CAN WE PREVENT READMISSION? NEEDS FOR CARE AND GAPS IN SERVICE PROVISION

2001 ◽  
Vol 29 (4) ◽  
pp. 497-500 ◽  
Author(s):  
Myra Cooper ◽  
Sheila McLees
Keyword(s):  
Pilot Study ◽  
Service Provision ◽  
Discharge Planning ◽  
Psychiatric Patients ◽  
Social Needs ◽  
Psychological Interventions ◽  
Structured Interviews ◽  
Needs For Care

In a pilot study we aimed to assess needs for care (and gaps in service provision) in readmitted psychiatric patients. Semi-structured interviews using the Cardinal Needs Schedule were conducted, and case notes were examined. Most readmitted patients had many needs (clinical and social) that were not being met in the community. Psychological interventions were required to meet many of the clinical needs, while a broad range of interventions was required to meet social needs. There was a poor match between the needs identified by the Cardinal Needs Schedule and those identified at discharge planning.

A Specialist Unit for Difficult to Manage Patients: Preliminary Findings

1997 ◽  
Vol 25 (1) ◽  
pp. 67-77 ◽  
Author(s):  
Myra Cooper ◽  
Patsy Holly ◽  
Simon Hampson
Keyword(s):  
Mental Illness ◽  
Service Provision ◽  
Unmet Needs ◽  
Social Needs ◽  
Behavioural Problems ◽  
Continuing Care ◽  
Staff Attitudes ◽  
Community Based ◽  
Needs For Care ◽  
Care Assessment

Preliminary findings are reported from a specialist unit for difficult to manage patients (those patients who have severe behavioural problems in addition to a mental illness). Staff attitudes and residents' psychiatric and social needs were assessed after the unit had been open for just over a year. The effect on residents' behaviour and symptoms over the course of that year was also evaluated. Findings showed that staff attitudes were resident orientated and that interactions between staff and residents and of staff with each other were almost always positive. These findings compared favourably with data collected on three other continuing care units in the same Trust and with data from previously published studies. The Cardinal Needs Schedule, a recent adaptation of the MRC Needs for Care Assessment Schedule, appeared to be a useful way of identifying unmet needs of the residents and gaps in service provision. Over the course of the year, behaviour in one third of the residents improved sufficiently for them to be considered suitable for potential discharge into community based accommodation. Implications of the findings for specialist units for difficult to manage patients are discussed, together with suggestions for further research.

scholarly journals Psychological interventions for managing postpartum psychosis: a qualitative analysis of women’s and family members’ experiences and preferences

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
R. Forde ◽  
S. Peters ◽  
A. Wittkowski
Keyword(s):  
Psychological Intervention ◽  
Psychological Impact ◽  
Family Members ◽  
Psychological Needs ◽  
Postpartum Psychosis ◽  
Psychological Interventions ◽  
Structured Interviews ◽  
Seeking Safety ◽  
The Future ◽  
Severe Disorder

Abstract Background Postpartum psychosis is a rare, yet severe disorder, in which early identification and immediate intervention are crucial. Despite recommendations for psychological input, little is known about the types of psychological intervention reported to be helpful. The aim of this study was to explore the experiences, needs and preferences for psychological intervention from the perspective of women with postpartum psychosis and from the perspective of family members. Methods Thirteen women and eight family members, including partners were interviewed. The data from these semi-structured interviews were audio-recorded, transcribed and inductively analysed using thematic analysis. Results Twelve subthemes were identified and then organised around three main themes: 1) Seeking safety and containment, 2) Recognising and responding to the psychological impact and 3) Planning for the future. These themes highlight the temporal element of recovery from postpartum psychosis, because women’s psychological needs and preferences changed over time. Emphasis was initially placed on ensuring safety, followed by a need to connect, process and adjust to their experiences. Additional needs were reported by women and family when planning for the future, including managing the fear of relapse and help to reach a decision about future pregnancies. Conclusion The results illustrate a range of areas in which psychological intervention could be delivered to facilitate and enhance recovery. Further research is needed to develop meaningful and effective psychological interventions and to investigate the most appropriate timing for this to be offered.

scholarly journals Conservation Debates: People’s Perceptions and Values towards a Privately Protected Area in Southern Ecuador

