Ironies in the Pursuit of Well-Being: The Perspectives of Low-Income, Substance-Using Women on Service Institutions

2002 ◽  
Vol 29 (4) ◽  
pp. 711-748 ◽  
Author(s):  
Nina Mulia
Keyword(s):  
Qualitative Study ◽  
Social Services ◽  
Low Income ◽  
Drug Users ◽  
Barriers To Care ◽  
Well Being ◽  
Institutional Rules ◽  
Health And Social Services ◽  
Provider Practices ◽  
Care Services

Interest in improving low-income, drug-using women's access to and utilization of care services tends to focus on remedies to personal, structural and gendered barriers to care. In contrast, this exploratory, qualitative study of women's perspectives illustrates how institutional rules, both within and across agencies, and informal provider practices can constrain women's use of health and social services. This paper draws attention to the ways in which low-income, drug-using women respond to obstacles and interpersonal tensions they experience in service settings. As a means of pursuing their material and social well-being, the women employ forms of resistance that are both protective and potentially harmful. This paper underscores the need to recognize how service institutions are implicated in drug users' everyday struggles for well-being.

scholarly journals Shining Light and Creating Solutions: Health and Social Needs of Older Affordable Housing Residents

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 685-685
Author(s):  
Lori Simon-Rusinowitz ◽  
C Daniel Mullins ◽  
Karen Morales ◽  
Rodney Elliott ◽  
Constance Raab
Keyword(s):  
Social Services ◽  
Affordable Housing ◽  
Low Income ◽  
Well Being ◽  
Social Needs ◽  
Advisory Group ◽  
Service Needs ◽  
Structured Interviews ◽  
Health And Social Services ◽  
Community Advisory Group

Abstract Aging within a community requires access to health and social services. This project lays the groundwork for an innovative, three-part health and social services intervention intended to improve the health and well-being of older affordable housing residents in a low-income, vulnerable Baltimore neighborhood. We will report on the first part, an assessment of residents’ unmet health and social service needs and their ideas for meeting these needs. With guidance from a community advisory group of older residents (a key program component), we are conducting structured interviews with 50 elders to identify residents’ needs and interests. These findings will inform the next project segments: Part 2- exploring how the Village model (in which neighbors identify and offer needed services to help their neighbors age within a community) can be adapted for an affordable housing setting, and Part 3- adapting an evidence-based housing-plus-services model to meet older residents’ unmet needs.

Health and social services for drug users

2009 ◽  
pp. 123-138
Author(s):  
Thomas Babor ◽  
Jonathan Caulkins ◽  
Griffith Edwards ◽  
Benedikt Fischer ◽  
David Foxcroft ◽  
...  
Keyword(s):  
Social Services ◽  
Drug Users ◽  
Health And Social Services

scholarly journals “It’s not like I’m more Indigenous there and I’m less Indigenous here.”: urban Métis women’s identity and access to health and social services in Toronto, Canada

2020 ◽  
Vol 16 (4) ◽  
pp. 323-331
Author(s):  
Renée Monchalin ◽  
Janet Smylie ◽  
Cheryllee Bourgeois
Keyword(s):  
Health Service ◽  
Qualitative Study ◽  
Social Services ◽  
Survival Strategies ◽  
Health And Social Services ◽  
Women's Identity ◽  
Access To Health ◽  
Learning Journey ◽  
One Step ◽  
Service Gap

Colonial policies and identity debates have resulted in major gaps in access to culturally safe health and social services for Métis Peoples living in Canada. To address the Métis health service gap, this qualitative study explores urban Métis women’s identity and their experiences with health and social services in Toronto, Canada. Métis women ( n = 11) understand Métis identity as having connection to community, intergenerational identity survival strategies, a learning journey, and connection to land. Building Métis community determined understandings of Métis identity into urban health and social services may be one step toward addressing existing culturally safe health service gaps.

