scholarly journals Structural challenges to implementation of early intervention of the bio-psychosocial model

2014 ◽  
Vol 9 ◽  
Author(s):  
Nikki Brouwers
Keyword(s):  
Early Intervention ◽  
Return To Work ◽  
Biopsychosocial Model ◽  
Medical Model ◽  
Diagnostic Tools ◽  
Successful Implementation ◽  
Access To Treatment ◽  
Early Access ◽  
Intervention Models ◽  
Psychosocial Model

Early intervention of the biopsychosocial model as a framework to achieve sustainable employment outcomes following injury, illness or disease is well documented in the International research. However in some areas of disability management the term early intervention is consistently applied exclusively within the medical model with early access to treatment and diagnostic tools.However in Australia, whilst the knowledge of the Health benefits of work consensus statement is gaining traction, we remain lagging in effective implementation of early intervention models of the biopsychosocial model to return to work and return to life. This paper explores the structural challenges associated with successful implementation of the model and provides International learnings and applications for consideration and adaption to the Australian context. Further this paper will provide learnings from a pilot program being run in NSW that has been successful in the early triage and referral into a structured Return to Work program that is achieving strong results.

scholarly journals “I’m truly free from my eating disorder”: Emerging adults’ experiences of FREED, an early intervention service model and care pathway for eating disorders

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Rachel Potterton ◽  
Amelia Austin ◽  
Michaela Flynn ◽  
Karina Allen ◽  
Vanessa Lawrence ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Early Intervention ◽  
Emerging Adults ◽  
Care Pathway ◽  
Support Network ◽  
First Episode ◽  
Service Model ◽  
Access To Treatment ◽  
Rapid Access

Abstract Background Eating disorders (EDs) typically start during adolescence or emerging adulthood, periods of intense biopsychosocial development. FREED (First Episode Rapid Early Intervention for EDs) is a service model and care pathway providing rapid access to developmentally-informed care for emerging adults with EDs. FREED is associated with reduced duration of untreated eating disorder and improved clinical outcomes, but patients’ experiences of treatment have yet to be assessed. Objective This study aimed to assess emerging adults’ experiences of receiving treatment through FREED. Method This study triangulated qualitative data on participants’ experiences of FREED treatment from questionnaires and semi-structured interviews. Participants were 106 emerging adults (aged 16–25; illness duration < 3 yrs) (questionnaire only = 92; interview only = 6; both = 8). Data were analysed thematically. Results Most participants reported psychological and behavioural changes over the course of treatment (e.g. reduction in symptoms; increased acceptance and understanding of difficulties). Participants identified five beneficial characteristics of FREED treatment: i) rapid access to treatment; ii) knowledgeable and concerned clinicians; iii) focusing on life beyond the eating disorder; iv) building a support network; v) becoming your own therapist. Conclusion This study provides further supports for the implementation of early intervention and developmentally-informed care for EDs. Future service model development should include efforts to increase early help-seeking.

741 Manipulation and Reduction of Paediatric Forearm Fractures in The Emergency Department Using Intranasal Diamorphine and Entonox

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
S Kapoor ◽  
A Valand ◽  
J Dartnell
Keyword(s):  
Emergency Department ◽  
Patient Discharge ◽  
General Anaesthetic ◽  
Forearm Fractures ◽  
Distal Radial Fractures ◽  
Access To Treatment ◽  
Early Access ◽  
The Mean ◽  
Salter Harris

Abstract Background Paediatric forearm fractures are commonly encountered in Trauma and Orthopaedics. Currently most forearm fractures are manipulated in theatre the following day, increasing resource burden and delays in management. The aim of this project was to introduce guidelines to reduce fractures in the Emergency Department (ED) using intranasal Diamorphine and Entonox. Method 197 cases were identified over a 6-month period in 2018 and 2019. 74 distal radial fractures and 123 mid shaft forearm fractures were analysed. Fractures with an intact periosteal hinge or a Salter Harris type 2 were reduced in ED. The pre manipulation and post manipulation radiographs were compared with particular attention to the post reduction angles. Results 67% of fractures were reduced in the correct setting. A number of fractures reduced in ED required re-manipulation or internal fixation. Overall, there was a 56% reduction in patients undergoing general anaesthetic. There was a reduction in the mean length of stay from 36 hours to 3.5 hours. Conclusions Intranasal Diamorphine and Entonox offer a safe method for managing paediatric forearm fractures in ED. Implementation of this method facilitates early access to treatment and early patient discharge. Manipulation in ED offers significant financial savings and reduces demands on the Trauma Theatres.

scholarly journals Neurodiversity at work: a biopsychosocial model and the impact on working adults

