Managing radicalised patients in healthcare: raising questions for future service development

2019 ◽  
Vol 25 (5) ◽  
pp. 196-204 ◽  
Author(s):  
Feryad A Hussain ◽  
Lindsay Royan
Keyword(s):  
Therapeutic Interventions ◽  
Service Development ◽  
Police Departments ◽  
Care Services ◽  
Professional Challenges ◽  
Health And Social Care ◽  
Working Together ◽  
The Uk ◽  
Models Of Service Delivery ◽  
Specific Project

Today, there are an ‘increasing number of radicalised ‘returnees’ coming home after being involved in fighting abroad. While the issue of radicalisation has existed for a number of decades, the UK faces a growing problem of managing people who have been exposed to radical beliefs. The literature has identified a number of common, contributory factors that are rooted in psychosocial issues. To this effect, health and social care services are being asked to offer therapeutic interventions and support, while working together with legal teams and police departments in order to develop a suitable preventative/management strategy. This article has been borne out of a specific project of one such team. It considers the professional challenges that teams face in applying existing models of service delivery to a new and emerging area of healthcare. An alternative working model is suggested for the development of future services.

Residential care in Australia, Part II: A review of recent literature and emerging themes to inform service development

2008 ◽  
Vol 33 (2) ◽  
pp. 18-36 ◽  
Author(s):  
Howard Bath
Keyword(s):  
Residential Care ◽  
Recent Literature ◽  
Service Development ◽  
Care Services ◽  
The Usa ◽  
Emerging Themes ◽  
The Uk

This is the second of a two-part discussion about the development of residential care services in Australia. It contains a review of some of the recent literature on residential care from Australia, the UK, Canada and the USA. It concludes with a look at the major themes and issues that emerge from this literature as well as the service trends and developments canvassed in Part I.

On the post-Brexit prospects for social policy in the UK

2017 ◽  
Author(s):  
Robert Pinker
Keyword(s):  
Social Policy ◽  
Intention To Leave ◽  
The European Union ◽  
Care Services ◽  
Health And Social Care ◽  
Legal Challenges ◽  
Keynote Speech ◽  
Article 50 ◽  
The Uk ◽  
The Eu

In this afterthought, Robert Pinker reflects on the prospects for social policy in the UK after Brexit. On 23 June 2016. the UK electorate voted to leave the European Union. The process of exiting the EU would commence right after the UK Government declared its intention to leave by triggering Article 50 of the Lisbon Treaty. Pinker discusses the debate in the UK regarding the kind of Brexit favoured by those who wanted to leave the EU — a ‘hard’ or a ‘soft’ one. He also considers the legal challenges to a fast-track Brexit, along with the Prime Minister's Lord Mayor's keynote speech promising to adopt a new approach to managing the forces of globalisation and the Chancellor's Autumn Statement on 23 November 2017. Finally, he looks at the funding crisis in UK health and social care services, the government's 12-point Brexit Plan, and the Supreme Court's rulings on Article 50.

scholarly journals Health and social care access for adults with learning disabilities across the UK during the COVID-19 pandemic in 2020

2021 ◽  
Vol 26 (3) ◽  
pp. 174-179
Author(s):  
Samantha Flynn ◽  
Chris Hatton
Keyword(s):  
Learning Disabilities ◽  
Northern Ireland ◽  
Social Care ◽  
Family Carers ◽  
Content Type ◽  
Care Services ◽  
Health And Social Care ◽  
Adults With Learning Disabilities ◽  
The Uk ◽  
The Impact

