A realist evaluation of the aboriginal alcohol and drug worker program for urban aboriginal people

Background: There is limited research evaluating addictions programs for Aboriginal people in urban contexts. Objective: The current project aimed to fill this gap by conducting an evaluation of the Aboriginal Alcohol and Drug Worker Program (AADWP), offered at Friendship Centres in Ontario. Methods: A realist approach was used to evaluate the AADWP. Client-targeted focus groups and staff questionnaires were conducted to develop preliminary theories regarding how, for whom and under what circumstances the program helps or does not help clients. Individual interviews were then conducted with clients and caseworkers to test these theories. Results: Mechanisms through which clients achieved their goals were related to client needs, trust, cultural beliefs, willingness, self-awareness, and self-efficacy. Clients’ goals related to sobriety status, renewing relationships, cultural connection and mental health. Client. Staff and setting characteristics were found to moderate development of mechanisms and outcomes. Results were congruent with existing literature.

A realist evaluation of the aboriginal alcohol and drug worker program for urban aboriginal people

Background: There is limited research evaluating addictions programs for Aboriginal people in urban contexts. Objective: The current project aimed to fill this gap by conducting an evaluation of the Aboriginal Alcohol and Drug Worker Program (AADWP), offered at Friendship Centres in Ontario. Methods: A realist approach was used to evaluate the AADWP. Client-targeted focus groups and staff questionnaires were conducted to develop preliminary theories regarding how, for whom and under what circumstances the program helps or does not help clients. Individual interviews were then conducted with clients and caseworkers to test these theories. Results: Mechanisms through which clients achieved their goals were related to client needs, trust, cultural beliefs, willingness, self-awareness, and self-efficacy. Clients’ goals related to sobriety status, renewing relationships, cultural connection and mental health. Client. Staff and setting characteristics were found to moderate development of mechanisms and outcomes. Results were congruent with existing literature.

European Integrated Care Horizon 2020: increase societal participation; reduce care demands and costs in Finnish context

This project is part of larger European level integrated care project led by HU University of Applied Sciences.Background: In Finland, the integration of social and health care services has taken centre stage in both the policy and practice arenas. The needs of many client groups, for example mental health client, older people and families of child, are many and varied.For example, poor mental health considerably impairs well-being of the population and has considerable economic consequences like absence from work, early retirement and productive losses. Efforts to move towards integrated care in social and health care have been met with increased interest and enthusiasm in recent years. This will increase the focus to improve care and population health while containing costs. However, there is a need to better understand different integrated care approaches for social and health care and guide future implementation of new integrated care models.It is now important to move towards integrated care for many client groups e.g. mental disorders. In this, professionals with different training backgrounds co-ordinate their expertise in providing care for theirshared clients. It provides a safe nexus for the exchange of knowledge and opinions, as well as a framework for reaching a consensus about appropriate health care delivery for a particular client or client cohort. The client should have an immediate access to integrated care, with a focus on rehabilitation in patient’s social roles.Aim: Support societal participation, quality of live and reduce care demand and costs in social and health care client, for example mental health client through integration of healthcare and welfare services.