Knowledge, uptake and availability of health and social services among Asian Gujarati and white elderly persons

ABSTRACTThe complex formed by chronic illness, episodes of acute illness, physiological disabilities, functional limitations, and cognitive problems is prevalent among frail elderly persons. These individuals rely on assistance from social and health care programs, which in Canada are still fragmented. SIPA (Services intégrés pour les personnes âgées fragiles) is an integrated service model based on community services, a multidisciplinary team, case management that retains clinical responsibility for all the health and social services required, and the capacity to mobilize resources as required and according to the care protocol. The SIPA demonstration project used an experimental design, with random allocation of the 1,230 participants from two areas of Montreal to an experimental and a control group. The costs of institutional services were $4,270 less for those in the SIPA group compared to the control group; the costs of community care were $3,394 more. The proportion of persons waiting in acute care hospitals for nursing home placement was twice as high in the control group as in the SIPA group. The costs of acute hospitalizations for persons in the SIPA group with ADL disabilities were at least $4,000 lower than those for persons in the control group. In conclusion, the SIPA trial showed that it is possible to undertake ambitious and rigorous demonstration projects in Canada. These results were obtained without an increase in the overall costs of health and social services, without reducing the quality of care, and without increasing the burden on elderly persons and their relatives.

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Veterans and Veterans Legislation in Canada: An Historical Overview

Canadian Journal on Aging / La Revue canadienne du vieillissement ◽

10.1017/s0714980800007923 ◽

1988 ◽

Vol 7 (3) ◽

pp. 204-217 ◽

Cited By ~ 1

Author(s):

Ellen M. Gee ◽

A. Margeny Boyce

Keyword(s):

Social Services ◽

Historical Perspective ◽

Elderly Persons ◽

Health It ◽

Health And Social Services ◽

Age Related ◽

Descriptive Account ◽

Canadian Health ◽

History Of ◽

Time Periods

ABSTRACTThis article provides a descriptive account of the history of Canadian veterans and veterans legislation focussing upon five time periods: pre–1918; 1918–1939; 1939–1950; 1950–1980; and the present time. Emphasis is placed on issues and legislation relating to aging and elderly persons, with particular concentration on pensions and health. It is shoivn that veterans legislation and veterans issues have played a facilitating role in the development of Canadian health and social services, and argued that a social historical perspective on aging provides for an enhanced understanding of current age-related institutions, services and policies.

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Ageism in the health and social services sector in Ireland

PsycEXTRA Dataset ◽

10.1037/e537022013-004 ◽

2005 ◽

Author(s):

Eileen McGlone

Keyword(s):

Social Services ◽

Services Sector ◽

Health And Social Services

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Leading Evidence-Based Practice Implementation in Mental Health and Social Services

PsycEXTRA Dataset ◽

10.1037/e603552010-001 ◽

2010 ◽

Author(s):

Gregory A. Aarons ◽

Jonathan D. Horowitz

Keyword(s):

Mental Health ◽

Social Services ◽

Evidence Based Practice ◽

Evidence Based ◽

Health And Social Services ◽

Practice Implementation

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Depression in the Developing World

10.1093/oso/9780198801900.003.0017 ◽

2017 ◽

Author(s):

Harry Minas

Keyword(s):

Mental Health ◽

International Development ◽

Social Services ◽

Development Programs ◽

Middle Income ◽

Health And Social Services ◽

Middle Income Countries ◽

Culturally Informed ◽

Global Understanding

This chapter provides an overview of what is known about prevalence, social determinants, treatment, and course and impact of depression in developing, or low- and middle-income, countries. The importance of culture in depression and in the construction and application of diagnostic classifications and in health and social services is highlighted, with a particular focus on the applicability of ‘Western’ diagnostic constructs and service systems in developing country settings. The role of international organizations, such as WHO, and international development programs, such as the SDGs, in improving our understanding of depression and in developing effective and culturally appropriate responses is briefly examined. There is both a need and increasing opportunities in developing countries for greater commitment to mental health of populations, increased investment in mental health and social services, and culturally informed research that will contribute to improved global understanding of mental disorders in general and depression in particular.

