Changing attitudes towards the mentally handicapped: THE IMPACT OF COMMUNITY CARE

2009 ◽  
Vol 9 (3) ◽  
pp. 92-103 ◽  
Author(s):  
DAVID LOCKER ◽  
BRIDGET RAO ◽  
JEAN M. WEDDELLM
Keyword(s):  
Community Care ◽  
Mentally Handicapped ◽  
Changing Attitudes ◽  
The Impact

Nithsdale Schizophrenia Surveys 17

1998 ◽  
Vol 172 (6) ◽  
pp. 513-517 ◽  
Author(s):  
Ciara Kelly ◽  
Robin McCreadie ◽  
Tom MacEwan ◽  
Stephen Carey
Keyword(s):  
Mental Health ◽  
Mortality Rate ◽  
Tardive Dyskinesia ◽  
Rural Area ◽  
Atypical Antipsychotic ◽  
Social Adjustment ◽  
Antipsychotic Drugs ◽  
Community Care ◽  
Social Variables ◽  
The Impact

BackgroundIn recent years there has been a shift to ‘community care’ and the introduction of several ‘atypical’ antipsychotic drugs. We report the impact of these changes.MethodIn Nithsdale, Dumfries and Galloway, Scotland, the population of patients with schizophrenia was identified in 1996. This census replicated a study carried out in 1981. The population with schizophrenia were compared on clinical and social variables. The whereabouts in 1996 of the 1981 population was determined.ResultsIn comparison with the 1981 population, more patients in 1996 had positive, negative and non-schizophrenic symptoms. More showed tardive dyskinesia. Social adjustment had not changed. They had spent less time in hospital; fewer (13%) were living with their parents; and fewer (8%) were employed. By 1996, 35% of the 1981 cohort had died (standardised mortality rate male – 154, female – 162).ConclusionsThe mental health of a community of people with schizophrenia living in a rural area in 1996 was poorer than in 1981.

scholarly journals The Impact of Musculoskeletal Conditions on Assessed Levels of Care Required by Older Australians

2020 ◽  
Vol 5 (5) ◽  
Author(s):  
Tiffany K Gill ◽  
Steve Wesselingh ◽  
Maria C Inacio
Keyword(s):  
Risk Factors ◽  
Residential Care ◽  
Chronic Conditions ◽  
Community Care ◽  
Care Service ◽  
Functional Limitations ◽  
Aged Care ◽  
Residential Aged Care ◽  
Musculoskeletal Conditions ◽  
The Impact

IntroductionMusculoskeletal problems, including conditions such as back pain, neck pain, rheumatoid arthritis, gout and osteoarthritis are common in the population and significant contributors to global disease burden. Age is one of the most common risk factors for musculoskeletal conditions and over 40% of older people accessing residential aged care have a musculoskeletal condition. It is not known whether individuals living in the community with musculoskeletal conditions have similar needs to those in permanent care and this is important to know in order to provide appropriate care. Objectives and ApproachThe objective of this study was to profile individuals with musculoskeletal conditions in different aged care service settings (i.e. permanent care, community care only, transition/ respite care, or no services). Specifically, we examined the concurrent chronic conditions, health risk factors and functional limitations of individuals by service setting. A cross-sectional evaluation of individuals in the National Historical Cohort of the Registry of Senior Australians (ROSA) between 2004 and 2014 was conducted. Multivariable logistic regression models estimated the factors associated with being in different aged care settings. Odds ratios (OR) and 95% confidence intervals (CI) were determined. Results401,026 (42.5%) individuals with musculoskeletal conditions were assessed for aged care service eligibility during the study period. Of these 197,181 (49.2%) accessed permanent care, 37,003 (9.2%) accessed home care, 54,826 (13.7%) transition/respite, and 112,016 (27.9%) - no care. Individuals accessing community care compared to residential care were more likely to be female, have pain and have difficulty maintaining their home, as were individuals accessing no services compared to residential care. Conclusion / ImplicationsCompared to those in residential care, individuals with musculoskeletal conditions in the community with or without assistance had few differences related to other chronic conditions and functional limitations. But the reasons why some had support, while others did not, are unclear.

