scholarly journals The Integration of Psychosocial Care into National Dementia Strategies Across Europe: Evidence from the Skills in DEmentia Care (SiDECar) Project

2021 ◽  
Vol 18 (7) ◽  
pp. 3422
Author(s):  
Ilaria Chirico ◽  
Rabih Chattat ◽  
Vladimíra Dostálová ◽  
Pavla Povolná ◽  
Iva Holmerová ◽  
...  
Keyword(s):  
Content Analysis ◽  
Clinical Practice ◽  
Social Services ◽  
Psychosocial Care ◽  
Psychosocial Interventions ◽  
System Of Care ◽  
Dementia Care ◽  
Integrated System ◽  
Health And Social Services

There is evidence supporting the use of psychosocial interventions in dementia care. Due to the role of policy in clinical practice, the present study investigates whether and how the issue of psychosocial care and interventions has been addressed in the national dementia plans and strategies across Europe. A total of 26 national documents were found. They were analyzed by content analysis to identify the main pillars associated with the topic of psychosocial care and interventions. Specifically, three categories emerged: (1) Treatment, (2) Education, and (3) Research. The first one was further divided into three subcategories: (1) Person-centred conceptual framework, (2) Psychosocial interventions, and (3) Health and social services networks. Overall, the topic of psychosocial care and interventions has been addressed in all the country policies. However, the amount of information provided differs across the documents, with only the category of ‘Treatment’ covering all of them. Furthermore, on the basis of the existing policies, how the provision of psychosocial care and interventions would be enabled, and how it would be assessed are not fully apparent yet. Findings highlight the importance of policies based on a comprehensive and well-integrated system of care, where the issue of psychosocial care and interventions is fully embedded.

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.

Redistributing Investment in Health and Social Services—The Evolving Role of Managed Care

JAMA ◽  
2018 ◽  
Vol 320 (21) ◽  
pp. 2197 ◽  
Author(s):  
William H. Shrank ◽  
Donna J. Keyser ◽  
John G. Lovelace
Keyword(s):  
Managed Care ◽  
Social Services ◽  
Health And Social Services

The development of quality indicators to improve psychosocial care in dementia

2012 ◽  
Vol 24 (6) ◽  
pp. 921-930 ◽  
Author(s):  
Emmelyne Vasse ◽  
Esme Moniz-Cook ◽  
Marcel Olde Rikkert ◽  
Inge Cantegreil ◽  
Kevin Charras ◽  
...  
Keyword(s):  
Quality Indicators ◽  
Psychosocial Care ◽  
Implementation Process ◽  
Psychosocial Interventions ◽  
Dementia Care ◽  
Face Validity ◽  
Modified Delphi ◽  
Modified Delphi Technique ◽  
Multinational Strategy

ABSTRACTBackground: The evidence for the effectiveness of psychosocial interventions in dementia care is growing but the implementation of available evidence is not automatic. Our objective was to develop valid quality indicators (QIs) for psychosocial dementia care that facilitate the implementation process in various countries and settings.Methods: A RAND-modified Delphi technique was used to develop a potential set of QIs. Two multidisciplinary, international expert panels were involved in achieving content and face validity. Consensus on the final set was reached after a conference meeting where a third panel of dementia experts discussed measurability and applicability of the potential set. A retrospective cohort study was conducted to study the feasibility of using the final set in day care centers, hospitals, and nursing homes in Spain and The Netherlands.Results: A total of 104 recommendations were selected from guidelines and systematic reviews and appraised for their contribution to improving the quality of dementia care by 49 dementia experts. Twenty-five experts attended the conference meeting and reached consensus on a set of 12 QIs representing the key elements of effective psychosocial care, such as shared decision-making and interventions tailored to needs and preferences. Data from 153 patient records showed that all but one QI subitem were applicable to all three settings in both countries.Conclusion: Our multidisciplinary and multinational strategy resulted in a set of unique QIs that aims exclusively at assessing the quality of psychosocial dementia care. Following implementation, these QIs will assist dementia care professionals to individualize and tailor psychosocial interventions.

