Action Plans as Active Boundary Objects

2021 ◽  
Vol 31 (4) ◽  
pp. 382-389
Author(s):  
Anne-Marie Tyroll Beck ◽  
Bo Morthorst Rasmussen ◽  
Tina K. Harlev Nielsen
Keyword(s):  
Social Worker ◽  
Interprofessional Collaboration ◽  
Boundary Objects ◽  
Boundary Object ◽  
Action Plans ◽  
Ideal Types ◽  
Face To Face ◽  
The Social ◽  
Service Areas

This article presents how action plans are used as active boundary objects in the meeting between the client, the social worker, and the interprofessional partners within the four core social service areas in Denmark: children and families, handicap, adults at risk, and employment. Empirically, the article is based upon the analysis of 16 action plans and 21 interviews. The theory of boundary objects is applied to illustrate and explore how action plans can create integration across different social and professional domains, or worlds. The degree of integration is illustrated through the theory of interprofessional collaboration, which forms the basis of four ideal types of action plans as boundary objects: the joint plan, the professional one, the administrative one, and the symbolic plan. We find that action plans have a large but often unexploited potential as an active and effective boundary object and only a few functions as joint plans. In order to be an active boundary object, both user and interprofessional involvement are required in making the plans. This requires a highly structured and preferably systematic involvement in face-to-face dialogue meetings led by the social worker as well as frequent follow-up at a distance.

Genetic Counselling: Its Need in Psychiatry and the Directions it Gives for Future Research

1984 ◽  
Vol 29 (4) ◽  
pp. 289-294 ◽  
Author(s):  
Harvey C. Stancer ◽  
Diane K. Wagener
Keyword(s):  
Genetic Counselling ◽  
Social Worker ◽  
Future Research ◽  
Environment Interaction ◽  
Adoption Studies ◽  
Gene Environment Interaction ◽  
Empirical Risk ◽  
Gene Environment ◽  
The Social

The methods for investigating the extent to which genetic factors can influence vulnerability to psychiatric illness are, in increasing order of precision: family, twin, and adoption studies. The evidence from these studies is in support of a gene-environment interaction for schizophrenia and the affective disorders. While the family study method cannot supply precise etiological data, the empirically derived information can be used by the genetic counsellor to provide empirical risk estimates to the counsellee. The psychiatrist, geneticist, and social worker make an appropriate team for reliable genetic counselling. The clinician must determine the precise psychiatric diagnoses in family members which the geneticist may use to estimate risk. The social worker can follow-up the counselling session or sessions to assess the counsellees’ understanding of what has been told to them. It is stressed that while genetic counselling should be available, clinical judgement should be exercised to ensure its appropriate use.

Acute Otitis Media in Children

1970 ◽  
Vol 15 (8) ◽  
pp. 289-296 ◽  
Author(s):  
Jane E. Paterson ◽  
D. W. MacLean
Keyword(s):  
Otitis Media ◽  
General Practitioners ◽  
Social Worker ◽  
Acute Otitis Media ◽  
Social Study ◽  
Clinical Findings ◽  
Medical Supervision ◽  
The Social ◽  
Clinical Surveillance

A group of 212 children in a partnership practice suffered from acute otitis media in the course of 1 year. These children were subjected to clinical surveillance by their general practitioners and were offered an independent follow-up examination 3 months after the onset of the illness by an otolarygologist. Their mothers were interviewed by a social worker who completed a questionnaire covering 31 items. Selected clinical findings from the general practitioner's record and from the final follow-up examination were compared with selected factors from the social study. It was found that children with less favourable social backgrounds had a poorer experience of medical supervision and poorer end results following treatment.

A Survey of 200 Women Discharged from a Mental Deficiency Hospital

1960 ◽  
Vol 106 (442) ◽  
pp. 355-370 ◽  
Author(s):  
M. W. G. Brandon
Keyword(s):  
Social Worker ◽  
Present Status ◽  
Past History ◽  
Mental Deficiency ◽  
Comprehensive Assessment ◽  
Adult Women ◽  
Interim Report ◽  
The Past ◽  
The Social

The purpose of this survey was to assess the abilities and present status of all the adult women classed as feebleminded who have been discharged from the Fountain Hospital. This paper is not a comprehensive assessment, but a survey of these patients' past history, together with an interim report on their rehabilitation. In the majority of cases, the present whereabouts and occupation are known by the social worker and have been re-checked over the past eighteen months in the course of normal follow-up contacts.

