Correlates of community rehabilitation service utilization among persons with psychiatric disabilities

2021 ◽  
pp. 002076402110361
Author(s):  
Li-yu Song
Keyword(s):  
Health Service ◽  
Service Utilization ◽  
Psychiatric Rehabilitation ◽  
Behavioral Model ◽  
Psychiatric Disabilities ◽  
Rehabilitation Service ◽  
Enabling Factors ◽  
Independent Variables ◽  
Community Psychiatric ◽  
Persons With Psychiatric Disabilities

Background: The use community psychiatric rehabilitation (CPR) service could facilitate community tenure, autonomy, and recovery among persons with psychiatric disabilities. Nevertheless, based on existing scientific evidence, the conformance rate with the treatment recommendations was modest and the existing services are underutilized in Taiwan. Aims: This study examined the correlates of CPR service utilization based on the Behavioral Model of Health Service Utilization. Especially, the effects of enabling factors were explored. Methods: Five hundred and ninety-two participants from 32 community psychiatric rehabilitation centers in Taiwan completed the questionnaire. There were three groups of independent variables: predisposing, enabling, and need factors. Multiple regression analysis with a hierarchical method of entry was performed. Results: The hypothesized model was significant. Eight independent variables in the model explained 29.3% of the variances in the service utilization. Three enabling factors were significant after controlling for the effects of other factors. The most important correlate was professional relationships followed by family support and welfare subsidy. Conclusions: The findings support that factors associated with CPR service utilization need to be examined separately from general mental health service. CPR program design and service delivery should consider the three most important enabling factors and the extent of service utilization could be enhanced.

Vocational Programs and Services in Canada

1991 ◽  
Vol 10 (1) ◽  
pp. 51-62 ◽  
Author(s):  
Jeanette J. Cochrane ◽  
Paula Goering ◽  
Joy M. Rogers
Keyword(s):  
Vocational Rehabilitation ◽  
Psychiatric Rehabilitation ◽  
Psychiatric Disabilities ◽  
Vocational Programs ◽  
Employment Preparation ◽  
Rehabilitation System ◽  
Persons With Psychiatric Disabilities ◽  
Employment Programs

This paper offers an overview of the psychiatric vocational rehabilitation system using brief descriptions of Canadian program models to describe employment preparation services and vocational programs. The psychiatric rehabilitation literature clearly demonstrates that persons with psychiatric disabilities are potentially employable if they are provided with appropriate services, employment programs, and support. Although vocational programs are proliferating in all provinces across Canada, there are strong indications that more programming and funding is urgently needed.

scholarly journals Pemanfaatan Pelayanan Kesehatan oleh Perempuan Terinfeksi HIV/AIDS

2013 ◽  
Vol 8 (1) ◽  
pp. 33 ◽  
Author(s):  
Rialike Burhan
Keyword(s):  
Social Support ◽  
Health Service ◽  
Health Services ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Predisposing Factors ◽  
Research Approach ◽  
Enabling Factors ◽  
Living With Hiv ◽  
Hiv Aids

