scholarly journals Predictors of Depression in Healthcare Patients at Risk of Self-Neglect

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 274-275
Author(s):  
Miriam Rose ◽  
Farida Ejaz ◽  
Courtney Reynolds
Keyword(s):  
Social Support ◽  
Case Management ◽  
Emotional Health ◽  
Control Group ◽  
Intensive Case Management ◽  
Protective Services ◽  
Adult Protective Services ◽  
Post Test ◽  
Predictors Of Depression ◽  
Disabled Adults

Abstract More than half of reports to Adult Protective Services agencies nationwide involve allegations of self-neglect. An intensive case management intervention for preventing self-neglect was evaluated in a longitudinal study conducted collaboratively by a large healthcare system, Adult Protective Services, and a gerontological research institute. Patients (444) who were older (60+ years) and/or disabled (18+ years) were randomly selected for participation from 19 primary-care clinics if they had risk factors for self-neglect, including depression, substance abuse, dementia, and/or impairment in activities of daily living. Average age was 68 years (SD=12.5), 68% were Hispanic, 68% had monthly income of less than $1,361, and 67% were female. Clinics were randomized into intervention and control groups. Intervention clinic patients received intensive case management services; control clinic patients received usual care, including social work services. Subjects were interviewed at baseline and four months later. The Stress Process Model guided a multiple regression analysis. Domains of background characteristics, primary and secondary stressors, and support (patients in intervention or control group) were entered in blocks to predict depression levels at post-test. While no significant differences were found in post-test depression levels between intervention and controls, the final model was statistically significant (adjusted R2=.452). Significant predictors of depression were: younger age (disabled adults), poorer self-rated physical and emotional health, greater loneliness, and less social support. Future analyses will examine effects of moderating variables on post-test depression levels. Practice implications of preliminary analyses include addressing disabled adults’ mental health needs, especially if they are isolated and lack social support.

scholarly journals Effect of Life Skills Training On Emotional Distress: A Comparative Study between Adolescent Boys and Girls

2017 ◽  
Vol 5 (1) ◽  
Author(s):  
C. R. Hita ◽  
G. Venkatesh Kumar
Keyword(s):  
Emotional Distress ◽  
Emotional Development ◽  
Repeated Measures ◽  
Life Skills ◽  
Emotional Health ◽  
Skills Training ◽  
Control Group ◽  
Adolescent Boys ◽  
Life Skills Training ◽  
Post Test

Adolescence is considered as a crucial stage for emotional development. It is also seen as a time of hyper-emotionality, emotional conflict, and volatile mood states. Given that adolescents lack skills for emotional management, emotional distress during these years can hamper their immediate growth and adversely affect their transition to the next stage of life. Interventions that promote positive emotional development during adolescence are the need of the hour. Keeping this in focus, the present study investigated the Effect of Life Skills Training on Adolescent boys and girls with high Emotional Distress. The study used pre- and post-test experimental design with a control group to examine the stated objectives. 160 adolescent boys and girls (n=80), with a mean age of 16.44 years, were selected for the study using Positive and Negative Affect Schedule. Of these, 80 in the experimental group (boys=40, girls=40) were trained in life skills. Descriptive statistics, independent sample t-test and repeated measures of ANOVA were used to analyze obtained results. Major findings of the study indicate that Life Skills training has significant effect in reducing emotional distress and improving emotional health in adolescents. And the significance of it was found to be higher in girls compared to boys.

Operation Outreach: Intensive Case Management for Severely Psychiatrically Disabled Adults

1990 ◽  
Vol 41 (6) ◽  
pp. 647-649 ◽  
Author(s):  
Carol T. Bush ◽  
M. Wayne Langford ◽  
Phyllis Rosen ◽  
Walter Gott
Keyword(s):  
Case Management ◽  
Intensive Case Management ◽  
Disabled Adults

scholarly journals El efecto de un programa de ejercicios basado en Pilates sobre el estado de ánimo en adultos mayores Mexicanos (Effects of a Pilates-based exercise program on mood states in older adults in Mexico)

Retos ◽  
2016 ◽  
pp. 106-109
Author(s):  
Mario Alberto Villarreal Ángeles ◽  
José Moncada Jiménez ◽  
Jesús José Gallegos Sanchez ◽  
Francisco Ruiz-Juan
Keyword(s):  
Older Adults ◽  
Emotional Health ◽  
Exercise Program ◽  
The Elderly ◽  
Mood States ◽  
Control Group ◽  
Profile Of Mood States ◽  
Fitness Program ◽  
Post Test ◽  
Pilates Method