Purpose This paper aims to present data about access to health and social care services during the COVID-19 pandemic for adults with learning disabilities across England, Northern Ireland, Scotland and Wales. Design/methodology/approach Data were collected directly from 621 adults with learning disabilities and through separate proxy reports by family carers and paid support staff of another 378 adults with learning disabilities. The data were collected between December 2020 and February 2021 and concerned the use of health and social care services since the start of the first COVID-19 national lockdown in March 2020. Findings Access to and use of health and social care services significantly reduced for adults with learning disabilities across the UK during the COVID-19 pandemic between March 2020 and February 2021, with many people not receiving any services at all during that period. Similar patterns were seen across England, Northern Ireland, Scotland and Wales. However, data suggest some variations between countries for some services. Practical implications Future pandemic planning must ensure that access to these essential services is not completely lost for adults with learning disabilities and their family carers, as it was in some cases during the COVID-19 pandemic in 2020. Originality/value This is the largest study about the impact of the COVID-19 pandemic on health and social care services for adults with learning disabilities in the UK. The authors primarily collected data directly from adults with learning disabilities, and worked with partner organisations of people with learning disabilities throughout the study.

Culturally sensitive approaches to health and social care

2009 ◽  
Vol 52 (6) ◽  
pp. 773-784 ◽  
Author(s):  
Ruby C.M. Chau ◽  
Sam W.K. Yu
Keyword(s):  
Older People ◽  
Minority Groups ◽  
Social Care ◽  
Ethnic Minority Groups ◽  
Services De Santé ◽  
Care Services ◽  
Health And Social Care ◽  
Chinese Older People ◽  
The Uk ◽  
Los Grupos

English With the focus on how Chinese older people in the UK use health and social care services, this article demonstrates how these services’ sensitivity is undermined by mistaken assumptions about whether ethnic-minority groups organize health and care according to their cultural principles, and the unity of these principles. French Centré sur la façon dont les Chinois âgés utilisent les services de santé et d’accompagnement social en Grande Bretagne, cet article démontre comment la perception de ces services est biaisée par des représentations erronées selon lesquelles les groupes des minorités ethniques organisent la santé et l’accompagnement social selon leurs principes culturels et en vertu de l’unité de ces principes. Spanish Este artículo se centra en cómo las personas chinas de tercera edad usan los servicios sociales y de salud en Gran Bretaña. Hay suposiciones erróneas acerca de la unidad de principios culturales, y acerca de cómo los grupos étnicos organ izan el cuidado social y el cuidado de la salud. Estas suposiciones debilitan la sensibilidad cultural hacia estos grupos.

scholarly journals Barriers and facilitators to accessing health and social care services for people living in homeless hostels: a qualitative study of the experiences of hostel staff and residents in UK hostels

BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e053185
Author(s):  
Megan Armstrong ◽  
Caroline Shulman ◽  
Briony Hudson ◽  
Patrick Stone ◽  
Nigel Hewett
Keyword(s):  
Social Care ◽  
Barriers And Facilitators ◽  
Complex Needs ◽  
Care Access ◽  
Care Services ◽  
Health And Social Care ◽  
Service Barriers ◽  
The Uk ◽  
The Impact ◽  
Care Support

IntroductionThe number of people living in homeless hostels in the UK has steadily increased over the past decade. Despite people experiencing homelessness often having considerable health problems and a range of complex needs frequently in association with addictions, the experiences of hostel staff and residents especially in relation to accessing health and social care support have seldom been explored. The aim of this paper is to identify the barriers and facilitators to accessing health and social care services for people living in homeless hostels.DesignExploratory qualitative baseline data were collected as part of an intervention to facilitate palliative care in-reach into hostels.Setting/participantsInterviews were conducted with 33 participants; 18 homeless hostel managers/support staff and 15 people experiencing homelessness, from six homeless hostels in London and Kent.ResultsThree themes were identified (1) internal and external service barriers to health and social care access due to stigma, lack of communication and information sharing from services and assumptions around capacity and the role of the hostel, (2) the impact of lack of health and social care support on hostel staff leading to burnout, staff going beyond their job role and continuous support given to residents, (3) potential facilitators to health and social care access such in-reach and support from those who understand this population and hostel staff training.DiscussionResidents have multiple complex needs yet both hostel staff and residents face stigma and barriers accessing support from external services. Positive relationships were described between hostel residents and staff, which can be an essential step in engaging with other services. People experiencing homelessness urgently need better access to person-centred, trauma-informed support ideally via in-reach from people who understand the needs of the population.