Social Capital and Entrepreneurial Performance in Russia: A Longitudinal Study

2003 ◽  
Vol 24 (4) ◽  
pp. 535-556 ◽  
Author(s):  
Bat Batjargal
Keyword(s):  
Social Capital ◽  
Firm Performance ◽  
Social Embeddedness ◽  
Face To Face ◽  
Structural Embeddedness ◽  
The Social ◽  
Relational Embeddedness ◽  
Soviet Russia ◽  
The Impact

Drawing on the social embeddedness perspective, this article examines the impact of entrepreneurs' social capital on their firm performance in post-Soviet Russia. Based on face-to-face interviews with 75 Russian entrepreneurs in 1995 and follow-up interviews in 1999, the study examines effects of structural embeddedness, relational embeddedness and resource embeddedness on firm performance. The main finding is that relational embeddedness and resource embeddedness have direct positive impacts on firm performance, whereas structural embeddedness has no direct impacts on performance.

scholarly journals Telehealth Challenges During COVID-19 As Reported by Primary Healthcare Physicians in Quebec and Massachusetts

2021 ◽  
Author(s):  
Mylaine Breton ◽  
Erin E. Sullivan ◽  
Nadia Deville-Stoetzel ◽  
Danielle McKinstry ◽  
Matthew DePuccio ◽  
...  
Keyword(s):  
Primary Healthcare ◽  
Interprofessional Collaboration ◽  
Care Delivery ◽  
Interpersonal Relationship ◽  
Verbal Cues ◽  
Face To Face ◽  
Technological Barriers ◽  
Technological Limitations ◽  
And Training

Abstract Background: The COVID-19 pandemic has driven primary healthcare (PHC) providers to use telehealth as an alternative to traditional face-to-face consultations. Providing telehealth that meets the needs of patients in a pandemic has presented many challenges for PHC providers. The aim of this study was to describe the positive and negative implications of using telehealth in one Canadian (Quebec) and one American (Massachusetts) PHC setting during the COVID-19 pandemic as reported by physicians.Methods: We conducted 42 individual semi-structured video interviews with physicians in Quebec (N = 20) and Massachusetts (N = 22) in 2020. Topics covered included their practice history, changes brought by the COVID-19 pandemic, and the advantages and challenges of telehealth. An inductive and deductive thematic analysis was carried out to identify implications of delivering care via telehealth.Results: Four key themes were identified, each with positive and negative implications: 1) access for patients; 2) efficiency of care delivery; 3) professional impacts; and 4) relational dimensions of care. For patients’ access, positive implications referred to increased availability of services; negative implications involved barriers due to difficulties with access to and use of technologies. Positive implications for efficiency were related to improved follow-up care; negative implications involved difficulties in diagnosing in the absence of direct physical examination and non-verbal cues. For professional impacts, positive implications were related to flexibility (teleworking, more availability for patients) and reimbursement, while negative implications were related to technological limitations experienced by both patients and practitioners. For relational dimensions, positive implications included improved communication, as patients were more at ease at home, and the possibility of gathering information from what could be seen of the patient’s environment; negative implications were related to concerns around maintaining the therapeutic relationship and changes in patients’ engagement and expectations.Conclusion: Ensuring that health services provision meets patients’ needs at all times calls for flexibility in care delivery modalities, role shifting to adapt to virtual care, sustained relationships with patients, and interprofessional collaboration. To succeed, these efforts require guidelines and training, as well as careful attention to technological barriers and interpersonal relationship needs.

Family Placement — in France

1973 ◽  
Vol 18 (4) ◽  
pp. 297-302 ◽  
Author(s):  
David S. Palframan
Keyword(s):  
Social Worker ◽  
Patient Selection ◽  
Selection Criteria ◽  
Large City ◽  
Service Program ◽  
The Social ◽  
Therapeutic Results ◽  
Patient Selection Criteria

A family placement service program wherein stabilized mental patients are placed with families to whom they are not related is described. The service is located south of Paris, France, and is likely to be adaptable to the areas adjacent to any large city. Family recruitment and patient selection criteria are described and the role of the social worker-psychiatrist team is reviewed. The families and patients appear to function best when a situation of mutual need exists. The patient population and the therapeutic results over a brief follow-up period are described statistically.

Boundary Objects and the Social Construction of GIS Technology

1998 ◽  
Vol 30 (9) ◽  
pp. 1683-1694 ◽  
Author(s):  
F Harvey ◽  
N Chrisman
Keyword(s):  
Social Construction ◽  
Social Groups ◽  
Boundary Objects ◽  
Social Constructivist ◽  
Geographical Information ◽  
Boundary Object ◽  
Gis Technology ◽  
Social Negotiation ◽  
The Social ◽  
Definition Of

The social construction of geographical information system (GIS) technology requires two-way relationships between technology and people. GIS technology, like any other technology, is more than a tool; it connects different social groups in the construction of new localized social arrangements. We examine several instances of how GIS technology involves social negotiation by using a construct of boundary objects developed in a social constructivist framework. Much like geographic boundaries, boundary objects separate different social groups at the same time that they delineate important points of reference between them. Boundary objects stabilize relationships through the negotiation of flexible and dynamic coherences. The negotiation of differences between different groups is fundamental to the construction of GIS technology. Social-constructivist theories and the concept of boundary objects open new ways to understand the relationships between technology and people. We illustrate the application of boundary object theory through studies of the use of GIS data standards and the definition of wetlands.

