scholarly journals The care of people living with mental illness in the Hungarian social care system: The process of deinstitutionalization and the phenomenon of stigmatization

2019 ◽  
Vol 2 (1) ◽  
pp. 1-8
Author(s):  
A Ács ◽  
E Molnár ◽  
GY Molnár ◽  
Z Balogh
Keyword(s):  
Mental Illness ◽  
Social Services ◽  
Social Care ◽  
Historical Background ◽  
Legal Documents ◽  
People With Mental Illness ◽  
The Social ◽  
Health And Social Care ◽  
National Databases ◽  
Comprehensive Study

Purpose The aim of this study is to present a situation assessment within the framework of a comprehensive study of the social services for people with mental illness in Hungary. After setting the historical background, we describe in detail the current services, their anomalies, and the ongoing implementation of a strategy to deinstitutionalize them. Materials and methods We reviewed the related academic literature and systematically collected and elaborated upon legal documents, decisions, and data from national databases. Results We established that a paradigm shift is taking place in the social care of people with mental disorders in Hungary. The lack of human resources, the paternalistic, institution-centered attitude, the mass supply of social services in dilapidated buildings, and the stigmatization of patients are among the greatest problems. Cooperation between the health and social sectors is inadequate and, in the interests of patients, needs to be improved. Conclusions Hungary needs a complex, integrated, health-and-social-care supply system for people living with mental illness, one that takes into account both personal needs and assistance to recovery. In the continuation of the deinstitutionalization process, emphasis should be placed on social sensitization.

A new health and social care context in Wales

2017 ◽  
Vol 25 (4) ◽  
pp. 265-270 ◽  
Author(s):  
Stewart Greenwell ◽  
Daniel Antebi
Keyword(s):  
Social Services ◽  
Social Care ◽  
Well Being ◽  
Content Type ◽  
Frontline Workers ◽  
The People ◽  
Specialist Services ◽  
The Social ◽  
Health And Social Care ◽  
Making A Difference

Purpose The Social Services and Wellbeing (Wales) Act 2014 and the Well-being of Future Generations (Wales) Act 2015 provide a direction of travel for all public services in Wales and a framework for delivering the aspirations in the legislation. Although specifically referring to social care, both pieces of legislation are as relevant to the NHS as they are to other public bodies, providing an opportunity for NHS Wales and local government, in particular, to be equal partners in making a difference to the people and communities they serve. The paper aims to discuss these issues. Design/methodology/approach A viewpoint paper. Findings In Wales the time is right to do things differently in health and social care, so the authors will reflect on why current services are struggling and propose an approach that is rooted in communities rather than in specialities. The authors suggest developing a centre of gravity in the community through a multi-agency collaboration to achieve the greatest health, social care and economic impact. Originality/value Attention needs to be directed to supporting people, communities and frontline workers to become more resilient, rather than our current focus on specialist services.

scholarly journals Is “transforming care” failing people with autism?

2017 ◽  
Vol 3 (2) ◽  
pp. 59-65 ◽  
Author(s):  
Karina Marshall-Tate ◽  
Eddie Chaplin ◽  
Jane McCarthy
Keyword(s):  
Mental Illness ◽  
Intellectual Disability ◽  
Design Methodology ◽  
Social Care ◽  
Care Staff ◽  
Diverse Group ◽  
Content Type ◽  
People With Mental Illness ◽  
Health And Social Care ◽  
Assessment And Treatment

Purpose The purpose of this paper is to comment on the development and implementation of transforming care (TC) and whether it has failed people with autism. Design/methodology/approach This paper is a commentary. Findings The number of people with autism being admitted to assessment and treatment units is increasing despite the aims of TC. The authors argue that TC, in serving such a diverse group of people, may have failed to identify the heterogeneity of such groups or recognise the different needs of people with mental illness and people with behaviours that challenge; and that TC could be regarded as a policy that only affects people with an intellectual disability. Originality/value Policymakers, policy implementers and health and social care staff may consider reviewing their practice to ensure that TC works for people with autism and their family and carers.