2020 ◽  
Vol 135 (1) ◽  
pp. 108-125
Author(s):  
Nancy Doyle
Keyword(s):  
Lived Experience ◽  
Neurodevelopmental Disorders ◽  
Social Inclusion ◽  
Biopsychosocial Model ◽  
Medical Model ◽  
Occupational Performance ◽  
Working Adults ◽  
Naturally Occurring ◽  
Disability Status ◽  
The Impact

Abstract Introduction The term neurodiversity is defined and discussed from the perspectives of neuroscience, psychology and campaigners with lived experience, illustrating the development of aetiological theories for included neurodevelopmental disorders. The emerging discourse is discussed with relevance to adults, social inclusion, occupational performance and the legislative obligations of organizations. Sources of data Literature is reviewed from medicine, psychiatry, psychology, sociology and popular press. No new data are presented in this article. Areas of agreement There is consensus regarding some neurodevelopmental conditions being classed as neurominorities, with a ‘spiky profile’ of executive functions difficulties juxtaposed against neurocognitive strengths as a defining characteristic. Areas of controversy The developing nomenclature is debated and the application of disability status versus naturally occurring difference. Diagnosis and legal protections vary geographically, resulting in heretofore unclear guidance for practitioners and employers. Growing points The evolutionary critique of the medical model, recognizing and updating clinical approaches considering the emerging consensus and paradigmatic shift. Areas timely for developing research It is recommended that research addresses more functional, occupational concerns and includes the experiences of stakeholders in research development, moving away from diagnosis and deficit towards multi-disciplinary collaboration within a biopsychosocial model.

Importance of Early Intervention and Early Return to Work in Reducing Absence

Pain ◽  
2019 ◽  
pp. 1061-1063
Author(s):  
Aditya Raghunandan ◽  
George C. Chang Chien
Keyword(s):  
Early Intervention ◽  
Return To Work ◽  
Early Return

Prevention and Early Intervention Programs for Special Populations

2012 ◽  
pp. 402-412
Author(s):  
Heather E. Baldwin ◽  
B. Heidi Ellis
Keyword(s):  
Early Intervention ◽  
Social Context ◽  
Environmental Factors ◽  
Intervention Programs ◽  
Refugee Children ◽  
Special Populations ◽  
Social Environments ◽  
Intervention Models ◽  
Traumatic Exposure

Special populations have unique issues that need to be considered in the development and delivery of prevention and early intervention models. For these individuals, social context or stressors and support within their social environments may be particularly critical to consider in the wake of a traumatic exposure. In this chapter, we will discuss some of the environmental factors that are important to consider when planning and implementing prevention and early intervention programs for special populations and explore these factors in the case of refugee children.

scholarly journals International standards on return to work for social security institutions

2014 ◽  
Vol 9 ◽  
Author(s):  
Friedrich Mehrhoff
Keyword(s):  
Early Intervention ◽  
Social Security ◽  
Return To Work ◽  
Good Practice ◽  
Disability Management ◽  
International Standards ◽  
Work Place ◽  
Persons With Disabilities ◽  
Security Association ◽  
International Social

The Guidelines on Return to Work and Reintegration of the International Social Security Association (ISSA) in Geneva published 2013 provides key-elements for successful disability management programs worldwide: Early intervention, personal-centred, work-place orientated, holistic-driven and multi-disciplined approach. Lots of tools and good practice from various countries and stakeholders in prevention and rehabilitation support the efforts of retaining and restore the employability of persons with disabilities within societies. The lecture offers an overview of the ISSA Guidelines and how they could be used as standard in social security institutions.

scholarly journals OC 8432 EVALUATION OF AN ANTIBODY-DETECTING POINT-OF-CARE TEST FOR THE DIAGNOSIS OF TAENIA SOLIUM TAENIASIS AND NEUROCYSTICERCOSIS/CYSTICERCOSIS IN AN ENDEMIC AREA

2019 ◽  
Vol 4 (Suppl 3) ◽  
pp. A6.1-A6
Author(s):  
Chishimba Mubanga ◽  
Kabemba Mwape ◽  
Gideon Zulu ◽  
Isaac Phiri ◽  
Chiara Trevisan ◽  
...  
Keyword(s):  
Sensitivity And Specificity ◽  
Point Of Care ◽  
Taenia Solium ◽  
Community Setting ◽  
Diagnostic Value ◽  
Community Level ◽  
Diagnostic Tools ◽  
Successful Implementation ◽  
Index Test ◽  
Endemic Areas

