Des services intégrés pour les personnes âgées fragiles (SIPA): expérimentation d'un modèle pour le Canada

2006 ◽  
Vol 25 (1) ◽  
pp. 5-24 ◽  
Author(s):  
François Béland ◽  
Howard Bergman ◽  
Paule Lebel ◽  
Luc Dallaire ◽  
John Fletcher ◽  
...  
Keyword(s):  
Social Services ◽  
Functional Limitations ◽  
Community Services ◽  
Personnes Âgées ◽  
Control Group ◽  
Random Allocation ◽  
Elderly Persons ◽  
Health And Social Services ◽  
Care Protocol ◽  
Home Placement

ABSTRACTThe complex formed by chronic illness, episodes of acute illness, physiological disabilities, functional limitations, and cognitive problems is prevalent among frail elderly persons. These individuals rely on assistance from social and health care programs, which in Canada are still fragmented. SIPA (Services intégrés pour les personnes âgées fragiles) is an integrated service model based on community services, a multidisciplinary team, case management that retains clinical responsibility for all the health and social services required, and the capacity to mobilize resources as required and according to the care protocol. The SIPA demonstration project used an experimental design, with random allocation of the 1,230 participants from two areas of Montreal to an experimental and a control group. The costs of institutional services were $4,270 less for those in the SIPA group compared to the control group; the costs of community care were $3,394 more. The proportion of persons waiting in acute care hospitals for nursing home placement was twice as high in the control group as in the SIPA group. The costs of acute hospitalizations for persons in the SIPA group with ADL disabilities were at least $4,000 lower than those for persons in the control group. In conclusion, the SIPA trial showed that it is possible to undertake ambitious and rigorous demonstration projects in Canada. These results were obtained without an increase in the overall costs of health and social services, without reducing the quality of care, and without increasing the burden on elderly persons and their relatives.

Randomized Trial of a Health Promotion Program For Frail Elders

1992 ◽  
Vol 11 (1) ◽  
pp. 72-91 ◽  
Author(s):  
Nancy Hall ◽  
Paula De Beck ◽  
Debra Johnson ◽  
Kelly Mackinnon ◽  
Gloria Gutman ◽  
...  
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Treatment Group ◽  
Community Services ◽  
Personal Health ◽  
Control Group ◽  
Elderly Persons ◽  
Term Care ◽  
Care At Home ◽  
At Home

AbstractThis study evaluates a local health promotion project that may be widely adaptable to assist frail elderly persons to live longer at home. Subjects, enrolled in New Westminster, B.C., were men and women aged 65 and over living in their own homes but assessed and newly admitted to “personal care at home” by the Long Term Care (LTC) program of the B.C. Ministry of Health. About 90 per cent of eligible clients consented to participate. Randomized to Treatment or Control, they were followed for three years. Controls (n = 86) received standard LTC services, which included screening and pre-admission assessment, arrangement/purchase of needed services and review at three months and at least yearly thereafter. The Treatment group (n = 81) received standard LTC services plus visits from the project nurse who helped each subject to devise a personal health plan based on his or her needs in the areas of health care, substance use, exercise, nutrition, stress management, emotional functioning, social support and participation, housing, finances and transportation. The visits concentrated on setting goals and developing personal health skills, with referral to appropriate community services. An additional group of LTC clients (n = 81) from the adjacent community of Coquitlam was also followed. Success or “survival” was defined as “alive and still assessed for care at home”. After three years the “survival rate” for the Treatment group was 75.3 per cent, compared with 59.3 per cent for the Control group and 58.0 per cent for the Coquitlam group. Standard Kaplan-Meier “survival” graphs show that Treatment subjects were more likely to be alive and living at home at every time point during the three years. Differences between the Treatment and Control groups were statistically significant (p ≤ 0.05) both for simple cross-tabulations of care status at 24 and 36 months and in tests comparing “survival” curves. The results are especially striking because Control subjects received LTC services in a geographic area that offers universal access to health care and community resources and because the Control data were concurrent, not historical.

scholarly journals Tread Softly (UK, 1985, 51 mins)

1986 ◽  
Vol 10 (10) ◽  
pp. 293
Author(s):  
Elizabeth Garrett
Keyword(s):  
Mental Health ◽  
Health Services ◽  
Social Services ◽  
Local Community ◽  
Psychiatric Hospitals ◽  
Community Services ◽  
Important Distinction ◽  
Training Material ◽  
Health And Social Services ◽  
Educational Films

ESCATA, the enterprising and innovative organisation which specialises in training material for health and social services professionals, does not claim mainly to produce educational films but rather, what it terms ‘video assisted workshops’. This is an important distinction and should be borne in mind when viewing the ‘Tread Softly’ video which looks at the transition from large psychiatric hospitals to local community services and is intended for practitioners, planners, managers and members from both voluntary and statutory mental health services.

