Setting up a drug treatment service in a COVID-protect hotel in inner London

2022 ◽  
Vol 4 (1) ◽  
pp. 32-40
Author(s):  
John Dunn ◽  
Ruari McCallion ◽  
Helene Simonson
Keyword(s):  
Drug Treatment ◽  
Healthcare Providers ◽  
Homeless People ◽  
Opioid Therapy ◽  
Health Needs ◽  
Treatment Service ◽  
Controlled Drugs ◽  
The Government ◽  
Multiple Health ◽  
Local Healthcare

At the start of the UK's COVID-19 lockdown, the government announced an ‘Everyone In’ strategy to get homeless people off the streets and into accommodation. An Inner London borough opened a hotel to house up to 100 homeless people to address their health needs. Local healthcare providers were asked to provide in-reach services. This article describes the setting up and delivery of a drug treatment service to provide substitute opioid therapy. Thirty-five people were taken into drug treatment in the hotel between April and December 2020. During this time various challenges had to be addressed including same-day prescribing, delivering and supervising controlled drugs and responding to drug dealing in the hotel. Partnership work between the different healthcare providers was essential for the success of this project and offers a model that could be used going forward to deliver comprehensive wrap-around services to hard-to-engage individuals with multiple health needs.

Multiple health needs and homeless people

2004 ◽  
Vol 14 (7) ◽  
pp. 20-22 ◽  
Author(s):  
Brenda Roche
Keyword(s):  
Homeless People ◽  
Health Needs ◽  
Multiple Health

GPs’ experience of safeguarding in care homes: what do they see and what do they do?

2020 ◽  
Vol 70 (suppl 1) ◽  
pp. bjgp20X711269
Author(s):  
Elisabeth Alton ◽  
Caroline White
Keyword(s):  
Online Survey ◽  
Qualitative Data ◽  
Care Home ◽  
Health Needs ◽  
Care Homes ◽  
Electronic Records ◽  
Multiple Relationships ◽  
Home Context ◽  
Emerging Themes ◽  
Multiple Health

BackgroundAbuse of older people in care homes is an on-going problem. GPs, as the most frequent practitioner group visiting care homes, have an important role in detecting and reporting abuse. However, there is little research about GPs’ experiences of working in care homes and how they work to safeguard residents.AimTo explore the challenges experienced by GPs working in this unique environment and how these impact on safeguarding.MethodAn online survey collected qualitative data about GPs’ experiences as visiting professionals to care homes, with an emphasis on safeguarding. A thematic analysis identified key themes.ResultsIn total, 58 completed surveys were returned, with a range of practitioner experience represented (1–30 years). Approximately 70% were GP partners, with the remainder salaried and locum doctors. Over one third reported they had witnessed signs of definite or possible abuse within care homes. Emerging themes related to the complex care home context, in which residents had multiple health needs and GPs had to build multiple relationships with managers, carers, families, and residents. Difficulties in accessing information were reported; residents could not always provide information, GPs had to rely on others for information, and rarely had access to electronic records.ConclusionGP work in care homes is a complex and skilled role, in which GPs encounter evidence of poor care and abuse. Key themes in respect of barriers and facilitators of good care were highlighted. The reliance on others for information and the need to build relationships with staff/managers may raise tensions in respect of safeguarding practice.

The role of detoxification using methadone reduction in a drug treatment service

2003 ◽  
Vol 8 (4) ◽  
pp. 252-259 ◽  
Author(s):  
Ed Day ◽  
Kaye Fisher ◽  
Jacqueline Watson ◽  
Omar Al‐Gommer ◽  
Thomas McCormick
Keyword(s):  
Drug Treatment ◽  
Treatment Service

Characteristics of clients using a community-based drug treatment service (‘CAPS-AD’) in Brazil: An exploratory study

2016 ◽  
Vol 31 ◽  
pp. 99-103 ◽  
Author(s):  
Andrea Donatti Gallassi ◽  
Eduardo Yoshio Nakano ◽  
Gabriela Arantes Wagner ◽  
Maria de Nazareth Rodrigues Malcher de Oliveira Silva ◽  
Benedikt Fischer
Keyword(s):  
Drug Treatment ◽  
Exploratory Study ◽  
Treatment Service ◽  
Community Based

scholarly journals Community Needs Assessments in a Student-Run Clinic serving a West Philadelphia Neighborhood