Residential Care for Elderly People: The Correlates of Quality

1992 ◽  
Vol 12 (4) ◽  
pp. 463-482 ◽  
Author(s):  
Ian Gibbs ◽  
Ian Sinclair*
Keyword(s):  
Elderly People ◽  
Social Services ◽  
Residential Care ◽  
Social Care ◽  
Local Authority ◽  
Care Provision ◽  
The Social ◽  
Health And Social Care

ABSTRACTGiven the vulnerability of elderly people living in long-term hospitals and in other forms of institutional provision, it is essential that the quality of their care is as high as possible. This observation, moreover, has widespread relevance irrespective of variations in the structure of health and social care provision in different countries. In pursuit of this objective the newly established ‘arm's length’ inspection units in Britain will be responsible for setting and also safeguarding standards in homes. The article, based on research commissioned by the Social Services Inspectorate, uses a global measure of quality derived from the inspection of residential care homes, examines the correlates of this measure in a sample of local authority and independent homes in Britain and discusses the implications of the findings for policy and further research.

scholarly journals Social commissioning in the sphere of social services provision

2021 ◽  
Vol 66 ◽  
pp. 113-117
Author(s):  
M.O. Buk
Keyword(s):  
Social Services ◽  
Social Order ◽  
Social Care ◽  
Social Issues ◽  
Public Procurement ◽  
The State ◽  
The Social ◽  
The Law ◽  
Definition Of ◽  
State Regional

This article is dedicated to the analysis of the essential hallmarks of social services procurement. The attention is focused on the absence of the unity of the scientists’ thoughts as for the definition of the term “social procurement”. It has been determined that in the foreign scientific literature the scientists to denote the term “social procurement” use the notions “social contracting”, “social order” and “social commissioning”, and they use these notions with slightly different meanings. Therefore, the notion “social procurement” is defined as: 1) activity of a country; 2) form of the state support; 3) complex of measures; 4) legal mechanism. The article has grounded the expediency of the definition of social procurement in the legal relations of social care as a special legal way to influence the behavior of the parties of the social care legal relations. The publication advocates the idea that social procurement is one of the conditions for the rise of the state and private sectors partnership. The state-private partnership in the legal relations regarding the provision of social services is proposed to be defined as cooperation between Ukraine, AR of Crimea, territorial communities represented by the competent state bodies, self-government bodies (authorized bodies in the sphere of social services provision) and legal entities, but for the state and municipal enterprises and establishments, and organizations (providers of social services) regarding the provision of social services, which is carried out on the basis of an agreement and under the procedure set by the Law of Ukraine “On Social Services” and other legal acts that regulate the social care legal relations. The article substantiates the thesis that the subject of the social procurement is social services and resolution of social issues of the state/regional/local levels in the aspect of the satisfaction of the needs of people/families for social services (state/regional/local programs of social services). It has been determined that the main forms of realization of the social procurement in the social care legal relations are public procurements of social services and financing of the state/regional/local programs of social services. The public procurement of social services is carried out under the procedure set by the Law of Ukraine “On  Public Procurement” taking into account the special features determined by the Law of Ukraine “On Social Services”. The social procurement in the form of financing of the state/regional/local programs of social services is decided upon the results of the tender announced by a client according to the plan for realization of the corresponding target program.

scholarly journals Exploiting Administrative Data to Understand the Mental Health of Children Known to Social Services

2019 ◽  
Vol 4 (3) ◽  
Author(s):  
Sarah McKenna ◽  
Aideen Maguire ◽  
Dermot O'Reilly
Keyword(s):  
Mental Health ◽  
General Population ◽  
Health Outcomes ◽  
Social Services ◽  
Social Care ◽  
Mental Health Outcomes ◽  
Health And Social Care ◽  
Self Harm ◽  
Children In Care ◽  
Care System

