scholarly journals Social workers’ perspectives on a medical home model for children and adolescents in out of home care – an interview study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nina Johansson ◽  
Karin Fängström ◽  
Georgina Warner
Keyword(s):  
Health Care ◽  
Home Care ◽  
Children And Adolescents ◽  
Social Workers ◽  
Social Service ◽  
Medical Home ◽  
Health Care Sector ◽  
Out Of Home Care ◽  
The Social ◽  
Medical Home Model

Abstract Background This study seeks to explore how social workers have perceived and experienced a medical home model for children and adolescents in out-of-home care in Uppsala County, Sweden. Method A qualitative explorative study was conducted, which involved ten semi-structured individual telephone interviews with social workers. The study sample included employees within the social service, working in a specialised case unit who had experience of referring children and/or adolescents to the medical home model called Hälsofam. Data were analysed inductively using thematic analysis. Results The findings of the current study indicated that working with Hälsofam has offered social workers a way into the health care sector and an active collaborative working situation, with focus on organised work across the ‘silos’ of care services. However, the findings raised the question of whether or not all children and adolescents have the same possibility to receive care from Hälsofam. Conclusion The findings indicated that the Hälsofam model had a positive impact on the interrelations between the social service and the health care sector. Yet, findings showed that personal views of the social worker and the societal situation in which they operate create limitations for providing care for every child and adolescent. This study adds to the extant literature for it addresses the limitations within the work of children and adolescents in out-of-home care.

Head Start and Social Work

1997 ◽  
Vol 78 (2) ◽  
pp. 172-184 ◽  
Author(s):  
Arthur J. Frankel
Keyword(s):  
Social Work ◽  
Head Start ◽  
Social Workers ◽  
Social Service ◽  
Financial Resources ◽  
Current Status ◽  
Service Component ◽  
Work Involvement ◽  
The Social ◽  
Head Start Programs

The author states that the social work profession is not sufficiently involved with Head Start. Data from a representative sample of Head Start programs shows the minimal role professional social workers play with Head Start even when ample financial resources to hire BSWs or MSWs are available. Evidence suggests, however, that Head Start is open to increased professional social work involvement. The author presents reasons social work professionals are underrepresented in Head Start and recommendations for increasing professional involvement and influence. The author also discusses the history and current status of Head Start, including a thorough description of Head Start's social service component.

Die freie Wohlfahrtspflege und die wachsenden Steuerungsansprüche des Staates: Fokus Kostendruck

2019 ◽  
Vol 68 (1) ◽  
pp. 67-74
Author(s):  
Ulrich Stoebe
Keyword(s):  
Health Care ◽  
Welfare State ◽  
Social Service ◽  
Service Providers ◽  
Social Resources ◽  
Health Care Sector ◽  
Federal State ◽  
European Law ◽  
Crucial Importance ◽  
Welfare Mix

Zusammenfassung Subsidiarität ist in vielfältiger Weise ein verbindlicher, wenn auch auslegungsbedürftiger Grundsatz im deutschen und europäischen Recht. Zum Subsidiaritätsprinzip (als „Grundsatz des hilfreichen Beistands“) gehört die Verantwortung von Staat und Kommunen für die Vorhaltung von infrastrukturellen und sozialen Ressourcen. Anders als in vormodernen Gesellschaften mit ihren klaren Rollenzuweisungen in Familie und Gesellschaft ist für eine moderne Gesellschaft aber charakteristisch, dass sie eine Vielfalt von Akteuren kennt. So hat im deutschen Sozial- und Gesundheitssektor die verbandlich organisierte Wohlfahrtspflege eine herausragende Bedeutung. Innerhalb eines neu gestalteten subsidiären wohlfahrtsstaatlichen Arrangements muss gewährleistet werden, dass sich die Stärken und Schwächen der verschiedenen Träger sozialer Dienste optimal ergänzen. Ziel sollte die Transformation vom versäulten Wohlfahrtskorporatismus hin zum vernetzten Wohlfahrtsmix sein. Abstract: Association Welfare and Welfare Market Reformulation of Subsidiarity? Although subsidiarity is in many ways a binding principle in German and European law, it always requires interpretation. In accordance with the principle of subsidiarity (as a „helpful assistance principle“) the federal state as well as municipalities have the responsibility to provide infrastructural and social resources. Unlike pre-modern societies with their clear distribution of roles in family and society, modern societies are characterised by a variety of actors. For example, welfare associations in the German social and health care sector are of crucial importance. Within a newly designed subsidiary welfare state arrangement it is necessary to ensure that the strengths and weaknesses of the various social service providers are taken into account. The goal should be the transformation of the welfare corporatism of isolated columns to a vertically linked welfare mix. JEL-Klassifizierung: I1, I2, I3

scholarly journals Organisational models of health services for children and adolescents in out‐of‐home care: Health technology assessment