El propósito del estudio fue determinar el efecto de un programa de acondicionamiento físico basado en el método Pilates sobre variables del estado de ánimo en adultos mayores del Estado de Durango, México. Se diseñó un estudio experimental con un grupo control (GC) y un grupo experimental (GE) y mediciones iniciales (pre-test) y finales (post-test). Participaron 10 adultos mayores en cada grupo, cuyas edades estaban entre los 60 y 80 años. La duración del programa fue de 12 semanas, con 3 sesiones por semana de 50 min cada una. Para evaluar el estado de ánimo se utilizó el Profile of Mood States (POMS). Los datos se analizaron por medio de ANOVA de 2 x 2. Se encontró una interacción significativa entre mediciones y grupos en las dimensiones de tensión (p = 0.001), cólera (p = 0.030), fatiga (p= 0.002) y el puntaje total (p ≤ 0.0001). No se encontró una interacción significativa en la dimensión de depresión (p = 0.065) ni vigor (p = 0.125). Un programa de acondicionamiento físico de 12 semanas basado en el método Pilates mejora algunas variables del estado de ánimo, las cuales pueden ser relevantes para el logro de la buena salud emocional en el adulto mayor.Abstract. The purpose of the study was to determine the effect of a Pilates-based fitness program on mood variables in older adults from Durango State, Mexico. An experimental design study was designed with a control group (CG), experimental group (EG), initial (pre-test), and final (post-test) measurements. Ten older adults participated in each group, whose ages were between 60 and 80 years. The program duration was 12 weeks with three sessions per week, each of 50 min. The Profile of Mood States (POMS) was used to assess mood. Data were analyzed by 2 x 2 ANOVA. Significant interactions between measurements and experimental groups were found for tension (p = 0.001), anger (p = 0.030), fatigue (p = 0.002) and the total score (p ≤ 0.0001). No significant interactions were found for depression (p = 0.065) and vigor (p = 0.125). A 12 week fitness program based on the Pilates method improved some but not all mood variables, which may be relevant to the achievement of good emotional health in the elderly.

Establishing the Efficacy and Cost Effectiveness of Community Intensive Case Management of Long-Term Mentally Ill: A Matched Control Group Study

2000 ◽  
Vol 34 (1) ◽  
pp. 114-121 ◽  
Author(s):  
Neil Joseph Preston ◽  
Sam Fazio
Keyword(s):  
Case Management ◽  
Mentally Ill ◽  
Repeated Measures ◽  
Matched Control ◽  
Control Group ◽  
Inpatient Service ◽  
Service Utilisation ◽  
Intensive Case Management ◽  
Matched Control Group

Objective: The study attempted to identify whether chronic mentally ill persons after receiving intensive case management (ICM) could demonstrate improved inpatient service utilisation compared with a matched control group cohort. Costings were measured to observe whether the increase in providing intensive outpatient contacts would be offset by savings in reduced inpatient service utilisation. Method: Eighty ICM patients were matched on ICD-9 diagnosis, age, gender, length of illness, age at first inpatient and outpatient contact, marital status, educational level, employment status, country of birth, year of arrival to Australia and religion. Inpatient bed-days and outpatient contacts were recorded and compared 12 months prior to ICM treatment, 12 and 24 months after ICM using within/between group repeated measures analysis of variance. Results: The ICM group demonstrate significant reductions in inpatient service utilisation both within the 12- and 24-month period after receiving ICM treatment. The cost differential by 24 months of treatment was $801 475 in favour of the ICM model. The increase in costs of outpatient contacts were offset by a significant reduction in inpatient service utilisation. Conclusion: When outpatient contacts averaged one contact a week for the duration of the study period no significant reductions in inpatient service utilisation was recorded, as demonstrated by comparison with the matched control group. By increasing outpatient contacts by 3–4 contacts a week, inpatient contacts reduced by 36.8%. ICM is an efficacious and cost effective way to implement community-based services to the chronically long-term mentally ill.