2020 ◽  
Author(s):  
Daniel J. Arenas ◽  
Dania D. Hallak ◽  
Rommell Noche ◽  
Gilberto Vila-Arroyo ◽  
Swathi Raman ◽  
...  
Keyword(s):  
Pap Smear ◽  
Health Needs ◽  
Local Health ◽  
Community Members ◽  
Community Needs ◽  
Needs Assessments ◽  
Healthcare Needs ◽  
Health Related ◽  
Healthcare Interventions ◽  
Local Healthcare

ABSTRACTBackgroundWhile Community Needs Assessments (CNAs) are an important tool for Student-Run Clinics (SRCs) to understand local communities’ healthcare needs, few studies have evaluated CNAs and their impact on care provided at SRCs.ObjectiveEvaluate results from two CNAs of an SRC in East Parkside, Philadelphia to better comprehend (1) community awareness and opinions regarding the SRC and (2) local healthcare concerns and access.Methods58 and 105 East Parkside residents were surveyed in 2011 and 2015 respectively. The results were analyzed to quantify various health-related measures in the community.ResultsResults showed high rates of hypertension, asthma, and diabetes. Rates of pap-smear and hypertension screening matched national averages while mammograms and colonoscopies were below national rates. Both CNAs showed that less than 40% of community members were aware of the clinic’s existence.ConclusionsCNAs can provide valuable insights regarding local health needs which can inform future healthcare interventions.

Ethics of Electronic Health Record Systems

2020 ◽  
pp. 1467-1484
Author(s):  
Brian J. Galli
Keyword(s):  
Electronic Health Record ◽  
Ethical Issues ◽  
Healthcare Providers ◽  
Meaningful Use ◽  
Health Record ◽  
Ethical Implications ◽  
Incentive Programs ◽  
Time Period ◽  
Electronic Health ◽  
The Government

This article describes how healthcare and IT are combatting the ethical implications of electronic health records (EHRs) in order to make them adopted by over 90% of small practices. There is a lack of trust in EHRs and uneasiness about what they will accomplish. Furthermore, security concerns have become more prevalent as a result of increased hacker activity. The objective of this article is to analyze these ethical issues in an effort to eliminate them as a hinderance to EHR implementation. As of now, 98% of all hospitals use EHRs. Between 2009 and 2015, the government allocated money and resources for incentive programs to get EHRs into every healthcare providers' office. During this time period, over $800 million dollars facilitated EHR implementation. Using this as a tool EHRs negative perception can be revitalized and combated with the meaningful use program. This article will highlight the ethical implications of EHRs and suggest ways in which to avoid them to make EHRs available in every healthcare provider.

scholarly journals Interrogating the Prevention Approach of the Housing (Wales) Act 2014 for People with Mental Health Needs Who Are Homeless

2019 ◽  
Vol 19 (1) ◽  
pp. 109-120 ◽  
Author(s):  
Michaela Rogers ◽  
Anya Ahmed ◽  
Iolo Madoc-Jones ◽  
Andrea Gibbons ◽  
Katy Jones ◽  
...  
Keyword(s):  
Mental Health ◽  
Service Providers ◽  
Homeless People ◽  
Poor Mental Health ◽  
Health Needs ◽  
Critical Examination ◽  
Welfare Regimes ◽  
Prevention Policy ◽  
Mental Health Needs ◽  
New Evidence

Rates of homelessness and poor mental health present significant challenges across the globe. In this article, we explore how these intersecting issues have been addressed in Wales through Part 2 of the Housing (Wales) Act 2014 through a paradigm shift towards a prevention model. This article reports findings from a study (conducted between 2016 and 2018) which evaluated the processes and impacts of the Act against the backdrop of welfare reform and systemic changes taking place in Wales and the UK. Using new evidence, we offer a critical examination of how homelessness prevention policy operates in practice and how social values and power affect policy implementation. We offer new evidence of the translation of policy into practice through the experiences of two stakeholder groups: people with mental health needs and service providers. In doing so, we offer a critique of how policy and practice could be modified to improve outcomes for homeless people with implications for prevention policy in Wales and in other contexts and different welfare regimes.

scholarly journals Do community scorecards improve utilisation of health services in community clinics: experience from a rural area of Bangladesh