Perempuan terinfeksi human immunodeficiency virus dan acquired immune deficiency syndrome (HIV/AIDS) mempunyai permasalahan yang kompleks sehubungan dengan penyakit dan statusnya, sehingga mereka mempunyai kebutuhan yang khusus. Kebutuhan perawatan, dukungan dan pengobatan tersebut dapat diperoleh dengan mengakses pelayanan kesehatan yang tersedia untuk dapat mengoptimalkan kesehatan mereka sehingga dapat meningkatkan kualitas hidup. Tujuan penelitian ini untuk menganalisis hubungan faktor predisposisi yang meliputi pengetahuan, sikap, stigma, faktor pemungkin yang meliputi jarak ke pelayanan kesehatan dan faktor penguat berupa dukungan sosial dengan pemanfaatan pelayanan kesehatan pada perempuan terinfeksi HIV/AIDS. Rancangan penelitian menggunakan pendekatan potong lintang. Penelitian dilaksanakan di Kelompok Dukungan Sebaya Female Plus Kota Bandung pada bulan Juni sampai Juli 2012. Sampel penelitian berjumlah 40 orang perempuan terinfeksi HIV/AIDS. Data di analisis secara univariat, bivariat, dan multivariat. Hasil penelitian ini didapatkan bahwa terdapat hubungan yang signifikan secara statistik yaitu usia, pendidikan, status perkawinan, status pekerjaan, faktor predisposisi (pengetahuan, sikap, stigma), faktor penguat (dukungan sosial), dan faktor pemungkin yaitu jarak ke pelayanan kesehatan tidak berhubungan dengan pemanfaatan pelayanan kesehatan. Pengetahuan merupakan faktor penentu dalam pemanfaatan pelayanan kesehatan berpeluang 60,1 kali untuk memanfaatkan pelayanan kesehatan.Women living with HIV/AIDS have a complex problems who connection with the disease and her status, because they have special needs, for care, support and treatment can be obtained by accessing the health services available to optimize their health so as to improve the quality of life. The purpose of this study was to analyze the correlation between three factors, predisposing factors (knowledge, attitudes, stigma), enabling factors (distance to health services), and reinforcing factors (social support) with health service utilization.This type of research was analytic with cross-sectional research approach. The research was implemented in Female Plus Peer Support Group Bandung from June until July 2012. The sample in this study were 40 women living with HIV/AIDS. Data analysis using univariate, bivariate, and multivariate. The results obtained that there were significant relationship is age, education, marital status, work, predisposing factors (knowledge, attitude, stigma), reinforcing factor (social support), and enabling factors (distance to health services were not correlated with health service utilization). Knowledge was the determinant factor to health service utilization in 60,1 times the chance to utilize health services.

scholarly journals Healthcare needs and health service utilization by Syrian refugee women in Toronto

2021 ◽  
Author(s):  
Sepali Guruge ◽  
Souraya Sidani ◽  
Vathsala Illesinghe ◽  
Rania Younes ◽  
Huda Bukhari ◽  
...  
Keyword(s):  
Health Service ◽  
Health Services ◽  
Service Utilization ◽  
Public Transportation ◽  
Health Service Utilization ◽  
Healthcare Services ◽  
Syrian Refugees ◽  
Enabling Factors ◽  
Long Term Conditions ◽  
Healthcare Needs

Objective Access to healthcare is an important part of the (re)settlement process for Syrian refugees in Canada. There is growing concern about the healthcare needs of the 54,560 Syrian refugees who were admitted to Canada by May 2018, 80% of whom are women and children. We explored the healthcare needs of newcomer Syrian women, their experiences in accessing and using health services, and the factors and conditions that shape whether and how they access and utilize health services in the Greater Toronto Area (GTA). Method This community-based qualitative descriptive interpretive study was informed by Yang & Hwang (2016) health service utilization framework. Focus group discussions were held with 58 Syrian newcomer women in the GTA. These discussions were conducted in Arabic, audio-recorded with participants’ consent, translated into English and transcribed, and analyzed using thematic analysis. Results Participants’ health concerns included chronic, long-term conditions as well as new and emerging issues. Initial health insurance and coverage were enabling factors to access to services, while language and social disconnection were barriers. Other factors, such as beliefs about naturopathic medicine, settlement in suburban areas with limited public transportation, and lack of linguistically, culturally, and gender-appropriate services negatively affected access to and use of healthcare services. Conclusion Responding to the healthcare needs of Syrian newcomer women in a timely and comprehensive manner requires coordinated, multi-sector initiatives that can address the financial, social, and structural barriers to their access and use of services.

scholarly journals A Qualitative Exploration of Facilitators for Health Service Use among Aging Gay Men Living with HIV

2019 ◽  
Vol 18 ◽  
pp. 232595821988056
Author(s):  
Daniel Colton Green ◽  
Elizabeth Mirizio Wheeler
Keyword(s):  
Health Service ◽  
Gay Men ◽  
Service Use ◽  
Behavioral Model ◽  
Predisposing Factors ◽  
Health Service Use ◽  
Enabling Factors ◽  
Hiv Management ◽  
The Face ◽  
Living With Hiv