Background Research has consistently found a high prevalence of mental ill-health among children in out-of-home care. However, results have varied significantly by study location, type of care intervention, sample population and mental health measurement, and concerns have been raised about appropriate reference populations. In addition, little is known about children known to social services who remain with their birth families. Aim To examine mental ill-health amongst children known to social services based on care exposure including those who remain at home, those placed in foster care, kinship care or institutional care and the general population not known to social services. Methods Northern Ireland is unique in that has an integrated health and social care system and holds data centrally on all children known to social services. Social services data (1995-2015) will be linked to hospital discharge data (2010-2015), prescribed medication data (2010-2015), self-harm data (2010-2015) and death records (2010-2015) to investigate mental health outcomes in terms of psychiatric hospital admissions, psychotropic medication uptake, self-harm and suicide. Results Data cleaning has been completed and analysis is underway. Preliminary results will be available by December 2019. Descriptive statistics will provide a mental health profile of children in care compared not only to children in the general population but to those who are known to social services but remain in their own home. Regression models will determine which factors are most associated with poor mental health outcomes. Conclusion This project is the UK’s first population-wide data linkage study examining the mental health of children in the social care system, including looked-after children and those known to social services who remain in their own home. Project partners in the Department of Health recognise the potential of these findings to inform future policy relating to targeting interventions for children in receipt of social care services.

scholarly journals Topical issues of medical and social assistance to elderly and senile citizens in the conditions of inpatient social service organizations

2020 ◽  
Vol 23 (3) ◽  
pp. 4-8
Author(s):  
S. S. Memetov ◽  
S. N. Pusin ◽  
N. V. Budnik ◽  
Yu. V. Kobzev ◽  
V. N. Petrova ◽  
...  
Keyword(s):  
Social Services ◽  
Russian Federation ◽  
Social Service ◽  
Social Care ◽  
The Elderly ◽  
Legal Framework ◽  
Service Organizations ◽  
Social Service Organizations ◽  
Legal Documents ◽  
The Russian Federation

The article analyzes the current regulatory and legal framework for the organization of social services for the elderly and disabled in social service institutions on the territory of the Russian Federation. The article reflects the shortcomings of legal documents regarding the organization of work of such institutions to improve the quality and accessibility of social care for patients receiving social services in social service organizations. The assessment of staffing standards is given.

Collaborating across health and social care: joint funding an adult protection Coordinator post in Caerphilly, UK

2015 ◽  
Vol 17 (2) ◽  
pp. 139-147
Author(s):  
Andrea Giordano ◽  
Alison Neville
Keyword(s):  
Social Services ◽  
Social Care ◽  
Service Improvement ◽  
Health Board ◽  
Content Type ◽  
Health And Social Care ◽  
Abuse And Neglect ◽  
Vulnerable Adults ◽  
Adult Protection

Purpose – The purpose of the paper is to improve the consistency and quality of the response to vulnerable adults who experience abuse and neglect within NHS, independent healthcare and social care settings is noted by practitioners, agencies and patients. Health and social care policy frameworks promote principles of service improvement and consistency, along with a focus on outcomes and resource effectiveness and interagency collaboration. The Protection of Vulnerable Adults (POVA) coordinator role carries the responsibility of coordinating a response to individual referrals of abuse and neglect as described as part of the Designated Lead Manager role in the Wales Interim POVA Policy and Procedures for the POVA from abuse (Wales Adult Protection Coordinators Group, 2013). Design/methodology/approach – This paper will explore the benefits realised through a registered nurse being seconded from the Aneurin Bevan University Health Board into a newly created joint adult protection Health Coordinator post within the Caerphilly County Borough Council social services department POVA team. Findings – This is the first example of such partnership working in adult protection in Wales and has provided a number of benefits in relation to: providing adult protection advice; coordinating the response to referrals of vulnerable adult abuse and neglect within health and social care settings; carrying out or buddying others to complete adult protection investigations; facilitating the two day non-criminal POVA investigation training course and, awareness raising within the local Health Board. The development of a student nurse placement in the social services POVA team cements the multiagency collaborative approach that this development sought to achieve. Originality/value – The need to improve the consistency and quality of the response to vulnerable adults who experience abuse and neglect within NHS, independent healthcare and social care settings is noted by practitioners, agencies and patients.