BackgroundTaenia solium taeniasis/(neuro)cysticercosis is a neglected parasitic zoonosis with significant economic and public health impacts. Neurocysticercosis is responsible for 30% cases of acquired epilepsy in endemic areas. Diagnosis and case management of neurocysticercosis/taeniasis in resource-limited endemic countries is challenging. Reliable, inexpensive and easy to use diagnostic tools with sufficient sensitivity and specificity are currently not available. A new point-of-care (POC) test based on recombinant rT24H and rES33 proteins developed by the Centre for Disease Control in Atlanta (US) which combines diagnosis of taeniasis and cysticercosis has been developed, however, its performance at community level is not known. The aim of this study is therefore, to evaluate the diagnostic performance of this test in a community setting.MethodsThe study site is Mtandaza community, Sinda district, Eastern Province of Zambia. The diagnostic accuracy is being evaluated for taeniasis and (neuro) cysticercosis in 1200 randomly selected participants in a community-based study. The performance characteristics (sensitivity and specificity) for neurocysticercosis will be computed by cross-tabulating of POC results with those of the ‘neurocysticercosis diagnosis’ while a Bayesian approach will be used for cysticercosis and taeniasis to compare the performance of the index test with reference tests (enzyme-linked immuno-electrotransfer blot (EITB), B158/B60 Ag-ELISA, Ab-ELISA, Copro-Ag ELISA, PCR).ResultsPreliminary results of 505 POC tests so far conducted show that 0.8% were positive for taeniasis, 9.1% for cysticercosis and, 4.6% were invalid or unclear. Except for Copro-Ag and B158/B60 Ag-ELISA for taeniasis and cysticercosis respectively, reference tests are yet to be conducted.ConclusionResults will show the diagnostic value of the POC test and its applicability for use at community level in endemic areas. If successful, implementation of the tool will enable early detection of taeniasis and suspected neurocysticercosis cases and lead to improved patient management and treatment outcomes.

scholarly journals Family Health Conversations: How Do They Support Health?

2014 ◽  
Vol 2014 ◽  
pp. 1-11 ◽  
Author(s):  
Carina Persson ◽  
Eva Benzein
Keyword(s):  
Family Systems ◽  
Family Health ◽  
Nursing Intervention ◽  
Successful Implementation ◽  
Evaluation Design ◽  
Self Identity ◽  
Intervention Models ◽  
The Family ◽  
Dialogue Process ◽  
Ways Of Being

Research shows that living with illness can be a distressing experience for the family and may result in suffering and reduced health. To meet families’ needs, family systems intervention models are developed and employed in clinical contexts. For successful refinement and implementation it is important to understand how these models work. The aim of this study was therefore to describe the dialogue process and possible working mechanisms of one systems nursing intervention model, the Family Health Conversation model. A descriptive evaluation design was applied and 15 transcribed conversations with five families were analyzed within a hermeneutic tradition. Two types of interrelated dialogue events were identified: narrating and exploring. There was a flow between these events, a movement that was generated by the interaction between the participants. Our theoretically grounded interpretation showed that narrating, listening, and reconsidering in interaction may be understood as supporting family health by offering the families the opportunity to constitute self-identity and identity within the family, increasing the families’ understanding of multiple ways of being and acting, to see new possibilities and to develop meaning and hope. Results from this study may hopefully contribute to the successful implementation of family systems interventions in education and clinical praxis.

scholarly journals Case studies of employers with exemplary early intervention and return to work practices

2014 ◽  
Vol 9 ◽  
Author(s):  
Christine Randall
Keyword(s):  
Early Intervention ◽  
Return To Work ◽  
Case Studies ◽  
Best Practice ◽  
Positive Relationship ◽  
Injured Workers ◽  
Work Outcomes ◽  
List Type ◽  
Policy Makers ◽  
Ample Evidence

Background: There is ample evidence that returning to suitable work is good for an injured worker's health and wellbeing. Evidence from the 2013 National Return to Work Survey shows a positive relationship between employers’ treatment of injured workers and return to work outcomes.Objectives: The case studies project aims to provide: •employers with examples of practical solutions, practices or systems to improve return to work outcomes, and•policy makers with a summary of key themes and best practice approaches to inform the development of policy and programs.Methods: Organisations for the case studies will be shortlisted from recent Australian national return to work award winners and finalists. Key players within the organisations, including managers, supervisors, rehabilitation co-ordinators and recovered injured workers, will be interviewed to obtain information and attitudes on the early intervention and return to work approaches. An analysis of the case studies and a literature review on current best practice for early intervention and return to work will be conducted from which key themes and practices will be identified.Findings: The project will produce two reports: case studies of six organisations’ practices, and an analytical report on key findings and best practice for early intervention and return to work. The case studies will provide employers and workers published examples of practical approaches to improving return to work outcomes. The case studies also explore the roles and views of management, supervisors and injured workers. The analytical report will examine the case studies and report on key themes and best practice, providing policy makers and employers with an analysis of findings. The 2013 National Return to Work survey provides supporting evidence of the positive relationship between return to work outcomes and a range of variables related to the role of the employer and the workplace.Conclusion: It is anticipated the case studies project will provide examples of practical approaches to improving early intervention and return to work outcomes, which other organisations may consider implementing.

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