An Interdisciplinary Case Management Protocol for High-Conflict Families: The Evolution of Coparental Dynamic

2021 ◽  
pp. 1-16
Author(s):  
Amylie Paquin-Boudreau ◽  
Karine Poitras ◽  
Francine Cyr ◽  
Élisabeth Godbout
Keyword(s):  
Case Management ◽  
Management Protocol ◽  
High Conflict

Effects of Case Management on Drug Users' Risky Sex

1998 ◽  
Vol 78 (1) ◽  
pp. 6-30 ◽  
Author(s):  
DOUGLAS LONGSHORE ◽  
SUSAN TURNER ◽  
M. DOUGLAS ANGLIN
Keyword(s):  
Drug Use ◽  
Case Management ◽  
Risk Behavior ◽  
Problem Behaviors ◽  
Drug Users ◽  
Unprotected Sex ◽  
Hiv Risk Behavior ◽  
Favorable Effect ◽  
Street Crime ◽  
Management Protocol

Case management for crime-involved drug users is designed mainly to reduce further drug use and crime but may also promote reductions in HIV risk behavior. In a five-site evaluation, the authors examined the effects of a case-management protocol known as Treatment Alternatives to Street Crime (TASC) on drug users' frequency of unprotected sex and frequency of sex while high on drugs and/or alcohol. At one site, case management had a favorable effect on the frequency of unprotected sex. At four sites, case management had a favorable effect on the frequency of sex while high. These effects were moderated by users' baseline level of risk behavior or history of related problem behaviors (drug use and criminal conduct). Implications for case management and drug use treatment are discussed.

scholarly journals Health Worker Compliance with a ‘Test And Treat’ Malaria Case Management Protocol in Papua New Guinea

PLoS ONE ◽  
2016 ◽  
Vol 11 (7) ◽  
pp. e0158780 ◽  
Author(s):  
Justin Pulford ◽  
Iso Smith ◽  
Ivo Mueller ◽  
Peter M. Siba ◽  
Manuel W. Hetzel
Keyword(s):  
Case Management ◽  
Health Worker ◽  
Papua New Guinea ◽  
Malaria Case ◽  
New Guinea ◽  
Malaria Case Management ◽  
Test And Treat ◽  
Management Protocol

Off-shift Administration operations improvement collaborative.

2012 ◽  
Vol 30 (34_suppl) ◽  
pp. 144-144
Author(s):  
Angela Hayes-Rodgers ◽  
Altrivice D. Revis
Keyword(s):  
Case Management ◽  
Patient Care ◽  
Customer Service ◽  
Case Manager ◽  
Wait Time ◽  
Practice Change ◽  
Management Processes ◽  
Management Protocol ◽  
Survey Results ◽  
Education Plan

144 Background: Off-Shift Administration (OSA) supports the senior leadership by overseeing clinical operations for both inpatient and outpatient areas at MD Anderson. Our team is responsible for resolving and/or managing issues that could impede patient care, particularly when unsuccessful at the departmental level. This project focuses on streamlining inpatient discharge activities. Data reports from December 2010 to February 2011 revealed that OSA received 1,923 assistance requests institution-wide of which 13% were case management related. A taskforce familiar with patient care and case management processes ultimately resolved to decrease the number of calls made to Off-Shift Administration requesting case management services by 50% by June 2011. Methods: The pilot period began March 1, 2011 and ended May 31, 2011. The earliest intervention was to re-route after hours case management requests directly to the case manager on-call. In the new process, the RN paged the case manager on-call directly who would then escalate calls to OSA as deemed necessary for internal support. A staff education plan complemented the intervention. The education plan entailed in-services with nursing staff, discharge planning teams and nurse leaders for each unit. Education by way of posters was delivered on select units. Piloted areas were also surveyed to assess their knowledge of case management processes and wait time experiences. Results: Outcomes were favorable. OSA experienced an 80% reduction in call volume from the piloted areas. Survey results showed educational efforts yielded a positive practice change and increased awareness of case management protocol. Survey results also revealed a 20-minute reduction in wait time for case management assistance. Certainly, of greatest benefit were the reduced wait times and more expedient patient care and customer service for staff. Conclusions: The project was successful and knowledge gained was be used to implement permanently and within all patient care settings. This project also serves as a useful paradigm of Clinical Operations’ improved ability to distinguish operational trends requiring attention, thereby increasing operational efficiency and customer satisfaction.

