The Need to Move from Describing to Evaluating the Effectiveness of Indigenous Drug and Alcohol Residential Rehabilitation Services: A Systematic Review

2018 ◽  
Vol 10 (1) ◽  
pp. 52-67 ◽  
Author(s):  
Doug James ◽  
Anthony Shakeshaft ◽  
Alice Munro ◽  
Ryan J. Courtney
Keyword(s):  
Systematic Review ◽  
Rehabilitation Services ◽  
Residential Rehabilitation ◽  
Drug And Alcohol

Co‐producing to understand what matters to young people living in youth residential rehabilitation services

2021 ◽  
Author(s):  
Priscilla Ennals ◽  
Kate Lessing ◽  
Rebecca Spies ◽  
Rebecca Egan ◽  
Philippa Hemus ◽  
...  
Keyword(s):  
Young People ◽  
Rehabilitation Services ◽  
Residential Rehabilitation ◽  
What Matters

Factors Related to Employment Outcomes for Vocational Rehabilitation Consumers with Visual Impairments: A Systematic Review

2019 ◽  
Vol 113 (6) ◽  
pp. 518-537 ◽  
Author(s):  
Emily M. Lund ◽  
Jennifer L. Cmar
Keyword(s):  
Systematic Review ◽  
Vocational Rehabilitation ◽  
Visually Impaired ◽  
Visual Impairments ◽  
Employment Outcomes ◽  
Rehabilitation Services ◽  
Vocational Rehabilitation Services ◽  
Visually Impaired People ◽  
Rehabilitation Services Administration ◽  
Report Data

Introduction:The purpose of this article was to conduct a systematic review of peer-reviewed studies on factors related to employment in consumers who are visually impaired using Rehabilitation Services Administration (RSA-911) Case Service Report data.Methods:We used database, hand, and ancestral search strategies to systematically identify peer-reviewed studies published between 1990 and August 2018 where researchers used RSA-911 data to address the target question. All included articles were coded by two reviewers for study and participant characteristics, quality indicators, and outcomes.Results:Nine articles consisting of 14 analyses were included. Twelve analyses concerned employment outcomes; two concerned earnings. Researchers in most studies used large samples of 3,000 or more consumers and used multivariable analyses, most commonly multilevel logistic regression. Factors that consistently predicted lower employment across studies included presence of a secondary disability and legal blindness; higher education level consistently predicted higher employment, as did earnings and self-support at vocational rehabilitation application. Few analyses included state- or agency-level variables or specific vocational rehabilitation services.Discussion:These results indicate that certain groups of vocational rehabilitation consumers with visual impairments may be at greater risk of unsuccessful closures; researchers should examine specific strategies that may improve outcomes in these groups. These results also highlight the importance of education in securing employment among people with visual impairments. Researchers should examine state- and agency-level variables that may affect outcomes as well as the effects of specific services on outcomes. Additionally, researchers should analyze factors that may affect employment quality as well as employment outcomes.Implications for practitioners:Practitioners who are working with visually impaired people who do not have a postsecondary degree should encourage and assist their clients in obtaining one; practitioners may also wish to provide more targeted support for consumers from potentially high-risk subpopulations.

scholarly journals Care Models for Long COVID: A Rapid Systematic Review

2021 ◽  
Author(s):  
Simon Décary ◽  
Michèle Dugas ◽  
Théo Stéfan ◽  
Léa Langlois ◽  
Becky Skidmore ◽  
...  
Keyword(s):  
Systematic Review ◽  
Primary Care ◽  
Care Pathway ◽  
Rehabilitation Services ◽  
Care Pathways ◽  
Care Model ◽  
Care Models ◽  
Healthcare Professions ◽  
Model Components