Using Anderson’s Health Behavioral Model of Health Service Use, this study explores factors facilitating health service use among aging gay men living with HIV. Qualitative data from 10 participants recruited from a federally qualified health center were analyzed using theoretical thematic analysis. Results shown to facilitate health service use include an existing need for services in the form of HIV management; predisposing factors of age and the development of resilience in the face of stigmatizing experiences related to their sexual identity and health status; and enabling influences including comfort with medical providers, providers knowledgeable in lesbian, gay, bisexual, transgender, and queer issues, and sexual concordant providers. Need for services, predisposing factors, and enabling factors are discussed in relation, as well as each factor’s unique implications for this population. Results from this study may be used to improve service use and provides tangible clinical recommendations.

scholarly journals Healthcare needs and health service utilization by Syrian refugee women in Toronto

2021 ◽  
Author(s):  
Sepali Guruge ◽  
Souraya Sidani ◽  
Vathsala Illesinghe ◽  
Rania Younes ◽  
Huda Bukhari ◽  
...  
Keyword(s):  
Health Service ◽  
Health Services ◽  
Service Utilization ◽  
Public Transportation ◽  
Health Service Utilization ◽  
Healthcare Services ◽  
Syrian Refugees ◽  
Enabling Factors ◽  
Long Term Conditions ◽  
Healthcare Needs

Objective Access to healthcare is an important part of the (re)settlement process for Syrian refugees in Canada. There is growing concern about the healthcare needs of the 54,560 Syrian refugees who were admitted to Canada by May 2018, 80% of whom are women and children. We explored the healthcare needs of newcomer Syrian women, their experiences in accessing and using health services, and the factors and conditions that shape whether and how they access and utilize health services in the Greater Toronto Area (GTA). Method This community-based qualitative descriptive interpretive study was informed by Yang & Hwang (2016) health service utilization framework. Focus group discussions were held with 58 Syrian newcomer women in the GTA. These discussions were conducted in Arabic, audio-recorded with participants’ consent, translated into English and transcribed, and analyzed using thematic analysis. Results Participants’ health concerns included chronic, long-term conditions as well as new and emerging issues. Initial health insurance and coverage were enabling factors to access to services, while language and social disconnection were barriers. Other factors, such as beliefs about naturopathic medicine, settlement in suburban areas with limited public transportation, and lack of linguistically, culturally, and gender-appropriate services negatively affected access to and use of healthcare services. Conclusion Responding to the healthcare needs of Syrian newcomer women in a timely and comprehensive manner requires coordinated, multi-sector initiatives that can address the financial, social, and structural barriers to their access and use of services.

The Determinants of Informal, Formal, and Mixed In-Home Care in the Canadian Context

2018 ◽  
Vol 31 (9) ◽  
pp. 1692-1714 ◽  
Author(s):  
Yeonjung Lee ◽  
Margaret Penning
Keyword(s):  
Home Care ◽  
Service Utilization ◽  
Functional Limitations ◽  
Behavioral Model ◽  
Canadian Community Health Survey ◽  
Enabling Factors ◽  
Health Related ◽  
Positive Social Interaction ◽  
Health Need ◽  
The Impact

Objective: This study employed the behavioral model of service utilization to assess the impact of social support and other predisposing, enabling, and health need factors on the receipt of informal, formal, and/or combination of both types of in-home care. Method: The study utilized data from the 2008-2009 Canadian Community Health Survey and focused on individuals aged 45 and older with one or more functional limitations ( N = 5,898). Results: A broad array of predisposing and enabling factors influenced the receipt of care both directly and indirectly through health-related needs for care. Different types of support were influential including affectionate support, positive social interaction, and tangible assistance. Discussion: Findings support the utility of the behavioral model of service utilization to examine the determinants of in-home care arrangements. Findings also point to the need to broaden our focus on the importance of support networks beyond their direct involvement in the provision of care itself.

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