Land ◽  
2021 ◽  
Vol 10 (3) ◽  
pp. 233
Author(s):  
Verónica Iñiguez-Gallardo ◽  
Fabián Reyes-Bueno ◽  
Olga Peñaranda
Keyword(s):  
Protected Areas ◽  
Land Tenure ◽  
Protected Area ◽  
Planning Process ◽  
Social Needs ◽  
Structured Interviews ◽  
Key Stakeholders ◽  
Southern Ecuador ◽  
Negative Perceptions ◽  
Land Tenure System

The perceptions and values that local communities have towards protected areas are of great value for the improvement of these territories’ management. Such perceptions and values are often absent in the conservation planning process, particularly in those privately protected areas that are established in areas where the land tenure system is based not only on ownership but also on customary uses. Drawing on qualitative and quantitative data obtained through semi-structured interviews with key stakeholders and members of communities surrounding a privately protected area in southern Ecuador, we identify that the level of collaboration with the managers, the distance to the protected area, the percentage of untitled land, and the dependence on the resources (customary uses) are among the variables affecting these perceptions and values. Positive perceptions towards protected areas and naturalistic values are developed among those who collaborate with the protected area managers, whereas negative perceptions, and a mix of naturalistic and biospheric values are developed among those who have a sense of a lack of attention to social needs although supporting nature conservation at the same time. The evidence presented shows the importance of matching local peoples’ expectations with conservation goals during the establishment of a protected area.

scholarly journals Implementation of Person-Centered Care: A Feasibility Study Using the WE-CARE Roadmap

2021 ◽  
Vol 18 (5) ◽  
pp. 2205
Author(s):  
Roman A. Lewandowski ◽  
Jędrzej B. Lewandowski ◽  
Inger Ekman ◽  
Karl Swedberg ◽  
Jan Törnell ◽  
...  
Keyword(s):  
Pilot Study ◽  
Feasibility Study ◽  
Health Care Professionals ◽  
Quality Care ◽  
Structured Interviews ◽  
Rehabilitation Hospital ◽  
Person Centered Care ◽  
Centered Care ◽  
Multi Disciplinary Team

Background: Person-Centered Care (PCC) is a promising approach towards improved quality of care and cost containment within health systems. It has been evaluated in Sweden and England. This feasibility study examines initial PCC implementation in a rehabilitation hospital for children in Poland. Methods: The WE-CARE Roadmap of enablers was used to guide implementation of PCC for patients with moderate scoliosis. A multi-disciplinary team of professionals were trained in the PCC approach and the hospital Information Technology (IT) system was modified to enhance PCC data capture. Semi-structured interviews were conducted with the nine health care professionals involved in the pilot study and three patients/parents receiving care. Transcribed data were analyzed via content analysis. Results: 51 patients and their families were treated via a PCC approach. High proportions of new PCC data fields were completed by the professionals. The professionals were able to implement the three core PCC routines and perceived benefits using the PCC approach. Patients and their families also perceived improved quality care. The WE-CARE framework enablers facilitated PCC implementation in this setting. Conclusions: This feasibility pilot study indicates that the Gothenburg PCC approach can be successfully transferred to a rehabilitation hospital in Poland with favorable perceptions of implementation by both professionals and patients/their families.

Supporting free clinic patients’ social needs with MSW interns: A pilot study

2021 ◽  
pp. 1-20
Author(s):  
Jeannine M Rowe ◽  
Eunyoung Jang ◽  
Victoria M Rizzo ◽  
Yeongmin Kim ◽  
Bonnie Ewald ◽  
...  
Keyword(s):  
Pilot Study ◽  
Social Needs ◽  
Free Clinic

3. Standardized assessment of the needs for care in a cohort of patients with schizophrenic psychoses

1991 ◽  
Vol 19 ◽  
pp. 27-33 ◽  
Author(s):  
A. D. Lesage ◽  
G. Mignolli ◽  
C. Faccincani ◽  
M. Tansella
Keyword(s):  
Psychiatric Patients ◽  
Social Performance ◽  
Standardized Assessment ◽  
Assessment Procedure ◽  
Systematic Assessment ◽  
Needs For Care ◽  
Psychiatric Case ◽  
The Social

There is a well-established tradition in standardized evaluation of the symptomatology and the social performance of psychiatric patients (Wing et al. 1974; WHO, 1983b; Platt, 1983) together with instruments for describing the pattern of contacts with services, like Psychiatric Case Registers (Wing & Hailey, 1972; ten Horn et al. 1986). Interest in a systematic assessment procedure for recording which action should be taken by services in the presence of a problem is more recent. Instruments for these evaluations are still experimental.