Context: More than 18M people worldwide (150K Canadians) are living with Long COVID resulting in debilitating sequalae and disabilities that impact their quality of life and capacity to return to work. A new care model is needed for persons living with this complex and multi-systemic disease. Objectives: What is the best-available evidence about care models for persons living with Long COVID? Design: Rapid Living Systematic Review. Method: We systematically searched seven electronic databases (MEDLINE, Embase, Web of Science, COVID-END, L-OVE, CDRS and WHO Ovid) on May 27th, 2021. Two independent reviewers screened titles, abstracts and full text. We included studies reporting on 1- persons living with Long COVID and 2- proposing a specific care model (i.e., dedicated clinic, care pathway). We extracted characteristic of studies (e.g., countries, study design, age group), referral pathways targeted (e.g., hospitalized, community), reporting of the care model implementation with number of patients, clinical settings of care model (e.g., primary care), healthcare professions included in the care model, care model principles (e.g., person-centred care) and care model components (e.g., standardized symptoms assessment). We used descriptive statistics and frequency count. Results: We screened 2181 citations, read 65 full text and included 12 eligible articles reporting on care models for Long COVID. Half studies were from the United Kingdom. 7 out of 12 models reported conceptual models without a description of implementation. All but one model was designed for discharge and long-term follow-up of hospitalized patients and half models were designed for non-hospitalized or patients who lived with the disease only in the community. Nine out of 12 care models included primary care, 8 out of 12 included specialized clinics and all studies included rehabilitation services. A total of 30 healthcare professions and medical specialties were proposed for staffing Long COVID services. More than half studies proposed multidisciplinary teams, integrated/coordination of care, evidence-based care and patient-centred care as key care model principles. Standardized symptom assessment, follow-up system and virtual care were the most frequent care model components. Conclusion: The implementation of care models for Long COVID is underway in several countries. Care models need to include both hospitalized and non-hospitalized patients. A complete care model for this population appears to design a care pathway integrating primary care, rehabilitation services and specialized clinics for medical assessment. The entry into care pathways is likely possible through a centralized referral system. It is possible to design sustainable and equitable care pathways for Long COVID in Canada integrated in current infrastructure.

Neuropsychological profiles on the Weschler Adult Intelligence Scale (WAIS-IV) of individuals attending a long-term residential rehabilitation program for substance use problems

2021 ◽  
Author(s):  
Airlie Sullivan ◽  
Lauren Ann Monds ◽  
Warren Logge ◽  
Tristan Hurzeler ◽  
Kirsten Morley
Keyword(s):  
Mental Disorders ◽  
Processing Speed ◽  
Psychotic Disorders ◽  
Rehabilitation Program ◽  
Adult Intelligence Scale ◽  
Intelligence Scale ◽  
Verbal Comprehension ◽  
Residential Rehabilitation ◽  
Drug And Alcohol ◽  
Comorbid Mental Disorders

Background We aimed to examine the neuropsychological profiles on the Weschler Adult Intelligence Scale (WAIS-IV) of individuals attending a drug and alcohol rehabilitation program and determine the relationship between the multiple domains of cognitive functioning, comorbid mental disorders and treatment completion.Methods One hundred and ninety-six (N = 196) individuals from the Odyssey House Residential Rehabilitation Program, NSW, Australia between 2010-2016 were administered a structured interview including mental and substance use disorders and the Verbal Comprehension (VCI), Perceptual Reasoning (PRI), Working Memory (WMI), and Processing Speed (PSI) domains of the WAIS-IV. Results Verbal Comprehension, Working Memory, and Processing Speed was below the mean relative to normative data derived from the standardisation of the WAIS-IV. Individuals with comorbid mental disorders also displayed significantly lower Verbal Comprehension relative to those without comorbid mental disorders (F = 4.56, p < 0.05). Comorbid psychotic disorders were particularly associated with poor Verbal Comprehension (p < 0.01). Treatment completion was significantly predicted by Verbal Comprehension (p < 0.05).Conclusions Verbal comprehension may be underlying poor treatment completion in drug and alcohol treatment rehabilitation settings. We also highlight an additional relationship between presence of comorbid psychotic disorders and poor verbal comprehension that may be of relevance in planning intervention programs during rehabilitation.

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