scholarly journals Developing an App to Screen for Dual Disorders: A Tool for Improving Treatment Services in Mexico

2021 ◽  
Vol 12 ◽  
Author(s):  
Rodrigo Marín-Navarrete ◽  
Marta Torrens ◽  
Aldebarán Toledo-Fernández ◽  
Joan Ignasi Mestre-Pinto ◽  
Ricardo Sánchez-Domínguez ◽  
...  
Keyword(s):  
Residential Care ◽  
Addiction Treatment ◽  
New Technologies ◽  
Integrated Treatment ◽  
Dual Disorders ◽  
Community Based ◽  
Residential Care Facilities ◽  
Community Acceptance ◽  
Care Facilities ◽  
Specialized Services

Background: Previous studies in Mexico undertaken at residential facilities for treating substance use disorders (SUDs) reported that the prevalence of Dual Disorders (DDs) is over 65%. DDs pose a major challenge for the Mexican health system, particularly for community-based residential care facilities for SUDs, due to the shortage of certified professionals to diagnose and treat these patients. Moreover, the lack of standardized algorithms for screening for and evaluating DDs to refer patients to specialized services (whether private or public) hinders timely care, delaying the start of integrated treatment. The use of new technologies provides a strategic opportunity for the timely detection of DDs through the development of standardized digital applications for the timely detection of DDs.Objective: To develop an app to screen for DDs, which will contribute to referral to specialized services in keeping with the level of severity of psychiatric and addictive symptomatology, and be suitable for use by community-based residential care facilities for SUDs.Method: The research project was implemented in two stages. Stage 1 involved obtaining the psychometric properties of the Dual Diagnosis Screening Interview (DDSI). Stage 2 consisted of two steps to test the Beta version of the app and the quality of version 1.0.Results: The DDS obtained sensitivity and specificity scores above 85%. The app and its algorithm to screen for and refer DDs proved to be efficient and easy to apply with satisfactory community acceptance.Conclusion: The app promises to be a useful screening tool at residential addiction treatment centers.

scholarly journals Co-Occurring Disorders: A Challenge for Mexican Community-Based Residential Care Facilities for Substance Use

2016 ◽  
Vol 12 (3-4) ◽  
pp. 261-270 ◽  
Author(s):  
Rodrigo Marín-Navarrete ◽  
María Elena Medina-Mora ◽  
Viviana E. Horigian ◽  
Ihsan M. Salloum ◽  
Luis Villalobos-Gallegos ◽  
...  
Keyword(s):  
Substance Use ◽  
Residential Care ◽  
Community Based ◽  
Residential Care Facilities ◽  
Care Facilities ◽  
Mexican Community

Providing care for older adults with extreme obesity in aged residential care facilities: An environmental scan

2020 ◽  
Vol 36 (3) ◽  
pp. 24-36
Author(s):  
Caz Hales ◽  
◽  
Isaac Amankwaa ◽  
Lesley Gray ◽  
Helen Rook ◽  
...  
Keyword(s):  
Older Adults ◽  
Residential Care ◽  
Service Provision ◽  
Aged Care ◽  
Extreme Obesity ◽  
Financial Barriers ◽  
Residential Care Facilities ◽  
Environmental Scan ◽  
Staffing Ratios ◽  
Care Facilities

Little is known about the level of service demand and preparedness of Aotearoa New Zealand’s aged residential care facilities to care for older adults with extreme obesity. The aim of this study was to assess the current state of bariatric (extreme obesity) services within aged residential care. An environmental scan was conducted to identify bariatric resident needs and gaps in service provision to inform the development of policy and service provision. Observational and interview data from three facilities in Aotearoa New Zealand was collected along with a retrospective review of national resident admissions over a three-year period. Poor environmental design that included infrastructure deficiencies and financial barriers impacted on the ability to deliver safe and equitable care for this population. Specifically, equipment procurement and safe staffing ratios were of concern to the sector. There is an increasing need for bariatric level support within aged care, necessitating more equipment and staff, adaptation of physical care environments, and enhanced funding. Significant investment is required to address care concerns of older adults with extreme obesity at government and organisational levels.

scholarly journals Diabetes in Residential Care Facilities: United States, 2010

Diabetes Care ◽  
2013 ◽  
Vol 36 (3) ◽  
pp. e37-e37 ◽  
Author(s):  
H. E. Resnick ◽  
G. L. Foster
Keyword(s):  
United States ◽  
Residential Care ◽  
Residential Care Facilities ◽  
Care Facilities

Elder Sexual Abuse and Sexual Freedom in Faith-based Residential Care Facilities: Ethical Dilemmas, and Institutional Integrity

2021 ◽  
Vol 15 (2) ◽  
pp. 253-273
Author(s):  
Virginia Miller ◽  
Seumas Miller ◽  
Bruce Stevens
Keyword(s):  
Sexual Abuse ◽  
Residential Care ◽  
Aged Care ◽  
Sexual Freedom ◽  
Residential Care Facilities ◽  
Faith Based ◽  
Care Facilities ◽  
Aged Care Facilities ◽  
Marital Sex

Abstract The issues of elder sexual abuse and sexual freedom in residential care facilities are complicated by the existence of many residents with cognitive impairments of a kind that compromise their ability to make decisions based on informed consent. The issues of elder sexual abuse and sexual freedom in faith-based residential care facilities, in particular, are further complicated by restrictive, theologically based, ethical principles pertaining to sexual activity – for instance, prohibitions on extra-marital sex and the use of prostitutes by residents. The tension that arises must necessarily deal with the integrity of faith-based aged-care facilities and current legislation that promotes the rights of age-care residents to sexual freedoms. In the midst of much public concern about the level and quality of institutional age care this particular aspect seldom attracts notice. It nevertheless exposes a quandary to do with how ought public theology and ethics respond.

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