scholarly journals How Do People Who Are Homeless Find Out about Local Health and Social Care Services: A Mixed Method Study

2021 ◽  
Vol 19 (1) ◽  
pp. 46
Author(s):  
Vanessa Heaslip ◽  
Sue Green ◽  
Bibha Simkhada ◽  
Huseyin Dogan ◽  
Stephen Richer
Keyword(s):  
Mixed Methods Research ◽  
Research Study ◽  
Social Care ◽  
Third Sector ◽  
Local Health ◽  
Care Services ◽  
Study Results ◽  
Health And Social Care ◽  
One To One ◽  
The Uk

Background: There are significant numbers of people experiencing homelessness both in the UK and internationally. People who are homeless are much more likely to die prematurely and, therefore, need strong access to ongoing health and social care support if we hope to address the health disparity they face. Objectives: The aim of the research was to explore how people who are homeless identify and locate appropriate health and social care services. Design: A mixed methods research study was applied on people who are currently homeless or had previously experienced homelessness. Settings: The research study was based in an urban area in the southwest of England. The area was chosen as it was identified to be in the top 24 local authorities for the number of homeless individuals. Participants: A hundred individuals participated in the survey, of those 32% were living on the streets whilst 68% were living in temporary accommodation such as a charity home, shelter or a hotel paid for by the local authority. In addition, 16 participated in either a focus group or one-to-one interview Methods: The quantitative component consisted of a paper-based questionnaire whilst the qualitative aspect was focus groups/one-to-one interviews. The COREQ criteria were used in the report of the qualitative aspects of the study. Results: Quantitative data identified poor health in 90% of the sample. Access to both healthcare and wider wellbeing services (housing and food) was problematic and support for this was largely through third sector charity organisations. Qualitative data identified numerous systemic, individual and cultural obstacles, leaving difficulty for people in terms of knowing who to contact and how to access services, largely relying on word of mouth of other people who are homeless. Conclusions: In order to address health inequities experienced by people who are homeless, there is a need to review how information regarding local health and wider wellbeing services is provided in local communities.

Moving towards culturally competent dementia care: have we been barking up the wrong tree?

2005 ◽  
Vol 15 (1) ◽  
pp. 39-46 ◽  
Author(s):  
Jenny Mackenzie ◽  
Ruth Bartlett ◽  
Murna Downs
Keyword(s):  
Service Providers ◽  
Evidence Base ◽  
Culturally Competent ◽  
Ethnic Communities ◽  
Cultural Groups ◽  
Care Services ◽  
People With Dementia ◽  
Health And Social Care ◽  
The Uk ◽  
Minority Ethnic

In the UK it is established that health and social care services for people with dementia from black and minority ethnic communities need to move towards providing evidence-based culturally appropriate care. At present, however, the evidence base available to guide professionals working with people with dementia from diverse ethnic and cultural groups is limited, and beliefs about dementia and the type of treatment and support needed have received little attention. Consequently this creates problems for service providers faced with appropriately supporting people with dementia and their families from black and minority ethnic communities.

Integrated Care

2020 ◽  
pp. 166-191
Keyword(s):  
Integrated Care ◽  
Social Services ◽  
Social Care ◽  
Care Services ◽  
Health And Social Care ◽  
Governance Challenges ◽  
Quality Health ◽  
The Uk ◽  
Local Levels

Delivering high quality health and social care is considered to be one of the key governance challenges in the UK. People are living longer, and chronic diseases are more prevalent, which puts ever more pressure on health and social services to deliver. In order to better co-ordinate these services and deal with increased demand and funding pressures, authorities at both national and local levels are moving towards integrated care services. However, the integration of these services is plagued with difficulties. This chapter will explore the complexities of joining-up health and social care. It includes a case study of Continuing Healthcare (CHC), which is a package of care provided by the National Health Service (NHS) and which involves a number of providers across the health and social care sectors. While much of the chapter focuses on health and social care challenges in England, it will finish with analysis of Scotland's progress towards integrated services.

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