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
S. M. A. Hanifi ◽  
Aazia Hossain ◽  
Asiful Haidar Chowdhury ◽  
Shahidul Hoque ◽  
Mohammad Abdus Selim ◽  
...  
Keyword(s):  
Health Services ◽  
Rural Area ◽  
Service Providers ◽  
Healthcare Providers ◽  
Community Support ◽  
Healthcare Services ◽  
Public Health Services ◽  
Community Clinics ◽  
Community Awareness ◽  
The Government

Abstract Background The government of Bangladesh initiated community clinics (CC) to extend the reach of public health services and these facilities were planned to be run through community participation. However, utilisation of CC services is still very low. Evidence indicates community score card is an effective tool to increase utilisation of services from health facility through regular interface meeting between service providers and beneficiary. We investigated whether community scorecards (CSC) improve utilisation of health services provided by CCs in rural area of Bangladesh. Methods This study was conducted from December 2017 to November 2018. Three intervention and three control CCs were selected from Chakaria, a rural sub-district of Bangladesh. CSC was introduced with the Community Groups and Community Support Groups in intervention CCs between January to October 2018. Data were collected through observation of CCs during operational hours, key informant interviews, focus group discussions, and from DHIS2. Utilisation of CC services was compared between intervention and control areas, pre and post CSC intervention. Results Post CSC intervention, community awareness about CC services, utilisation of clinic operational hours, and accountability of healthcare providers have increased in the intervention CCs. Utilisation of primary healthcare services including family planning services, antenatal care, postnatal care and basic health services have significantly improved in intervention CCs. Conclusion CSC is an effective tool to increase the service utilization provided by CCs by ensuring community awareness and participation, and service providers’ accountability. Policy makers and concerned authorities may take necessary steps to integrate community scorecard in the health system by incorporating it in CCs.

scholarly journals Being at the Bottom Rung of the Ladder in an Unequal Society: A Qualitative Analysis of Stories of People without a Home

2019 ◽  
Vol 16 (23) ◽  
pp. 4620 ◽  
Author(s):  
Mabhala ◽  
Yohannes
Keyword(s):  
Social Services ◽  
Adverse Childhood Experiences ◽  
Homeless People ◽  
Theoretical Explanation ◽  
Poor Health ◽  
Childhood Experiences ◽  
North West ◽  
Adverse Childhood ◽  
Social Goods ◽  
The Government

Background: Homelessness is rising in the United Kingdom, despite investment in measures to eradicate it made by the government and charity organisations. Aim: The aim is to examine the stories of homeless people in order to document their perceptions of their social status, the reasons that led to their homelessness, and propose a conceptual explanation. Method: We conducted 26 semi-structured interviews in three centres for homeless people in Cheshire, North West of England. Results: Three categories—education, employment, and health—emerged from the data and provided a theoretical explanation for the reasons that led to their homelessness. These are vital not only for the successful negotiation of one’s way out of homelessness, but also for achieving other social goods, including social connections, social mobility, and engaging in positive social relationships. Conclusion: Participants catalogued the adverse childhood experiences, which they believe limited their capacity to meaningfully engage with the social institution for social goods, such as education, social services, and institutions of employment. Since not all people who have misfortunes of poor education, poor health, and loss of job end up being homeless, we contend that a combination of these with multiple adverse childhood experiences may have weakened their resilience to traumatic life changes, such as loss of job and poor health.

Hospices and palliative care for children: converging stories

2019 ◽  
Vol 130 (1) ◽  
pp. 81-88 ◽  
Author(s):  
Richard D W Hain
Keyword(s):  
Palliative Care ◽  
Palliative Medicine ◽  
Healthcare Providers ◽  
Specialist Palliative Care ◽  
Funding Formula ◽  
Published Research ◽  
Local Healthcare

Abstract Introduction Children’s hospices offer support to children and their families according to a model that is quite different from adult hospices and has evolved in parallel with specialist paediatric palliative medicine services. Sources of data Published research, Together for Short Lives. Areas of agreement The services hospices offer are highly valued by families. Areas of controversy It is not always clear that hospices can be described as ‘specialist’, which can make it difficult for hospices to negotiate appropriate commissioning arrangements with the statutory sector. Growing points Children’s palliative care generally is poorly developed compared with the adult specialty, and local providers should work with hospices to help redress the inequity that children face in accessing specialist palliative care. Areas timely for developing research If hospices are to continue to be important providers of palliative care in children they must develop robust and fair relationships with local healthcare providers. That would be facilitated by development of a funding formula for children that properly acknowledges the part hospices already play in palliative care.

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