scholarly journals The Impact of Community Care Referral on Time to Surgery for Veterans With Carpal Tunnel Syndrome

Medical Care ◽  
2021 ◽  
Vol 59 (Suppl 3) ◽  
pp. S279-S285
Author(s):  
Jessica I. Billig ◽  
Richard R. Evans ◽  
Eve A. Kerr ◽  
Rodney A. Hayward ◽  
Erika D. Sears
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Community Care ◽  
Time To Surgery ◽  
Tunnel Syndrome ◽  
The Impact

scholarly journals TIA and minor stroke: A qualitative study of long-term impact and experiences of follow-up care

2019 ◽  
Author(s):  
Grace M Turner ◽  
Christel McMullan ◽  
Lou Atkins ◽  
Robbie Foy ◽  
Jonathan Mant ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Stroke Prevention ◽  
Community Care ◽  
Minor Stroke ◽  
Framework Analysis ◽  
Diverse Range ◽  
Follow Up Care ◽  
The Impact

Abstract Background Transient ischaemic attack (TIA) and minor stroke are often considered transient events; however, many patients experience residual problems and reduced quality of life. Current follow-up healthcare focuses on stroke prevention and care for other long-term problems is not routinely provided. We aimed to explore patient and healthcare provider (HCP) experiences of residual problems post-TIA/minor stroke, the impact of TIA/minor stroke on patients’ lives, and current follow-up care and sources of support. Methods This qualitative study recruited participants from three TIA clinics, seven general practices and one community care trust in the West Midlands, England. Semi-structured interviews were conducted with 12 TIA/minor stroke patients and 24 HCPs from primary, secondary and community care with framework analysis. Results A diverse range of residual problems were reported post-TIA/minor stroke, including psychological, cognitive and physical impairments. Consultants and general practitioners generally lacked awareness of these long-term problems; however, there was better recognition among nurses and allied HCPs. Residual problems significantly affected patients’ lives, including return to work, social activities, and relationships with family and friends. Follow-up care was variable and medically focused. While HCPs prioritised medical investigations and stroke prevention medication, patients emphasised the importance of understanding their diagnosis, individualised support regarding stroke risk, and addressing residual problems. Conclusion HCPs could better communicate lay information about TIA/minor stroke diagnosis and secondary stroke prevention, and improve their identification of and response to important residual impairments affecting patients.

Youth welfare work

2018 ◽  
pp. 180-216
Author(s):  
Carole Holohan
Keyword(s):  
National Level ◽  
Youth Work ◽  
Welfare Work ◽  
Youth Welfare ◽  
The Status ◽  
The 1960S ◽  
The Many ◽  
Changing Attitudes ◽  
The Impact ◽  
International Strategies

Chapter five focuses on the development of youth welfare work, in particular the youth club, as a response to concerns that young people were not using their leisure time appropriately. Fred Powell, Martin Geoghegan, Margaret Scanlon and Katharina Swirak highlight how an international volunteer boom in the 1960s, and in the field of youth work in particular, in part reflected changing attitudes to youth and concerns about what seemed a disaffected generation. This chapter assesses developments in youth work at a local and national level, highlighting the impact of international strategies in this field and the tensions between the many players in the Irish scene. It attests to the ways in which external frameworks, emanating from supranational bodies such as the Council of Europe and the United Nations, reframed understandings of youth in the adult imagination and influenced how youth was perceived by voluntary and statutory organisations. It also highlights the ways in which some international ideas and models were embraced but others challenged the status quo, and therefore faced resistance.