Preventing Self-harm and Reducing Suicidal Ideation Through an Expedited Regular Supportive Psychotherapy and assertive Case Management – Protocol for a Three-arm Partial Randomised Controlled Trial

2016 ◽  
Vol 33 (S1) ◽  
pp. S440-S440 ◽  
Author(s):  
V. agyapong ◽  
T. Behre ◽  
M. Juhas ◽  
a. Greenshaw
Keyword(s):  
Suicidal Ideation ◽  
Case Management ◽  
Controlled Trial ◽  
Intervention Group ◽  
Supportive Psychotherapy ◽  
Assertive Outreach ◽  
Management Protocol ◽  
Self Harm ◽  
Randomised Controlled ◽  
Assertive Case Management

aimTo conduct a three-arm partial randomised controlled trail to evaluate the effectiveness of expedited regular supportive psychotherapy and assertive case management for patients presenting with suicidal ideation or self-harm to the emergency department (ED).Hypothesiswe expect expedited regular supportive psychotherapy plus assertive case management will reduce the suicidality and/or suicidal behaviour in patients by at least 20% at 4 weeks compared to patients receiving only assertive case management or routine care and these differences will be sustained at 6 months.MethodsThis will be a longitudinal, prospective, three-arm controlled single-rater-blinded partial randomized clinical trial with a recruitment period of 12 months and an observation period of 6 months for each participant. Patients in the intervention group will receive regular face-to-face or over the phone brief supportive psychotherapy during weekdays following presentation to the ED with suicidal ideation or self-harm until patients are actively enrolled in regular community mental health services with active case management by the therapist. Patients in the control and the assertive outreach arms will each receive the usual follow-up services offered routinely to regular patients and assertive outreach patients respectively who present to the ED with suicidal ideation or self-harm.ResultsRecruitment will commence in February 2016 and we expect the results of the study to be available by September 2017.ConclusionIf our hypothesis is proved correct, our intervention will be a new model for caring for patients with self-harm and suicidal ideation and is expected to reduce suicide rates.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Egypt: Expand access to postabortion care

2000 ◽  
Author(s):  
Keyword(s):  
Infection Control ◽  
Case Management ◽  
Teaching Hospitals ◽  
Population Council ◽  
Vacuum Aspiration ◽  
Brief Training ◽  
Postabortion Care ◽  
Management Protocol ◽  
Training Physicians

The Population Council has supported a series of studies to improve the quality of postabortion care (PAC) in Egypt. A 1994 pilot study in two Egyptian hospitals showed that upgrading PAC and training physicians in manual vacuum aspiration (MVA), infection control, and counseling led to significant improvements in the care of postabortion patients. The 1997 study, conducted by the Egyptian Fertility Care Society with support from the Population Council, sought to institutionalize improved postabortion medical care and counseling procedures in ten hospitals. Five senior physicians from each hospital attended a five-day training course in MVA, infection control, and family planning (FP) counseling. The physicians then supervised four months of on-the-job training of doctors and nurses at the ten hospitals. A case management protocol, including emergency medical treatment, pain control, and FP counseling, was also introduced. As reported in this brief, training providers and introducing a case management protocol led to improved PAC at ten government and teaching hospitals in Egypt.

scholarly journals Tuberculosis care quality in urban Nigeria: A cross-sectional study of adherence to screening and treatment initiation guidelines in multi-cadre networks of private health service providers

2022 ◽  
Vol 2 (1) ◽  
pp. e0000150
Author(s):  
Lauren A. Rosapep ◽  
Sophie Faye ◽  
Benjamin Johns ◽  
Bolanle Olusola-Faleye ◽  
Elaine M. Baruwa ◽  
...  
Keyword(s):  
Case Management ◽  
Private Sector ◽  
Treatment Initiation ◽  
Service Providers ◽  
Protocol Adherence ◽  
High Burden ◽  
Private Providers ◽  
Bottleneck Analysis ◽  
Management Protocol

Nigeria has a high burden of tuberculosis (TB) and low case detection rates. Nigeria’s large private health sector footprint represents an untapped resource for combating the disease. To examine the quality of private sector contributions to TB, the USAID-funded Sustaining Health Outcomes through the Private Sector (SHOPS) Plus program evaluated adherence to national standards for management of presumptive and confirmed TB among the clinical facilities, laboratories, pharmacies, and drug shops it trained to deliver TB services. The study used a standardized patient (SP) survey methodology to measure case management protocol adherence among 837 private and 206 public providers in urban Lagos and Kano. It examined two different scenarios: a “textbook” case of presumptive TB and a treatment initiation case where SPs presented as referred patients with confirmed TB diagnoses. Private sector results were benchmarked against public sector results. A bottleneck analysis examined protocol adherence departures at key points along the case management sequence that providers were trained to follow. Except for laboratories, few providers met the criteria for fully correct management of presumptive TB, though more than 70% of providers correctly engaged in TB screening. In the treatment initiation case 18% of clinical providers demonstrated fully correct case management. Private and public providers’ adherence was not significantly different. Bottleneck analysis revealed that the most common deviations from correct management were failure to initiate sputum collection for presumptive patients and failure to conduct sufficiently thorough treatment initiation counseling for confirmed patients. This study found the quality of private providers’ TB case management to be comparable to public providers in Nigeria, as well as to providers in other high burden countries. Findings support continued efforts to include private providers in Nigeria’s national TB program. Though most providers fell short of desired quality, the bottleneck analysis points to specific issues that TB stakeholders can feasibly address with system- and provider-level interventions.

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