Delivering Case Management Using a Community-Based Service Model of Drug Intervention

ABSTRACTBackground:Worldwide trends of increasing dementia prevalence, have put economic and workforce pressures to shifting care for persons with dementia from residential care to home care.Methods:We reviewed the effects of the four dominant models of home care delivery on outcomes for community-dwelling persons with dementia. These models are: case management, integrated care, consumer directed care, and restorative care. This narrative review describes benefits and possible drawbacks for persons with dementia outcomes and elements that comprise successful programs.Results:Case management for persons with dementia may increase use of community-based services and delay nursing home admission. Integrated care is associated with greater client satisfaction, increased use of community based services, and reduced hospital days however the clinical impacts on persons with dementia and their carers are not known. Consumer directed care increases satisfaction with care and service usage, but had little effect on clinical outcomes. Restorative models of home care have been shown to improve function and quality of life however these trials have excluded persons with dementia, with the exception of a pilot study.Conclusions:There has been a little research into models of home care for people with dementia, and no head-to-head comparison of the different models. Research to inform evidence-based policy and service delivery for people with dementia needs to evaluate both the impact of different models on outcomes, and investigate how to best deliver these models to maximize outcomes.

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For female offenders, how does increased intensity of discharge planning plus community-based case management impact drug and alcohol use after release?

Cochrane Clinical Answers ◽

10.1002/cca.2955 ◽

2020 ◽

Author(s):

Agustín Ciapponi

Keyword(s):

Alcohol Use ◽

Case Management ◽

Discharge Planning ◽

Female Offenders ◽

Community Based ◽

Drug And Alcohol Use ◽

Drug And Alcohol

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Motivational Interviewing Case Management (MICM) for Persons on Probation or Parole Entering Sober Living Houses

Criminal Justice and Behavior ◽

10.1177/0093854818784099 ◽

2018 ◽

Vol 45 (11) ◽

pp. 1634-1659 ◽

Cited By ~ 6

Author(s):

Douglas L. Polcin ◽

Rachael Korcha ◽

Jane Witbrodt ◽

Amy A. Mericle ◽

Elizabeth Mahoney

Keyword(s):

Criminal Justice ◽

Case Management ◽

Motivational Interviewing ◽

Community Based ◽

Probation And Parole ◽

New Policies ◽

To Receive ◽

Housing Options ◽

Drug Free

The failure of incarceration as a response to drug offenses has resulted in new policies supporting community-based alternatives. One challenge has been finding appropriate housing for persons on probation and parole. Sober living houses (SLHs) are alcohol- and drug-free living environments that are increasingly being used as housing options for these individuals. The current study examined 6- and 12-month outcomes for 330 persons on probation or parole who entered 49 SLHs. Residents in 22 houses ( n = 149 individuals) were randomly assigned to receive a “Motivational Interviewing Case Management” (MICM) intervention and residents in the other 27 houses ( n = 181 individuals) received SLH residency as usual. At 6- and 12-month follow-up, both study conditions showed significant improvement relative to baseline on substance abuse, criminal justice, HIV risk, and employment outcomes. For persons who attended at least one MICM session, there were better criminal justice outcomes compared with the SLH as usual group.

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Development of an Urban Community Based Comprehensive Service Model for Bed-Ridden Elderly

Journal of Korean Academy of Nursing ◽

10.4040/jkan.2001.31.4.656 ◽

2001 ◽

Vol 31 (4) ◽

pp. 656

Author(s):

Keum Soon Kim ◽

Moon Ja Suh ◽

Nam Ok Cho ◽

In Ja Kim

Keyword(s):

Urban Community ◽

Service Model ◽

Community Based ◽

Comprehensive Service

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Uptake and acceptability of human papillomavirus self-sampling in rural and remote Aboriginal communities: Evaluation of a nurse-led community engagement model

10.21203/rs.2.23841/v2 ◽

2020 ◽

Author(s):

Tegan Dutton ◽

Jo Marjoram ◽

Shellie Burgess ◽

Laurinne Campbell ◽

Anne Vail ◽

...

Keyword(s):

Cervical Cancer ◽

Cancer Screening ◽

Clinical Outcomes ◽

Cervical Cancer Screening ◽

Rural And Remote ◽

Service Model ◽

Community Based ◽

Aboriginal Women ◽

Never Screened

Abstract Background: Aboriginal women experience disproportionately higher rates of cervical cancer mortality yet are less likely to participate in screening for early detection. This study sought to determine whether a community-based HPV self-sampling service model can effectively recruit never-screened and under-screened Aboriginal women to participate in cervical cancer screening; assess the clinical outcomes; and explore the acceptability of the model from the perspective of the participants.Methods: Aboriginal women aged 25-69 years of age were recruited from eight rural and remote communities in New South Wales, Australia to participate in HPV self-sampling via a community-based service model. Outcome measures were: number of women screened by HPV self-sampling, their prior cervical screening status (under-screened or never-screened), clinical outcomes and participation in follow-up pathways of care, and satisfaction with the service model.Results: In total, 215 women conducted a HPV self-sampling test and 200 evaluation surveys were completed. One-fifth of participants (n=46) were never-screened and one-third (n=69) were under-screened. Many were unsure of their screening status. Nine women were HPV 16/18 positive and eight had completed all follow up by the conclusion of the study. A further 30 women tested positive for a high risk type other than HPV 16/18 (HPV other), of which 14 had completed follow up at the conclusion of the study. Satisfaction with the HPV self-sampling kit, the process of self-sampling and the service model was high (>92% satisfied on all items). Many women had difficulty understanding their official HPV results and placed high importance on the nurse explaining it to them.Conclusions: A community-based service model that respects Aboriginal Women’s Business can effectively recruit under-screened and never-screened Aboriginal women to complete cervical cancer screening. Furthermore, this service model supports them to complete recommended follow-up care and engage with their local existing health services.

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