Economy of Time Applied to Interpersonal Relationships

1976 ◽  
Vol 43 (2) ◽  
pp. 585-586 ◽  
Author(s):  
Michel Silberfeld
Keyword(s):  
Pilot Study ◽  
Interpersonal Relationships ◽  
Psychiatric Patients

A method is described for surveying and analyzing time spent in activities such as interpersonal relationships. A pilot study of relationships of psychiatric patients was carried out to illustrate the method.

scholarly journals Older Adults’ Perception of Their Needs in Tehran: A Cry for Emotional and Social Support

2016 ◽  
Vol 9 (2) ◽  
pp. 134
Author(s):  
Sima Ghasemi ◽  
Nastaran Keshavarz Mohammadi ◽  
Farahnaz Mohammadi Shahboulaghi ◽  
Ali Ramezankhani
Keyword(s):  
Social Support ◽  
Older Adult ◽  
Meaning In Life ◽  
Healthy Lifestyle ◽  
Social Needs ◽  
Health Needs ◽  
Social Health ◽  
Structured Interviews ◽  
Instrumental Social Support ◽  
Wide Range

<p><strong>INTRODUCTION: </strong>Background and purpose: Human’s longevity has increased with advances in health and better management of communicable diseases. Therefore, the number of older adult is increasing in developed and developing countries. A glimpse at studies reveals that identifying elderly’s health needs has been mainly based on the experts’ understanding, while older adult themselves have rarely expressed their own opinions. This study aimed to better understand Tehran, Iran elderly’s perception of their own health needs.</p><p><strong>METHODS: </strong>In this qualitative study, with purposeful sampling, data was collected by conducting deep semi-structured interviews with elderlies aged 60-84 years, residing at their private houses. After 19 interviews, the data achieved saturation. The content of the interviews was analyzed through content-analysis approach.<strong></strong></p><p><strong>RESULTS: </strong>Data analyses led to extracting main categories of needs in different domains. The main health needs in physical health domain included: having a healthy lifestyle, independence and safety. Regarding elders’ mental health, coping with their aging, inner tranquility; regarding their spiritual health, the need to have a meaning in life and faithfulness in religion were identified as main groups of needs. And the most important among their main social health needs were the needs for emotional and social support, social involvement and instrumental social support. <strong></strong></p><p><strong>CONCLUSION: </strong>Although, a wide range of physical, mental and social needs were raised, some were more important. Fulfilling the emotional needs in social health had the highest frequency among the needs expressed by the contributors. Following that with a notable difference were the frequencies of having a healthy lifestyle, independence and inner tranquility. This means that attempts to address elderly health needs should avoid focusing mainly or even only on disease related needs and serious attention should be paid to their emotional and social needs.</p>

scholarly journals Investigating information-seeking behaviors of primary care physicians who care for older depressed patients and their family caregivers: a pilot study

2005 ◽  
Vol 26 (4) ◽  
pp. 111 ◽  
Author(s):  
Mary Jo Dorsey ◽  
Ellen Detlefsen
Keyword(s):  
Primary Care ◽  
Pilot Study ◽  
Information Seeking ◽  
Primary Care Physicians ◽  
Care Physician ◽  
Structured Interviews ◽  
Depressed Patients ◽  
Types Of Information ◽  
Primary Care Practices ◽  
Information Seeking Behaviors

Objective – To describe preliminary findings from a study of information-seeking behaviors of primary care physicians who care for elderly and depressed patients, and the correlation between what is sought versus what is provided to the patient and (or) caregiver. Setting – Physicians in two large ambulatory primary care practices throughout urban Pittsburgh, Pennsylvania, who take care of geriatric patients. Methods – Structured interviews, with common questions, will be conducted with 12 primary care physicians to determine patterns of information-seeking behaviors. Environmental scans of physicians' offices for evidence of their existing information behaviors will complement the information obtained from the interviews. Results – This pilot study provides an analysis of the resources primary care physicians use to seek information to provide to patients and caregivers. Analyses show types of information sought, time spent seeking information, and methods used to find information given to patients. Conclusions – With mounting evidence of the Internet being used for patient self care, it is essential to understand if primary care physicians understand the scope and breadth of information readily available to their patients. The primary care physician needs to be aware of the types of information made available to their patients and the caregivers who are inclined to obtain information for the patient.

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