Climate Change Adaptation for Health and Social Services

2015 ◽  
Keyword(s):  
Climate Change ◽  
Social Services ◽  
Climate Change Adaptation ◽  
Aboriginal People ◽  
Climate Change Impacts ◽  
Community Services ◽  
Population Groups ◽  
Services Sector ◽  
Health And Social Services ◽  
Impacts Of Climate Change

Climate Change Adaptation for Health and Social Services addresses concerns from the health and community services sector, including local government, about how to respond to climate change and its impacts on communities. What should an intervention framework for the community-based health and social services sector contain and how can it complement an organisation's core values, role and work programs? What current direct and indirect impacts of climate change are most relevant to organisations and the communities they serve? Which population groups are most vulnerable to climate change and what are the impacts on them? Above all, what can be done to reduce the current risks from climate change to clients, communities and organisations? Written by expert researchers and practitioners, this book presents existing research, innovative practice and useful tools to support organisations taking practical steps towards adaptation to the impacts of climate change on people. It examines the evidence of climate change impacts on six of the most vulnerable population groups – people with disability; older people; women and children; Aboriginal people; rural people; and people from culturally and linguistically diverse backgrounds – as well as discussing effective interventions. Other key issues covered include health and social impacts of climate change, adaptation, mitigation, climate change communication, organisational adaptation and a case study of innovation illustrating some of the book’s themes. Accessible, informative and incorporating extensive evidence and experience, Climate Change Adaptation for Health and Social Services is relevant for anyone within the health and community services sector concerned about climate change and its impacts on their community.

Veterans and Veterans Legislation in Canada: An Historical Overview

1988 ◽  
Vol 7 (3) ◽  
pp. 204-217 ◽  
Author(s):  
Ellen M. Gee ◽  
A. Margeny Boyce
Keyword(s):  
Social Services ◽  
Historical Perspective ◽  
Elderly Persons ◽  
Health It ◽  
Health And Social Services ◽  
Age Related ◽  
Descriptive Account ◽  
Canadian Health ◽  
History Of ◽  
Time Periods

ABSTRACTThis article provides a descriptive account of the history of Canadian veterans and veterans legislation focussing upon five time periods: pre–1918; 1918–1939; 1939–1950; 1950–1980; and the present time. Emphasis is placed on issues and legislation relating to aging and elderly persons, with particular concentration on pensions and health. It is shoivn that veterans legislation and veterans issues have played a facilitating role in the development of Canadian health and social services, and argued that a social historical perspective on aging provides for an enhanced understanding of current age-related institutions, services and policies.

scholarly journals Efficacy of Nursing Skin Care Protocol on Prevention of Skin Related Problems among Newly Diagnosed Diabetic Patients

2021 ◽  
pp. 1-8
Author(s):  
PascalineJohn David ◽  
Meenakshi Yeola ◽  
Ruchira Ankar
Keyword(s):  
Assessment Tool ◽  
Hospital Setting ◽  
Skin Care ◽  
Control Group ◽  
Diabetic Patients ◽  
Structure Questionnaire ◽  
Random Allocation ◽  
Newly Diagnosed ◽  
Care Protocol ◽  
Experimental Group

Background:Approximately 400 million people would be afflicted with diabetes by 2025, projected worldwide.In India, about 50.9 million people suffer from diabetes, and this figure willgo up to 80 million by 2025. Diabetes leads to blindness, kidney failure, heart attacks, stroke and foot ulcer. Skin problems are increasing in diabetic patients. It is estimated that 30% of diabetes patients will experience a skin problem at some stage throughout the course of their disease. Many skin care guidelines are given for diabetic foot care, but nursing skin care protocolfor diabetic patients is not available. Less attention is given to complete skin care in diabetes routine care.There is need to develop Nursing skin care protocols for prevention of skin problems in diabetes. Objectives:To validate the developed nursing skin care protocol on prevention of skin related problems among newly diagnosed diabetic patients, to assess the skin problems in experimental group and control group, and to assess the efficacy of nursing skin care protocolin experimental group and routine skin care with coconut oil in control group. Methodology: Study design is randomized controlled trial.Study will be carried out in hospital setting with 140 participants. Random allocation and concealment with single blinding will be done.Intervention is Nursing skin care protocolconsist of Daily skin inspection, Bathing, Drying, clothing, Application of lotion, Hydration, Injury prevention, Nail careandHair care, Sugar control, Dermatological consultation and Physician consultation. Semi structure questionnaire, skin assessment tool[ GI, Glammal score for xerosis,Visual Analogue Scale for pruritus, Questionnaire on erythema,hair and nail colourchanges] and self-reported practice checklist will be used to collect data. Expected Results: Investigator expects newly diagnosed diabetic patients will not develop any skin related problems after using Nursing skin care protocol. Conclusion: Diabetic patients will be able to utilized developed nursing skin care protocol routinely to prevent skin related problems.

Knowledge, uptake and availability of health and social services among Asian Gujarati and white elderly persons

1997 ◽  
Vol 2 (1-2) ◽  
pp. 59-69 ◽  
Author(s):  
James Lindesay ◽  
Carol Jagger ◽  
Mark J. Hibbett ◽  
Susan M. Peet ◽  
Farida Moledina
Keyword(s):  
Social Services ◽  
Elderly Persons ◽  
Health And Social Services ◽  
White Elderly

Depression in the Developing World

2017 ◽  
Author(s):  
Harry Minas
Keyword(s):  
Mental Health ◽  
International Development ◽  
Social Services ◽  
Development Programs ◽  
Middle Income ◽  
Health And Social Services ◽  
Middle Income Countries ◽  
Culturally Informed ◽  
Global Understanding

This chapter provides an overview of what is known about prevalence, social determinants, treatment, and course and impact of depression in developing, or low- and middle-income, countries. The importance of culture in depression and in the construction and application of diagnostic classifications and in health and social services is highlighted, with a particular focus on the applicability of ‘Western’ diagnostic constructs and service systems in developing country settings. The role of international organizations, such as WHO, and international development programs, such as the SDGs, in improving our understanding of depression and in developing effective and culturally appropriate responses is briefly examined. There is both a need and increasing opportunities in developing countries for greater commitment to mental health of populations, increased investment in mental health and social services, and culturally informed research that will contribute to improved global understanding of mental disorders in general and depression in particular.

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