsiella pneumoniae carbapenemase-producing organisms (KPCOs) are often multidrug-resistant, and the KPC resistance determinant can be transmitted between bacteria. KPCOs are associated with healthcare facility exposures; identification in community-based, residential care settings is uncommon. In September 2018, the Washoe County Health District was notified of a KPC-producing Escherichia coli from a group home (GH) resident. We investigated the source of this KPCO and evaluated transmission in the GH. Methods A case was defined as detection of KPCO from a GH resident or staff from June 1 to November 30, 2018. Staff included caregivers who provided daily care (including toileting, bathing, feeding) and visiting healthcare workers. Residents and staff were offered KPCO screening to assess colonization status. Exposures were assessed by medical record review and interviews. Genetic relatedness of KPCOs was evaluated by whole-genome sequencing (WGS). Infection prevention and control (IPC) practices were reviewed. Results Overall, six cases were identified, including the index, two of seven staff screened and three of six residents screened. Three residents with KPCOs had recent hospitalizations and shared a bathroom in the GH; one overlapped on the same hospital unit as a patient with KPC-producing Klebsiella oxytoca. Staff with KPCOs were caregivers who had extensive contact with residents and their environment and no IPC training. Gaps in hand hygiene and environmental cleaning were observed. Organism was recovered from 4 positive screening tests as well as from blood cultures from the index case; all were KPC-producing E. coli. WGS showed that the five E. coli isolates were closely related, consistent with transmission, and harbored the same KPC variant as the K. oxytoca. No new cases occurred after IPC was improved. Conclusion A GH resident likely acquired KPCOs during a recent hospitalization, and extensive transmission among GH residents and staff occurred. Factors contributing to transmission included resident dependence on caregivers for daily care and minimal IPC knowledge among caregivers. Facilities with similar populations should increase IPC training to prevent transmission of resistant pathogens. Disclosures All authors: No reported disclosures.

Older People With Alcohol-Related Brain Injury and Associated Complex Behaviors: A Psychosocial Model of Residential Care (The Wicking Project)

2010 ◽  
Vol 11 (2) ◽  
pp. 112-121 ◽  
Author(s):  
Alice Rota-Bartelink ◽  
Bryan Lipmann
Keyword(s):  
Brain Injury ◽  
Older People ◽  
Residential Care ◽  
Aged Care ◽  
Residential Aged Care ◽  
Care Model ◽  
Care Services ◽  
Synthesis Design ◽  
Psychosocial Model ◽  
One Step

The increasing need for specialist residential aged care services to support older people with complex behaviors resulting from dementia and alcohol-related brain injury was the impetus for the development of an exploratory action research trial. Affected individuals are commonly characterized by a unique set of needs and life circumstances that are not adequately or appropriately supported by currently available mainstream services. We discuss the synthesis, design, and key features of the research trial’s specialized model, which commenced in 2008 in Wintringham, Australia. The trial was recently completed in November 2009. Through the development of a specialized residential care model, we aim to move one step closer to providing appropriate support to one of the most needing yet highly marginalized group of people.

scholarly journals The Homestead: Developing a Conceptual Framework through Co-Creation for Innovating Long-Term Dementia Care Environments

2020 ◽  
Vol 18 (1) ◽  
pp. 57
Author(s):  
Bram de Boer ◽  
Belkis Bozdemir ◽  
Jack Jansen ◽  
Monique Hermans ◽  
Jan P. H. Hamers ◽  
...  
Keyword(s):  
Conceptual Framework ◽  
Conceptual Model ◽  
Residential Care ◽  
Well Being ◽  
Research Approach ◽  
Care Model ◽  
Residential Care Facilities ◽  
Formal Caregivers ◽  
People With Dementia ◽  
Older Citizens

