The Longitudinal Effects of Caregiver Grief in Dementia and the Modifying Effects of Social Services: A Prospective Cohort Study

ObjectivesInjecting drug use is a persistent behaviour that increases the risk of morbidities and mortality. We assessed the burden of hospital separations among people who inject drugs (PWID), the excess compared to the general population and characteristics of separations associated with frequent use.DesignProspective cohort study.SettingAll public and private hospitals in Victoria.Participants757 community-based PWID with hospital separations between January 2008 and June 2013 identified through record linkage, who contributed over 3729 person-years.Primary and secondary outcome measuresCounts, proportions and rates of hospital separations, descriptive administrative data including all diagnoses, comparison of separation rates to the general population, trend in separations and factors associated with frequent separations.ResultsThere were 2106 separations in the cohort. The most common principal diagnoses were related to mental and behavioural disorders (31%), but social circumstances influencing health was the most common group of diagnoses (61%) when all contributing diagnoses for each patient were considered. Separation rates were up to three times higher than in the age-matched population, and there was a 12% increase in separations every 6 months. Over a quarter (29%) of the cohort had frequent separations (defined as two or more separations in a calendar year), which were associated with mental health-related diagnoses, being discharged to locations other than a patient’s residence, having a medical as opposed to surgical intervention, seasonal patterns, relationship status and gender.ConclusionsMental health conditions and other characteristics associated with separations and frequent separations in particular, emphasise the importance of providing referrals to harm reduction, social services and mental health services at discharge in order to reduce excess hospital separations among PWID.

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Effects of a peer support programme for youth social services employees experiencing potentially traumatic events: a protocol for a prospective cohort study

BMJ Open ◽

10.1136/bmjopen-2016-014405 ◽

2017 ◽

Vol 7 (6) ◽

pp. e014405 ◽

Cited By ~ 1

Author(s):

Stephane Guay ◽

Nicole Tremblay ◽

Jane Goncalves ◽

Henriette Bilodeau ◽

Steve Geoffrion

Keyword(s):

Cohort Study ◽

Social Services ◽

Peer Support ◽

Prospective Cohort Study ◽

Prospective Cohort ◽

Traumatic Events ◽

Potentially Traumatic Events ◽

Support Programme ◽

Peer Support Programme

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For a structured response to the psychosocial consequences of the restrictive measures imposed by the global COVID-19 health pandemic: The MAVIPAN longitudinal prospective cohort study protocol

10.1101/2020.11.10.20227397 ◽

2020 ◽

Author(s):

Annie LeBlanc ◽

Marie Baron ◽

Patrick Blouin ◽

George Tarabulsy ◽

François Routhier ◽

...

Keyword(s):

Cohort Study ◽

Social Services ◽

Prospective Cohort Study ◽

Prospective Cohort ◽

Social Inequalities ◽

Evidence Base ◽

Social Consequences ◽

System Response ◽

Psychosocial Impacts ◽

Restrictive Measures

ABSTRACTBackgroundThe COVID-19 pandemic and the isolation measures taken to control it has caused important disruptions in economies and labour markets, changed the way we work and socialize, forced schools to close and healthcare and social services to reorganize in order to redirect resources on the pandemic response. This unprecedented crisis forces individuals to make considerable efforts to adapt and can have serious psychological and social consequences that are likely to persist once the pandemic has been contained and restrictive measures lifted. These impacts will be significant for vulnerable individuals and will most likely exacerbate existing social and gender health and social inequalities. This crisis also puts a toll on the capacity of our healthcare and social services structures to provide timely and adequate care. In order to minimize these consequences, there is an urgent need for high-quality, real-time information on the psychosocial impacts of the pandemic. The MAVIPAN (Ma vie et la pandémie/My life with the pandemic) study aims to document how individuals, families, healthcare workers, and health organisations that provide services are affected by the pandemic and how they adapt.MethodsThe MAVIPAN study is a 5-year longitudinal prospective cohort study that was launched on April 29th, 2020 in the province of Quebec which, at that time, was the epicenter of the pandemic in Canada. Quantitative data is collected through online questionnaires approximately 5 times a year depending on the pandemic evolution. Questionnaires include measures of health, social, behavioral and individual determinants as well as psychosocial impacts. Qualitative data will be collected with individual and group interviews that seek to deepen our understanding of coping strategies.DiscussionThe MAVIPAN study will support the healthcare and social services system response by providing the evidence base needed to identify those who are most affected by the pandemic and by guiding public health authorities’ decision making regarding intervention and resource allocation to mitigate these impacts. It is also a unique opportunity to advance our knowledge on coping mechanisms and adjustment strategies.Trial registrationNCT04575571 (retrospectively registered)

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