Treatment systems for drug users

2018 ◽  
Author(s):  
Thomas F. Babor ◽  
Jonathan Caulkins ◽  
Benedikt Fischer ◽  
David Foxcroft ◽  
Keith Humphreys ◽  
...  
Keyword(s):  
Social Services ◽  
Justice System ◽  
Drug Users ◽  
Service System ◽  
Systems Of Care ◽  
Integrated System ◽  
Service Systems ◽  
Health And Social Services ◽  
Primary Health ◽  
Improve Health

Policies affecting the type, amount, and organization of health and social services play an important role in the overall effectiveness of a service system. Countries differ markedly in their service systems, which vary in terms of the availability, accessibility, coordination, cost-effectiveness, and coerciveness of treatment and harm-reduction services. There are now a large number of evidence-informed health and social services that are ready for implementation in systems of care in both low and high-income countries. These interventions, along with innovations in the organization of service systems, can directly address access, equity, and coordination. Coordination between the criminal justice system, mental health services, primary health care, and the treatment system can reduce drug use, improve health, prevent crime, and decrease recidivism. Health and social services organized within an integrated system, can have an impact on the population in a variety of areas targeted by drug policy.

Health and social services for drug users

2018 ◽  
Author(s):  
Thomas F. Babor ◽  
Jonathan Caulkins ◽  
Benedikt Fischer ◽  
David Foxcroft ◽  
Keith Humphreys ◽  
...  
Keyword(s):  
Drug Use ◽  
Social Services ◽  
Drug Users ◽  
Contingency Management ◽  
Risk Behaviour ◽  
Psychosocial Interventions ◽  
Club Drugs ◽  
Opioid Substitution Therapy ◽  
Level Of Evidence ◽  
Health And Social Services

Health and social services attempt to reduce drug-related harm by promoting abstinence, by reducing the frequency of drug use, and by changing behaviours that are harmful to drug users and society at large, such as HIV risk behaviour, drug overdose, and criminal activity. Among the most carefully evaluated programmes are interventions focused on users of heroin and other opioids. The documented benefits of opioid substitution therapy include reduced overdose mortality, less HIV infection, and lower crime rates. Therapeutic communities, contingency management, counselling for marijuana dependence, and brief interventions for at-risk drug use have the next strongest level of evidence. Psychosocial interventions for users of cocaine, methamphetamine, hallucinogens, benzopdiazepines, and club drugs have evidence of effectiveness as well.

The mothers in me

2018 ◽  
Vol 50 (1) ◽  
pp. 129-140 ◽  
Author(s):  
Saija Katila
Keyword(s):  
Social Services ◽  
Writing Process ◽  
Time And Space ◽  
Public And Private ◽  
Organizational Settings ◽  
Health And Social Services ◽  
Crossing Time ◽  
Embodied Experiences ◽  
Becoming A Mother

Abstraction of the narrative The paper aims to evoke readers’ reflective and affective capacities and thereby facilitate understanding of the multisensorial, affective, and relational nature of knowing and becoming. It highlights the role of embodied knowing in becoming by following the journey of an individual faced with sudden trauma. It describes the affective energies crossing time and space in the continuously changing sociomaterial networks of relationships encountered in different organizational settings, be they in academia, health and social services, family, or otherwise. The paper is based on an auto-ethnographic narrative of becoming a mother that connects individual experiences with cultural understandings. The narrative is an outcome of a diffractive analysis of becoming; knowing emerges during the course of a writing process in which theoretical understandings, emotions, concepts, discourses, embodied experiences, and affects come together. The paper brings out the multiplicity of contradictory discourses involved in knowing and becoming. In so doing, it highlights the entangled coexistence of body and mind, reality and imagination, public and private, reason and emotion, as well as past, present, and future.

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