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

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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Managing radicalised patients in healthcare: raising questions for future service development

British Journal of Healthcare Management ◽

10.12968/bjhc.2019.25.5.196 ◽

2019 ◽

Vol 25 (5) ◽

pp. 196-204 ◽

Cited By ~ 1

Author(s):

Feryad A Hussain ◽

Lindsay Royan

Keyword(s):

Therapeutic Interventions ◽

Service Development ◽

Police Departments ◽

Care Services ◽

Professional Challenges ◽

Health And Social Care ◽

Working Together ◽

The Uk ◽

Models Of Service Delivery ◽

Specific Project

Today, there are an ‘increasing number of radicalised ‘returnees’ coming home after being involved in fighting abroad. While the issue of radicalisation has existed for a number of decades, the UK faces a growing problem of managing people who have been exposed to radical beliefs. The literature has identified a number of common, contributory factors that are rooted in psychosocial issues. To this effect, health and social care services are being asked to offer therapeutic interventions and support, while working together with legal teams and police departments in order to develop a suitable preventative/management strategy. This article has been borne out of a specific project of one such team. It considers the professional challenges that teams face in applying existing models of service delivery to a new and emerging area of healthcare. An alternative working model is suggested for the development of future services.

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It is a scandal!

International Journal of Sociology and Social Policy ◽

10.1108/ijssp-03-2013-0034 ◽

2014 ◽

Vol 34 (1/2) ◽

pp. 2-18 ◽

Cited By ~ 33

Author(s):

Liz Lloyd ◽

Albert Banerjee ◽

Charlene Harrington ◽

Frode F. Jacobsen ◽

Marta Szebehely

Keyword(s):

Nursing Homes ◽

Residential Care ◽

Care Policy ◽

Case Study Methodology ◽

Content Type ◽

International Trends ◽

Role Of The State ◽

The Usa ◽

International Comparative ◽

The Uk

Purpose – This study aims to explore the causes and consequences of media scandals involving nursing homes for older persons in Canada, Norway, Sweden, the UK and the USA. Design/methodology/approach – This study uses a descriptive case-study methodology which provides an in-depth, focused, qualitative analysis of one selected nursing home scandal in each jurisdiction. Scandals were selected on the basis of being substantive enough to potentially affect policy. An international comparative perspective was adopted to consider whether and how different social, political and economic contexts might shape scandals and their consequences. Findings – This study found that for-profit residential care provision as well as international trends in the ownership and financing of nursing homes were factors in the emergence of all media scandals, as was investigative reporting and a lack of consensus around the role of the state in the delivery of residential care. All scandals resulted in government action but such action generally avoided addressing underlying structural conditions. Research limitations/implications – This study examines only the short-term effects of five media scandals. Originality/value – While there has been longstanding recognition of the importance of scandals to the development of residential care policy, there have been few studies that have systematically examined the causes and consequences of such scandals. This paper contributes to a research agenda that more fully considers the media's role in the development of residential care policy, attending to both its promises and shortcomings.

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Advance care planning and palliative medicine in advanced dementia: a literature review

BJPsych Bulletin ◽

10.1192/pb.bp.114.046896 ◽

2015 ◽

Vol 39 (2) ◽

pp. 74-78 ◽

Cited By ~ 12

Author(s):

Ketan Dipak Jethwa ◽

Oluwademilade Onalaja

Keyword(s):

Palliative Care ◽

Service Development ◽

Care Planning ◽

Advanced Care Planning ◽

Advanced Dementia ◽

Primary Research ◽

Raising Awareness ◽

The Usa ◽

Advance Care ◽

The Uk

Aims and methodTo assess the factors that affect the clinical use of advanced care planning and palliative care interventions in patients with dementia. A literature search of Medline, Embase and PsycINFO was performed to identify themes in advanced care planning and palliative care in dementia.ResultsIn total, 64 articles were found, including 12 reviews, and three key areas emerged: barriers to advanced care planning, raising awareness and fostering communication between professionals and patients, and disease-specific interventions.Clinical implicationsMost of the studies analysed were carried out in the USA or Continental Europe. This narrative review aims to help guide future primary research, systematic reviews and service development in the UK.

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Adapting primary care for new migrants: a formative assessment

BJGP Open ◽

10.3399/bjgpopen17x100701 ◽

2017 ◽

Vol 1 (1) ◽

pp. bjgpopen17X100701 ◽

Cited By ~ 4

Author(s):

Elizabeth Such ◽

Elizabeth Walton ◽

Brigitte Delaney ◽

Janet Harris ◽

Sarah Salway

Keyword(s):

Primary Care ◽

Case Studies ◽

Online Survey ◽

Resource Constraints ◽

Sample Survey ◽

Service Development ◽

Care Provision ◽

Care Services ◽

Primary Care Services ◽

The Uk

BackgroundImmigration rates have increased recently in the UK. Migrant patients may have particular needs that are inadequately met by existing primary care provision. In the absence of national guidance, local adaptations are emerging in response to these new demands.AimTo formatively assess the primary care services offered to new migrants and the ways in which practitioners and practices are adapting to meet need.Design & settingOnline survey and case studies of current practice across primary care in the UK. Case studies were selected from mainstream and specialist general practice as well as primary care provision in the third sector.MethodNon-probability sample survey of primary care practitioners (n = 70) with descriptive statistical analysis. Qualitative case studies (n = 8) selected purposively; in-depth exploration of organisational and practitioner adaptations to services. Analysis is structured around the principles of equitable care.ResultsSurvey results indicated that practitioners focused on working with communities and external agencies and adapting processes of, for example, screening, vaccination, and health checks. Lack of funding was cited most frequently as a barrier to service development (n = 51; 73%). Case studies highlighted the prominence partnership working and of an organisational and practitioner focus on equitable care. Adaptations centred on addressing wider social determinants, trauma, and violence, and additional individual needs; and on delivering culturally-competent care.ConclusionDespite significant resource constraints, some primary care services are adapting to the needs of new migrants. Many adapted approaches can be characterised as equity-oriented.