Knowledge Sharing and Pervasive Computing

2011 ◽  
pp. 285-297
Author(s):  
Phillip W.J. Brook
Keyword(s):  
Knowledge Transfer ◽  
Knowledge Sharing ◽  
Pervasive Computing ◽  
Historical Context ◽  
Team Work ◽  
Social Aspects ◽  
To Come ◽  
Changing Attitudes ◽  
The Impact

This chapter explores the implications of knowledge sharing in an era of pervasive computing, and concludes that, perhaps counter-intuitively, people will need to come together more to establish the trust that is necessary for effective knowledge sharing. Practices such as team-work should result in closer ties between peers, and this relationship can encourage increased sharing of knowledge related to the work at hand. With the advent of pervasive computing, the question can be asked as to what the impact of this technology could/will have on the sharing of knowledge in a team situation. At the same time, the changing attitudes to how knowledge is acquired make it even more important that knowledge is acquired in its historical context, which may be best achieved by person-to-person knowledge transfer. It is argued that these social aspects will be more important in a world of pervasive computing than in conventional businesses.

Loss, transition and trust: perspectives of terminally ill patients and their oncologists when transferring care from the hospital into the community at the end of life

2016 ◽  
Vol 9 (3) ◽  
pp. 346-355 ◽  
Author(s):  
Clare Smith ◽  
Nick Bosanquet ◽  
Julia Riley ◽  
Jonathan Koffman
Keyword(s):  
Community Care ◽  
Terminally Ill ◽  
Community Services ◽  
Transfer Of Care ◽  
Terminally Ill Cancer Patients ◽  
Family Acceptance ◽  
Framework Approach ◽  
Set Up ◽  
Community Team ◽  
The Impact

IntroductionMost people prefer to die at home. However, most continue to die in hospital. Little is known about the impact on the patient of transferring care from acute sector specialist follow-up to the community. In one cancer centre, a new service—Hospital2Home was set up to facilitate this transfer of care. This study aimed to explore patients’ and oncologists’ perspectives of the meanings involved in this transition.MethodsQualitative study using semistructured one-to-one interviews with 8 terminally ill cancer patients and 13 oncologists. The interviews were audio recorded, transcribed verbatim and analysed using the framework approach.Results3 main themes were identified: loss, transition and community care. The theme of loss referred to losses associated with the end of treatment and losses associated with the familiar safe relationship between the patient and oncologist. Transition refers to the change from hospital-led to community-based care. Barriers to transition included patient and family acceptance, attachment and concerns about community services. Transition was more acceptable if initiated in a gradual manner. Community care: participants found the Hospital2Home service crucial in establishing new trustworthy relationships between community providers and the patient.ConclusionsTransfer of care from the acute sector to the community represents a delicate crossroad where complex notions of loss should not be underestimated. A gradual transfer of care may improve this if the patient's condition allows. Therefore, introductions to the community team should be timely, and a staggered transfer should be planned. This would improve the experience of the patient, carer and oncologist.

Clinicians into Management: On the Change Agenda or Not?

1992 ◽  
Vol 5 (2) ◽  
pp. 137-147 ◽  
Author(s):  
Louise Fitzgerald ◽  
John Sturt
Keyword(s):  
Community Care ◽  
Managerial Decision ◽  
Managerial Decision Making ◽  
Roles And Responsibilities ◽  
Training Support ◽  
General Managers ◽  
Managerial Roles ◽  
The Usa ◽  
Collaborative Working ◽  
The Impact

This article examines the issue of drawing medical consultants into managerial decision making. It commences by examining both historically and comparatively the influences on doctors and their reluctance to adopt managerial roles and responsibilities. It progresses to an analysis of the impact of the NHS and Community Care Act particularly in relation to the separation of purchaser and providers and the development of contracting mechanisms. The argument presented suggests that the rapid adoption of the clinical directorate model, as the favoured mode of organisation in acute units, has led to clinicians assuming ‘imitation’ general manager roles. The authors question whether this is the best use of the unique skills and time of clinicians. They compare with experience in the USA and propose that collaborative working between doctors and general managers is essential in health care. The article suggests a set of tasks for clinician managers and then dicusses the issues of training support and development which will be required if clinicians are to perform these tasks effectively.

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