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The Integration of Psychosocial Care into National Dementia Strategies Across Europe: Evidence from the Skills in DEmentia Care (SiDECar) Project

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18073422 ◽

2021 ◽

Vol 18 (7) ◽

pp. 3422

Author(s):

Ilaria Chirico ◽

Rabih Chattat ◽

Vladimíra Dostálová ◽

Pavla Povolná ◽

Iva Holmerová ◽

...

Keyword(s):

Content Analysis ◽

Clinical Practice ◽

Social Services ◽

Psychosocial Care ◽

Psychosocial Interventions ◽

System Of Care ◽

Dementia Care ◽

Integrated System ◽

Health And Social Services

There is evidence supporting the use of psychosocial interventions in dementia care. Due to the role of policy in clinical practice, the present study investigates whether and how the issue of psychosocial care and interventions has been addressed in the national dementia plans and strategies across Europe. A total of 26 national documents were found. They were analyzed by content analysis to identify the main pillars associated with the topic of psychosocial care and interventions. Specifically, three categories emerged: (1) Treatment, (2) Education, and (3) Research. The first one was further divided into three subcategories: (1) Person-centred conceptual framework, (2) Psychosocial interventions, and (3) Health and social services networks. Overall, the topic of psychosocial care and interventions has been addressed in all the country policies. However, the amount of information provided differs across the documents, with only the category of ‘Treatment’ covering all of them. Furthermore, on the basis of the existing policies, how the provision of psychosocial care and interventions would be enabled, and how it would be assessed are not fully apparent yet. Findings highlight the importance of policies based on a comprehensive and well-integrated system of care, where the issue of psychosocial care and interventions is fully embedded.

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Strategies for involving patients and the public in scaling-up initiatives in health and social services: protocol for a scoping review and Delphi survey

Systematic Reviews ◽

10.1186/s13643-021-01597-6 ◽

2021 ◽

Vol 10 (1) ◽

Author(s):

Ali Ben Charif ◽

◽

Karine V. Plourde ◽

Sabrina Guay-Bélanger ◽

Hervé Tchala Vignon Zomahoun ◽

...

Keyword(s):

Social Services ◽

Scoping Review ◽

Delphi Study ◽

Public Involvement ◽

Scale Up ◽

Scaling Up ◽

Delphi Survey ◽

The Public ◽

Health And Social Services ◽

Scoping Reviews

Abstract Background The scale-up of evidence-based innovations is required to reduce waste and inequities in health and social services (HSS). However, it often tends to be a top-down process initiated by policy makers, and the values of the intended beneficiaries are forgotten. Involving multiple stakeholders including patients and the public in the scaling-up process is thus essential but highly complex. We propose to identify relevant strategies for meaningfully and equitably involving patients and the public in the science and practice of scaling up in HSS. Methods We will adapt our overall method from the RAND/UCLA Appropriateness Method. Following this, we will perform a two-prong study design (knowledge synthesis and Delphi study) grounded in an integrated knowledge translation approach. This approach involves extensive participation of a network of stakeholders interested in patient and public involvement (PPI) in scaling up and a multidisciplinary steering committee. We will conduct a systematic scoping review following the methodology recommended in the Joanna Briggs Institute Reviewers Manual. We will use the following eligibility criteria: (1) participants—any stakeholder involved in creating or testing a strategy for PPI; (2) intervention—any PPI strategy proposed for scaling-up initiatives; (3) comparator—no restriction; (4) outcomes: any process or outcome metrics related to PPI; and (5) setting—HSS. We will search electronic databases (e.g., Medline, Web of Science, Sociological Abstract) from inception onwards, hand search relevant websites, screen the reference lists of included records, and consult experts in the field. Two reviewers will independently select and extract eligible studies. We will summarize data quantitatively and qualitatively and report results using the PRISMA extension for Scoping Reviews (PRISMA-ScR) checklist. We will conduct an online Delphi survey to achieve consensus on the relevant strategies for PPI in scaling-up initiatives in HSS. Participants will include stakeholders from low-, middle-, and high-income countries. We anticipate that three rounds will allow an acceptable degree of agreement on research priorities. Discussion Our findings will advance understanding of how to meaningfully and equitably involve patients and the public in scaling-up initiatives for sustainable HSS. Systematic review registration We registered this protocol with the Open Science Framework on August 19, 2020 (https://osf.io/zqpx7/).

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