Alternative care environments for regular nursing homes are highly warranted to promote health and well-being of residents with dementia that are part of an age-friendly and dementia-friendly city and society. Insight is lacking on how to translate evidence-based knowledge from theory into a congruent conceptual model for innovation in current practice. This study reports on the co-creation of an alternative nursing home model in the Netherlands. A participatory research approach was used to co-create a conceptual framework with researchers, practitioners and older people following an iterative process. Results indicate that achieving positive outcomes for people with dementia, (in)formal caregivers, and the community is dependent on how well the physical, social and organizational environment are congruently designed. The theoretical underpinnings of the conceptual model have been translated into “the homestead,” which is conceptualized around three main pillars: activation, freedom and relationships. The Homestead Care Model is an illustrative example of how residential care facilities can support the development of age-friendly communities that take into consideration the needs and requirements of older citizens. However, challenges remain to implement radical changes within residential care. More research is needed into the actual implementation of the Homestead Care Model.

scholarly journals Components of a modern mental health service: a pragmatic balance of community and hospital care

2004 ◽  
Vol 185 (4) ◽  
pp. 283-290 ◽  
Author(s):  
Graham Thornicroft ◽  
Michele Tansella
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Patient Care ◽  
Residential Care ◽  
Stepped Care ◽  
Community Treatment ◽  
Hospital Services ◽  
Care Model ◽  
High Resource

BackgroundThere is controversy about whether mental health services should be provided in community or hospital settings. There is no worldwide consensus on which mental health service models are appropriate in low-, medium- and high-resource areas.AimsTo provide an evidence base for this debate, and present a stepped care model.MethodCochrane systematic reviews and other reviews were summarised.ResultsThe evidence supports a balanced approach, including both community and hospital services. Areas with low levels of resources may focus on improving primary care, with specialist back-up. Areas with medium resources may additionally provide out-patient clinics, community mental health teams (CMHTs), acute in-patient care, community residential care and forms of employment and occupation. High-resource areas may provide all the above, together with more specialised services such as specialised out-patient clinics and CMHTs, assertive community treatment teams, early intervention teams, alternatives to acute in-patient care, alternative types of community residential care and alternative occupation and rehabilitation.ConclusionsBoth community and hospital services are necessary in all areas regardless of their level of resources, according to the additive and sequential stepped care model described here.

A Support System for Context Awareness in a Group Home Using Sound Cues

2008 ◽  
Vol 47 (03) ◽  
pp. 198-202 ◽  
Author(s):  
T. Nakada ◽  
Y. Hanba ◽  
S. Kunifuji ◽  
H. Kanai
Keyword(s):  
Real Time ◽  
Home Environment ◽  
Group Home ◽  
Visual Surveillance ◽  
Correct Prediction ◽  
Test Environment ◽  
Notification System ◽  
Prediction Function ◽  
And Performance ◽  
Environmental Dependence

Summary Objectives: In a group home, caregivers should be aware of the inhabitant’s real-time situation. The aim of our study is to facilitate the awareness of an inhabitant’s situation by means of enhanced sound cues. Methods: We propose an audio notification system that indicates the real-time situation of persons in a group home environment using sound cues instead of visual surveillance. The notification system comprises a prediction and a notification function. The prediction function estimates a person’s real-time situation using a Bayesian network and sensed information; the notification function informs recipients of the predicted situation and the confidence level of the prediction by means of sound cues. We use natural sounds as sound cues. Results: As a first step to examine our system in a group home, we conducted operation and performance tests of each unit under a simple test environment. The correct prediction of the subject’s situation is approximately 90%; further, it is shown that the sound cues should be selected according to their environmental dependence. Conclusions: The results show that the method is useful for monitoring persons. As future study, we will conduct a field test on an implemented system and improve it for practical use in a group home.

The Use of Goal-Planning in a Group Home for Mentally Handicapped Adults

1981 ◽  
Vol 9 (3) ◽  
pp. 244-255 ◽  
Author(s):  
Helen James
Keyword(s):  
Residential Care ◽  
Local Community ◽  
Group Home ◽  
Training Programme ◽  
Mentally Handicapped ◽  
Care Services ◽  
Planning Procedure ◽  
Goal Planning

A 1-year training programme carried out in a group home for mentally handicapped adults is described. A system of goal-planning was used, so that individual goals could be regularly set for clients and their progress monitored. Choice of goals was governed by an attempt to encourage clients to become more independent and more involved with the local community. The success of the training programme is described and the usefulness of the goal-planning procedure is discussed. Implications for residential care services are also briefly considered.

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