Towards the social prescription of the arts: 
The arts in health and 
social care in Malta

2021 ◽  
Vol 00 (00) ◽  
pp. 1-14
Author(s):  
Valerie Visanich ◽  
Toni Attard
Keyword(s):  
Cultural Policy ◽  
Online Survey ◽  
Social Care ◽  
Well Being ◽  
Primary Data ◽  
Community Based ◽  
The Arts ◽  
The Social ◽  
Health And Social Care ◽  
Arts In Health

Recently, the notion of arts as therapy has been of growing interest to sociologists. The aim of this article is to evaluate community-based arts funded projects in terms of their priorities and effectiveness and discuss possibilities for enabling Arts on Prescription schemes in Malta. Thematically, this article explores discourse on the potential of the arts on promoting well-being. Methodologically, this article draws on primary data collected from focus groups, interviews and an online survey with project leaders and artists of funded arts projects targeting mental health, disability or old age. Specifically, this research evaluates all national funded community-based arts projects in Malta between 2014 to 2018 under a national scheme of the President’s Award for Creativity fund, managed by the national Arts Council Malta. Analysis of this data was used to inform the new national cultural policy on the implantation of the Arts on Prescription scheme in Malta.

scholarly journals Mental Illness, Social Suffering and Structural Antagonism in the Labour Process

2019 ◽  
Vol 33 (6) ◽  
pp. 948-965
Author(s):  
Megan Woods ◽  
Rob Macklin ◽  
Sarah Dawkins ◽  
Angela Martin
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Future Research ◽  
Social Suffering ◽  
Labour Process ◽  
Workplace Conditions ◽  
People With Mental Illness ◽  
The Social ◽  
And Control ◽  
Discursive Resources

Workplace conditions and experiences powerfully influence mental health and individuals experiencing mental illness, including the extent to which people experiencing mental ill-health are ‘disabled’ by their work environments. This article explains how examination of the social suffering experienced in workplaces by people with mental illness could enhance understanding of the inter-relationships between mental health and workplace conditions, including experiences and characteristics of the overarching labour process. It examines how workplace perceptions and narratives around mental illness act as discursive resources to influence the social realities of people with mental ill-health. It applies Labour Process Theory to highlight how such discursive resources could be used by workers and employers to influence the power, agency and control in workplace environments and the labour process, and the implications such attempts might have for social suffering. It concludes with an agenda for future research exploring these issues.

Resource Allocation Modelling for Home-Based Health and Social Care Services in Areas Having Differential Population Density Levels: A Case Study in Northern Ireland

2000 ◽  
Vol 13 (3) ◽  
pp. 164-169 ◽  
Author(s):  
Tony Hindle ◽  
Adam Hindle ◽  
Martin Spollen
Keyword(s):  
Resource Allocation ◽  
Northern Ireland ◽  
Social Services ◽  
Social Care ◽  
Geographical Information ◽  
Population Densities ◽  
Relative Population ◽  
Care Services ◽  
Home Based ◽  
Health And Social Care

This project arose from deliberations within the Department of Health and Social Services (DHSS) in Northern Ireland concerning the acceptability of the revenue resource allocation methodology they were using. One problem with the method being used had been the absence of a component that adequately reflected the relative costs associated with the differential population densities of the four health boards into which the Province is divided. This study investigates a particular element of this issue, viz differences in the travelling distances and times of those health and social service professionals who provide visiting services to patients in their own homes. A modelling approach has been developed and used in conjunction with a comprehensive spatial and geographical information system for Northern Ireland. An important outcome of the study has been estimates of the targets that should be set for the annual health and social care travelling distances and times per head of population in the boards, for a range of home-based services. Also, the project has contributed to decisions made by the DHSS in Northern Ireland concerning the annual financial compensations required by boards for costs associated with their relative population densities.

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