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Systematising the care of long-term conditions: the Year of Care model
Published in Andrew Gray, Pieter Degeling, Hal Colebatch, Changing Clinical Care, 2018
Pieter Degeling, Helen Close, Deidre Degeling
Service planning will occur at two levels. Population-based service planning will occur as primary care trusts or local health boards, on the basis of the risk assessment processes outlined above, act to develop year-based pathways that for each level of service provision (self-management of health, care manage ment and case management) specify the cycles (daily, weekly, monthly, yearly) of sequences of activities that will be undertaken by people with a long-term condition, informal carers, service providers, and support services, whose occurrence or non-occurrence (according to the best available evidence, NICE advice and ‘expert patient advisers) will significantly affect the quality, outcomes and cost of service provision. On the basis of these year plans the commissioner will act to ensure the availability of the support services that will be incorporated into individualised year plans. These services include condition specific education and support groups, expert patient programmes, routine reviews by nurse practitioners with expertise in chronic disease management, health enhancement programmes (e.g. exercise and smoking cessation), and pooled budgets between health and social services.
Severe Mental Health and Substance Use: Developing Integrated Services – a UK Perspective
Published in David B Cooper, Developing Services in Mental Health–Substance Use, 2018
The nature and frequency of supervision sessions may change over time to reflect the needs of the team and people using the service. Essentially, it is important to try to incorporate team supervision sessions into the Assertive Outreach Teams’ routine meeting schedule. We found that the role of the specialist changed over time as the Assertive Outreach Team has adopted the integrated style of working and became more confident. The intensity of and type of support needed changed. After 18 months, the role became more consultancy focused. The professional primarily sought support for individuals with complex needs or who were using substances associated with more social chaos (e.g. crack-cocaine). We noted that the integrated approach was easier to implement in teams who fully utilise the Program for Assertive Community Treatment model (PACT)/Assertive Community Treatment model and team approach, and are sufficiently staffed and resourced.
Caring for the health needs of migrants, refugees and asylum seekers
Published in Karen Holland, Cultural Awareness in Nursing and Health Care, 2017
Moira McLoughlin, Angela Darvill, Karen Holland
Unaccompanied children are defined as those young people under the age of 18 years without adult family members or guardians. They are a particularly vulnerable group. Under the age of 15 years they will usually be ‘looked after’ by the local authority in the United Kingdom. They are usually defined as ‘in need’ and services are provided under Section 20 of the Children Act (Department of Health, 1989). They will be provided with foster care or residential home placement, an allocated social worker, a care plan, financial cash support and full leaving-care services. Those aged 17 and 18 years usually receive services under Section 17 of the Children Act (Department of Health, 1989) and may be living in bed and breakfast accommodation or hostels.
Menstrual Hygiene Management among Homeless Women With Mental Illness in St. Louis Metropolitan Area: A Qualitative Study
Published in Women's Reproductive Health, 2023
Basant ElBanna, Nathaniel A. Dell, Marina Klier
The study site, a community behavioral health agency in the Midwestern United States, provides a range of services including outreach to homeless shelters, jails, emergency departments, and inpatient psychiatric facilities. Psychiatric rehabilitation services are also provided, such as assertive community treatment, illness management and recovery, and integrated treatment for co-occurring disorders. Of the clients aged 18 and older served by the agency, approximately two-thirds identify as African American. Services are primarily funded through Medicaid, although persons who are uninsured or underinsured can access services through federal, municipal, and foundation grants. At the time of the study, the site was providing outreach and treatment services to persons experiencing homelessness with behavioral health concerns through a Substance Abuse and Mental Health Services Administration (SAMHSA) grant.
Evaluation of an Intensive Occupational Therapy Intervention to Facilitate Independent Living and Improve Occupational Performance and Participation. Results of a Longitudinal Case Study Design
Published in Occupational Therapy in Mental Health, 2021
Claire Kearns Murphy, Agnes Shiel
The participants were also provided with Assertive Community Treatment support which focused mainly on medication management and maintaining mental health and provided services of a social worker and psychiatrist during the intervention. These multi-disciplinary services were also available to the participants while residents in the community residential facility with medication management and mental health support provided by nurses while in the facility and assertive outreach nurses while in the community. An Individual Placement and Support (IPS) employment specialist worked with the participants during the second year of the intervention. The main difference in the support provided by the OTAs was the focus on meaningful occupation including self-care, domestic and instrumental ADLs, leisure and social engagement and productive roles as described below. Occupational engagement was goal-directed and client-centered, based on collaborative agreement with the participants and the OTAs.
A comprehensive literature review of Forensic Assertive Community Treatment (FACT): Directions for practice, policy and research
Published in International Journal of Mental Health, 2020
Gary S. Cuddeback, Jennie M. Simpson, Juliet C. Wu
Since ACT’s inception in the 1970s, the model has seen a variety of applications, including rural adaptations (Becker, Meisler, Stormer, & Brondino, 1999; Dixon, Friedman, & Lehman, 1993; Lehman, Dixon, Kernan, DeForge, & Postrado, 1997), outreach to homeless indiviuduals (Dixon, Krauss, Kernan, Lehman, & DeForge, 1995), and adaptations for people with mental illnesses and co-occurring substance use disorders (Drake et al., 1998; Teague, Drake, & Ackerson, 1995). A new adaptation – forensic assertive community treatment (FACT) – is focused on criminal justice-involvement and recidivism reduction among justice-involved individuals living with mental illnesses. Recidivism refers to an individual’s relapse into criminal behavior (National Institute of Justice, 2014).