Illicit drug use as a challenge to the delivery of end-of-life care services to homeless persons: Perceptions of health and social services professionals

2011 ◽  
Vol 26 (4) ◽  
pp. 350-359 ◽  
Author(s):  
Ryan McNeil ◽  
Manal Guirguis-Younger
Keyword(s):  
Drug Use ◽  
End Of Life ◽  
Social Services ◽  
End Of Life Care ◽  
Illicit Drug ◽  
Homeless Persons ◽  
Life Care ◽  
Health And Social Services ◽  
Care Services ◽  
Services Delivery

Homeless persons tend to die younger than the housed population and have complex, often unmet, end-of-life care needs. High levels of illicit drug use among this population are a particular challenge for health and social services professionals involved in end-of-life care services delivery. This article explores the challenges of end-of-life care services to homeless illicit drug users based on data collected during a national study on end-of-life care services delivery to homeless persons in Canada. The authors conducted qualitative interviews with 50 health and social services professionals involved in health services delivery to homeless persons in five cities. Interviews were transcribed verbatim and analysed thematically. Themes were organised into two domains. First, barriers preventing homeless illicit drug users from accessing end-of-life care services, such as competing priorities (e.g. withdrawal management), lack of trust in healthcare providers and discrimination. Second, challenges to end-of-life care services delivery to this population in health and social care settings, including non-disclosure of illicit drug use, pain and symptom management, interruptions in care, and lack of experience with addictions. The authors identify a need for increased research on the role of harm reduction in end-of-life care settings to address these challenges.

scholarly journals The Use of Internet-Based Health and Care Services by Elderly People in Europe and the Importance of the Country Context: Multilevel Study (Preprint)

2019 ◽  
Author(s):  
Sebastian Merkel ◽  
Moritz Hess
Keyword(s):  
Digital Divide ◽  
Elderly People ◽  
Social Services ◽  
Social Care ◽  
The Internet ◽  
Health And Social Services ◽  
Care Services ◽  
Country Level ◽  
Health And Social Care ◽  
Use Of Internet

BACKGROUND Digital health care is becoming increasingly important, but it has the risk of further increasing the digital divide, as not all individuals have the opportunity, skills, and knowledge to fully benefit from potential advantages. In particular, elderly people have less experience with the internet, and hence, they are in danger of being excluded. Knowledge on the influences of the adoption of internet-based health and care services by elderly people will help to develop and promote strategies for decreasing the digital divide. OBJECTIVE This study examined if and how elderly people are using digital services to access health and social care. Moreover, it examined what personal characteristics are associated with using these services and if there are country differences. METHODS Data for this study were obtained from the Special Eurobarometer 460 (SB 460), which collected data on Europeans’ handling of and attitudes toward digital technologies, robots, and artificial intelligence, including data on the use of internet-based health and social care services, among 27,901 EU citizens aged 15 years or older. Multilevel logistic regression models were adopted to analyze the association of using the internet for health and social care services with several individual and country-level variables. RESULTS At the individual level, young age, high education, high social class, and living in an urban area were positively associated with a high probability of using internet-based health and social services. At the country level, the proportion of elderly people who participated in any training activity within the last month was positively associated with the proportion of elderly people using these services. CONCLUSIONS The probability of using internet-based health and social services and their accompanying advantages strongly depend on the socioeconomic background. Training and educational programs might be helpful to mitigate these differences.

Treatment systems for drug users

2018 ◽  
Author(s):  
Thomas F. Babor ◽  
Jonathan Caulkins ◽  
Benedikt Fischer ◽  
David Foxcroft ◽  
Keith Humphreys ◽  
...  
Keyword(s):  
Social Services ◽  
Justice System ◽  
Drug Users ◽  
Service System ◽  
Systems Of Care ◽  
Integrated System ◽  
Service Systems ◽  
Health And Social Services ◽  
Primary Health ◽  
Improve Health

Policies affecting the type, amount, and organization of health and social services play an important role in the overall effectiveness of a service system. Countries differ markedly in their service systems, which vary in terms of the availability, accessibility, coordination, cost-effectiveness, and coerciveness of treatment and harm-reduction services. There are now a large number of evidence-informed health and social services that are ready for implementation in systems of care in both low and high-income countries. These interventions, along with innovations in the organization of service systems, can directly address access, equity, and coordination. Coordination between the criminal justice system, mental health services, primary health care, and the treatment system can reduce drug use, improve health, prevent crime, and decrease recidivism. Health and social services organized within an integrated system, can have an impact on the population in a variety of areas targeted by drug policy.