2019 ◽  
Vol 109 (2) ◽  
pp. 250-257
Author(s):  
Tita Mensah ◽  
Anders Hjern ◽  
Kickan Håkanson ◽  
Pia Johansson ◽  
Ann Kristine Jonsson ◽  
...  
Keyword(s):  
Health Services ◽  
Home Care ◽  
Health Technology Assessment ◽  
Children And Adolescents ◽  
Technology Assessment ◽  
Health Technology ◽  
Out Of Home Care ◽  
Care Health

Coordinated Primary Care (“Medical Home” Model)

2009 ◽  
Vol 2 (2) ◽  
pp. 60-64 ◽  
Author(s):  
Mary Petermann Garnica
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Nurse Practitioners ◽  
Medical Home ◽  
Primary Care Physicians ◽  
Team Leaders ◽  
Care Nurse ◽  
Medical Home Model ◽  
Primary Care Practices ◽  
Primary Care Medical Home

Health care is inaccessible and too expensive for a large segment of the U.S. population. In addition, the past decade has produced many reports of significant problems related to safety, quality, and effectiveness in U.S. health care. The future of primary care is in question because of a current and projected worsening shortage of primary care physicians. A physician-led coordinated primary care model has been endorsed by major physicians groups as having the potential to address many of these problems. The model, also known as the “medical home,” has gained momentum and appears likely to play a central role as the nation moves forward to reform health care. Nurse practitioners have traditionally practiced “coordinated primary care” and are ideally suited to lead practices adopting this model of care. This article provides rationale for nurse practitioners to be fully recognized as team leaders of coordinated primary care practices.

The social and family backgrounds of infants in South Australian out-of-home care 2000–2005: Predictors of subsequent abuse notifications

2009 ◽  
Vol 31 (2) ◽  
pp. 219-226 ◽  
Author(s):  
Paul Delfabbro ◽  
Mignon Borgas ◽  
Nancy Rogers ◽  
Helen Jeffreys ◽  
Ros Wilson
Keyword(s):  
Home Care ◽  
Out Of Home Care ◽  
The Social

scholarly journals Measuring care coordination in German primary care – adaptation and psychometric properties of the Medical Home Care Coordination Survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Aleida Ringwald ◽  
Katja Goetz ◽  
Jost Steinhaeuser ◽  
Nina Fleischmann ◽  
Alexandra Schüssler ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Home Care ◽  
Care Coordination ◽  
Medical Home ◽  
Health Care Team ◽  
Healthcare Team ◽  
Team Members ◽  
Care Practices ◽  
Primary Care Practices

Abstract Background Continuity of care is associated with many benefits for patients and health care systems. Therefore measuring care coordination - the deliberate organization of patient care activities between two or more participants - is especially needed to identify entries for improvement. The aim of this study was the translation and cultural adaptation of the Medical Home Care Coordination Survey (MHCCS) into German, and the examination of the psychometric properties of the resulting German versions of the MHCCS-P (patient version) and MHCCS-H (healthcare team version). Methods We conducted a paper-based, cross-sectional survey in primary care practices in three German federal states (Schleswig-Holstein, Hamburg, Baden-Württemberg) with patients and health care team members from May 2018 to April 2019. Descriptive item analysis, factor analysis, internal consistency and convergent, discriminant and predictive validity of the German instrument versions were calculated by using SPSS 25.0 (Inc., IBM). Results Response rates were 43% (n = 350) for patients and 34% (n = 141) for healthcare team members. In total, 300 patient questionnaires and 140 team member questionnaires could be included into further analysis. Exploratory factor analyses resulted in three domains in the MHCCS-D-P and seven domains in the MHCCS-D-H: “link to community resources”, “communication”, “care transitions”, and additionally “self-management”, “accountability”, “information technology for quality assurance”, and “information technology supporting patient care” for the MHCCS-D-H. The domains showed acceptable and good internal consistency (α = 0.838 to α = 0.936 for the MHCCS-D-P and α = 0.680 to α = 0.819 for the MHCCS-D-H). As 77% of patients (n = 232) and 63% of health care team members denied to have or make written care plans, items regarding the “plan of care” of the original MHCCS have been removed from the MHCCS-D. Conclusions The German versions of the Medical Home Care Coordination Survey for patients and healthcare team members are reliable instruments in measuring the care coordination in German primary care practices. Practicability is high since the total number of items is low (9 for patients and 27 for team members).

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