Impact of Iowa Case Management on Provisions of Social Support for Substance Abuse Clients

2004 ◽  
Vol 5 (1) ◽  
pp. 3-11 ◽  
Author(s):  
Mary Vaughan Sarrazin ◽  
James A. Hall
Keyword(s):  
Social Support ◽  
Substance Abuse ◽  
Case Management ◽  
Substance Abuse Treatment ◽  
Longitudinal Design ◽  
Control Group ◽  
Experimental Conditions ◽  
Emotional Bonds ◽  
Abuse Treatment ◽  
The Impact

Substance abuse can have a devastating effect on the social support networks of individuals. This article describes the impact of a comprehensive model of case management on substance abuse treatment clients’ perceptions of social support. Social support was defined using a well-documented typology identifying six provisions for social support. The Iowa Case Management Project (ICMP) for Rural Drug Abuse was a randomized clinical trial using a longitudinal design. Clients were recruited from the residential treatment program of one rural Midwestern substance abuse treatment agency and were randomly assigned to one of three experimental conditions that received case management according to a strengths-based model, or to a control group. Client perceptions of social support were measured up to 12 months after treatment initiation. Results indicated that case management positively impacted overall perceptions of social support subsequent to treatment admission, as well as perceptions of support in two of the six provisions of support. Reassurances of worth, which is the recognition of one’s competence, skills, and value by others, and attachment, which reflects close emotional bonds with others, were both significantly improved for clients who received case management. However, the effectiveness of case management in improving social support appears to be limited to clients who are married or have significant partners.

scholarly journals THE INTERVIEW FOR DECISIONAL ABILITIES: DEVELOPING THE EVIDENCE BASE FOR ADULT PROTECTIVE SERVICES

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S501-S501
Author(s):  
Theresa Sivers-Teixeira ◽  
Gregory Stevens ◽  
Kelly Sadamitsu ◽  
Christina Penate ◽  
Bonnie Olsen
Keyword(s):  
Case Management ◽  
Evidence Base ◽  
Protective Services ◽  
Elder Mistreatment ◽  
Adult Protective Services ◽  
Trained Subjects ◽  
Training Groups ◽  
Preliminary Results ◽  
Abuse And Neglect ◽  
The Impact

Abstract Adult Protective Services (APS) workers assess clients for abuse and neglect and are asked to determine the client’s understanding of risks they face. Yet, APS workers have little structured training in how to make such judgements. The Interview for Decisional Abilities (IDA 3.0-CA) is a tool designed for use by APS workers to assess the ability of suspected victims of elder mistreatment to make decisions about the risks they face. This study evaluates the impact of training and use of this tool on the knowledge, experiences and ability of APS workers to determine decisional ability. APS workers and supervisors were recruited from central and northern California APS programs and randomized into either control (n=94) or IDA 3.0-CA training groups (n= 95). Baseline surveys measure knowledge of, and experiences with, assessing decisional ability and determining next steps for case management. Additionally, respondents determine the decisional ability of three case scenarios. Three months post-training, controls and trained subjects complete the same survey with a new set of cases. Preliminary results at baseline indicate there were no statistically-significant differences between trained subjects (n=42) and controls (n=50) in their knowledge scores (78.6% correct vs. 81.0%, p=0.6641) or performance assessing decisional ability in the case scenarios (60.1% correct vs. 63.3%, p=0.3497). Reported experiences assessing decisional ability and determining next steps in case management were also similar for trained subjects and controls. Complete results will be presented regarding change in knowledge scores, experiences, and assessing decisional ability in case scenarios compared across trained subjects and controls.

scholarly journals What have we learnt from 40 years of research on Intensive Case Management?

2008 ◽  
Vol 17 (2) ◽  
pp. 106-109 ◽  
Author(s):  
Max Marshall
Keyword(s):  
Clinical Trials ◽  
Case Management ◽  
Assertive Community Treatment ◽  
Complex Interventions ◽  
Community Treatment ◽  
Successful Outcome ◽  
Control Group ◽  
Intensive Case Management ◽  
Treatment Model ◽  
Process Of Care

AbstractThe aims of the Editorial are to summarise what we know for certain from clinical trials of Intensive Case Management, and to highlight lessons for clinicians and researchers. I will upon two systematic reviews of trials of Intensive Case Management versus standard care or low intensity case management. Both incorporated a meta-regression which examined the effect of fidelity to the Assertive Community Treatment model on outcome. The effectiveness of Intensive Case Management was limited to improving patient satisfaction and reducing attrition. Intensive Case Management teams organised according to the Assertive Community Treatment model offered the additional benefit of reducing days in hospital, but only when the team's clients had been high users of hospital care over the previous 12 months. Four important lessons can be drawn: a) Changes to the process of care tend to affect process variables, not outcome variables. b) Complex interventions must be defined meticulously in clear terminology. c) Researchers must demonstrate that complex interventions have been properly implemented in clinical trials. d) It is important to remember that in a clinical trial a successful outcome is determined as much by the control group as by the intervention.

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