Health and social services for drug users

2018 ◽  
Author(s):  
Thomas F. Babor ◽  
Jonathan Caulkins ◽  
Benedikt Fischer ◽  
David Foxcroft ◽  
Keith Humphreys ◽  
...  
Keyword(s):  
Drug Use ◽  
Social Services ◽  
Drug Users ◽  
Contingency Management ◽  
Risk Behaviour ◽  
Psychosocial Interventions ◽  
Club Drugs ◽  
Opioid Substitution Therapy ◽  
Level Of Evidence ◽  
Health And Social Services

Health and social services attempt to reduce drug-related harm by promoting abstinence, by reducing the frequency of drug use, and by changing behaviours that are harmful to drug users and society at large, such as HIV risk behaviour, drug overdose, and criminal activity. Among the most carefully evaluated programmes are interventions focused on users of heroin and other opioids. The documented benefits of opioid substitution therapy include reduced overdose mortality, less HIV infection, and lower crime rates. Therapeutic communities, contingency management, counselling for marijuana dependence, and brief interventions for at-risk drug use have the next strongest level of evidence. Psychosocial interventions for users of cocaine, methamphetamine, hallucinogens, benzopdiazepines, and club drugs have evidence of effectiveness as well.

scholarly journals Care services for frail older people in South Korea

2001 ◽  
Vol 21 (6) ◽  
pp. 701-720 ◽  
Author(s):  
KYEUNG MI OH ◽  
ANTHONY M. WARNES
Keyword(s):  
South Korea ◽  
Older People ◽  
Social Services ◽  
Standards Of Care ◽  
Frail Older People ◽  
Term Care ◽  
Social Transformations ◽  
Health And Social Services ◽  
Care Services ◽  
The Rich

This paper examines the changed social circumstances of older people in South Korea and specifically the increased need for formal health and social services for those who are frail and have no informal carers. The article begins with a summary account of the country's exceptionally rapid demographic, economic and social transformations, which demonstrates a widening gap between the population's expectations and needs, and health and social service provision. It then examines the recently initiated and now burgeoning welfare programmes, with particular attention to health and social services for sick and frail older people. Most extant care services are accessed mainly by two minorities: the very poor and the rich. The dominant policy influence of physicians and a history of conflict between traditional and western medicine probably underlies the low current priority for ‘care’ as opposed to ‘cure’, as also for the management of chronic conditions and rehabilitation. Neither long-term care services nor personal social services are well developed. There is a marked disparity between the acute services, which are predominantly provided by private sector organisations in a highly competitive market and broadly achieve high standards, and public primary care and rudimentary residential services. The latter are weakly regulated and there are many instances of low standards of care.

scholarly journals Funding health and social services for older people – a qualitative study of care recipients in the last year of life

2012 ◽  
Vol 105 (5) ◽  
pp. 201-207 ◽  
Author(s):  
Barbara Hanratty ◽  
Elizabeth Lowson ◽  
Louise Holmes ◽  
Gunn Grande ◽  
Julia Addington-Hall ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Older People ◽  
Social Services ◽  
Health And Social Services ◽  
Care Recipients

Care work and quality of care for older people: a review of the research literature

2001 ◽  
Vol 11 (2) ◽  
pp. 189-203 ◽  
Author(s):  
Shirina Hannan ◽  
Ian J Norman ◽  
Sally J Redfern
Keyword(s):  
Quality Of Care ◽  
Older People ◽  
Social Services ◽  
Work Satisfaction ◽  
Well Being ◽  
National Standards ◽  
Care Staff ◽  
Care Services ◽  
Health And Social Care

There is considerable research on work satisfaction and stress of care staff on the one hand and on quality of care and well-being of older people on the other. However, very little research in continuing-care settings for older people (nursing homes, residential homes and long-stay wards) links perceptions of workers (work satisfaction and stress) with the process of care (quality of care) and outcomes for residents/patients (well-being). This is a notable omission, given the emphasis of government policy on improving quality of health and social care services for vulnerable elderly people in the UK. The White Papers, The New NHS and Modernising Social Services and the National Priority Guidance for Health and Social Services for 2000–2003, all emphasize the importance of services that are responsive to local needs and which maintain and promote independence. The Centre for Policy on Ageing has been commissioned by the Department of Health to develop national standards for nursing and residential home care services for older people. This work will build upon recommendations of the Burgner Report and Achieving a Better Home Life, which identified areas for benchmarking. The national standards proposed under the forthcoming National Service Framework for Older People will underpin new legislation to regulate care services.

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