A Controlled Trial of Social Intervention in the Families of Schizophrenic Patients: Two Year Follow-up

1985 ◽  
Vol 146 (6) ◽  
pp. 594-600 ◽  
Author(s):  
Julian Leff ◽  
Liz Kuipers ◽  
Ruth Berkowitz ◽  
David Sturgeon
Keyword(s):  
Relapse Rate ◽  
Antipsychotic Medication ◽  
Expressed Emotion ◽  
Controlled Trial ◽  
Social Contact ◽  
Social Intervention ◽  
Face To Face ◽  
The Social ◽  
Schizophrenic Patients

SummaryThe two-year follow-up results are reported of a trial of social intervention in families of schizophrenic patients in high social contact with high-expressed emotion (EE) relatives. For those patients who remained on antipsychotic medication throughout the two years, the social intervention significantly reduced the relapse rate. In those experimental families where relatives' EE and/or face-to-face contact was lowered, the relapse rate was 14%, compared with 78% for control patients on regular medication (P = 0.02).

scholarly journals Telehealth challenges during COVID-19 as reported by primary healthcare physicians in Quebec and Massachusetts

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Mylaine Breton ◽  
Erin E. Sullivan ◽  
Nadia Deville-Stoetzel ◽  
Danielle McKinstry ◽  
Matthew DePuccio ◽  
...  
Keyword(s):  
Primary Healthcare ◽  
Interprofessional Collaboration ◽  
Care Delivery ◽  
Interpersonal Relationship ◽  
Verbal Cues ◽  
Face To Face ◽  
Technological Barriers ◽  
Technological Limitations ◽  
And Training

Abstract Background The COVID-19 pandemic has driven primary healthcare (PHC) providers to use telehealth as an alternative to traditional face-to-face consultations. Providing telehealth that meets the needs of patients in a pandemic has presented many challenges for PHC providers. The aim of this study was to describe the positive and negative implications of using telehealth in one Canadian (Quebec) and one American (Massachusetts) PHC setting during the COVID-19 pandemic as reported by physicians. Methods We conducted 42 individual semi-structured video interviews with physicians in Quebec (N = 20) and Massachusetts (N = 22) in 2020. Topics covered included their practice history, changes brought by the COVID-19 pandemic, and the advantages and challenges of telehealth. An inductive and deductive thematic analysis was carried out to identify implications of delivering care via telehealth. Results Four key themes were identified, each with positive and negative implications: 1) access for patients; 2) efficiency of care delivery; 3) professional impacts; and 4) relational dimensions of care. For patients’ access, positive implications referred to increased availability of services; negative implications involved barriers due to difficulties with access to and use of technologies. Positive implications for efficiency were related to improved follow-up care; negative implications involved difficulties in diagnosing in the absence of direct physical examination and non-verbal cues. For professional impacts, positive implications were related to flexibility (teleworking, more availability for patients) and reimbursement, while negative implications were related to technological limitations experienced by both patients and practitioners. For relational dimensions, positive implications included improved communication, as patients were more at ease at home, and the possibility of gathering information from what could be seen of the patient’s environment; negative implications were related to concerns around maintaining the therapeutic relationship and changes in patients’ engagement and expectations. Conclusion Ensuring that health services provision meets patients’ needs at all times calls for flexibility in care delivery modalities, role shifting to adapt to virtual care, sustained relationships with patients, and interprofessional collaboration. To succeed, these efforts require guidelines and training, as well as careful attention to technological barriers and interpersonal relationship needs.

Psychopathology 8½ Years Post Parasuicide

Crisis ◽  
1999 ◽  
Vol 20 (3) ◽  
pp. 115-120 ◽  
Author(s):  
Stephen Curran ◽  
Michael Fitzgerald ◽  
Vincent T Greene
Keyword(s):  
Rating Scales ◽  
Psychiatric Morbidity ◽  
Parental Bonding ◽  
Social Maladjustment ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Face To Face ◽  
Long Term Follow Up

There are few long-term follow-up studies of parasuicides incorporating face-to-face interviews. To date no study has evaluated the prevalence of psychiatric morbidity at long-term follow-up of parasuicides using diagnostic rating scales, nor has any study examined parental bonding issues in this population. We attempted a prospective follow-up of 85 parasuicide cases an average of 8½ years later. Psychiatric morbidity, social functioning, and recollections of the parenting style of their parents were assessed using the Clinical Interview Schedule, the Social Maladjustment Scale, and the Parental Bonding Instrument, respectively. Thirty-nine persons in total were interviewed, 19 of whom were well and 20 of whom had psychiatric morbidity. Five had died during the follow-up period, 3 by suicide. Migration, refusals, and untraceability were common. Parasuicide was associated with parental overprotection during childhood. Long-term outcome is poor, especially among those who engaged in repeated parasuicides.

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