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E-cigarette or vaping product use-associated lung injury

British Journal of Hospital Medicine ◽

10.12968/hmed.2019.0371 ◽

2020 ◽

Vol 81 (4) ◽

pp. 1-9 ◽

Cited By ~ 2

Author(s):

Philip W Ind

Keyword(s):

Respiratory Failure ◽

Lung Injury ◽

Bronchoalveolar Lavage Fluid ◽

Recent Literature ◽

Lavage Fluid ◽

Probable Case ◽

Product Use ◽

Vitamin E Acetate ◽

The Usa ◽

The Uk

E-cigarette or vaping product use-associated lung injury is a recently recognised, acute pulmonary syndrome which has been reported (particularly from June to October 2019) throughout the USA, but not in Europe (although one probable case, in the UK, has been reported; Medicines and Healthcare products Regulatory Agency, 2020 ). It presents acutely, most often in young men, as severe pulmonary consolidation, usually with respiratory failure. The mortality is around 2%. The cause(s) are unknown, but it is associated with vaping, particularly using unlicensed cannabis-containing products with tetrahydrocannabinol. Vitamin E acetate, often present in tetrahydrocannabinol-containing vape products as a solvent, has been implicated, as it has been identified in the bronchoalveolar lavage fluid of patients with e-cigarette or vaping product use-associated lung injury. This article reviews the recent literature, including clinical features, presentation and investigations, and possible mechanisms, in the context of vaping practices in the USA and the UK.

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Ethnic Differences in Self-Poisoning Across South London

Crisis ◽

10.1027/0227-5910/a000258 ◽

2014 ◽

Vol 35 (4) ◽

pp. 268-272

Author(s):

Sean Cross ◽

Dinesh Bhugra ◽

Paul I. Dargan ◽

David M. Wood ◽

Shaun L. Greene ◽

...

Keyword(s):

Black Women ◽

Data Collection ◽

White Women ◽

Population Based ◽

Care Services ◽

Self Harm ◽

Managing Risk ◽

The Uk ◽

Incident Cases ◽

Minority Ethnic

Background: Self-poisoning (overdose) is the commonest form of self-harm cases presenting to acute secondary care services in the UK, where there has been limited investigation of self-harm in black and minority ethnic communities. London has the UK’s most ethnically diverse areas but presents challenges in resident-based data collection due to the large number of hospitals. Aims: To investigate the rates and characteristics of self-poisoning presentations in two central London boroughs. Method: All incident cases of self-poisoning presentations of residents of Lambeth and Southwark were identified over a 12-month period through comprehensive acute and mental health trust data collection systems at multiple hospitals. Analysis was done using STATA 12.1. Results: A rate of 121.4/100,000 was recorded across a population of more than half a million residents. Women exceeded men in all measured ethnic groups. Black women presented 1.5 times more than white women. Gender ratios within ethnicities were marked. Among those aged younger than 24 years, black women were almost 7 times more likely to present than black men were. Conclusion: Self-poisoning is the commonest form of self-harm presentation to UK hospitals but population-based rates are rare. These results have implications for formulating and managing risk in clinical services for both minority ethnic women and men.

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An early mainstream economist from Hungary: István Varga (1897–1962)

Acta Oeconomica ◽

10.1556/aoecon.53.2003.2.4 ◽

2003 ◽

Vol 53 (2) ◽

pp. 195-213 ◽

Cited By ~ 1

Author(s):

K. Majoros

Keyword(s):

Austrian Economic ◽

National Income ◽

Anglo Saxon ◽

Turbulent Times ◽

The Usa ◽

New Ideas ◽

Modern Economic ◽

The Uk ◽

Economic Thinking ◽

Lasting Influence

The study introduces a Hungarian economic thinker, István Varga*, whose valuable activity has remained unexplored up to now. He became an economic thinker during the 1920s, in a country that had not long before become independent of Austria. The role played by Austria in the modern economic thinking of that time was a form of competition with the thought adhered to by the UK and the USA. Hungarian economists mainly interpreted and commented on German and Austrian theories, reasons for this being that, for example, the majority of Hungarian economists had studied at German and Austrian universities, while at Hungarian universities principally German and Austrian economic theories were taught. István Varga was familiar not only with contemporary German economics but with the new ideas of Anglo-Saxon economics as well — and he introduced these ideas into Hungarian economic thinking. He lived and worked in turbulent times, and historians have only been able to appreciate his activity in a limited manner. The work of this excellent economist has all but been forgotten, although he was of international stature. After a brief summary of Varga’s profile the study will demonstrate the lasting influence he has had in four areas — namely, business cycle research and national income estimations, the 1946 Hungarian stabilisation program, corporate profit, and consumption economics — and will go on to summarise his most important achievements.

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