scholarly journals Staff experiences working in community‐based services for people with learning disabilities who show behaviour described as challenging: The role of management support

2019 ◽  
Vol 47 (3) ◽  
pp. 201-207 ◽  
Author(s):  
Roy Deveau ◽  
Peter McGill
Keyword(s):  
Learning Disabilities ◽  
Management Support ◽  
Community Based ◽  
Staff Experiences ◽  
Community Based Services

Changing patterns of mental health care in Greece (1984–1996)

1999 ◽  
Vol 14 (8) ◽  
pp. 462-467 ◽  
Author(s):  
M.G. Madianos ◽  
J. Tsiantis ◽  
C. Zacharakis
Keyword(s):  
Mental Health ◽  
Technical Assistance ◽  
Psychiatric Care ◽  
Significant Shift ◽  
Community Based ◽  
Mental Hospitals ◽  
Reform Programme ◽  
Changing Patterns ◽  
Community Based Services

SummaryGreece joined the European Community in 1981 and, three years later, the Commission of the European Communities provided financial and technical assistance under EEC Regulation 815/84 for the modernisation of the traditional psychiatric care system, with the emphasis on decentralisation of mental health services and the development of community-based services, as well as on deinstutionalization of long-stay patients and improvement of conditions in public mental hospitals. Over the last 11 years, the implementation of the EEC Reg. 815/84 programme contributed to a significant shift towards extramural care and rehabilitation. The role of the large mental hospitals has gradually been diminished and a large number of long-stay patients have been deinstitutionalised. It is commonly accepted that the EEC-funded psychiatric reform programme, despite inadequacies and constraints, had an impact on the changing mental health scene in Greece.

scholarly journals Dedicated community-based services for adults with personality disorder: Delphi study

2008 ◽  
Vol 193 (4) ◽  
pp. 342-343 ◽  
Author(s):  
Mike J. Crawford ◽  
Katy Price ◽  
Deborah Rutter ◽  
Paul Moran ◽  
Peter Tyrer ◽  
...  
Keyword(s):  
Personality Disorder ◽  
Delphi Study ◽  
Service Providers ◽  
Community Outreach ◽  
Community Based ◽  
Delivery Of Care ◽  
Violent Offending ◽  
History Of ◽  
Community Based Services

SummaryDedicated community-based services have been recommended for people with personality disorder, but little is known about how such services should be configured. We conducted a Delphi survey to assess opinions about this. A panel of expert authors, service providers and service users agreed on only 21 (39%) of 54 statements on the organisation and delivery of care. Consensus was not reached on important issues such as working with people with a history of violent offending, the role of community outreach and the use of compulsory treatment. Further work needs to be undertaken before the optimal organisation of dedicated personality disorder services can be agreed.

Outcomes after Community Discharge from Skilled Nursing Facilities: The Role of Medicaid Home and Community‐Based Services

2021 ◽  
Vol 56 (S2) ◽  
pp. 16-16
Author(s):  
Sijiu Wang ◽  
Helena Temkin‐Greener ◽  
Adam Simning ◽  
R. Tamara Konetzka ◽  
Shubing Cai
Keyword(s):  
Skilled Nursing Facilities ◽  
Nursing Facilities ◽  
Community Based ◽  
Skilled Nursing ◽  
Community Based Services

scholarly journals Regional audit of depot neuroleptic usage in adults with learning disabilities

1996 ◽  
Vol 20 (5) ◽  
pp. 289-291 ◽  
Author(s):  
Shaun Gravestock
Keyword(s):  
Learning Disabilities ◽  
Community Based ◽  
Community Learning ◽  
Medication Monitoring ◽  
Adults With Learning Disabilities ◽  
Depot Neuroleptic ◽  
Consensus Standard ◽  
Data Informed ◽  
Community Based Services

A previous survey (Gravestock, 1996) assessed factors associated with depot neuroleptic usage in 79 adults with learning disabilities using mainly community-based services. The data informed consensus standard setting and this audit focusing on 32 out of 79 original subjects. At two year follow-up, five subjects had been withdrawn from depots; there was a significant (P < 0.001) reduction in subjects' median depot dosage and reduced concomitant usage of oral neuroleptics and anticholinergics. The importance of completing the audit cycle and other psychotropic medication monitoring studies in community learning disabilities services are discussed.

A Review of Screened-Out Families and Child Protective Services Involvement: A Missed Opportunity to Prevent Future Maltreatment With Community-Based Services

2021 ◽  
pp. 107755952110335
Author(s):  
James D. Simon ◽  
María Gandarilla Ocampo ◽  
Brett Drake ◽  
Melissa Jonson-Reid
Keyword(s):  
Child Protective Services ◽  
State Level ◽  
Outcome Data ◽  
Intervention Research ◽  
Protective Services ◽  
Community Based ◽  
Level Data ◽  
Community Based Services ◽  
Missed Opportunity

The objective of this article is to frame, understand, and draw implications from existing research on families screened out by child protective services (CPS) after a referral alleging child maltreatment. We review descriptive and outcome data together with emerging intervention research amidst a developing consensus that the current reactive role of CPS should be supplemented by supportive and preventative services that primarily address poverty. State-level data indicate that screened-out families are at high risk of re-referral and similar to higher-risk families reported to CPS. Intervention research is scant and mixed, but there is indication that providing community-based services may reduce future CPS involvement. Considering that screened-out referrals present an opportunity to prevent future maltreatment, CPS should identify and collaboratively engage screened-out families in community-based services. More research on the outcomes of these community responses is needed to identify best practices related to engagement and service provision.

External Peer Challenge in Local Government: The Role of Spatial Spillover and Past Performance

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Tim Jäkel
Keyword(s):  
Local Government ◽  
Local Governments ◽  
Spatial Clusters ◽  
Past Performance ◽  
Community Based ◽  
Local Authorities ◽  
Critical Friends ◽  
Original Dataset ◽  
Community Based Services

Abstract Voluntary assessments by a team of critical friends (external peer challenges) among local governments became established as popular complement to compulsory and centralized audits and inspections. This study empirically investigates the decision of English local authorities to have a voluntary peer challenge or not by taking advantage of an original dataset about participation in the Local Government Association’s Peer Challenge Programme (CPC) 2010–2015. We find that the LGA’s CPC programme does not carry a risk of leaving behind authorities with performance shortcomings. Councils with poor past performance scores and those with excellent ones do not differ in their tendency to invite a team of critical friends. Spatial clusters exist in the case of small district councils but not in the case of larger unitary authorities, London boroughs and metropolitan authorities. This implies that the corporate peer challenge process seems to be more suited to small authorities delivering community based services.

scholarly journals PREDICTORS OF SATISFACTION WITH AGING IN PLACE: THE ROLE OF HOME- AND COMMUNITY-BASED SERVICES

2017 ◽  
Vol 1 (suppl_1) ◽  
pp. 895-895
Author(s):  
F. Wen ◽  
C. Stewart ◽  
G. Armstrong ◽  
G. Burke ◽  
L. Land ◽  
...  
Keyword(s):  
Aging In Place ◽  
Community Based ◽  
Community Based Services
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